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August 2014
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Psychiatric Services

A Journal of the American Psychiatric Association Editor: Howard H. Goldman, M.D., Ph.D.
Articles  |  August 1, 2014
Treatment-Resistant Depression: A Heavy Burden

Treatment-resistant depression exacts a heavy price in treatment costs and lost productivity, reaching into the tens of billions of dollars, but its effects on the lives of patients are just as devastating. In this literature review, the authors summarize 62 studies documenting the disease’s toll on quality of life, personal financial resources, and general health. The average patient in the included studies had experienced nearly four earlier episodes of depression, had not responded to 4.7 drug trials, and continued to meet or nearly meet criteria for severe depression.

Articles  |  August 1, 2014
Anticipated Discrimination Constrains Young Lives

Self-imposed limitations due to a fear of discrimination may be just as devastating to persons with first-episode psychosis as the outright discrimination experienced in relationships or employment. In this study, 97 persons with first-episode psychosis and a mean age of 34 were asked about experiences with actual and anticipated discrimination. Many reported having curtailed everyday activities to avoid discrimination, thereby limiting access to opportunities and community resources typically available to younger people. Is discrimination a second illness? the authors asked.

Articles  |  August 1, 2014
Disappointing PTSD Treatment Rates a “Call to Action”

Are efforts to engage veterans in PTSD treatment falling short? A study from the Walter Reed Army Institute of Research found a sharp drop-off in treatment seeking after a mental health evaluation. Seventy-five percent of veterans who were referred for further evaluation after a postdeployment health assessment attended a follow-up appointment. However, among veterans who received a PTSD diagnosis, 22% had only one mental health visit and only 41% received minimally adequate care. The findings are a call to action, the authors said.

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