Bright Light Therapy. Melissa DeCapua August 2012

Size: px
Start display at page:

Download "Bright Light Therapy. Melissa DeCapua August 2012"

Transcription

1 Bright Light Therapy Melissa DeCapua August 2012

2 Light Therapy Phototherapy The use of ultraviolet unfiltered light to treat skin disorders such as psoriasis Bright Light Therapy The use of ultraviolet filtered visible light for the treatment of depressive disorders such as SAD

3 Introduction Who Indicated for Seasonal Affective Disorder, especially individuals with atypical symptoms What 10,000 lux fluorescent light box with ultraviolet filter When For 30 minutes daily beginning at 7:00 a.m. for the duration of the fall/winter season Where Anywhere kitchen, bathroom, car, desk, etc. How WITH EYES OPEN

4 Introduction Continued Side Effects Nausea, headache, nervousness, and eye itching Take Caution Pre-existing retinal disease, diabetes, and individuals on photosensitizing medications Be Aware Individuals should be warned of the risks of light toxicity and hypomania

5 Best RCT Data Remission Rate (%) Morning Light Evening Light Placebo 10 0 Terman et al N=144 Eastman et al N=96 Lewy et al N=51 p<0.05 vs. evening & placebo p<0.001 vs. evening

6 Review of Meta-analyses Study Terman et al., 1989 Inclusion Criteria No. of studies Findings RCT & open trials 29 Bright light showered higher remission rates than dim light Early morning exposure had higher remission rates than evening or midday Lee and Chan, 1999 Thompson, 2001 Cochrane Collaboration RCTs & open trials 39 Bright light was superior to dim light RCT 14 Bright light was superior to control conditions Morning exposure was superior to other times of the day Golden et al., 2005 American Psychiatric Association RCT 8 (light treatment) 4 (dawn simulators) Bright light and dawn simulation were both superior to control conditions Morning exposure was superior to other times of the day

7 Treatment Recommendations Highly recommended for Seasonal Affective Disorder Use a light box that contains cool-white fluorescent lights and a UV filter that emits 10,000 lux Do not use sunlamps, tanning lamps, or halogen lamps Follow the manufactures guide on positioning of the device Keep eyes open but DO NOT stare directly at the lights Begin with 30 minutes of light exposure per day in the morning (preferably before 7 a.m.) Adjust dose, position, and pattern of exposure to meet needs. Make one change at a time for two weeks.

8 The Future? afternoon slump Light cafes Bright light hospital rooms Snoezelen art installations Spa treatments LOMME beds

9 Internet Resources Society for Light Treatment and Biological Rhythms (SLTBR) SLTBR is an international, not-for-profit society dedicated to research, professional development, and clinical applications in the fields of light therapy and biological rhythms. This site includes a reputable list of light device distributers. Center for Environmental Therapeutics This site includes information on recent research and treatment, online screening and assessment tools, and a clinician assessment package The Seasonal Affective Disorder Association This is the world s longest established support organization for those with SAD. It includes a low-cost information pack available to order.

10 Recommended Further Reading Title: A Clinician s Guide to Using Light Therapy Authors: Raymond W. Lam and Edwin M. Tam Publication Date: October 2009 Publisher: Cambridge University Press ISBN-10: ISBN-13: Price on Amazon: $56.00 Title: Chronotherapeutics for Affective Disorders Authors: Anna Wirz-Justice Publication Date: March 2009 Publisher: S. Karger AG (Switzerland) ISBN-10: ISBN-13: Price on Amazon: $48.00

11 Discussion Questions Has anyone ever tried BLT themselves? Has anyone ever seen BLT used? What are some possible ways to incorporate BLT into your own clinical practice?

12 References Meta-analyses Golden RN, Gaynes BN, Ekstrom RD, Hamer RM, Jacobsen FM, Suppes T, Wisner KL, Nemeroff CB. The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. Am J Psychiatry 2005; 162: Lee TM, Chan CC. Dose Response relationship of phototherapy for seasonal affective disorder: a meta-analysis. Acta Psychiatr Scand 1999; 99: Terman M, Terman JS, Quitkin FM, McGrath PJ, Steward JW, Rafferty B. Light therapy for seasonal affective disorder. A review of efficacy. Neuropsychopharmacology 1989; 2:1-22. Thompson C. Evidenced based treatment. In Partonen T, Magnusson A (eds). Seasonal Affective Disorder: Practice and Research. New York: Oxford University Press, 2001, pp Randomized Controlled Trials Eastman CI, Young MA, Fogg LF, Liu L, Meaden PM. Bright light treatment of winter depression: a placebo-controlled trial. Arch Gen Psychiatry 1998; 55: Lewy AJ, Bauer VK, Cutler NL, Sack RL, Ahmed A, Thomas KH, Blood ML, Jackson JM. Morning vs eveing light treatment of patients with winter depression. Terman M, Merman JS, Ross DC. A controlled trial of timed bright light and negative air ionization for treatment of winter depression. Arch Gen Psychaitry 1998; 55:

Behavioral Health Policy Phototherapy Light for the Treatment of Seasonal Affective (SAD) and Other Depressive Disorders

Behavioral Health Policy Phototherapy Light for the Treatment of Seasonal Affective (SAD) and Other Depressive Disorders Behavioral Health Policy Phototherapy Light for the Treatment of Seasonal Affective (SAD) and Other Depressive Disorders Table of Contents Policy: Commercial Coding Information Information Pertaining to

More information

The following information is provided to the public by the Society for Light Treatment and Biological Rhythms http://www.sltbr.

