Recent Posts

Supplement for treating depression

You have received this email from: joris joriswiggers One patient in the past five years tried this rather obscure supplement, with some results for depression and pain. No side effects.

Massachusetts General Hospital Handbook of General Hospital Psychiatry- ClinicalKey!/browse/book/3-s2.0-C20140010544

Management of opioid use disorders: a national clinical practice guideline 2018 Canadian guidelines choose suboxone over methadone.

The latest on preventing dementia–good and bad news.

Lancet Commission on the prevention of dementia focuses on 9 risk factors: they suggestion modifying the following: low education, midlife hearing loss, obesity, hypertension, late-life depression, smoking, physical inactivity, diabetes, and social isolation. Yet, this only controls 33% of the variance determining onset of dementia later in life. There are no conclusive treatments still. There […]
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ECT for Mood Disorders ‘Does Not Cause Dementia’ Basically, there is not solid evidence to the myth that ECT causes dementia or permanent memory decline. It’s the depression itself that causes brain degeneration like Alzheimers (i.e. DOD, dementia of depression). Duration of depression, untreated, determines these changes. These studies show brain changes in chronic depression due to inflammation

Using Anti-obesity Drugs: Which Drug for Which Patient? Weight loss programs are using medications now. BMI determines choice. Also, newer targets aim for BMI of less than or equal to 22-23, and waists of 77 and 83, women and men. all Tall order! Losing kgs, lowers your risk for heart attack, by about 13%/4-5mg lost, roughly.

Study of nearly 300,000 people challenges the ‘obesity paradox’

Study of nearly 300,000 people challenges the ‘obesity paradox’ The idea that it might be possible to be overweight or obese but not at increased risk of heart disease, otherwise known as the ‘obesity paradox’, has been challenged by a study of nearly 300,000 people. The research shows that the risk of heart and […]
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Is your stress changing my brain? Stress isn’t just contagious; it alters the brain on a cellular level — ScienceDaily

The good news: we are truly wired to empathize with others and to benefit from social interactions.The bad news: your brain mirrors others’ brains; you can get PTSD brain changes when you relate to somebody else with PTSD…or depression, or anxiety, or stress. Longterm negative brain impacts (altered stress-response and altered neural networks) are predicted, […]
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Does the MIND diet decrease depression risk? A comparison with Mediterranean diet in the SUN cohort | SpringerLink

Looks like they concluded—after a 10 year study of over 6000 subjects—that fruits, nuts, and avoidance of fast foods treated depression best, and that generally the MIND diet was less effective than the Mediterranean Diet.

Frequent ‘I-Talk’ may signal proneness to emotional distress: Your friends who can’t stop talking about themselves may be telling you more than you think — ScienceDaily

Just for fun: new compassion for those friends who keep talking about themselves; they aren’t narcissistic, they’re depressed.