The new antidepressant vortioxetine (Brintellix) is more efficacious than placebo, but whether it has added benefits that will justify its higher cost compared with generic antidepressants has yet to be determined.
Vitamin D and Psychiatric Patients
Patients with chronic mental illness who are deficient in vitamin D should receive nutritional supplements.
Antipsychotics in Dementia: Another Look
Higher doses of antipsychotic drugs seem to increase the risk of death in patients with dementia, but lower doses might not.
Both Benzodiazepines and Nonbenzodiazepine Hypnotic Medications Are Associated with an Increased Risk of Fractures
Please be sure to review the Continuing Medical Education (CME) posttest and evaluation for 2013, inserted in this month's issue.
Pharmacogenomics may soon provide the key to personalizing medication treatments for each individual patient.
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.