The following information is provided to the public by the Society for Light Treatment and Biological Rhythms http://www.sltbr. QUESTIONS AND ANSWERS ABOUT SEASONAL AFFECTIVE DISORDER AND LIGHT THERAPY The following information is provided to the public by the Society for Light Treatment and Biological Rhythms http://www.sltbr.org/

More information

The development of light therapy in psychiatry is closely

The development of light therapy in psychiatry is closely Reviews and Overviews The Efficacy of Light Therapy in the Treatment of Mood Disorders: A Review and Meta-Analysis of the Evidence Robert N. Golden, M.D. Bradley N. Gaynes, M.D., M.P.H. R. David Ekstrom,

More information

O R I G I N A L A R T I C L E

O R I G I N A L A R T I C L E Neuroendocrinology Letters ISSN 0172 780X Copyright 2002 Neuroendocrinology Letters Bright Light Therapy and/or Imipramine for Inpatients with Recurrent Non-Seasonal Depression Jan Prasko, Jiri Horacek,

More information

ENGLISH. Lightphoria 10,000LUX Energy Light Lamp SP9982 version 2.4

ENGLISH. Lightphoria 10,000LUX Energy Light Lamp SP9982 version 2.4 ENGLISH Lightphoria 10,000LUX Energy Light Lamp SP9982 version 2.4 1 Light and your body Light means life. Many of the processes of life are influenced by light and its intensity. As many of you may experience

More information

MEDICAL POLICY SUBJECT: PHOTOTHERAPY FOR THE TREATMENT OF SEASONAL AFFECTIVE DISORDER. POLICY NUMBER: 1.01.24 CATEGORY: Behavioral Health

MEDICAL POLICY SUBJECT: PHOTOTHERAPY FOR THE TREATMENT OF SEASONAL AFFECTIVE DISORDER. POLICY NUMBER: 1.01.24 CATEGORY: Behavioral Health MEDICAL POLICY SUBJECT: PHOTOTHERAPY FOR THE PAGE: 1 OF: 5 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy

More information

Light Therapy for Seasonal and Nonseasonal Depression: Efficacy, Protocol, Safety, and Side Effects

Light Therapy for Seasonal and Nonseasonal Depression: Efficacy, Protocol, Safety, and Side Effects CME 3 Review Article Light Therapy for Seasonal and Nonseasonal Depression: Efficacy, Protocol, Safety, and Side Effects By Michael Terman, PhD, and Jiuan Su Terman, PhD ME Needs Assessment Light therapy

More information

In the beginning of the 1980s, seasonal affective disorder. The Effect of Hepar Magnesium on Seasonal Fatigue Symptoms: A Pilot Study

In the beginning of the 1980s, seasonal affective disorder. The Effect of Hepar Magnesium on Seasonal Fatigue Symptoms: A Pilot Study THE JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE Volume 14, Number 4, 2008, pp. 395 402 Mary Ann Liebert, Inc. DOI: 10.1089/acm.2007.0569 The Effect of Hepar Magnesium on Seasonal Fatigue Symptoms:

More information

Effective light therapy. Philips lamps for therapeutic purposes. International Federation of Psoriasis Associations

Effective light therapy. Philips lamps for therapeutic purposes. International Federation of Psoriasis Associations Effective light therapy Philips lamps for therapeutic purposes International Federation of Psoriasis ssociations Proven technology for phototherapy s the world s largest manufacturer of lighting products

More information

Best Practices Treatment Guideline for Major Depression

Best Practices Treatment Guideline for Major Depression Best Practices Treatment Guideline for Major Depression Special Report on New Depression Treatment Technology Based on 2010 APA Practice Guidelines Best Practices Guideline for the Treatment of Patients

More information

INDEX. and side effects of light therapy, 73 Bulimia nervosa See Eating disorders Bupropion, in treatment of SAD, 91

INDEX. and side effects of light therapy, 73 Bulimia nervosa See Eating disorders Bupropion, in treatment of SAD, 91 INDEX 5-hydroxytryptophan, and neuroendocrine responses in SAD patients, 46 Alcoholism, and light therapy, 78 Alzheimer s disease, and light therapy, 78, 79 American Sleep Disorders Association, 78 Anorexia

More information

THE DEPRESSION RESEARCH CLINIC Department of Psychiatry and Behavioral Sciences Stanford University, School of Medicine

THE DEPRESSION RESEARCH CLINIC Department of Psychiatry and Behavioral Sciences Stanford University, School of Medicine THE DEPRESSION RESEARCH CLINIC Department of Psychiatry and Behavioral Sciences Stanford University, School of Medicine Volume 1, Issue 1 August 2007 The Depression Research Clinic at Stanford University

More information

Drugs for MS.Drug fact box cannabis extract (Sativex) Version 1.0 Author

Drugs for MS.Drug fact box cannabis extract (Sativex) Version 1.0 Author Version History Policy Title Drugs for MS.Drug fact box cannabis extract (Sativex) Version 1.0 Author West Midlands Commissioning Support Unit Publication Date Jan 2013 Review Date Supersedes/New (Further

More information

Eye Movement Desensitization and Reprocessing (EMDR) Theodore Morrison, PhD, MPH Naval Center for Combat & Operational Stress Control. What is EMDR?

