Tag

Psychiatry

All articles tagged with #psychiatry

Misdiagnosis of bipolar disorder as depression delays treatment for years, experts warn
health2 days ago

Misdiagnosis of bipolar disorder as depression delays treatment for years, experts warn

Two individuals in Scotland were misdiagnosed with depression for over a decade before receiving correct diagnoses of bipolar disorder. Kimberley Atkinson was treated for depression for 14 years until a manic episode led to involuntary hospitalization, where she was diagnosed with bipolar I. Jacqui Armstrong, a former teacher, spent over 30 years being treated for depression, including undergoing electroconvulsive therapy, before being diagnosed with bipolar II. Experts state that bipolar disorder is significantly underdiagnosed, with the true prevalence potentially being double the official rate. They argue that current screening practices fail to identify manic symptoms, leading to inappropriate antidepressant prescriptions that can worsen bipolar conditions. Updated screening guidelines are urged to improve early detection and prevent long-term harm.

Lifespan Atlas Maps Prefrontal Cortex Gene Shifts from Resilience to Vulnerability
science20 days ago

Lifespan Atlas Maps Prefrontal Cortex Gene Shifts from Resilience to Vulnerability

Researchers have published the first comprehensive single-nucleus transcriptomic atlas of the human dorsolateral prefrontal cortex (DLPFC) spanning the entire lifespan. By analyzing over 1.3 million nuclei from 284 neurotypical donors, the study reveals that brain aging is not a linear decline but a non-linear process with distinct phases. The atlas identifies a transition from early-life neuronal resilience to late-life glial immune activation and circadian disruption, providing a new framework for understanding age-related cognitive decline and disease risk.

Study Finds High Verbal IQ Linked to Increased Impulsivity in Children with ADHD
health-and-science25 days ago

Study Finds High Verbal IQ Linked to Increased Impulsivity in Children with ADHD

A large-scale study involving over 5,000 children reveals that while high overall intelligence generally reduces ADHD symptoms, specific types of intelligence can exacerbate impulsivity. Published in Translational Psychiatry, the research indicates that high verbal IQ is associated with greater impulsivity, while high performance IQ shows a U-shaped relationship with impulsivity in adolescents. These findings suggest that intelligence does not uniformly protect against all ADHD symptoms and may complicate diagnosis and treatment.

Sewing Needle Found in Heart of Man Who Presented With Urinary Symptoms
health29 days ago

Sewing Needle Found in Heart of Man Who Presented With Urinary Symptoms

A 35-year-old man in China was found to have a 36-millimeter sewing needle embedded in his left ventricle after presenting with blood in his urine. Imaging revealed multiple metallic foreign bodies in his abdomen, pelvis, and heart, leading to a staged surgical removal. The case, published in BMC Cardiovascular Disorders, highlights the difficulty of diagnosing cardiac foreign bodies in patients with cognitive impairments who may not report self-injury.

Ketogenic Diet Seen as Potential Mental-Health Therapy
health1 month ago

Ketogenic Diet Seen as Potential Mental-Health Therapy

The ketogenic diet is being explored as a treatment for severe mental illnesses by providing ketones as an alternative brain fuel; evidence is still limited and largely observational, though a recent randomized trial shows promise. The approach requires medical supervision and could involve multidisciplinary care, with dietary variants (including vegan or Mediterranean keto) possible. It’s not just a weight‑loss diet, and while mainstream psychiatry hasn’t adopted it, reducing sugar and refined carbs may benefit general metabolic and mental health while rigorous research continues.

DSM Goes Biologic: The Next Frontier in Diagnosing Mental Illness
health1 month ago

DSM Goes Biologic: The Next Frontier in Diagnosing Mental Illness

The DSM is moving toward integrating biology into psychiatric diagnoses for the first time, aiming to use biomarkers and neurobiology to supplement symptom-based criteria. While current biomarkers for mental illness are limited and environmental factors blur biological signals, recent advances offer promise: blood-based biomarkers for Alzheimer's disease, inflammatory markers like CRP that may identify treatment-responsive subtypes, and genetic risk scores that could feed into precision psychiatry. The shift acknowledges overlapping symptom clusters and subgroups within disorders, with the goal of more objective, personalized diagnoses in the future, even as clinicians recognize the complexity and remaining gaps before such biology-driven DSM criteria become standard practice.

