Clinical Psychiatry News articles from June 2006

Clinical Psychiatry News archives from June 2006

Bipolar diagnosis elusive in elderly.(Clinical report)
June 1, 2006... SAN FRANCISCO -- A diagnosis of bipolar disorder can be missed in any patient, but this appears to be a particular problem in the elderly population, Dr. Josepha A. Cheong said at the annual meeting of the American Academy of Clinical...

Top 10 drugs prescribed by psychiatrists in 2005.(Statistical table)(Brief article)
June 1, 2006... Top 10 Drugs Prescribed by Psychiatrists in 2005 Millions Lexapro 4,893 Zoloft 4,671 Seroquel 4,232 Effexor XR 4,032 Risperdal 3,493 Wellbutrin XL 3,379 Adderall XR 2,759...

Naltrexone favored over acamprosate in alcoholism trial: therapy did not improve drug treatment.(clinical studies)
June 1, 2006... SAN DIEGO -- A study that is perhaps the most important conducted on alcohol dependence treatment in recent years has found that use of the opiate antagonist naltrexone reduces drinking, but use of acamprosate does not. The COMBINE (Effect...

Suicide experts linking mnemonic to prevention.(Community Psychiatry)
June 1, 2006... SEATTLE -- An American Association of Suicidology expert consensus panel has developed the first evidence-based list of warning signs for suicide--and fashioned a mnemonic designed to help get out the message. The mnemonic, which AAS...

Paxil label to warn of suicide risk.(research results)
June 1, 2006... Paroxetine may increase the risk of suicidal behavior in adults, particularly in young adults, findings from a recent metaanalysis suggest. "It is therefore important that all patients, especially young adults and those who are improving,...

IOM: it's time to wake up to sleep disorders.(Institute of Medicine )(care and treatment)(Statistical data)
June 1, 2006... It's time for physicians and the public alike to wake up to the staggering impact of sleep disorders, a new report from the Institute of Medicine charges. An estimated 50-70 million Americans suffer from chronic sleep disorders such as...

Panel cites potential for severe rash; stalls modafinil for children.(research results)(Statistical data)
June 1, 2006... GAITHERSBURG, MD. -- A Food and Drug Administration advisory committee said modafinil is not safe for treating ADHD in children and adolescents by a 12-1 vote, although committee members unanimously agreed the drug was effective for that...

Studies allay fears of Iraq War syndrome among brits.(research)(Statistical data)
June 1, 2006... British armed forces who were deployed to Iraq right before and during the 2003 invasion did not report significantly worse physical or mental health than British military personnel who served during the same period but who were not deployed to...

Varenicline gets fast-track nod for smoking cessation.(care and treatment)
June 1, 2006... The newly approved drug varenicline may help a significantly higher percentage of patients quit smoking than bupropion, according to Food and Drug Administration officials and others. The drug was judged from early trials to show such...

A previously established link.(LETTERS)(Letter to the editor)
June 1, 2006... I was quite surprised to read the assertion by Dr. Anuja Dokras of the University of Iowa Hospitals and Clinics that the results of research she had conducted show "for the first time that depression in PCOS patients is significantly associated...

Study seems problematic.(LETTERS)(Letter to the editor)
June 1, 2006... Dr. William G. Honer reported that a risperidone-clozapine combination is less effective than a placebo-clozapine combination in patients with treatment-resistant schizophrenia ("Drug Combination Fails to Benefit Clozapine-Refractory...

Treating anxiety in MI patients.(LETTERS)(Letter to the editor)
June 1, 2006... The article about using the Brief Symptom Inventory to diagnose anxiety in MI patients was interesting, but Mohannad Abu Ruz reached conclusions beyond the facts ("Brief Questionnaire Identifies MI Anxiety, Need for Anxiolytics," March 2006, p....

Don't blame the pharm reps.(LETTERS)(Letter to the editor)
June 1, 2006... Kudos to Dr. Jerold J. Kreisman for taking the politically incorrect view in defense of pharmaceutical representatives ("Defending the 'Drug Man,'" Guest Editorial, February 2006, p. 9). One function of pharm reps is to persuade us docs to...

Psychiatry: 'treatment of the soul'.(LETTERS)(Letter to the editor)
June 1, 2006... Trained in Poland before I received my medical diploma, I recited the Hippocratic Oath in Latin: "Primum non nocere," which means, "First, do no harm" ("Drug-Induced Parkinsonism Often Missed by Experts," April 2006, p. 68). At one of the...