Eye Movement Desensitization and Reprocessing (EMDR) Theodore Morrison, PhD, MPH Naval Center for Combat & Operational Stress Control. What is EMDR? Eye Movement Desensitization and Reprocessing (EMDR) Theodore Morrison, PhD, MPH Naval Center for Combat & Operational Stress Control What is EMDR? Eye movement desensitization and reprocessing was developed

More information

Light therapy for bipolar disorder: a case series in women

Light therapy for bipolar disorder: a case series in women Bipolar Disorders 2007: 9: 918 927 Copyright ª Blackwell Munksgaard 2007 BIPOLAR DISORDERS Case Report Light therapy for bipolar disorder: a case series in women Sit D, Wisner KL, Hanusa BH, Stull S, Terman

More information

PAPEL DE LA PSICOTERAPIA EN EL TRATAMIENTO DEL TRASTORNO BIPOLAR

PAPEL DE LA PSICOTERAPIA EN EL TRATAMIENTO DEL TRASTORNO BIPOLAR PAPEL DE LA PSICOTERAPIA EN EL TRATAMIENTO DEL TRASTORNO BIPOLAR Dr. Francesc Colom PsyD, MSc, PhD Bipolar Disorders Program IDIBAPS- CIBERSAM -Hospital Clínic Barcelona, University of Barcelona Centro

More information

TO INVESTIGATE THE PROTECTION OF SUNCREAMS AGAINST UV RAYS

TO INVESTIGATE THE PROTECTION OF SUNCREAMS AGAINST UV RAYS TO INVESTIGATE THE PROTECTION OF SUNCREAMS AGAINST UV RAYS Aim: Our aim for this project is to collect data on the effectiveness of different sunscreens against UVA and UVB light, a) In natural sunlight

More information

Epidemiology, Etiology, and Natural Treatment of Seasonal Affective Disorder

Epidemiology, Etiology, and Natural Treatment of Seasonal Affective Disorder Epidemiology, Etiology, and Natural Treatment of Alan L. Miller, ND Abstract There is much more seasonal difference in higher latitudes than in lower latitudes. In a significant portion of the population

More information

Summary 1. Comparative-effectiveness

Summary 1. Comparative-effectiveness Cost-effectiveness of Delta-9-tetrahydrocannabinol/cannabidiol (Sativex ) as add-on treatment, for symptom improvement in patients with moderate to severe spasticity due to MS who have not responded adequately

More information

Skin Cancer: The Facts. Slide content provided by Loraine Marrett, Senior Epidemiologist, Division of Preventive Oncology, Cancer Care Ontario.

Skin Cancer: The Facts. Slide content provided by Loraine Marrett, Senior Epidemiologist, Division of Preventive Oncology, Cancer Care Ontario. Skin Cancer: The Facts Slide content provided by Loraine Marrett, Senior Epidemiologist, Division of Preventive Oncology, Cancer Care Ontario. Types of skin Cancer Basal cell carcinoma (BCC) most common

More information

Emergency Room Treatment of Psychosis

Emergency Room Treatment of Psychosis OVERVIEW The term Lewy body dementias (LBD) represents two clinical entities dementia with Lewy bodies (DLB) and Parkinson s disease dementia (PDD). While the temporal sequence of symptoms is different

More information

Treatment of nightmares with prazosin

Treatment of nightmares with prazosin Treatment of nightmares with prazosin Simon Kung, M.D. Assistant Professor of Psychiatry Philippine-Minnesotan Medical Association Annual Meeting August 9, 2014 2011 MFMER slide-1 Disclosures None Off-label

More information

Sponsor Novartis. Generic Drug Name Secukinumab. Therapeutic Area of Trial Psoriasis. Approved Indication investigational

Sponsor Novartis. Generic Drug Name Secukinumab. Therapeutic Area of Trial Psoriasis. Approved Indication investigational Clinical Trial Results Database Page 2 Sponsor Novartis Generic Drug Name Secukinumab Therapeutic Area of Trial Psoriasis Approved Indication investigational Clinical Trial Results Database Page 3 Study

More information

Version History. Previous Versions. Drugs for MS.Drug facts box fingolimod Version 1.0 Author

Version History. Previous Versions. Drugs for MS.Drug facts box fingolimod Version 1.0 Author Version History Policy Title Drugs for MS.Drug facts box fingolimod Version 1.0 Author West Midlands Commissioning Support Unit Publication Date Jan 2013 Review Date Supersedes/New (Further fields as required

More information

BEST in MH clinical question-answering service

BEST in MH clinical question-answering service Best Evidence Summaries of Topics in Mental Healthcare BEST in MH clinical question-answering service Question In adults with a diagnosis of psychotic / delusional depression how effective is electroconvulsive

More information

COLUMBIA UNIVERSITY HEALTH SCIENCES DIVISION

COLUMBIA UNIVERSITY HEALTH SCIENCES DIVISION COLUMBIA UNIVERSITY HEALTH SCIENCES DIVISION ENVIRONMENTAL HEALTH & SAFETY Working Safely with Ultraviolet Radiation Policy and Procedures Purpose: To provide information and guidelines for the safe use

