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Presse Med
March 2005
CNRS UMR 7593, Service de psychiatrie adultes du Pr Allilaire, Groupe hospitalier Pitié-Salpétrière, 75013 Paris.
The management of depression in subjects aged over 65 is based on the isolated or combined use of antidepressant chemotherapy, psychotherapy and electroconvulsive therapy. Electroconvulsive therapy, under general anaesthesia and use of curare, consists in producing a generalised seizure using a short, pulsed, electrical current administered via the transcranial route. There is renewed interest in electroconvulsive therapy with the development of specific rules and conditions for its use, together with the recruitment of depressed patients resistant to classical treatments in hospital settings.
View Article and Find Full Text PDFJ Psychoactive Drugs
April 1994
Department of Psychiatry and Behavioral Sciences, University of Nevada School of Medicine, Reno 89557-0046.
Treatment of dual diagnosis patients requires simultaneous treatment of the addictive and the mental disorders. Available data suggest that this does not happen often. In a survey of several psychiatric services, the unit chiefs reported that dual diagnoses were underreported, no plans were present for combined treatment, families were infrequently involved, and few referrals were made for combined treatment.
View Article and Find Full Text PDFThe literature concerning postcardiotomy delirium contains confusing definitions and contradictory results. In a critical review of the subject, we conclude that cardiac status, the severity of physical illness, the complexity of the surgical procedure, and preoperative organic brain disease are the determining factors in postcardiotomy delirium. Preoperative anxiety, denial, and depression also have some correlation.
View Article and Find Full Text PDFChemotherapy, psychotherapy, behavior modification, and participation in Alcoholics Anonymous have been used successfully to treat the alcoholic patient, but all have limitations and some have potential dangers. All require long-term follow-up and family participation.
View Article and Find Full Text PDFAnn Med Leg Criminol Police Sci Toxicol
October 1967
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