Monday, January 20, 2020

Patient Race Associated with Varied Psychiatric Treatment Experiences

Findings point to association between race and the mental health care experiences of African-American and White veterans.

Rampant Prescription Errors in CA Nursing Homes

Recent investigations by the California Department of Public Health found that in 18 of 31 nursing homes in San Francisco (plus one outside of...

PTSD and Psychiatric Medication Linked to Dementia in Older Veterans

Veterans diagnosed with PTSD and taking SSRIs, novel antidepressants, or atypical antipsychotics are more likely to develop dementia.

“This Nursing Home Calms Troubling Behavior Without Risky Drugs”

NPR Shots explores a nursing home where "residents can always find something to do," and where use of antipsychotic drugs has dropped dramatically. This Nursing...

Cognitive Enhancement With Yoga

From Psychiatric Times: A recent study suggests that Kundalini yoga may be at least as effective as memory training in improving cognitive resilience in older adults with...

Lack of Face-to-Face Contact Doubles Depression Risk for Older Adults

New research suggests that more frequent in-person contact lessens the risk of depression in older adults. The study, published in this month’s issue of the Journal of the American Geriatric Society, found that in Americans over fifty the more face-to-face contact they had with children, family and friends, the less likely they were to develop depressive symptoms.

For-Profit Medicine Incentivizes Overmedicating Our Elderly

From NBC: According to human rights investigators, anti-psychotic drugs are often administered to nursing home residents to address behavioral issues. Our nation's lack of funding...

Elderly With Dementia can be Withdrawn From Antipsychotics

The Cochrane Library reports that "many older people with Alzheimer's dementia and NPS (neuropsychiatric symptoms) can be withdrawn from chronic antipsychotic medication without detrimental effects...

Delirium on top of Dementia

Nowadays, with our increasingly aged population, it is probable that the main cause of psychotic symptoms in the West is dementia. But what is less obvious is that most of the symptoms of demented patients may actually be due to delirium (that is, to acute confusional states).

Benzodiazepines Linked to Increased Risk of Alzheimer’s: Causation or Not?

According to a study in the British Medical Journal, benzodiazepine use is associated with a significantly increased risk of developing Alzheimer’s disease. Some experts...

The Mind-Expanding Ideas of Andy Clark

In this piece for The New Yorker, Larissa MacFarquhar profiles the philosopher and cognitive scientist Andy Clark, whose work argues that our minds are inseparable...

Medical Conditions in the Elderly Often Misdiagnosed as Psychiatric

27 (24%) of 112 geriatric patients admitted consecutively to an inpatient psychiatric unit had delirium from underlying medical conditions that was misdiagnosed as a psychiatric...

“Their Brains had the Telltale Signs of Alzheimer’s. So why did They Still Have...

Sharon Begley for the STAT examines new research which raises “doubts about conventional approaches to diagnosing and finding treatments for Alzheimer’s.” Article →

Arkansas’ $1.25 Billion Risperdal Trial Starts Today

Arkansas' lawsuit against Johnson & Johnson for false and misleading claims regarding Risperdal is set to begin today, the fourth time J&J has a...

Fewer Antipsychotics, More Nurses Will Improve Care and Save Money in Nursing Homes

The Center for Medicare Advocacy advised yesterday that nursing facilities could realize huge savings by eliminating "inappropriate and life-threatening" antipsychotic drugs. The statement added...

Antipsychotic Use in Nursing Homes Causing Many Adverse Effects in Elderly

A literature review found that the extensive off-label use of antipsychotic medications in nursing homes is causing many adverse effects and providing limited benefits.

How Do Comprehensive Lifestyle Changes Influence Dementia?

In his Scientific American blog, Gary Stix reviews the latest investigations into the impacts of comprehensive lifestyle change approaches to preventing dementia. "Results of...

SSRIs Significantly Increase Falls in Dementia, Even at Low Doses

Researchers in the Netherlands followed 248 nursing home residents with dementia for two years, finding that even 25% of the defined daily dose of...

Dementia Patients at Risk of Injury or Death Due to Antipsychotics

From The Independent: Thousands of people with Lewy Body Dementia are being prescribed antipsychotic drugs, increasing their risk of death fourfold. "These medicines, prescribed to around...

Popular Drug Reveals the Issue of “Off-Label” Use

From The Washington Post: Despite major lawsuits and detailed reports pertaining to severe health risks associated with the antipsychotic Seroquel, the drug remains one of...

Humor As Effective As Medication in Treating Agitation in Dementia

In "the first major study of the impact of humour therapy on mood, agitation, behavioural disturbances and social engagement in dementia," researchers in Australia...

Assessing Increased Mortality Risks of Antipsychotics and Mood Stabilizers in Dementia

An article in January's American Journal of Psychiatry weighs the relative risk of mortality associated with various antipsychotics and mood stabilizers used in the treatment of...

Evidence Strengthening that Common Benzodiazepine Sedatives May Cause Dementia

A meta-analysis of studies found that the risk of dementia increased 22% for every additional twenty daily doses of benzodiazepine medications annually.

Certain Antidepressants, Sleep Aids Associated with Higher Dementia Risk

Greater cumulative doses of drugs that are anticholinergic or block the neurotransmitter acetylcholine are associated with significant increases in dementia and Alzheimer's.

Veterans with both PTSD and Dementia More Likely to be Prescribed Antipsychotics

Researchers found that veterans with both conditions had higher odds of being prescribed second-generation antipsychotics than those presenting with just PTSD.

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