More information

OCCUPATIONAL SKIN DISEASES IN NURSES

OCCUPATIONAL SKIN DISEASES IN NURSES International Journal of Occupational Medicine and Environmental Health, 2003; 16(3): 241 247 OCCUPATIONAL SKIN DISEASES IN NURSES RUTA TELKSNIENE 1 and VIDMANTAS JANUSKEVICIUS 2 1 Department of Environmental

More information

Circadian rhythms and functioning in neurodegenerative disease

Circadian rhythms and functioning in neurodegenerative disease Circadian rhythms and functioning in neurodegenerative disease Eus Van Someren Netherlands Institute for Neuroscience & Leiden University Medical Center Amsterdam, The Netherlands Acknowledgement S&C team

More information

Version History. Previous Versions. Drugs for MS.Drug facts box fampridine Version 1.0 Author

Version History. Previous Versions. Drugs for MS.Drug facts box fampridine Version 1.0 Author Version History Policy Title Drugs for MS.Drug facts box fampridine Version 1.0 Author West Midlands Commissioning Support Unit Publication Date Jan 2013 Review Date Supersedes/New (Further fields as required

More information

CONTINGENCY MANAGEMENT AND ANTISOCIAL PERSONALITY DISORDER

CONTINGENCY MANAGEMENT AND ANTISOCIAL PERSONALITY DISORDER CONTINGENCY MANAGEMENT AND ANTISOCIAL PERSONALITY DISORDER Karen K. Chan 1,3, Alice Huber 1,2,3, John M. Roll 1,3, and Vikas Gulati 1,3 Friends Research Institute, Inc. 1 Long Beach Research Foundation:

More information

Depression, Ketamine Treatment, and the Theater of Consciousness

Depression, Ketamine Treatment, and the Theater of Consciousness Universal Journal of Psychology 4(1): 21-26, 2016 DOI: 10.13189/ujp.2016.040102 http://www.hrpub.org Depression, Ketamine Treatment, and the Theater of Consciousness Michael A. Cerullo 1,*, Andrew Stryker

More information

Pharmacological Management of Prodromal and First Episode Schizophrenia

Pharmacological Management of Prodromal and First Episode Schizophrenia Pharmacological Management of Prodromal and First Episode Schizophrenia The optimal time to treat schizophrenia is as early in the course and as close to the onset as possible. Often the onset of the illness

More information

Two-Year Phase III Data Presented at AAN 61st Annual Meeting Show Positive Outcome of Cladribine Tablets in Patients with Multiple Sclerosis

Two-Year Phase III Data Presented at AAN 61st Annual Meeting Show Positive Outcome of Cladribine Tablets in Patients with Multiple Sclerosis Your contact News Release Barbara Fry Phone +1 905 919 0163 April 29/30, 2009 Two-Year Phase III Data Presented at AAN 61st Annual Meeting Show Positive Outcome of Cladribine Tablets in Patients with Multiple

More information

NeuroStar TMS Therapy Patient Guide for Treating Depression

NeuroStar TMS Therapy Patient Guide for Treating Depression NeuroStar TMS Therapy Patient Guide for Treating Depression This NeuroStar TMS Therapy Patient Guide for Treating Depression provides important safety and use information for you to consider about treating

More information

Psychotherapy Treatment of Bipolar Disorders

Psychotherapy Treatment of Bipolar Disorders Psychotherapy Treatment of Bipolar Disorders Jenifer L. Culver, Ph.D. Clinical Assistant Professor Bipolar Disorders Clinic Stanford University School of Medicine Overview Overview of research-based psychotherapies

More information

Prepared by:jane Healey (Email: janie_healey@yahoo.com) 4 th year undergraduate occupational therapy student, University of Western Sydney

Prepared by:jane Healey (Email: janie_healey@yahoo.com) 4 th year undergraduate occupational therapy student, University of Western Sydney 1 There is fair (2b) level evidence that living skills training is effective at improving independence in food preparation, money management, personal possessions, and efficacy, in adults with persistent

More information

Is Monotherapy Treatment of Etanercept Effective Against Plaque Psoriasis?

Is Monotherapy Treatment of Etanercept Effective Against Plaque Psoriasis? Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2011 Is Monotherapy Treatment of Etanercept

More information

Version History. Previous Versions. Policy Title. Drugs for MS.Drug facts box Glatiramer Acetate Version 1.0 Author

Version History. Previous Versions. Policy Title. Drugs for MS.Drug facts box Glatiramer Acetate Version 1.0 Author Version History Policy Title Drugs for MS.Drug facts box Glatiramer Acetate Version 1.0 Author West Midlands Commissioning Support Unit Publication Date Jan 2013 Review Date Supersedes/New (Further fields

More information

TITLE: Acupuncture for Management of Addictions Withdrawal: Clinical Effectiveness

TITLE: Acupuncture for Management of Addictions Withdrawal: Clinical Effectiveness TITLE: Acupuncture for Management of Addictions Withdrawal: Clinical Effectiveness DATE: 09 October 2008 RESEARCH QUESTION: What is the clinical effectiveness of auricular acupuncture in the management

More information

Science > MultiClear. How the MultiClear works?

