This is a great resource from Psychology Tools, with a huge amount of information about the use of exercise in treatment of mental illness, and a long bibliography of articles describing evidence related to the use of exercise, impact of physical exercise on mental health, ways of encouraging clients to exercise, and biological, psychological and social mechanisms by which exercise …
The most common question that people ask when they start TMS is how long it will take to get well with TMS. A recent article published in the American Journal of Psychiatry looked at the results from a six week study designed to compare theta burst and regular TMS in order to assess patterns of response over time. The authors …
Clues that can help us provide more effective care for those with treatment resistant depression are urgently needed. Sidney Zisook and colleagues report an analysis of the data from a large study of veterans with chronic depression (VAST-D) and conclude that two clinical features can help predict likely response to medications changes for some patients who have failed at least …
What are the best strategies for using ketamine to treat major depression in the short term? Although we know that ketamine (and, now, esketamine) can be helpful we really don’t know that much about what strategy works best. The most commonly used ketamine infusion protocol is adapted from studies using ketamine to treat chronic pain. An article in the March …
Gateway Psychiatric Services is excited to announce the release of our latest book: The Bipolar Disorder Workbook from Callisto Media. Designed to educate and motivate people who have questions, particularly about Bipolar II and cyclothymia, the workbook walks users through a series of structured exercises, beginning with a basic checklist intended to identify symptoms that may warrant further investigation. The …
Would home blood draws (or office blood draws for that matter) be helpful? Obtaining routine blood work can be an essential part of your treatment if you have a mood disorder and are on medications as it is very important to know the levels in your blood reached by mood-stabilizing drugs. Finding time however to get your labs done can …
Once again we are reminded of the power of retrospective mood charting to transform treatment. A young man who has “tried every medication” without any success and has been seriously suicidal, recently came in to see us and we convinced him to try putting together a retrospective mood chart. The process was quite time intensive, but the result was a …
This weekend we have done some hard work behind the scenes creating a better treatment resources index to allow clinicians and patients to quickly access information about the array of services, online applications, clinical tests, pharmacogenetics tests, online courses and online CBT therapies that are provided at Gateway Psychiatric. There are so many tools in our toolbox that it can …
Finger stick lab tests have the potential to significantly improve the quality of the care at Gateway Psychiatric. Regular monitoring of labs are an important part of good care for many of our patients, but some find it difficult to get labs done on time. A new technology from clinical laboratory provider OpAns may allow us to perform many of …
The news of Anthony Bourdain and Kate Spade’s death by suicide as well as the CDC’s report on increasing suicide rates in the US reminds us of a larger public health crisis that was given the name “deaths of despair” by researchers Case and Deaton (see below). We have been collecting information on this topic in preparation for an effort …
