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Depression And Chocolate

ChocolateDepressed people ate about 60 percent more chocolate compared with others, and major depression more than doubled consumption, reported researchers in the usually-more-reliable Archives of Internal Medicine. Now researchers want to further delve into the issue.

“Whether there is a causal connection, and if so in which direction, is a matter for future prospective study,” the authors wrote.

We wonder if Hershey’s would provide samples for the treatment arm of such studies, and if so, how people can sign up?

*This blog post was originally published at ACP Internist*

Treating Depression And Panic Disorder Via The Internet

According to a doctoral thesis to be presented by Jan Bergström at the Karolinska Institutet in Sweden, cognitive behavioral therapy (CBT) via the Internet is just as effective in treating panic disorder as traditional group-based CBT. It’s also apparently efficacious for the treatment of mild and moderate depression.

Access to conventional CBT is limited in Sweden, so an Internet-based CBT was developed in which the patient undergoes an Internet-based self-help program and has contact with a therapist by email. Read more »

*This blog post was originally published at Medgadget*

HRT And The “Window Hypothesis”: Hope Or Hype?

It’s only Wednesday, and so far three patients have come to their office visits carrying Cynthia Gorney’s article from Sunday’s New York Times entitled “The Estrogen Dilemma.”

The article explores the stories of three women who found relief from perimenopausal symptoms by using hormone replacement, framing the discussion in the larger context of what is being called the “window hypothesis” — the idea that starting estrogen replacement in the perimenopause and continuing it into later life may be neuroprotective and even cardioprotective, in contrast to beginning its use 10 or more years after menopause, where it can trigger heart disease, stroke and dementia. Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

A Link Between Depression and Female Baldness

Female-Hair-LossA reader sent me this really sad story that got me thinking about hair restoration for women:

Happy, I wanted to share with you this picture of a woman who’s lost all hope. I saw her a few years back during my psychiatry rotation. As you can see, it looks like she’s going bald, but in fact, during her fits of rage and depression she’s actually pulling out her own hair. How sad is that? Just another example of what we docs take care of on a daily basis. 

Man, that’s unbelievable. I don’t know much about classic female pattern baldness. From what I’ve read it’s usually a diffuse loss of hair everywhere or  a central expansion of hair loss but rarely does it encompass the entire scalp. It’s usually caused by hormones, aging and genes. In advanced age, I’ve seen more than my fair share of elderly women who have more hair on their chin then they do on their head. Read more »

*This blog post was originally published at The Happy Hospitalist*

Slow Love: Job Loss, Depression, Pajamas, And Happiness

Slow Love.jpgFrom the “unsubstantiated evidence” files, I wanted to share with you a quick light that popped on in my head while reading a much-discussed article from last weekend’s New York Times Magazine.

In it, former House & Garden magazine editor Dominique Browning vividly shares her experiences following the folding of the magazine in 2007. This long-form essay is adapted from her upcoming book, Slow Love: How I Lost My Job, Put On My Pajamas, and Found Happiness.

Much can be discussed about her experiences, but I was particularly struck by the account of her response to her newfound freedom:

“In this way, being unemployed is a lot like being depressed. You know how there are millions (O.K., a handful) of things you swear you would do if you only had the time? Now that I had all the time in the world — except for the hours during which I was looking for work — to read, write, watch birds, travel, play minor-key nocturnes, have lunch with friends, train a dog, get a dog, learn to cook, knit a sweater, iron the napkins and even the sheets, I had absolutely no energy for any of it. It made no difference that music and books and nature had long been the mainstays of my spirit. Just thinking about them exhausted me. I had absolutely zero experience in filling weeks — what if it became years? — with activity of my own choosing. Being unemployed meant being unoccupied, literally. I felt hollow.” Read more »

*This blog post was originally published at Terra Sigillata*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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