Ammu Elizabeth Alexander, P Padmakumari, Sharmili Chatterjee
{"title":"Parental Involvement in Intervention for Autism Spectrum Disorder: Experiences of Rehabilitation Professionals.","authors":"Ammu Elizabeth Alexander, P Padmakumari, Sharmili Chatterjee","doi":"10.64719/pb.20770","DOIUrl":"10.64719/pb.20770","url":null,"abstract":"<p><p>There has been an increase in the incidence of Autism Spectrum Disorder (ASD) over recent years, which has given rise to an immediate increase in demand for quality intervention and trained professionals. Parental involvement is necessary for a more effective parental training, which will ensure a realistic understanding of their child's difficulties. Previous studies continuously prove that parental involvement in the lives of their children with ASD is beneficial to improvement in their children with ASD. There are no studies that illustrate the challenges that professionals face when trying to involve parents into the intervention. Based on the literature review, it can be projected that an understanding of these factors will help professionals to improvise on strategies to implement parental involvement methods with efficiency and maximize the gains of the individuals with ASD. This study aims to understand the benefits and challenges of rehabilitation professionals in involving parents for treatment of children with ASD, in the manner in which these issues were overcome. Ten professionals (2 from each domain of rehabilitation) were selected to be part of the study. The participants were interviewed using a semi-structured interview questions and the data collected was thematically analysed under the light of Review of Literature. The results of the study clearly show the inevitability of parental involvement in intervention for autism. The study identified five themes: Dual model of Work, Parenting, Socio-cultural Factors, Professional Expertise of Therapist and Limitations with involvement. The present study implies that is important to take the parents' personal psychological challenges into consideration before involving them in intervention. A program that can specifically target the needs of the parent and provide them with the kind of support and knowledge that is necessary for their child can do wonders.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"57-81"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michal Smogur, Séverine Crettol, Céline Dubath, Frederik Vandenberghe, Georgios Schoretsanitis, Philippe Conus, Chin Bin Eap, Nicolas Ansermot
{"title":"Olanzapine-Induced Rapid Weight Gain and Metabolic Disorders: A Case Series.","authors":"Michal Smogur, Séverine Crettol, Céline Dubath, Frederik Vandenberghe, Georgios Schoretsanitis, Philippe Conus, Chin Bin Eap, Nicolas Ansermot","doi":"10.64719/pb.20785","DOIUrl":"10.64719/pb.20785","url":null,"abstract":"<p><p>Olanzapine is an atypical antipsychotic drug associated with a high risk of weight gain and metabolic disorders. This condition represents both a major health risk for patients and a therapeutic challenge in psychiatric care. We present a series of four cases exhibiting a rapid and severe weight gain under olanzapine treatment, as well as new-onset metabolic syndrome in three of them. The evolution of these disorders after treatment modification is presented for three cases, and strategies for mitigating the risk of metabolic complications in patients receiving antipsychotic drugs are discussed.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"124-133"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmed I Anwar, Riley K Noble, Kyle B Jenks, Sahar Shekoohi, Jamal Hasoon, Omar Viswanath, Ivan Urits, Alan D Kaye
{"title":"Common Pain Medications: Indications, Efficacy, Dosing, Formulations, Mechanisms of Action, and Contraindications.","authors":"Ahmed I Anwar, Riley K Noble, Kyle B Jenks, Sahar Shekoohi, Jamal Hasoon, Omar Viswanath, Ivan Urits, Alan D Kaye","doi":"10.64719/pb.20767","DOIUrl":"10.64719/pb.20767","url":null,"abstract":"<p><p>Pain pharmacology encompasses a complex relationship between neurobiological pathways, receptor systems, and pharmacologic agents that mediate or modulate pain perception and inflammation. In the context of the ongoing opioid crisis, understanding traditional and emerging approaches to pain management is critical. This educational review provides an integrative overview of pharmacologic strategies for acute and chronic pain, examining mechanisms of action, therapeutic applications, and safety considerations, across diverse drug classes including non-opioid analgesics, anti-inflammatory agents, muscle relaxants, and opioids. By synthesizing current evidence on the efficacy and safety of different treatments, this review highlights the evolving pharmacological basis for our clinical treatment strategies in pain management.