Ashwagandha reduced stress-related #anxiety with a big effect in this large, placebo-controlled trial of 226: psych-partners.com/ashwagandha-... Caveats: Industry funded, liver/thyroid risks #psychiatry #pmhnp #therapy

First, call it functional neurologic disorder. More tips on how to discuss this controversial cause of unexplained neurologic symptoms in a review from Johns Hopkins #neurology, including online resources for patients: psych-partners.com/how-to-expla... #psychiatric #pmhnp #therapy

Aripiprazole or bupropion for antidepressant augmentation? Similar in new trial of anxious #depression. Learn why bupropion causes less anxiety than often thought: psych-partners.com/aripiprazole... #psychiatry #pmhnp

New study reveals early signs of #bipolar mania not captured in DSM, including: ▪ Anxiety ▪ Suspiciousness ▪ Taking song lyrics personally ▪ Distorted sense of time ▪ Sensitivity to colors and sounds ▪ Forgetfulness Full list: psych-partners.com/early-signs-... #psychiatry #pmhnp

Novel antipsychotic: ▪ Possible benefits beyond psychotic symptoms in #schizophrenia ▪ Better tolerated on empty stomach ▪ Screen for urinary retention, narrow-angle glaucoma, and liver disease More: psych-partners.com/cobenfy-xano... #psychiatry #pmhnp

Learn 15 ways to use a light box in my webinar on Light and Dark #Therapy: psych-partners.com/webinar-ligh... Includes a 24/7 circadian plan for #bipolar and #depression. #psychiatry #pmhnp

New guidelines on shift work disorder emphasize ▪ Light/dark #therapy ▪ Melatonin, suvorexant ▪ Modafinils ▪ #Sleep scheduling Full details: psych-partners.com/practice-gui... #psychiatry #pmhnp #neurology

Here are the new industry-sponsored trials presented at the 2026 APA meeting: psych-partners.com/new-medicati... ▪ Centanafadine for #ADHD ▪ New form of amisulpride for #schizophrenia ▪ Auvelity in #dementia #psychiatry #pmhnp

Cariprazine joins aripiprazole and risperidone as options for irritability in #autism with this new industry-sponsored trial. However, I recommend other options first line: psych-partners.com/cariprazine-... #psychiatry #pmhnp

What I learned writing the CAM #Psychiatry Fact Book: ▪ ALC has a niche in chronic depression/trauma ▪ B6 relieves antipsychotic side effects ▪ Adaptogens relieve stress & improve functioning ▪ And some herbs are best left in the ground Excerpts at: psych-partners.com/sample-the-c...

New study proposes "Circadian Subtype" in 1 in 4 with #depression: psych-partners.com/a-circadian-... Whether it's valid, time will tell. Suggestion is night owls, fatigue, and winter depression point to poorer SSRI response and risks for bipolar, ADHD, and worse metabolic health. #psychiatry

Every half hour of screen time after 10 PM costs a teen about 13 minutes of sleep, concludes one of the best designed trials on this to date: psych-partners.com/screens-and-... Sleep loss = #ADHD, #depression, impulsivity, suicide, traffic accidents #psychiatry #pmhnp #therapy

Saffron for #ADHD? This is the fifth clinical trial, but all are small and flawed, so I'm asking: What's been your experience? psych-partners.com/saffron-for-... #psychiatry #naturalhealth #pmhnp

This is a rarity: A year long placebo-controlled trial. And while it concludes that risperidone is effective for aggression in childhood #ADHD, I'm not sure it's the best option. Find out why: psych-partners.com/risperidone-... #psychiatry #pmhnp

TikTok suggests there's something wrong with us, usually #ADHD or #Autism, even when we don't ask, concludes this new investigation into the algorithm: psych-partners.com/how-dr-tikto... #psychiatry #pmhnp #therapy

1. Even mild ADHD has a meaningful effect on mortality: psych-partners.com/mild-adhd-ca... 2. Watch for diagnostic conversion: children with #ADHD have 9-fold higher risk of developing #bipolar and 5-fold of psychosis: psych-partners.com/adhd-raises-... #psychiatry #pmhnp #therapy

Medications fail to augment ketamine in #depression. But psychotherapy holds promise, concludes new review: psych-partners.com/what-augment... #psychiatry #pmhnp #therapy

Deep brain stimulation is powerful for #depression, but requires surgery. Is there a non-invasive way to activate the same area? This well-designed study did, with high response rates. Learn about temporal interference stimulation: psych-partners.com/a-new-type-o... #psychiatry #tms #pmhnp

Caffeine impairs sleep quality, even when it doesn't cause insomnia, concludes new review: psych-partners.com/how-caffeine... #nutrition #psychiatry #pmhnp #therapy

#Therapy is first-line for compulsive sexuality, with SSRIs and naltrexone as possible medications. This randomized trial compares them head-to-head, with similar outcomes, but personal factors decide between them: psych-partners.com/ssri-vs-nalt... #psychiatry #pmhnp #sexualhealth

A handful of nuts a day is a simple way to improve #mentalhealth. Walnuts worked in a new randomized trial, joining about a dozen similar trials testing everything from almonds to pistachios: psych-partners.com/walnuts-impr... Limitation: Unblinded #psychiatry #pmhnp #nutrition #therapy

1. The self-medication hypothesis comes up short: psych-partners.com/self-medicat... 2. Hitting rock bottom is not a reliable route to recovery: psych-partners.com/dont-wait-fo... #psychiatry #addiction #sobriety #pmhnp #therapy

Longer delay in starting lithium = lower response in this 25 yr uncontrolled study of bipolar: ▪ Under 3 yr delay: 69% ▪ 3-8 yr: 50% ▪ 8-17 yr: 44% ▪ Over 17 yr: 40% Learn how to recognize #bipolar and use #lithium early psych-partners.com/start-lithiu... #psychiatry #pmhnp

Clomiparmine is a standard treatment for premature ejaculation, and this large trial tested it with sildenafil (Viagra). The two worked better than either alone: psych-partners.com/clomipramine... Trial is industry sponsored, aiming for approval of a combo pill. #psychiatry #sexualhealth #therapy

Even in psychotic mania, mood stabilizers have better long-term outcomes than antipsychotics, concludes new study designed to mimic a randomized trial. Learn the caveats, and which antipsychotics may differ: psych-partners.com/you-dont-nee... #psychiatry #pmhnp #bipolar #bipolardisorder

The AMA journal changed course in new paper recommending e-cigs for nicotine cessation. They have toxins, but they help quit and are much safer than smoking. Learn how to use them and find FDA-cleared products: psych-partners.com/jama-changes... #stopsmoking #medicine #psychiatry #pmhnp #therapy

Here's a first... benzodiazepine prescriptions declined in the past decade. Lower rates among all clinicians except one group - that I suspect is due to workforce shifts: psych-partners.com/benzodiazepi... #psychiatry #pmhnp #medicine

These don't clarify whether cognitive symptoms are due to adult #ADHD: ▪ Stimulant response ▪ Rating scales ▪ Adult onset without childhood precedent Learn how to make the diagnosis in this new review: psych-partners.com/what-else-co... #psychiatry #pmhnp #therapy

Key points from new analyses: ▪ Methylphenidate is not addictive when used for ADHD ▪ XR versions are less rewarding ▪ Tolerance develops to rewarding, energizing qualities, not to #ADHD benefits #psychiatry #pmhnp #mentalhealth #therapy

#Bipolar disorder usually starts in the teens, but it can also start during menopause, concludes new analysis. Learn how menopause changes mood: psych-partners.com/perimenopaus... #psychiatry #pmhnp