Updates about psychiatry and our practice.
Finding a psychiatrist is often hard. If you have insurance, you have paid that company to provide you with access to care. They are legally required to have an adequate list of psychiatrists who can provide care to the people they insure. They often don’t do that. Many of them have “phantom networks” – lists of people who are supposed …
Cognitive problems are the rule rather than the exception for people with bipolar disorder and so the idea of brain training for bipolar is an attractive one. There are a number of commercially available brain training courses. Probably one of the most comprehensive was developed by a company called Posit Science. Its current flagship product is a subscription-based online program …
New patient consultations at Gateway are expensive, in large part because of the hidden or invisible work that takes place as part of the consultation process. The table below contrasts the visible work, which is contained in the two sessions with clinicians, to the hidden work done by clinical and nonclinical staff in order to make those two in person …
A patient with treatment resistant depression and an excellent initial response to TMS asked me about the value of maintenance TMS. The question is a reasonable one given what we know generally about the treatment of chronic and/or treatment resistant depression. Almost all of the effective treatments (psychotherapy, medications, ECT, etcetera) have acute and maintenance treatment components. And for all …
I recently hosted another Bipolar 101 Group and received overwhelmingly positive feedback from those who attended the group. I regularly hear of the value that support plays in the lives of people I work with who are managing bipolar disorder;they frequently speak about their communities, friends, and families and the impact they have in their lives. Our first Bipolar 101 …
Adult onset ADHD symptoms – symptoms of inattentiveness or hyperactivity that are present in adulthood but did not exist to a clinically significant degree in childhood – have been the subject of much controversy in the research literature in the last three years. Until recently, it was understood that ADHD had to have its onset in childhood. In other words …
We are very excited that Dr. Peter Forster has been selected as one of the Best Doctors in America by his peers. Best Doctors was set up as an organization to promote the highest quality healthcare by a group of Harvard physicians and since its founding has focused on identifying the best doctors and the best practices in healthcare. As …
Predicting lithium response with brain imaging may be an option in the future if the preliminary results of a study published in 2017 are confirmed. Researchers from the University of Cincinnati used three tools to create a program that was remarkably successful at predicting which bipolar patients would respond to lithium. 20 first onset bipolar patients who received adequate trials …
Understanding the neurobiology of depression involves more than just knowing about serotonin, we need to know how state and trait brain function in depression is different from brain functioning in those who have never had a major depression. State and trait are key concepts in understanding psychiatric conditions: state refers to those alterations in functioning that occur when someone is …
