Assist Prof, NYU & WFU medical schools.
www.chrisaikenmd.com
Posting daily updates on all things psychiatric
▪ Brought full recovery to 80% with refractory #depression (avg 5 med failures)
▪ Works within a week
▪ Double blind was intact
More in podcast:
www.thecarlatreport.com/blogs/2-the-...
And new depression textbook (audio version out soon):
amzn.to/4p7hc6e
▪ Brought full recovery to 80% with refractory #depression (avg 5 med failures)
▪ Works within a week
▪ Double blind was intact
More in podcast:
www.thecarlatreport.com/blogs/2-the-...
And new depression textbook (audio version out soon):
amzn.to/4p7hc6e
pubmed.ncbi.nlm.nih.gov/40136541
Mainly sexual function on SSRIs, but also menopause, PCOD, and endometriosis.
Also improve depression, cognition, anxiety, and metabolic health in varied populations.
How to use:
chrisaikenmd.com/supplements
pubmed.ncbi.nlm.nih.gov/40136541
Mainly sexual function on SSRIs, but also menopause, PCOD, and endometriosis.
Also improve depression, cognition, anxiety, and metabolic health in varied populations.
How to use:
chrisaikenmd.com/supplements
▪ 3 new med combos*
▪ 5 generic swaps for branded meds
▪ 5 research updates
All in the new Carlat Report:
www.thecarlatreport.com/ext/resource...
*eg atomoxetine-trazodone in sleep apnea, lurasidone-cycloserine in bp-depression
▪ 3 new med combos*
▪ 5 generic swaps for branded meds
▪ 5 research updates
All in the new Carlat Report:
www.thecarlatreport.com/ext/resource...
*eg atomoxetine-trazodone in sleep apnea, lurasidone-cycloserine in bp-depression
BOTTOM LINE: Check lithium labs before starting semaglutide, and monitor lithium level more frequently during therapy
pubmed.ncbi.nlm.nih.gov/40999647
BOTTOM LINE: Check lithium labs before starting semaglutide, and monitor lithium level more frequently during therapy
pubmed.ncbi.nlm.nih.gov/40999647
This new analysis finds a similar trend for cognitive benefits, peaking at 5 cups/day.
pubmed.ncbi.nlm.nih.gov/41222998
Tea has more neuroprotectants than coffee:
chrisaikenmd.com/coffeetea
This new analysis finds a similar trend for cognitive benefits, peaking at 5 cups/day.
pubmed.ncbi.nlm.nih.gov/41222998
Tea has more neuroprotectants than coffee:
chrisaikenmd.com/coffeetea
By avoiding benzos, z-hypnotics, trazodone after age 50, people will live a little longer, have fewer falls, better cognition:
pubmed.ncbi.nlm.nih.gov/41209816
Natural ways to improve sleep:
chrisaikenmd.com/brochures
By avoiding benzos, z-hypnotics, trazodone after age 50, people will live a little longer, have fewer falls, better cognition:
pubmed.ncbi.nlm.nih.gov/41209816
Natural ways to improve sleep:
chrisaikenmd.com/brochures
pubmed.ncbi.nlm.nih.gov/41211529
Evidence grade: Low (5/10, dramatic results)
chrisaikenmd.com/ebm
pubmed.ncbi.nlm.nih.gov/41211529
Evidence grade: Low (5/10, dramatic results)
chrisaikenmd.com/ebm
Possibly, concludes Mendelian randomization study, where it accounts for 12% of the irritability:
pubmed.ncbi.nlm.nih.gov/41221021
Other studies suggest a smoking --> depression cause, perhaps through vascular health.
Evidence grade: Low (4/10)
Possibly, concludes Mendelian randomization study, where it accounts for 12% of the irritability:
pubmed.ncbi.nlm.nih.gov/41221021
Other studies suggest a smoking --> depression cause, perhaps through vascular health.
Evidence grade: Low (4/10)
www.ncbi.nlm.nih.gov/pubmed/41211...