Science > MultiClear. How the MultiClear works? Science > MultiClear How the MultiClear works? Treatment of Psoriasis by UVB is a common, effective and respected therapy for more than 100 years.[1] Narrow band UVB light (peak 296-313 nm) has been clinically

More information

BEST in MH clinical question-answering service

BEST in MH clinical question-answering service Best Evidence Summaries of Topics in Mental Healthcare BEST in MH clinical question-answering service Question In people with PTSD (including single and multiple event trauma) how effective is prazosin

More information

This clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data.

This clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data. abcd Clinical Study for Public Disclosure This clinical study synopsis is provided in line with s Policy on Transparency and Publication of Clinical Study Data. The synopsis which is part of the clinical

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association Afrezza Page 1 of 6 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Afrezza (human insulin) Prime Therapeutics will review Prior Authorization requests Prior Authorization

More information

Managing depression after stroke. Presented by Maree Hackett

Managing depression after stroke. Presented by Maree Hackett Managing depression after stroke Presented by Maree Hackett After stroke Physical changes We can see these Depression Emotionalism Anxiety Confusion Communication problems What is depression? Category

More information

Vitamin D. Why Vitamin D is important and how to get enough

Vitamin D. Why Vitamin D is important and how to get enough Vitamin D Why Vitamin D is important and how to get enough Why is vitamin D vital for health? Vitamin D is needed by the body for both physical and mental health, but is best known for making sure bones

More information

Department of Dermatology, Churchill Hospital PUVA Treatment

Department of Dermatology, Churchill Hospital PUVA Treatment Oxford University Hospitals NHS Trust Department of Dermatology, Churchill Hospital PUVA Treatment information for patients CONTENTS What is PUVA 3 What conditions are treated with PUVA? 3 How is PUVA

More information

Effects of blue-enriched light on the daily course of mood, sleepiness and light perception: A field experiment

Effects of blue-enriched light on the daily course of mood, sleepiness and light perception: A field experiment Effects of blue-enriched light on the daily course of mood, sleepiness and light perception: A field experiment IM Iskra-Golec PhD a, A Wazna MA a and L Smith PhD b a Insitute of Applied Psychology, Jagiellonian

More information

Reminiscence Therapy for Dementia Meta Analysis

Reminiscence Therapy for Dementia Meta Analysis , pp.10-15 http://dx.doi.org/10.14257/astl.2013 Reminiscence Therapy for Dementia Meta Analysis Mi-hwa Kwon 1, Ba-hoe Cho 2, Jae-shin Lee 3 1 Cheongju Hospital for the Elderly 2 Daejeon convalescent Hospital

More information

(4) To characterize the course of illness after adequate response to and continuation on the treatments found effective for individual participants.

(4) To characterize the course of illness after adequate response to and continuation on the treatments found effective for individual participants. I. Specific Aims/Objectives STAR*D has several main objectives and is powered to assess the effectiveness of a sequence of treatments at various levels of treatment. Most of these objectives entail evaluating

More information

Jefferey F. Knox, IES Senior Lighting Designer, Schuler Shook

Jefferey F. Knox, IES Senior Lighting Designer, Schuler Shook Evidence-Based Lighting g for Long-Term Care Jefferey F. Knox, IES Senior Lighting Designer, Schuler Shook Provider Number: A090 Course Number: C21-17 28 September 2013 Credit(s) earned on completion of

More information

Antidepressant Medicines

Antidepressant Medicines Antidepressant Medicines UHN Information for patients and families Read this booklet to learn: what antidepressant medicines are how they work possible side effects important points to remember The name

More information

Tension Type Headaches

Tension Type Headaches Tension Type Headaches Research Review by : Dr. Ian MacIntyre Physiotherapy for tension-type Headache: A Controlled Study P. Torelli, R. Jenson, J. Olsen: Cephalalgia, 2004, 24, 29-36 Tension-type headache

More information

Selective serotonin re-uptake inhibitors in child and adolescent depression

Selective serotonin re-uptake inhibitors in child and adolescent depression Galantamine (Reminyl) Selective serotonin re-uptake inhibitors in child and adolescent depression Summary The Therapeutic Goods Administration has issued warnings about risks of using selective serotonin

More information

5.07.09. Aubagio. Aubagio (teriflunomide) Description

5.07.09. Aubagio. Aubagio (teriflunomide) Description Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.07.09 Subject: Aubagio Page: 1 of 6 Last Review Date: December 5, 2014 Aubagio Description Aubagio (teriflunomide)

More information

Guidance for Industry Diabetes Mellitus Evaluating Cardiovascular Risk in New Antidiabetic Therapies to Treat Type 2 Diabetes

Guidance for Industry Diabetes Mellitus Evaluating Cardiovascular Risk in New Antidiabetic Therapies to Treat Type 2 Diabetes Guidance for Industry Diabetes Mellitus Evaluating Cardiovascular Risk in New Antidiabetic Therapies to Treat Type 2 Diabetes U.S. Department of Health and Human Services Food and Drug Administration Center

More information

Suicide in Bipolar Disorder. Julie Anderson, MD Oregon State Hospital Psychiatrist OHSU Assistant Professor September 25, 2012

Suicide in Bipolar Disorder. Julie Anderson, MD Oregon State Hospital Psychiatrist OHSU Assistant Professor September 25, 2012 Suicide in Bipolar Disorder Julie Anderson, MD Oregon State Hospital Psychiatrist OHSU Assistant Professor September 25, 2012 Disclosure Statement I have no significant financial relationships to disclose...

