this week, Saiki Times® covered a range of psychiatric issues and industry updates, from co-occurring substance use and eating disorders to treatment options for obsessive-compulsive disorder. Here are some highlights from the week.
ChatGPT: Artificial Intelligence and Mental Health
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Human-computer interaction (HCI) and artificial intelligence (AI) have recently taken a step into the future. His ChatGPT for OpenAI has been dominating the news headlines and attracting nearly half a billion users since its November 2022 release. Psychiatry is no stranger to his HCI. His ELIZA, a computer his program created by Joseph Weizenbaum at the Massachusetts Institute of Technology in the 1960s, describes how simple communication patterns provided by artificial means can interpret very realistic human emotions. I introduced how to make it illegal.
Our lifestyles have evolved dramatically, but the basic structure of our brain is remarkably similar to that of our ancestors 200,000 years ago. We are wired to look for patterns and personify. When I was introduced to ChatGPT, it’s no surprise that my brain immediately recognized the opportunity to satisfy this curiosity by interviewing an AI. keep reading
Concomitant substance use and eating disorders
There are many studies analyzing the co-occurrence of substance use disorders (SUD) and eating disorders (ED). DSM-5 describes various EDs, including anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).
The main features of AN are underweight, fear of gaining weight, and distorted body image due to constant dietary restrictions. Two AN subtypes have been proposed: AN restricted (AN-R) and AN binge/purge (AN-BP). BN is characterized by recurrent episodes of binge eating (the consumption of objectively large amounts of food in discrete periods with feelings of loss of control during the episode). keep reading
Role of Lithium in Bipolar I Mania and Depression in 2023
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Let’s start with the treatment of acute mania. Lithium is a good treatment for classic non-mixed mania, but if symptoms of depression are mixed (3 or more depressive symptoms combined to produce complete mania, according to DSM-5-TR). If it meets the criteria, it is mixed-functioning mania). Lithium doesn’t work well. Instead, the first choice in combination is a second-generation antipsychotic (SGA).
Quetiapine may be preferred because there is evidence that it is also effective in treating and preventing bipolar depression, which often follows mania. It is another option for SGA as it is also effective as a treatment for mania, including mania, but it has not been studied as a maintenance treatment for mania or depression, so it is currently speculative. It does for its important function. keep reading
Achieving Remission in Obsessive-Compulsive Disorder: Consider TMS Early in Treatment Continuity
Obsessive Compulsive Disorder (OCD) is a chronic, debilitating condition that affects more than 2% of the world’s population. OCD is characterized by uncontrollable, recurrent thoughts (obsessions) and behaviors (compulsions) that the patient feels compelled to repeat over and over again, and was formerly defined by the World Health Organization (WHO) as It ranked among the top ten debilitating medical conditions. Decreased quality of life and loss of income. It is now listed among other anxiety-based disorders and together ranks as the sixth leading cause of disability in the world.
The economic burden on the US healthcare system for OCD treatment is estimated to exceed $10.6 billion annually. Unfortunately, treatment options are limited and often unsuccessful. Psychological therapies, including exposure and response therapy (ERP), are very helpful in managing obsessive-compulsive disorder, but have limited durability. The reason for this is that, like diabetes, OCD is a chronic disease that has regular consequences and worsens or lessens on a regular basis. keep reading
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