Racial and Ethnic Issues in Diagnosing, ...

  Racial and Ethnic Issues in Diagnosing, Treating Bipolar Disorder By Arline Kaplan © 2000 (All Rights Reserved) Many African-Americans with bipolar disorder remain hidden in the correctional system. Others being treated in mental health settings are often misdiagnosed as having schizophrenia, antisocial personality disorder, intermittent explosive disorder or attention-deficit/hyperactivity disorder (ADHD), said psychiatrist William B. Lawson, M.D., Ph.D., professor of psychiatry at Indiana University. “Recent data shows that African-Americans are far more...

Axis II Comorbidity in Patients with Bip...

  Axis II Comorbidity in Patients with Bipolar Disorder By Arline Kaplan © 2000 (All Rights Reserved) The rate of personality disorders (Axis II) in patients with bipolar disorder has been reported to be significantly higher than that of the general population, but that rate is often influenced by the patient’s mood, the assessment instrument used and other comorbid conditions, said Lori Altshuler, M.D., professor of psychiatry and biobehavioral sciences at the University of California, Los Angeles. Altshuler discussed some recent studies on comorbid personality...

Adjunctive Topiramate and Weight Loss

  Adjunctive Topiramate and Weight Loss By Arline Kaplan © 2000 (All Rights Reserved) Patients with bipolar and related disorders often experience psychotropic-induced weight gain. But adjunctive use of topiramate (Topamax) may counteract the weight gain effect and promote appetite suppression and weight loss, according to findings in recent open-label studies. In A Five-Year Prospectus of the Stanley Foundation Bipolar Network, Post et al. (2000) discussed the results of an open, add-on study of topiramate in bipolar patients (McElroy et al., 2000). Besides noting...

As Intellectual Abilities Decline: Some ...

  As Intellectual Abilities Decline: Some Tips for Helping   By Arline Kaplan © 2000 (All Rights Reserved) Memory Loss Your loved one has difficulty keeping track of people and places or forgets appointments. Together, make a book that your loved one carries with them at all times, containing important phone numbers and addresses, particularly ones that may be needed in an emergency; family members names and relationships; a “to do” list of appointments; and a map showing where their home is. Place clocks and calendars in prominent locations...

Disturbing Behaviors and Moods in Dement...

  Disturbing Behaviors and Moods in Dementia: What You Can Do   By Arline Kaplan © 2000 (All Rights Reserved) “Sometimes he is joyful, other times he is ugly in his behavior, especially his vulgar talk…and he angers easily in crowds of people.” “He has lost interest in everything.” “Daddy left the house for the third time this week. He said he was going back to Nebraska to see Grandpa and Grandma.” Aggression, depression, apathy and wandering are among the disturbing, unpredictable and frightening behaviors and mood changes...

For Caregivers: Finding Support and Help

  For Caregivers: Finding Support and Help By Arline Kaplan © 2000 Because you are a devoted caregiver, you are at risk of becoming a hidden victim of the disease. For your own well-being and that of the person you are caring for, it is important that you Monitor your stress level and find ways to reduce it. Identify what national and community resources are available. Be willing to ask for help. Recognizing and Easing Caregiver Stress Caregiving can be intense, demanding and stressful. It is vital for you to recognize signs of stress in yourself. These can include...

Complementary and Alternative Treatments...

Complementary and Alternative Treatments For Autism Spectrum Disorder Arline Kaplan © 2013 (All Rights Reserved) More than half of parents of children with autism spectrum disorders (ASD) give them complementary or alternative treatments (CATs).  Aware that many parents are acting with little or no guidance, experts recently reviewed the scientific evidence for 19 CATs, recommending three and listing several others as worthy of a monitored trial.1 Parents may choose CATs, because they are concerned about the safety and side effects of prescribed medications, according to...

Antidepressant Use During Pregnancy: Exp...

Antidepressant Use During Pregnancy: Exploring the Issues Arline Kaplan © 2013 (All Rights Reserved) The extent to which antidepressant use during pregnancy is associated with increased risks of postnatal adaptation syndrome (PNAS), persistent pulmonary hypertension in the newborn (PPHN), first-trimester teratogenicity, stillbirth and infant mortality is explored in two recent journal articles.1, 2 In a recent interview, Nancy Byatt, DO, MBA, a perinatal psychiatrist and Assistant Professor of Psychiatry and Obstetrics & Gynecology at the University of Massachusetts...