More information

Seasonal Affective Disorder (SAD)

Seasonal Affective Disorder (SAD) Seasonal Affective Disorder (SAD) Prepared by: David Whalen, B.A. for the Introduction For thousands of years, mankind s mood and behaviour had been subject to the changing of the seasons. Though the advent

More information

Product: Tazarotene, cream, 500 micrograms per g (0.05%) and 1.0 mg per g (0.1%), 30 g, Zorac

Product: Tazarotene, cream, 500 micrograms per g (0.05%) and 1.0 mg per g (0.1%), 30 g, Zorac PUBLIC SUMMARY DOCUMENT Product: Tazarotene, cream, 500 micrograms per g (0.05%) and 1.0 mg per g (0.1%), 30 g, Zorac Sponsor: Genepharm Australasia Ltd Date of PBAC Consideration: July 2007 1. Purpose

More information

Background. Population/Intervention(s)/Comparison/Outcome(s) (PICO) List of the systematic reviews identified by the search process

Background. Population/Intervention(s)/Comparison/Outcome(s) (PICO) List of the systematic reviews identified by the search process updated 2012 Treatment of alcohol withdrawal delirium Q3: In the treatment of alcohol withdrawal delirium, are benzodiazepines or antipsychotics safe and effective when compared to a placebo/appropriate

More information

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population

More information

CAN-FITE BIOPHARMA LTD.

CAN-FITE BIOPHARMA LTD. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 6-K Report of Foreign Private Issuer Pursuant to Rule 13a-16 or 15d-16 Under the Securities Exchange Act of 1934 For the Month

More information

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv

More information

International Journal of Nursing Practice 2014; : RESEARCH PAPER. care facility. Accepted for publication October 2013

International Journal of Nursing Practice 2014; : RESEARCH PAPER. care facility. Accepted for publication October 2013 bs_bs_banner International Journal of Nursing Practice 2014; : RESEARCH PAPER The effects of light therapy on depression and sleep disruption in older adults in a long-term care facility Mann-Chian Wu

More information

ESCMID Online Lecture Library. by author

ESCMID Online Lecture Library. by author Do statins improve outcomes of patients with sepsis and pneumonia? Jordi Carratalà Department of Infectious Diseases Statins for sepsis & community-acquired pneumonia Sepsis and CAP are major healthcare

More information

Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents

Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents These Guidelines are based in part on the following: American Academy of Child and Adolescent Psychiatry s Practice Parameter for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder,

More information

Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice

Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice Update on guidelines on biological treatment of depressive disorder Dr. Henry CHEUNG Psychiatrist in private practice 2013 update International Task Force of World Federation of Societies of Biological

More information

Make plans for outreach during heat emergencies, prioritizing those at highest risk. Document these plans and communicate them to staff.

Make plans for outreach during heat emergencies, prioritizing those at highest risk. Document these plans and communicate them to staff. New York State, Office of Mental Health NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE Thomas R. Farley, MD, MPH Michael F. Hogan, Ph.D. June, 2012 Dear Executive Director, During hot weather, people

More information

Antipsychotic Medications and the Risk of Diabetes and Cardiovascular Disease

Antipsychotic Medications and the Risk of Diabetes and Cardiovascular Disease Antipsychotic Medications and the Risk of Diabetes and Cardiovascular Disease Professional Tool #1: Screening and Monitoring in a High-Risk Population: Questions and Answers Overview of Cardiometabolic

More information

t!k EUROPEAN MEDICINES AGENCY TESTOSTERONE UPDATE

t!k EUROPEAN MEDICINES AGENCY TESTOSTERONE UPDATE ACRUX (ACR) - ASX ANNOUNCEMENT 24 NOVEMBER 2014 EUROPEAN MEDICINES AGENCY TESTOSTERONE UPDATE The European Medicines Agency (EMA) released a statement regarding the use of Testosterone Replacement Therapy

More information

patient group direction

patient group direction DICLOFENAC v01 1/8 DICLOFENAC PGD Details Version 1.0 Legal category Staff grades Approved by POM Paramedic (Non-ECP) Nurse (Non-ECP) Emergency Care Practitioner (Paramedic) Emergency Care Practitioner

More information

LUPUS. and Light Sensitivity LUPUSUK 2015

LUPUS. and Light Sensitivity LUPUSUK 2015 15 LUPUS and Light Sensitivity LUPUSUK 2015 LUPUS and Light Sensitivity Systemic lupus erythematosus (SLE or lupus) is a multisystem disease with a tendency to cause skin rashes. These often appear on

More information

(1) Title: Dysfunctional attitudes in seasonal affective disorder. Short title for running head: Dysfunctional attitudes in seasonal depression

(1) Title: Dysfunctional attitudes in seasonal affective disorder. Short title for running head: Dysfunctional attitudes in seasonal depression Behaviour Research and Therapy, 44, 1159-1164, 2006. (1) Title: Dysfunctional attitudes in seasonal affective disorder Short title for running head: Dysfunctional attitudes in seasonal depression (2) Authors