Caution: rare liver injury, though also has liver protective effects.
How to use:
chrisaikenmd.com/supplements
www.ncbi.nlm.nih.gov/pubmed/41211...
Caution: rare liver injury, though also has liver protective effects.
How to use:
chrisaikenmd.com/supplements
1. TMS
2. ECT
3. Transcranial direct current stim (tDCS)
4. Deep brain stim (DBS)
5. Vagus nerve stim (VNS)
6. Magnetic stim therapy (MST) and more
Only one works in treatment resistant #schizophrenia: TMS.
From new analysis:
www.ncbi.nlm.nih.gov/pubmed/41210...
#psychiatry
1. TMS
2. ECT
3. Transcranial direct current stim (tDCS)
4. Deep brain stim (DBS)
5. Vagus nerve stim (VNS)
6. Magnetic stim therapy (MST) and more
Only one works in treatment resistant #schizophrenia: TMS.
From new analysis:
www.ncbi.nlm.nih.gov/pubmed/41210...
#psychiatry
www.ncbi.nlm.nih.gov/pubmed/41176...
It's a glutamatergic extract of tea with positive trials in depression, OCD, anxiety, and cognition. How to use:
chrisaikenmd.com/supplements
Art Y Wang
www.ncbi.nlm.nih.gov/pubmed/41176...
It's a glutamatergic extract of tea with positive trials in depression, OCD, anxiety, and cognition. How to use:
chrisaikenmd.com/supplements
Art Y Wang
www.sciencedirect.com/science/arti...
Weight loss was significant (all subjects were overweight/obese).
Evidence grade Moderate (8/10):
chrisaikenmd.com/ebm
www.sciencedirect.com/science/arti...
Weight loss was significant (all subjects were overweight/obese).
Evidence grade Moderate (8/10):
chrisaikenmd.com/ebm
1. How to explain TMS to patients:
www.thecarlatreport.com/blogs/2-the-...
2. TMS vs Antidepressants in Teens:
www.thecarlatreport.com/blogs/2-the-...
#depression #psychiatry #therapy #pmhnp #mentalhealth
1. How to explain TMS to patients:
www.thecarlatreport.com/blogs/2-the-...
2. TMS vs Antidepressants in Teens:
www.thecarlatreport.com/blogs/2-the-...
#depression #psychiatry #therapy #pmhnp #mentalhealth
www.ncbi.nlm.nih.gov/pubmed/41194...
(In contrast, SSRI and SNRI antidepressants have osteopenia risks).
#psychiatry #pmhnp #bipolar #depression
www.ncbi.nlm.nih.gov/pubmed/41194...
(In contrast, SSRI and SNRI antidepressants have osteopenia risks).
#psychiatry #pmhnp #bipolar #depression
▪ Chase immediate gains
▪ But more chaotic decision-making, unable to sustain a strategy
pubmed.ncbi.nlm.nih.gov/41206488
Evidence: Moderate (6/10)
A patient-podcast on CBT-insomnia:
pocketpsychpod.com/how-to-sleep
▪ Chase immediate gains
▪ But more chaotic decision-making, unable to sustain a strategy
pubmed.ncbi.nlm.nih.gov/41206488
Evidence: Moderate (6/10)
A patient-podcast on CBT-insomnia:
pocketpsychpod.com/how-to-sleep
▪ No evidence of causal link in analysis of 9 systemic reviews
▪ When compared to outcomes in unexposed siblings, the small associations disappeared, suggesting other (eg, genetic) factors explain it:
www.bmj.com/content/391/...
▪ No evidence of causal link in analysis of 9 systemic reviews
▪ When compared to outcomes in unexposed siblings, the small associations disappeared, suggesting other (eg, genetic) factors explain it:
www.bmj.com/content/391/...
▪ Medit better for #depression
▪ #Keto better for impulsivity, weight
www.ncbi.nlm.nih.gov/pubmed/41197...
How to use Medit for mood:
chrisaikenmd.com/antidepressa...