The psychological toll of layoffs.
June 1, 2006... In "The Disposable American: Layoffs and Their Consequences," author Louis Uchitelle says widespread layoffs among U.S. companies are taking a hidden psychological toll on Americans, resulting in what he calls an "anxious class." These workers...

Weighing new evidence on SSRI use.(research reports)
June 1, 2006... Until fairly recently, studies and reviews of global teratovigilance data have been relatively reassuring that SSRIs were particularly safe, especially with regard to their teratogenicity. In fact, there are more reproductive safety data...

The global workforce challenge.(shortage of physicians)
June 1, 2006... The fact that a physician shortage is occurring and is expected to worsen in the next decade has been acknowledged by the Council on Graduate Medical Education (COGME) and the Association of American Medical Colleges (AAMC). By 2016, when the...

The allure of amnesia.(psychological aspects of Doug Bruce)
June 1, 2006... In the new documentary, "Unknown White Male," director Rupert Murray tells the story of Doug Bruce, a former stock broker turned photographer, living alone in New York City, who, one evening in July 2003, apparently experienced a dissociative...

The art of Martin Cohen.
June 1, 2006... A few years ago, Martin Cohen was near a lumberyard and spotted something that would later become part of his body of work. "They had these amazing hollow doors," said Mr. Cohen, who is a prolific painter of abstract art. "They're great...

Surprising distress level seen in Asian Americans.(care and treatment)(Statistical data)
June 1, 2006... MIAMI -- Asian Americans may experience distress after a traumatic event that manifests in psychiatric symptoms beyond posttraumatic stress disorder, according to a study presented at the annual conference of the Anxiety Disorders Association...

The how-to of relaxation techniques.(methods of relaxation)
June 1, 2006... In many "Toolbox" columns, I have discussed assisting patients via the learning, philosophizing, and action technique I have developed over the last 25 years. The LPA technique is my integration of various kinds of cognitive-behavioral...

Testosterone shows mixed results as Alzheimer's treatment.(care and treatment)
June 1, 2006... Testosterone replacement therapy may improve overall quality of life in patients with Alzheimer's disease but cognitive effects appear to be minimal, judging from the findings of a small, preliminary study. "Testosterone-treated patients...

Amnesia, stress disorder common after ICU stays: a metaanalysis revealed that about 30% of patients have at least some amnesia for their ICU experience.(research)(Intensive Care Units)
June 1, 2006... SAN FRANCISCO -- A surprisingly large number of patients suffer from amnesia or posttraumatic stress disorder following a stay in the intensive care unit, Dr. Craig Weinert said at the annual congress of the Society of Critical Care Medicine....

PTSD linked to TMJ dysfunction.(posttraumatic stress disorder )(temporomandibular joint dysfunction )(Brief article)
June 1, 2006... The first-ever study to examine in a cohort of twins the previously identified relationship between temporomandibular joint dysfunction and posttraumatic stress disorder has found a possibly confounding genetic influence, Niloofar Afari, Ph.D.,...

Veterans, PTSD, and blood pressure.(posttraumatic stress disorder)(health aspects of veterans)(Brief article)(Clinical report)
June 1, 2006... Veterans with posttraumatic stress disorder feel angrier but show less cardiovascular reactivity when relating an angry memory than do those without the disorder. The seeming paradox hints that they may have reduced physiologic flexibility...

Depression and diabetes.(Clinical report)
June 1, 2006... Depression is common in patients with diabetes and may require long-term treatment, a recent study shows. The study found that depressed, diabetic patients who responded to treatment with sertraline (Zoloft) were much less likely to have a...

Compulsive hoarders reveal comorbidities: a study of 75 self-reported hoarders showed fewer axis II diagnoses than were expected.(research on disorder)(Statistical data)
June 1, 2006... MIAMI -- Compulsive hoarding occurs across disorders, according to a community-solicited study of people who reported hoarding behaviors and a wide range of comorbidities. Traditionally, researchers assess a group of people with...

Hoarding behavior associated with traumatic life events.(research on compulsive disorder)(Statistical data)
June 1, 2006... MIAMI -- An association exists between traumatic life events and hoarding behaviors, according to a study of adults with obsessive-compulsive disorder presented at the annual conference of the Anxiety Disorders Association of America. ...