Testosterone Therapy Triggers Psychosis in a Man with Klinefelter Syndrome
health1 month ago

Testosterone Therapy Triggers Psychosis in a Man with Klinefelter Syndrome

A 45-year-old man on testosterone for osteoporosis developed paranoia and hearing voices about a year into therapy; stopping testosterone led to rapid resolution of symptoms, and he was later restarted on testosterone with close monitoring. He was found to have Klinefelter syndrome, which may increase psychiatric risk, underscoring the need for baseline mental-health screening and vigilant monitoring when initiating testosterone, especially in vulnerable patients.

Telehealth-Only Therapy in Clancy Case: Psychiatrist Never Met Patient in Person
crime2 months ago

Telehealth-Only Therapy in Clancy Case: Psychiatrist Never Met Patient in Person

In the Lindsay Clancy murder case, her psychiatrist testified that all sessions with Clancy were conducted via telehealth and she had never met her in person, limiting her ability to observe physical cues (hands/legs). The defense questioned potential misrepresentation of postpartum specialization and whether hospital records were reviewed, noting Clancy’s claims of worsening symptoms and prior hospital visits. The psychiatrist disputed malpractice allegations, saying sessions lasted 25–30 minutes and she provided support, though she did not review hospital records and did not see signs of psychosis in clinic notes.

Capgras Syndrome: When a Loved One Is Perceived as an Imposter
health2 months ago

Capgras Syndrome: When a Loved One Is Perceived as an Imposter

Capgras syndrome is a rare delusion in which a familiar person, often a spouse, is believed to be replaced by an impostor. Symptoms can come and go and may be worse at night, with a notable risk of violence toward the perceived impostor. Lewy body dementia accounts for many cases. Treatment combines medication (dementia meds such as donepezil and antipsychotics) and non-drug approaches, used with caution and under expert supervision. Involuntary treatment may be possible if the patient has a severe mental disorder, impaired decision-making, and poses danger; laws vary by state and require a psychiatrist or neurologist to guide the process. Families should seek a psychiatric evaluation to discuss options and safety for both the patient and caregivers.

Rosenhan Reconsidered: The Landmark Psychiatry Study That Shaped—and Questioned—Mental Health Reform
science2 months ago

Rosenhan Reconsidered: The Landmark Psychiatry Study That Shaped—and Questioned—Mental Health Reform

A retrospective on David Rosenhan's 1973 landmark study in Science, which claimed eight sane individuals were misdiagnosed in psychiatric wards and catalyzed major reforms and the DSM-III; decades later Susannah Cahalan's investigation challenged the paper's data, alleging fictitious or exaggerated elements and prompting renewed scrutiny of psychiatric diagnosis while acknowledging that reforms and the overall critique of psychiatry persisted.

Creativity Under the Hood: Why Psychiatric Genes Persist Through Evolution
science2 months ago

Creativity Under the Hood: Why Psychiatric Genes Persist Through Evolution

A Nature Communications study links genetic risk for schizophrenia, bipolar disorder, autism, and ADHD to distinct cognitive traits (reaction time, crystallized knowledge, creativity) in European populations, suggesting evolution preserved these variants through pleiotropy and trade-offs where certain cognitive strengths coexist with psychiatric risk. ADHD may relate to faster processing, autism to intense knowledge in specific areas, and relatives of affected individuals are often drawn to creative or technical fields. The work highlights polygenic effects, cautions about embryo selection and stigma, and notes findings are correlational and currently limited to populations of European ancestry, needing broader, diverse data.

Safer SSRI tapering: expert guidance on how to quit antidepressants
health3 months ago

Safer SSRI tapering: expert guidance on how to quit antidepressants

SSRIs (including sertraline, escitalopram, fluoxetine, citalopram and paroxetine) are widely used for depression and anxiety, but stopping them abruptly can cause antidepressant discontinuation syndrome with symptoms like irritability, insomnia, GI distress and dizziness. The safest approach is a gradual, clinician-guided taper (sometimes over weeks to months), occasionally with a switch to a longer-acting SSRI, and smaller reductions late in the taper as the brain becomes more sensitive to serotonin changes. Supportive lifestyle factors—regular exercise, consistent sleep, good nutrition, hydration, stress management, therapy and social support—along with avoiding alcohol or recreational drugs, can help stabilize mood during tapering; always consult an experienced prescriber to tailor the plan.