Here are some links to online galleries that combine science
, and art
in some way.
(previously: psychiatry and art
Insomnia causes depression as much as depression causes insomnia: Three surprising points from a fascinating episode of KQED Forum
[audio, no transcript] with guest Dr. Michelle Primeau of the Stanford School of Medicine.
- Insomnia has long been taught to be a symptom of depression, but in many cases is a cause of depression.
- CBT (Cognitive Behavioral Therapy) is an effective treatment for both insomnia and depression.
- CBT can be more effective and longer lasting than sleeping pills
For those averse to audio (like me, normally), the NYT also covered the research in print:
First story: Treating Insomnia to Heal Depression,
Follow up a couple of days later: Double Effectiveness of Depression Treatment by Treating Insomnia,
Two readers (both psychiatrists) respond, and
A NYT editorial. [more inside]
National Institute of Mental Health director Thomas Insell reports that NIMH will phase out its reliance on the Diagnostic and Statistical Manual of Mental Disorders (DSM), in favor of a revamped psychiatric diagnostic system based on "genetics, imaging, cognitive science, and other levels of information to lay the foundation for a new classification system." [more inside]
: It is common practice for psychiatrists to switch depressive patients between different antidepressants if their current drug does not evince a symptomatic response. Despite clinical wisdom supporting this, little empirical, controlled evidence exists to direct “switching” protocols (e.g. if a patient with Z characteristics is on drug X, is it usually better to switch to drug A, B, or C? Will switching help at all?) in the psychopharmacological treatment of depression. The NIMH-funded STAR*D (Sequenced Alternatives to Relieve Depression) study
aimed to address these questions of treatment direction in a very large (n>4000), “real-world” sample using a multi-phase treatment plan
with different drugs (and cognitive therapy) at every step to maximize chances of eventual remission. Overall, the NIMH reported that about 67% of patients eventually achieved remission
, with few differences in effectiveness between different types of treatment at each step
. However, researchers and commentators have raised concerns
regarding inconsistent reporting of outcomes, after-the-fact changes in study design and analysis
, and other issues that may have inflated, partially invalidated, or misrepresented widely reported treatment outcomes. These inequities may also have implications for the secondary moderator analyses (i.e. does trait A predict switching to X or Y is better?) that were a major reason for the study. [more inside]
“The psychoanalytic mystique was overwhelming. It was a little bit like the evangelical movement.”
How Aaron Beck
and Cognitive Behavioral Therapy helped increase empiricism in psychotherapy.
Psychiatry by Prescription
- Do psychotropic drugs blur the boundaries between illness and health?
The Japanese Gallery of Psychiatric Art.
Images from Japanese psychiatric medication advertisements: 1956-2003 (via Absent without leave)
The American Gallery of Psychiatric Art.
'Sanity For Sale: 1960-2000'. Magazine advertisements for psychiatric medications in the latter half of the twentieth century.
Utah Leads Nation in Rate of Anti-Depressant Use.
It is interesting (to me) in that the people doing the study credit a "Mother of Zion" syndrome of married Mormon women putting on the happy face regardless of how happy they truly are. My state is up at the top also. Could be all the rain I guess. . .*sigh*