Neurologic dysfunction, cued by 'soft signs,' may predate PTSD.(posttraumatic stress disorder)
June 1, 2006... People with posttraumatic stress disorder often show "soft signs" that signal subtle neurologic dysfunction, said Dr. Tamara V. Gurvits of the Veterans Affairs Medical Center in Manchester, N.H., and her associates. The results of their...

Play, stress management combat childhood PTSD.(care and treatment)(Statistical data)
June 1, 2006... SAN FRANCISCO -- A behavioral medicine program of play combined with stress reduction and management techniques significantly reduced symptoms of posttraumatic stress disorder in a group of children whose community had been decimated by two...

Initial focus on OCD may ease defiant disorder: results show patients must be open to engaging in exposure therapy for treatment to be effective.(obsessive-compulsive disorder)(Statistical data)
June 1, 2006... MIAMI -- Children with comorbid oppositional-defiant and obsessive-compulsive disorders may be more likely to engage in and benefit from cognitive-behavioral therapy if the oppositional defiant disorder is treated first, according to...

Survey: teens use inhalants more, worry about risks less.(Statistical data)
June 1, 2006... Inhalant abuse, known as "sniffing" or "huffing," appears to be increasing among teens, and shifting attitudes about the practice are cause for alarm, according to the Partnership for a Drug-Free America. In a new survey of 7,200 7th-12th...

Writing wrongs: treating graphomotor problems.(care and treatment)
June 1, 2006... VANCOUVER, B.C. -- Graphomotor dysfunction--a disconnect between a child's thoughts and his or her ability to write them down--is becoming increasingly common in elementary school children, Dr. Melvin D. Levine said at a conference sponsored by...

Dieting linked to risky behavior.(Ifluences)(Brief article)(Statistical data)
June 1, 2006... Adolescents who dieted were significantly more likely to engage in risky health behaviors and to demonstrate psychosocial symptoms, compared with teens who did not diet, reported Dr. Scott Crow and his colleagues at the University of Minnesota,...

Friends inspire smoking initiation.(research)(Brief article)(Statistical data)
June 1, 2006... A close friend's smoking habits were 12% more influential than parents' habits in an adolescent's first transition to smoking, reported Jonathan B. Bricker, Ph.D., of the Fred Hutchinson Cancer Research Center, Seattle, and his colleagues. ...

Depression may be catching.(care and treatment)(Brief article)
June 1, 2006... Depression in a best friend was significantly associated with the development of depressive symptoms in adolescents under conditions of social anxiety, Mitchell Prinstein, Ph.D., said at the annual meeting of the Association for Behavioral and...

Survey eyes cycle of sexual abusers and victims.(molestation investigations)
June 1, 2006... ATLANTA -- Current data on sexually abusive adolescents who molest others are consistent with those of previous studies, which showed that they tend to have been molested before the age of 9 years, two researchers said at a meeting of the...

One-third of U.S. girls sexually active by age 15, CDC says.(surveys)(Statistical data)
June 1, 2006... BOSTON -- By age 15, more than a third of American girls say they are sexually active, according to a Centers for Disease Control and Prevention survey. About 26% have had oral sex, 26% have had vaginal intercourse, and another 8% have had oral...

ADHD treatment less risky than nontreatment: the risk for substance abuse in untreated patients is 75%, compared with 25% in treated patients.(care and treatment)(Statistical data)
June 1, 2006... MIAMI BEACH -- The risks of not treating attention-deficit hyperactivity disorder are far greater than the risks involved in treating the disorder, Dr. David Goodman reported at the annual meeting of the American Society for Adolescent...

Study strongly links adenotonsillectomy with improved ADHD.(attention deficit hyperactivity disorder)(Clinical report)
June 1, 2006... Half of all children undergoing adenotonsillectomy who were found to have attention-deficit hyperactivity disorder before the surgery no longer met the diagnostic criteria a year later, according to a prospective, controlled study. The...

Don't misdiagnose hydrocephalus as dementia.(diagnosis)
June 1, 2006... GRAPEVINE, TEX. -- At least 6% of patients diagnosed with dementia are actually suffering from normal pressure hydrocephalus, which often can be treated, Dr. Mark S. Maxwell said at the annual meeting of the American College of Osteopathic...