More information

Clinical Study Synopsis for Public Disclosure

Clinical Study Synopsis for Public Disclosure abcd Clinical Study for Public Disclosure This clinical study synopsis is provided in line with s Policy on Transparency and Publication of Clinical Study Data. The synopsis - which is part of the clinical

More information

Comorbid Depression and Alcohol Dependence

Comorbid Depression and Alcohol Dependence Psychiatric Times. Vol. 28 No. 6 SUBSTANCE ABUSE: ADDICTION & RECOVERY Comorbid Depression and Alcohol Dependence New Approaches to Dual Therapy Challenges and Progress By Helen M. Pettinati, PhD and William

More information

Clinical bottom line. For more detailed evidence on the effectiveness of injections for tennis elbow, please see the CAT on:

Clinical bottom line. For more detailed evidence on the effectiveness of injections for tennis elbow, please see the CAT on: Short Question: Specific Question: In patients presenting with acute or chronic tendinopathies, what is the incidence of harm for those receiving steroid injections compared to those receiving usual care?

More information

Psychosocial treatment of late-life depression with comorbid anxiety

Psychosocial treatment of late-life depression with comorbid anxiety Psychosocial treatment of late-life depression with comorbid anxiety Viviana Wuthrich Centre for Emotional Health Macquarie University, Sydney, Australia Why Comorbidity? Comorbidity is Common Common disorders,

More information

Shielding Ourselves from Ultraviolet Light

Shielding Ourselves from Ultraviolet Light Shielding Ourselves from Ultraviolet Light Introduction The purpose of this experiment is to examine the effect of passing ultraviolet (UV) light through a variety of materials to determine how well each

More information

Wellbutrin (bupropion)

Wellbutrin (bupropion) Wellbutrin (bupropion) FDA ALERT [09/2007] - Suicidality and Antidepressant Drugs Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents,

More information

Serious Mental Illness: Symptoms, Treatment and Causes of Relapse

Serious Mental Illness: Symptoms, Treatment and Causes of Relapse Serious Mental Illness: Symptoms, Treatment and Causes of Relapse Bipolar Disorder, Schizophrenia and Schizoaffective Disorder Symptoms and Prevalence of Bipolar Disorder Bipolar disorder, formerly known

More information

INITIATING ORAL AUBAGIO (teriflunomide) THERAPY

INITIATING ORAL AUBAGIO (teriflunomide) THERAPY FOR YOUR PATIENTS WITH RELAPSING FORMS OF MS INITIATING ORAL AUBAGIO (teriflunomide) THERAPY WARNING: HEPATOTOXICITY AND RISK OF TERATOGENICITY Severe liver injury including fatal liver failure has been

More information

TITLE: Suboxone for Short-term Detoxification: A Review of the Clinical Evidence

TITLE: Suboxone for Short-term Detoxification: A Review of the Clinical Evidence TITLE: Suboxone for Short-term Detoxification: A Review of the Clinical Evidence DATE: 7 September 2011 CONTEXT AND POLICY ISSUES: Opioid dependence is defined as a strong desire to use the substance,

More information

For more information, please contact the National Psoriasis Foundation at 800-723-9166 or

For more information, please contact the National Psoriasis Foundation at 800-723-9166 or For more information, please contact the National Psoriasis Foundation at 800-723-9166 or www.psoriasis.org. PSORIASIS 101: LEARNING TO LIVE IN THE SKIN YOU RE IN is part of an awareness program to educate

More information

Geriatric Mood and Anxiety Disorders: 5 Things you need to know about Treating Depression in the Elderly

Geriatric Mood and Anxiety Disorders: 5 Things you need to know about Treating Depression in the Elderly Geriatric Mood and Anxiety Disorders: 5 Things you need to know about Treating Depression in the Elderly Kiran Rabheru MD, CCFP, FRCP Geriatric Psychiatrist, The Ottawa Hospital Professor, University of

More information

Recognition and Treatment of Depression in Parkinson s Disease

Recognition and Treatment of Depression in Parkinson s Disease Recognition and Treatment of Depression in Parkinson s Disease Web Ross VA Pacific Islands Health Care System What is depression? Depression is a serious medical condition that affects a person s feelings,

More information

DEPRESSION DURING THE TRANSITION TO MENOPAUSE: A Guide for Patients and Families

DEPRESSION DURING THE TRANSITION TO MENOPAUSE: A Guide for Patients and Families DEPRESSION DURING THE TRANSITION TO MENOPAUSE: A Guide for Patients and Families David A. Kahn, MD, Margaret L. Moline, PhD, Ruth W. Ross, MA, Lori L. Altshuler, MD, and Lee S. Cohen, MD www.womensmentalhealth.org

More information

Medical marijuana for pain and anxiety: A primer for methadone physicians. Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015

Medical marijuana for pain and anxiety: A primer for methadone physicians. Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015 Medical marijuana for pain and anxiety: A primer for methadone physicians Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015 Conflict of interest statement No conflict of interest to

More information

Improving the Recognition and Treatment of Bipolar Depression

Improving the Recognition and Treatment of Bipolar Depression Handout for the Neuroscience Education Institute (NEI) online activity: Improving the Recognition and Treatment of Bipolar Depression Learning Objectives Apply evidence-based tools that aid in differentiating