Evidence: Low (small, high drop-out, not blinded, 3-mth RCT)
▪ Medit better for #depression
▪ #Keto better for impulsivity, weight
www.ncbi.nlm.nih.gov/pubmed/41197...
How to use Medit for mood:
chrisaikenmd.com/antidepressa...
Evidence: Low (small, high drop-out, not blinded, 3-mth RCT)
cms-resources.apps.public.k8s.springernature.io/springer-cms...
They focus on light at night. These blue-light blockers improved sleep quality in two RCTs:
chrisaikenmd.com/darktherapy
#therapy
cms-resources.apps.public.k8s.springernature.io/springer-cms...
They focus on light at night. These blue-light blockers improved sleep quality in two RCTs:
chrisaikenmd.com/darktherapy
#therapy
pubmed.ncbi.nlm.nih.gov/41151539
Saffron also improved #depression and #sleep quality in recent large trials.
How to use it:
chrisaikenmd.com/supplements
#naturalhealth
pubmed.ncbi.nlm.nih.gov/41151539
Saffron also improved #depression and #sleep quality in recent large trials.
How to use it:
chrisaikenmd.com/supplements
#naturalhealth
▪ 42 mg qhs
▪ Effect size 0.6 (good for class)
▪ Lower risk of EPS, akathisia, and metabolic risks within class, but sedating
I'll need to update this table from my book, Difficult to Treat Depression, about to go to press.
#psychiatry
▪ 42 mg qhs
▪ Effect size 0.6 (good for class)
▪ Lower risk of EPS, akathisia, and metabolic risks within class, but sedating
I'll need to update this table from my book, Difficult to Treat Depression, about to go to press.
#psychiatry
▪ 1.2 million (0.15%) express suicidal intent
▪ 560,000 (0.07%) have signs of emergency mania/psychosis
New algorithm performs better those who use it for therapy, but still veers off in suicide conversations 1 in 10 times:
pubmed.ncbi.nlm.nih.gov/41167716
▪ 1.2 million (0.15%) express suicidal intent
▪ 560,000 (0.07%) have signs of emergency mania/psychosis
New algorithm performs better those who use it for therapy, but still veers off in suicide conversations 1 in 10 times:
pubmed.ncbi.nlm.nih.gov/41167716
pubmed.ncbi.nlm.nih.gov/41139591
Bigger impact over > 3 mth and in younger children.
(Gut health is implicated in autism, but confidence limits in analysis barely positive)
How to use them:
chrisaikenmd.com/supplements
#therapy
pubmed.ncbi.nlm.nih.gov/41139591
Bigger impact over > 3 mth and in younger children.
(Gut health is implicated in autism, but confidence limits in analysis barely positive)
How to use them:
chrisaikenmd.com/supplements
#therapy
pubmed.ncbi.nlm.nih.gov/41117395
Evidence grade low (4/10):
chrisaikenmd.com/ebm
Photo: Weird Al. #psychiatry #surgery #medicine
pubmed.ncbi.nlm.nih.gov/41117395
Evidence grade low (4/10):
chrisaikenmd.com/ebm
Photo: Weird Al. #psychiatry #surgery #medicine
www.ncbi.nlm.nih.gov/pubmed/41140...
Evidence grade low (3/10)
They benefit from blue-light blockers glasses and dawn simulators; how to use them: chrisaikenmd.com/darktherapy
www.ncbi.nlm.nih.gov/pubmed/41140...
Evidence grade low (3/10)
They benefit from blue-light blockers glasses and dawn simulators; how to use them: chrisaikenmd.com/darktherapy
pubmed.ncbi.nlm.nih.gov/41135204
Focuses on attachment, mentalization, and recurring patterns in relationships.
Evidence grade moderate 7/10
chrisaikenmd.com/ebm
#psychology #psychiatry
pubmed.ncbi.nlm.nih.gov/41135204
Focuses on attachment, mentalization, and recurring patterns in relationships.
Evidence grade moderate 7/10
chrisaikenmd.com/ebm
#psychology #psychiatry