Skip meds first in treating agitation.(care and treatment)
June 1, 2006... SAN FRANCISCO -- At least 80% of patients with dementia will experience agitation, Dr. Josepha A. Cheong said at the annual meeting of the American Academy of Clinical Psychiatrists. The temptation, especially at in-patient facilities, is to go...

Episodic nature key to dx of seizures in older adults.(care and treatment)
June 1, 2006... SAN JUAN, P.R. -- Seizures in older adults have a different presentation than they do in younger patients, with these events resembling many other conditions and making diagnosis difficult, but there are a few keys that can help make the right...

Stroke history raises risk of vascular dementia.(care and treatment)
June 1, 2006... PORTO, PORTUGAL -- Stroke was associated with a nearly 20-fold increase in risk for vascular dementia in a univariate, retrospective, case-control analysis presented at the Fourth International Congress on Vascular Dementia. Among 205...

Late-life AD risk linked to midlife fat distribution.(causes of)(Brief article)(Statistical data)
June 1, 2006... SAN DIEGO -- The increased risk of Alzheimer's disease may be more closely related to midlife distribution of adiposity rather than to being overweight or obese, according to the results of a large-scale study presented at the annual meeting of...

New alcohol test appears fallible: several medical professionals who say they did not touch a drink are testing positive; losing their jobs.(ethyl glucuronide test)
June 1, 2006... SAN DIEGO -- Nancy Clark, a registered nurse, had been drug free and sober for 3 years when she tested positive for alcohol on the new ethyl glucuronide test, the same one used for many chemically dependent physicians who are entered into...

Hospital may spur alcohol counseling.(services)(Statistical data)
June 1, 2006... SAN FRANCISCO -- Hospitalization may provide a unique opportunity to offer counseling to patients with alcohol problems. "As a result of an acute medical event, many patients have a high motivation to change their drinking behavior," Jennis...

Meth's cognitive effects may short-circuit therapy.(influences)
June 1, 2006... SAN DIEGO -- Methamphetamine abuse may injure the brain, according to new evidence and the experience of clinicians who treat recovering users. For some, the damage could be permanent. For many, there is an impairment that may be temporary...

Physician programs inspiring substance abuse treatment efforts.(care and treatment)(Statistical data)
June 1, 2006... SAN DIEGO -- Drug abuse treatment has a fairly dismal success rate among most groups, with one notable exception: physicians. Now, a group of experts wants to find out what it is about doctors or the assistance they receive that is so...

Perspective.(narratives)
June 1, 2006... It has been my experience that many, but not all, of the want-to-be jocks who use vitamins, power shakes, protein bodybuilding aids, and steroids in an effort to enhance their performance or appearance have low self-esteem and are insecure...

Teens and steroids: a dangerous mix.(youth behavior)(Statistical data)
June 1, 2006... Any mention of teen drug abuse inevitably evokes images of troubled adolescents from dysfunctional families using cocaine, ecstasy, heroin--whatever they can get their hands by whatever means--to get high. The picture is accurate to some...

Preventive measures can break molestation cycle.(child sexual abuse)(Statistical data)
June 1, 2006... ATLANTA -- The general perception is that society is at the mercy of sexual abusers and molesters, with little recourse besides knowing where they live. But that view is not shared by experts and professionals in the field. Prevention...

Four new Parkinson's disease guidelines hailed: review finds insufficient evidence to show that alternative therapies benefit Parkinson's patients.(care and treatment)(Statistical data)
June 1, 2006... SAN DIEGO -- Use of alternative therapies in the management of Parkinson's disease is supported only by weak data, according to one of four new practice parameters issued by the American Academy of Neurology at its annual meeting. ...

Patient adherence to CPAP therapy elusive despite new methods.(Continuous positive airway pressure )(Statistical data)
June 1, 2006... DENVER -- Continuous positive airway pressure is widely viewed as the treatment of choice for obstructive sleep apnea. When used correctly, it results in multiple benefits, including salutary changes in cognitive function, quality of life,...

Oral appliances, surgery falling short for apnea.(apnea care and treatment)(Statistical data)
June 1, 2006... KEYSTONE, COLO. -- Oral appliances and surgery are widely perceived as effective alternatives to nasal continuous positive airway pressure for treatment of obstructive sleep apnea. But the evidence suggests otherwise, Dr. Robert Ballard...

