Mental Health Archive

Articles

Screening for cognitive dysfunction

Occasional forgetfulness and memory lapses are often dismissed as a sign of normal aging. But if these episodes become more frequent or problematic, or if they affect daily life, older adults should consult their primary care physician, A doctor can offer an evaluation for mild cognitive impairment. This includes a brief in-office screening test of thinking skills like short-term recall, concentration, attention, ability to juggle multiple tasks, and orientation to time and place.

Hearts and minds

Vascular dementia, which arises from longstanding, cumulative damage to small blood vessels in the brain, may cause or contribute to up to half of cases of dementia. The vessels may thicken or become blocked by blood clots, causing tiny strokes that damage specific parts of the brain important for various thinking abilities. Keeping blood pressure in the recommended range of 120/80 or lower is the best way to prevent vascular dementia.

Why is it so challenging to find a primary care physician?

An adequate supply of primary care physicians is essential for our health care system to function properly, but it's becoming more and more difficult to find one. Rates of burnout are high among PCPs, and many are considering cutting back their work hours or leaving altogether.

The popularity of microdosing of psychedelics: What does the science say?

Renewed research into the potential benefits of psychedelic drugs has led to interest in microdosing — taking a fraction of a regular dose. Many people believe that microdosing can help them, but the evidence from some recent studies is mixed.

Getting stuck in long-term grief

In March 2022, the American Psychiatric Association added "prolonged grief disorder" to its official list of diagnoses. The diagnosis applies to bereaved adults who continue to experience intense grief more than a year after the death of a loved one. Someone with prolonged grief has a daily yearning for the loved one or is preoccupied with thoughts of the loved one to the point that it interferes with daily life. The diagnosis also requires additional symptoms, such as difficulty re-engaging in life or emotional numbness. The condition can be treated, and healing is possible.

Could anger and depression raise the risk of afib?

Psychological issues such as anger, anxiety, depression, and work stress are associated with a greater likelihood of the heart rhythm disorder known as atrial fibrillation, according to a 2022 study.

Apps to accelerometers: Can technology improve mental health in older adults?

The adoption of technology has grown rapidly among older adults, and with it have come potential benefits to mental health, daily functioning, and quality of life. Those who want to help an older person in their life might suggest one of the many options available.

Ketamine for treatment-resistant depression: When and where is it safe?

Ketamine has been used for decades as an anesthetic, and in 2019 an inhaled version of it was approved by the FDA for treatment-resistant depression. But it is generally prescribed only when other treatments have not been effective.

Tapering off antidepressants sensibly

People taking antidepressants may have many reasons for wanting to discontinue the drug. They may feel they no longer need the medication or decide they cannot tolerate side effects. A doctor should guide the process of tapering off antidepressants. The chance of depression recurrence is higher for people who take antidepressants long-term and stop abruptly. Withdrawal symptoms can make the tapering process uncomfortable, but it's generally not dangerous.

Doing multiple types of activities improves cognitive health

Studies have shown that doing any one of certain activities, such as staying physically active and maintaining social ties, helps maintain brain health in older adults. A new study suggests that participating in multiple kinds of these activities, several times a week, may help even more.

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