Gene testing to guide antidepressant treatment: Has its time arrived?

Depressive disorders are among the most common conditions that disrupt lives. Fortunately, medications, psychotherapies, and lifestyle changes are usually successful in treating depression and related disorders, even if symptoms are not entirely eliminated. Sometimes people don’t gain sufficient relief from...

Psychotherapy leads in treating post-traumatic stress disorder

Post-traumatic stress disorder (PTSD) is a common, often debilitating mental health condition that occurs in some people who have experienced trauma. It can have a negative impact on mood, mimicking depression, and is characterized by petrifying episodes in which affected...

Teens and confidentiality

When my primary care patients reach high school age, or sometimes before, I kick their parents out of the exam room. I don’t do it right at the beginning of the visit. I meet with them both first, to see...

Anxiety in college: What we know and how to cope

Even amid the rush of final exams and graduation celebrations at this time of year, college beckons with the chance to live on your own, find new friends, and explore interesting ideas. Yet for college students — as well as...

Ketamine for major depression: New tool, new questions

Ketamine was once used mainly as an anesthetic on battlefields and in operating rooms. Now this medication is gaining ground as a promising treatment for some cases of major depression, which is the leading cause of disability worldwide. In the...

Ease anxiety and stress: Take a (belly) breather

Quick: think of three things that make you feel anxious or stressed. Most of us have no trouble reeling off answers. And people who suffer from anxiety disorders — such as social anxiety, phobias, or generalized anxiety — may have...

How to handle stress at work

If you’re currently working, you probably know what it feels like to be stressed on the job. A must-do project arrives without warning. Three emails stack up for each one you delete. Phones ring, meetings are scheduled, a coworker drops...

Discontinuation syndrome and antidepressants

Discontinuation and change are part of life. We all start and stop various activities. Jobs change, relationships change. So, too, may medical treatments, such as antidepressants that help many people navigate depression and anxiety. Planning changes in advance tends to make...