Ask about pain in initial evaluations.(psychiatric evaluation)
June 1, 2006... Pain is a frequent concomitant of psychiatric disorders--depression, anxiety, and somatoform disorders in particular--and psychiatric difficulties are common among the estimated 86 million Americans who suffer from chronic pain. "In many...

Trial data awaited on PFO closure for migraine relief.(Pain Medicine)(patent foramen ovale)
June 1, 2006... SCOTTSDALE, ARIZ. -- Existing data suggest that a subset of migraine patients may benefit from closure of their patent foramen ovale, Dr. David W. Dodick said during a symposium sponsored by the American Headache Society. However, any...

Elevated risk of MI seen in men who are anxious: a 10-year study of 740 initially healthy men found that anxiety independently predicted chances of MI.(myocardial infarction- care and treatment)
June 1, 2006... MIAMI -- Anxiety in men may be a robust and independent predictor of the 10-year incidence of myocardial infarction, according to a study presented at the annual conference of the Anxiety Disorders Association of America. "This is kind of...

Be culturally sensitive in screening.(Psychosomatic Medicine)(Statistical data)
June 1, 2006... SANTA ANA PUEBLO, N.M. -- Different populations may require different screening instruments for depression, according to investigators who compared the accuracy of methods for detecting depression in 209 terminally ill cancer patients in Japan....

Depression deepens as CHD risks rise in diabetic patients.(coronary heart disease)(Brief article)(Clinical report)
June 1, 2006... DENVER -- Increased risk of coronary heart disease is significantly associated with stronger symptoms of depression in diabetic adults, Susan M. Barry-Bianchi, Ph.D., reported in a poster presented at the annual meeting of the American...

Strong link seen between depression, inflammation.(relation between depression and inflammation)
June 1, 2006... SAN JUAN, P.R. -- Growing evidence points to an association between inflammation and depression, according to a presentation at the annual meeting of the American College of Psychiatrists. For example, depressed patients have elevated...

Postop neurocognitive dip tied to high inflammatory markers.
June 1, 2006... SAN DIEGO -- Increased levels of C-reactive protein and other markers of perioperative inflammatory response are associated with neurocognitive decline following cardiac surgery, Dr. Basel Ramlawi said at a congress sponsored by the Association...

Rape associated with increases in headaches, pain, GI disorders.(gastrointestinal disorders)
June 1, 2006... SAN FRANCISCO -- Rape appears to initiate a host of neuroinflammatory changes that could predispose the victim to later inflammatory disease, Maureen Groer, Ph.D., said at the annual meeting of the Society of Behavioral Medicine. "Victims...

Emotional toll of atopic dermatitis highlighted.(Across Specialties)
June 1, 2006... KOLOA, HAWAII -- Atopic dermatitis exerts enormous and underappreciated adverse impacts upon personality development, psychological functioning, and family relationships, Dr. Sarah L. Chamlin said at the annual Hawaii dermatology seminar...

Federal plan boosts donor organs for transplant.(promoting donation of organs)
June 1, 2006... MADRID -- A federal program has succeeded in boosting the number of donor organs available for transplantation in the United States. The next step is to also boost the rate at which available organs are actually transplanted into recipients....

Liver enzyme seems to influence ability to quit smoking.(CYP2A6)
June 1, 2006... BETHESDA, MD. -- Variations in the activity of the primary enzyme involved in nicotine metabolism may largely explain lower smoking levels and lung cancer rates found in slow metabolizers, Rachel F. Tyndale, Ph.D., said at the annual meeting of...

Antibiotic prescribing patterns vary by specialty: penicillins were dispensed most frequently, followed by macrolides, cephalosporins, and fluoroquinolones.(specialty treatment)
June 1, 2006... NICE, FRANCE -- Family practitioners prescribe penicillins most often, whereas surgeons prescribe fluoroquinolones more frequently than any other specialty. These are some of the findings from a 3-year study examining prescribing patterns...

Emergency physicians question droperidol black box warning.(drug usage )
June 1, 2006... SOUTH LAKE TAHOE, CALIF. -- Emergency physicians should not let the black box warning on droperidol discourage their use of the drug in agitated patients, Dr. John R. Richards said at an emergency medicine conference sponsored by the University...

Nonhormonal therapies show limited efficacy for hot flashes.(care and treatment)
June 1, 2006... Despite the avid interest in finding nonhormonal therapies for menopausal hot flashes, most of the alternative treatments have demonstrated only limited efficacy, and their safety remains in question, according to a systematic review of the...

