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The role of medications in borderline personality disorder

Borderline personality disorder (BPD) is a difficult to treat condition that can cause significant distress for those living with it.  While the gold standard for treatment is psychotherapy, specifically dialectical behaviour therapy (DBT), medications may also play a supporting role, and that's what this post will focus on. Antidepressants, particularly SSRIs, are some of the … Continue reading The role of medications in borderline personality disorder

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Should pharmaceutical advertising be banned?

In many countries, direct to consumer advertising (DTCA) of prescription drugs is either prohibited or tightly restricted.  The United States is a notable exception, along with New Zealand.  For tv ads, the standard pattern is to talk about the illness, talk about the amazing benefits of the drug, and then provide the required long list … Continue reading Should pharmaceutical advertising be banned?

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Dead if you do, dead if you don’t? Weighing the risks & benefits of medications

I recently watched the documentary Letters From Generation Rx on Amazon Prime, which looked at instances of people experiencing significant side effects while on psychiatric medication, including people who took the lives of either themselves or others while on psychiatric meds. One man featured in the film was a Canadian Member of Parliament whose teenage … Continue reading Dead if you do, dead if you don’t? Weighing the risks & benefits of medications

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Evidence-based treatment of anxiety

In this post I'll take a look at some of the available treatment guidelines for anxiety disorders.  While psychotherapies are extremely important in the management of anxiety disorders, this post will focus only on anti-anxiety medications.  The treatment guidelines I refer to come from the British Association for Psychopharmacology and the World Federation of Societies … Continue reading Evidence-based treatment of anxiety

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What the STAR*D study means for depression treatment

The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial studied 2876 people with major depressive disorder to evaluate their response to depression treatment in a real-world setting.  Unlike the randomized controlled trials that are often used to evaluate a drug's efficacy, there were few exclusion criteria, the patient and their physician knew which drug they … Continue reading What the STAR*D study means for depression treatment

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