Psychotic Depression (June/July)

Date of Issue: 06/01/2022 | Volume: 20 | Number: 6

Issue Links:Learning Objectives | Editorial Information

Dr. Conrad Swartz offers guidance on catching psychotic depression when one in three cases are missed. Although benzodiazepines are risky in some situations, Dr. Carl Salzman shares why they often get a bad rap. Our new feature, “Uncommon Tips,” discusses little known pearls about commonly prescribed medications – in this case, a comparison of citalopram to escitalopram.

In This Issue

Clinical Update

Quetiapine Reconsidered

Topics: Antipsychotics | Anxiety | Bipolar Depression | Depression | Dosing | Psychopharmacology | Psychopharmacology Tips | PTSD | Quetiapine | Schizophrenia

It is the best of drugs; it is the worst of drugs. Quetiapine (Seroquel) has a few benefits that are unmatched by other medications, and here we explore where it fits in depression, bipolar, schizophrenia, as well as off-label uses like anxiety and sleep.

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Expert Q&A

Psychosis During Depression

Topics: Antipsychotics | Depression | Psychosis

Psychotic depression is difficult to detect, and antipsychotics are not as effective in this condition as we’d like to think. Conrad Swartz explains why 1 in 3 cases of psychotic depression are missed, its complex relationship to trauma, and how to treat it.

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Expert Q&A

Benzodiazepines: A Reevaluation of Their Benefits and Dangers

Topics: Anxiety | Anxiety Disorder | Benzodiazepines | Hypnotics

Former Chairman of the American Psychiatric Association Benzodiazepine Task Force Carl Salzman explains the legitimate medical use of benzodiazepines and their relevance in psychiatric practice.

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Uncommon Tips

Uncommon Tips: Which Is Better—Citalopram or Escitalopram?

Topics: Anxiety | Citalopram | Depression | Escitalopram | SSRIs

Citalopram and escitalopram are very similar drugs, but there are reasons to prefer one over the other.

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Research Update

Can TMS Turn on the Switch?

Topics: Depression | rTMS | TMS | Transcranial Magnetic Stimulation | Treatment-Resistant Depression

Most antidepressant therapies can induce mania, and this study looks at whether TMS belongs on that list. We report on the latest findings.

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Research Update

How Essential Is Antidepressant Continuation?

A landmark study puts a spotlight on whether patients can successfully taper off their antidepressant without relapsing.

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Research Update

Hypothyroidism and Depression: Just How Related Are They?

Topics: Depression | Medical Comorbidities | Meta-analysis

An analysis of 348,014 patients suggests the hypothyroid-depression link is not as strong as once thought.

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Research Update

Topiramate Improves Weight in Schizophrenia in South Asians

Topics: Metabolic syndrome | Schizophrenia | Special populations | Topiramate | Weight gain

This study looked at adjunctive topiramate for weight in a patient population inherently more vulnerable to cardiometabolic disturbance.

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