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IN THIS MONTH'S ISSUE:
August 2014

Long-Acting Injectable Antipsychotics
The choice of whether or not to prescribe a long-acting injectable antipsychotic and, if so, which one to choose, should be based on the patient's ability to adhere to a oral medication regimen, individualized estimated risks and benefits, and cost.

Antidepressants and Suicidal Behavior: Effects of Dose and Age
For patients prescribed antidepressants, initiating treatment with higher doses may increase the risk of suicidal ideation and behavior in younger but not older patients.

In Brief
Girls with Anorexia Nervosa Have Increased Risk of Fractures; PTSD and Use of Antidepressants and Benzodiazepines during Pregnancy Increase Risk of Preterm Birth

Ramelteon (Rozerem)
Ramelteon (Rozerem) shows benefit for adults with insomnia in some trials, but the studies have been mostly short-term and the magnitude of difference compared with placebo has been small.

A Message from Alan J. Gelenberg, M.D.

When I first started writing BTP in the 1970s, it was to bridge the gap between new knowledge in our field and its application to patient care. Over the decades since, the need for this bridge has become even greater. Neuroscience rockets forward. Psychiatrists and other clinicians have a broader array of treatments for patients with mental disorders than we even dreamed of back then. But we have less time to spend with patients and less time to keep up with developments that affect treatment decisions. Our medications, and those prescribed by colleagues in other specialties, are more varied, complex, and prone to interactions. What were formerly crisp boundaries between major psychopharmacologic categories are now murky.

This makes the modern practice of psychiatry challenging—but also fun and promising. With the expanding armamentarium of treatment options comes enhanced ability to alleviate suffering. The mission of BTP remains constant, even while the field grows. We are still here to bridge the gap, to make science applicable and relevant, and to help you in your day-to-day work relieve distress and improve function in patients' lives.