Disability rate declines among older Americans.(Practice Trends)
June 1, 2006... Americans age 65 and older are living longer with fewer disabling health problems, according to a report from the U.S. Census Bureau. The decline in disability is partly due to increased education levels among seniors, better treatments for...

NMHA names new president.(National Mental Health Association)(David L. Shern)(Brief article)
June 1, 2006... The National Mental Health Association has named David L. Shern, Ph.D., as the organization's new president and CEO. Dr. Shern is currently dean of the Louis de la Parte Florida Mental Health Institute at the University of South Florida, Tampa,...

Drug-related ED visits.(policy and practice)(Brief article)
June 1, 2006... Of the 2 million drug-related visits to emergency departments that occurred in 2004, the majority (1.3 million) were for drug misuse or abuse, according to data from the Substance Abuse and Mental Health Services Administration. The findings...

Hospital payments increased.(medicare services enhanced)(Brief article)
June 1, 2006... Medicare is increasing overall payments to inpatient psychiatric facilities an average of 4% beginning next month, the Centers for Medicare and Medicaid Services announced. The increase will go to about 1,800 facilities, including hospitals...

GAO raps FDA decision making.(Government Accountability Office)(Food and Drug Administration)(Brief article)
June 1, 2006... The Food and Drug Administration lacks a clear and effective process for making decisions about postmarketing drug safety issues, according to a recent report from the Government Accountability Office. The GAO noted that "there has been high...

Part D: no help for poor seniors.(Brief article)
June 1, 2006... Less than one-fourth of the Medicare beneficiaries eligible for subsidies under Medicare Part D have enrolled in a plan, according to a report from Families USA. The report, based primarily on enrollment data from the Centers for Medicare and...

Malpractice "crisis" questioned.(Brief article)
June 1, 2006... The idea that malpractice premiums have risen greatly and constitute a "crisis" for physicians is false, according to an article in the May/June issue of Health Affairs. Author Marc A. Rod-win, Ph.D., a law professor at Suffolk University,...

Value of peer support regaining attention: studies show method improves symptoms and social functioning while reducing hospitalizations.(recovery methods)
June 1, 2006... An old idea--using peers to facilitate recovery--is gaining new attention from public mental health specialists as they search for ways to help the mentally ill get care in an overstretched system and return to productivity. Peer...

Beds for mentally III down by more than 50% in public hospitals.(statistical table)(Statistical table)(Brief article)
June 1, 2006... Beds for Mentally III Down by More Than 50% in Public Hospitals 1986 1990 1994 1998 2000 2002 State and county mental hospitals 50 40 32 26 22 20 Private psychiatric hospitals ...

Organizational psychiatry: does the company want to change?(success tips)
June 1, 2006... CHICAGO -- An important key to the success of an organizational psychiatry consultation lies within the consultant, Dr. C. Donald Williams said at the annual meeting of the Academy of Organizational and Occupational Psychiatry. "The...

States plan med schools to bolster workforce: with physician shortages expected, new schools are being proposed in Florida and California.(addition of medical schools)
June 1, 2006... Several states are in the process of adding new medical schools to shore up expected shortfalls in the physician workforce. The United States could see physician shortages run as high as 85,000 physicians by 2020, according to government...

Distribution of medical schools.(surveys)(Brief article)
June 1, 2006... Distribution of Medical Schools Note: Puerto Rico and the District of Columbia have three schools each. Source: Association of American Medical Colleges. RICHARD FRANKI/ELSEVIER GLOBAL MEDICAL NEWS

Community health centers face increased understaffing.(employee shortages)
June 1, 2006... Community health centers are currently clinically understaffed and will likely face increasing shortages that may limit their expansion, according to a study by the rural health research centers of both the University of Washington, Seattle,...

Feeling the burnout?(stress)
June 1, 2006... Dr. Darrell A. Campbell Jr. followed in his father's footsteps and became a surgeon. But the young Dr. Campbell is careful not to follow in his father's footsteps of letting his work consume him to the point of burnout. "I saw it firsthand...

Extended-release naltrexone.(use of Vivitrol in controlling alcoholism)(Brief article)
June 1, 2006... Vivitrol (naltrexone for extended-release injectable suspension) is indicated for once-monthly treatment of alcohol dependence in patients who are able to abstain from drinking in an outpatient setting and are not actively drinking when...