BORDERLINE PERSONALITY: TIME FOR A REDEFINITION
Vol 2 # 4 Alan Eppel Borderline personality continues to be a major focus of mental health services. This is in large part due to the high rates of presentation to outpatient and inpatient psychiatric services. The term borderline per..
- Posted by Alan Eppel
- Posted in Brief Review
Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines for Mood disorders: A Review.
Vol 2 #9 Alan Eppel MB, FRCPC The strength of these guidelines released in 2015, is their easy readability and fluent written style coupled with numerous helpful tables and diagrams illustrating key processes. The guidelines were develo..
- Posted by Editor JPR
- Posted in Brief Review,Editorials & Commentary
Agomelatine: is it really a firstline drug?
Vol 3 #2 March 2018 Agomelatine is listed as a firstline medication for the treament of depression in a number of guidelines including Canadian Guidelines. This is the case eventhough Agomelatine is not approved for use in Canada..
- Posted by Editor JPR
- Posted in Abstracts,Brief Review
Psychotic Depression: Symptom Severity
Vol. 3 #3 Standard measures for the assessment of the severity of depression may not be valid in tracking psychotic depression. A group of researchers from Denmark and Belgium led by Dr. Søren D. Østergaard have created a rating scale speci..
- Posted by Editor JPR
- Posted in Abstracts,Brief Review
Survey of Antidepressant First Choice
The survey was sent to 105 psychiatrists working at an Academic Health Sciences Centre in Ontario Canada with multiple hospital sites.There were 41 responses which equals 39%. Survey Question Which antidepressant would you choose as your first..
- Posted by Alan Eppel
- Posted in Surveys
What Is The Best First Line Antidepressant?
Vol 6 # 1 Alan Eppel Many SSRIs and SNRIs are considered effective as first line choices for the treatment of Major Depression. However the short term nature of randomized controlled trials does not allow the identification of th..
- Posted by Alan Eppel
- Posted in Editorials & Commentary,Surveys
ICD 11 Takes Centre Stage
Vol 6 #2 Alan Eppel In May of 2019 the World Health Organization adopted the eleventh edition of the International Classification of Diseases, ICD 11. This is the first revision of ICD in 30 years and was developed with wide-ranging i..
- Posted by Alan Eppel
- Posted in Brief Review,Editorials & Commentary
DASS 21 or PHQ 9 for Depression Monitoring in Routine Clinical Practice?
Vol 6 #4 Katherine Ramsden MD, Stephanie Waechter PhD, Alan Eppel MB, FRCPC Abstract Background A quality improvement exercise was undertaken to determine whether the DASS 21 or PHQ 9 would be most useful in monitoring depression levels in pat..
- Posted by Editor JPR
- Posted in Brief Review
LITHIUM IS SUPERIOR TO SECOND-GENERATION ANTIPSYCHOTIC MEDICATIONS IN BIPOLAR DISORDER
Vol 10 #4 Alan Eppel MB, FRCPC In a recent editorial Michael Bauer wrote “when used correctly lithium unquestionably produces the most dramatic benefits of any medication in psychopharmacology I have seen in clinical practice during t..
- Posted by Editor JPR
- Posted in Bipolar Disorder,Brief Review,Editorials & Commentary
Buspirone for SSRI induced Bruxism
Vol 10 #6 Alan Eppel MB, FRCPC Introduction Bruxism although originally identified as a mechanical dental problem has more recently been recognized as a form of abnormal muscle movements. Bruxism is described as a repetiti..
- Posted by Alan Eppel
- Posted in Brief Review,Clinical Pearls