Archive for June, 2009

In Relationships, We Either Trade Up or We Trade Down

Here’s a question I hear often when doing counseling and the issue turns to relationships: How do I continue to pursue a relationship with my significant other while at the same time retain my independence? My answer is always the same: You’re asking the wrong question! Why? In relationships, we either trade up or we [...]

Augmenting Antidepressants with Deplin (l-methylfolate)

Vitamin B folate or folic acid – active in citrus fruits, legumes, green, leafy vegetables – is yet another arrow in the psychiatrist’s quiver for managing treatment – resistant depression (TRD). Deplin (l-methylfolate) is a folic acid type of derivative. Deplin helps normalize amounts of the neurotransmitters norepinephrine, serotonin and dopamine when used in conjunction with antidepressants. [...]

Escitalopram (Lexapro) Approved for Treatment of Major Depression in Adolescents

Escitalopram (Lexapro), has gained FDA approval for the acute and maintenance treatment of major depressive disorder (MDD) in adolescents ages 12 to 17 years. “Adolescent depression can often be challenging to treat because there are limited treatment options that are proven to be effective and well tolerated in this patient population,” noted Graham Emslie, MD, [...]

Metabolic Monitoring in Patients Utilizing Antipsychotics Considerably Lacking

Among insured patients initially prescribed second generation antipsychotics, monitoring of blood sugar and lipid levels falls very short of the 2004 American Diabetes Association (ADA) guidelines, researchers report. The guidelines are based on the considerable evidence that these medications can increase risk for cardiovascular disease by adversely affecting lipid and glucose metabolism as well as [...]