Sleepio is a six-session sleep improvement program, created by sleep expert Professor Colin Espie and featuring proven Cognitive Behavioral Therapy (CBT) techniques. We are happy to add this treatment option to the list of state of the art therapies available at Gateway Psychiatric. For more information about CBT for insomnia and online programs to help improve sleep please read this …
Welcome New Staff Member Chris Restivo
I am so excited to welcome new staff member Chris Restivo, who starts full time work next week as a therapist and case manager. Chris joins us from the Felton Institute’s award winning Prevention and Recovery in Early Psychosis program and the Bipolar Early Assessment and Management program, where he quickly established himself as an especially gifted therapist working with young …
Intranasal Esketamine is Effective for Depression
Intranasal esketamine is effective for treating severe depression and suicidality when added to comprehensive standard of care treatment in patients who were felt to be at imminent risk of suicide. 68 patients seen in an emergency department were randomized to receive esketamine or placebo as well as comprehensive treatment including inpatient care and antidepressant medications. Patients receiving esketamine had a …
Antidepressant Diet Cookbook
Two recent studies suggest that the Mediterranean diet may be an antidepressant diet as well as the diet that reduces heart disease, inflammation, and the risk of dementia. In the SMILES trial 65 patients with depression were randomized to a Mediterranean diet based intervention (a diet support group) or a social support group. The group excluded people who were treatment …
Depression Resilience and Neural Connectivity
Much has been written about risk factors for depression but we know less about depression resilience factors. Why do some people at high risk develop depression, while others do not. A study conducted at Stanford by Adina S. Fischer, MD PhD, and colleagues, suggests that increased regulation of limbic areas (the parts of the brain that are most directly involved in …
TMS Predictors of Outcome in Bipolar Depression and Unipolar Major Depression
What TMS predictors of outcome in bipolar depression and unipolar major depression can we use to identify those who are likely to respond to treatment? An article in 2017 in the journal Clinical Neurophysiology reports data from a very large series of patients with both types of depression who were treated with TMS. The study looked at records from 105 …
Shared Gene Expression in Mental Disorders
Four distinct psychiatric disorders – autism, schizophrenia, bipolar disorder and depression – have shared gene expression, according to research published online Feb. 8 in the journal Science. Researchers arrived at the study’s findings by analyzing RNA in 700 tissue samples from the brains of dead people who had autism, schizophrenia, bipolar disorder, major depression or alcohol abuse disorder, then comparing those samples …
Specialty Care for Bipolar Matters
Bob Post (one of the most eminent psychiatrists of our time) published a passionate article in the March 2018 edition of the Journal of the American Medical Association in support of the importance of specialty care for bipolar disorder. Of course, we couldn’t agree more. That is one of the reasons we founded the clinic. We saw that specialty care …
Pharmacy Issues
Yesterday was a typical day with regard to pharmacy issues. Four of my patients received incorrect information from their pharmacy (Walgreens and CVS seem to be the most common ones) and asked me to call their pharmacy to solve a problem that the pharmacy claimed was my fault, in each case I had to sit on hold for 10 to …
Post Doctoral Psychologist Job Opening
Posted: February 5, 2018 Job Location: Hayes Valley, San Francisco, California 94102 We have a new postdoctoral psychologist job opening in our Hayes Valley office in San Francisco. If you have experience in cognitive behavioral therapy, dialectical behavior therapy, mindfulness based therapy and an interest in learning other evidence-based treatments for mood and anxiety disorders you may be interested in applying for …