More information

Bach Flower Remedies for pain relief and psychological problems

Bach Flower Remedies for pain relief and psychological problems Bach Flower Remedies for pain relief and psychological problems Systematic Review Decision Support Document Nr. 17 ISSN online 1998-0469 Bach Flower Remedies for pain relief and psychological problems

More information

Electroconvulsive Therapy - ECT

Electroconvulsive Therapy - ECT Electroconvulsive Therapy - ECT Introduction Electroconvulsive therapy, or ECT, is a safe and effective treatment that may reduce symptoms related to depression or mental illness. During ECT, certain parts

More information

Maintenance treatment for obsessivecompulsive disorder: Findings from a naturalistic setting

Maintenance treatment for obsessivecompulsive disorder: Findings from a naturalistic setting ANNALS OF CLINICAL PSYCHIATRY ANNALS OF CLINICAL PSYCHIATRY 2015;27(1):25-32 RESEARCH ARTICLE Maintenance treatment for obsessivecompulsive disorder: Findings from a naturalistic setting Eric D. Peselow,

More information

Genzyme s Multiple Sclerosis Franchise Featured at AAN

Genzyme s Multiple Sclerosis Franchise Featured at AAN PRESS RELEASE Genzyme s Multiple Sclerosis Franchise Featured at AAN - Multiple Presentations Highlight Continuing Progress of AUBAGIO and LEMTRADA Programs - Paris, France March 13, 2013 Sanofi (EURONEXT:

More information

TERME 3000, MORAVSKE TOPLICE, SLOVENIA

TERME 3000, MORAVSKE TOPLICE, SLOVENIA , MEDICAL TREATMENTS WHY MEDICAL IN TERME 3000, MORAVSKE TOPLICE NATURAL BENEFICAL FACTOR BLACK SODIUM CHLORIDE HYDROGENE-CARBONATE WATER & MUD MATURED IN BLACK THERMAL WATER The black sodium chloride

More information

Effects of Mindfulness-Based Cognitive Therapy on the experience of positive emotions in daily life: A randomized controlled trial

Effects of Mindfulness-Based Cognitive Therapy on the experience of positive emotions in daily life: A randomized controlled trial Effects of Mindfulness-Based Cognitive Therapy on the experience of positive emotions in daily life: A randomized controlled trial Nicole Geschwind nicole.geschwind@kuleuven.be Centre for Psychology of

More information

Committee Approval Date: December 12, 2014 Next Review Date: December 2015

Committee Approval Date: December 12, 2014 Next Review Date: December 2015 Medication Policy Manual Policy No: dru299 Topic: Tecfidera, dimethyl fumarate Date of Origin: May 16, 2013 Committee Approval Date: December 12, 2014 Next Review Date: December 2015 Effective Date: January

More information

Supplements in Psychiatry: N-Acetylcysteine, Omega-3 Fatty Acids & Melatonin. March 19, 2004 David A. Graeber, MD UNM Department of Psychiatry

Supplements in Psychiatry: N-Acetylcysteine, Omega-3 Fatty Acids & Melatonin. March 19, 2004 David A. Graeber, MD UNM Department of Psychiatry Supplements in Psychiatry: N-Acetylcysteine, Omega-3 Fatty Acids & Melatonin March 19, 2004 David A. Graeber, MD UNM Department of Psychiatry 1 N-Acetylcysteine = NAC NAC modulates Neurotransmitters: 1.

More information

Integrating the Treatment of Substance Use Disorders and Co-occurring Psychiatric Disorders in Adolescents

Integrating the Treatment of Substance Use Disorders and Co-occurring Psychiatric Disorders in Adolescents Integrating the Treatment of Substance Use Disorders and Co-occurring Psychiatric Disorders in Adolescents Paula Riggs, M.D. University of Colorado School of Medicine Denver, CO Disclosures Source Consultant

More information

Treatment of chronic pain in cardiac rehab: A sport psychological approach. Zurich, 12.06.2015

Treatment of chronic pain in cardiac rehab: A sport psychological approach. Zurich, 12.06.2015 Treatment of chronic pain in cardiac rehab: A sport psychological approach. Zurich, 12.06.2015 About me University degree in Psychology (Zurich, M Sc) University degree in Sport Psychology (Bern, FSP)

More information

Antidepressants and suicidal thoughts and behaviour. Pharmacovigilance Working Party. January 2008

Antidepressants and suicidal thoughts and behaviour. Pharmacovigilance Working Party. January 2008 Antidepressants and suicidal thoughts and behaviour Pharmacovigilance Working Party January 2008 PhVWP PAR January 2008 Page 1/15 1. Introduction The Pharmacovigilance Working Party has on a number of

More information

Medication Management of Depressive Disorders in Children and Adolescents. Satya Tata, M.D. Kansas University Medical Center

Medication Management of Depressive Disorders in Children and Adolescents. Satya Tata, M.D. Kansas University Medical Center Medication Management of Depressive Disorders in Children and Adolescents Satya Tata, M.D. Kansas University Medical Center First Line Medications SSRIs Prozac (Fluoxetine): 5-605 mg Zoloft (Sertraline):

More information