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"8-56"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rechallenge after Clozapine-Induced Neutropenic Events: A Case Series.","authors":"Sumeet Gupta, Mohamed Ismail, Aysha Zabin, Avni Agrawala","doi":"10.64719/pb.20782","DOIUrl":"10.64719/pb.20782","url":null,"abstract":"<p><p>Clozapine is highly effective for resistant schizophrenia but limited by neutropenia concerns. In this 30-year series, 27 patients discontinued clozapine and 13 were rechallenged; 61.5% were successfully maintained. No fatalities occurred, and index-episode severity did not predict outcomes. Rechallenge appears safe when guided by individualised risk-benefit assessment.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"113-123"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamal Hasoon, Anvinh Nguyen, Negaar Ada Safabakhsh, Omar Viswanath, Christopher L Robinson
{"title":"Gabapentin-Induced Severe Vivid Nightmares: A Case Series and Brief Review.","authors":"Jamal Hasoon, Anvinh Nguyen, Negaar Ada Safabakhsh, Omar Viswanath, Christopher L Robinson","doi":"10.64719/pb.20779","DOIUrl":"10.64719/pb.20779","url":null,"abstract":"<p><p>Gabapentin is widely prescribed for neuropathic and radicular pain syndromes. While somnolence and dizziness are well-recognized adverse effects, severe vivid nightmares may constitute an underreported psychiatric side effect that can significantly impair quality of life and treatment adherence. We present two cases of gabapentin-induced severe vivid nightmares in patients treated for spinal pain syndromes. Management strategies included medication discontinuation and transition to pregabalin. Both patients experienced resolution of nightmares following intervention. This report reviews the existing literature on gabapentin's effects on sleep architecture and discusses potential mechanisms, clinical implications, and management approaches.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"108-112"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ho Won Chun, Yeong Eun Park, Ju Hwan Kim, Min Chul Park
{"title":"Peripheral Inflammatory Biomarkers as Predictors of Antidepressant Treatment Response in Major Depressive Disorder: An Updated Systematic Review and Meta-Analysis.","authors":"Ho Won Chun, Yeong Eun Park, Ju Hwan Kim, Min Chul Park","doi":"10.64719/pb.20776","DOIUrl":"10.64719/pb.20776","url":null,"abstract":"<p><strong>Rationale: </strong>Peripheral inflammatory biomarkers are potential predictors of antidepressant response in major depressive disorder (MDD).</p><p><strong>Objective: </strong>This study updated a 2022 meta-analysis by extending the literature through January 2026 to clarify these biomarker-response associations.</p><p><strong>Methods: </strong>PubMed was searched from February 2021 to January 2026. Eligible studies evaluated baseline peripheral biomarkers in adults with MDD before starting ⩾4 weeks of pharmacotherapy, comparing responders vs. non-responders. Standardized mean differences (SMD; Hedges' g) were pooled using random-effects models. Subgroup analyses and meta-regressions examined antidepressant class and publication period.</p><p><strong>Results: </strong>Twenty-four studies (16 from the prior review, 8 new) were quantitatively analyzed. In primary pooled analyses, no baseline biomarkers (including CRP and IL-8) significantly differentiated responders from non-responders. However, exploratory analyses revealed a nominal interaction by publication period for IL-2 (p = 0.0112). In recent studies (2021-2026), baseline IL-2 was nominally lower in responders than non-responders (SMD = -0.81; 95% CI -1.59 to -0.03; p = 0.04). Similarly, in recent studies restricted to Selective Serotonin Reuptake Inhibitors (SSRIs) or Serotonin-norepinephrine reuptake inhibitors (SNRIs), baseline IL-6 was nominally lower among responders (SMD = -0.37; 95% CI -0.69 to -0.05; p = 0.02). Leave-one-out analyses confirmed overall robustness, though IL-6 showed moderate sensitivity.</p><p><strong>Conclusion: </strong>While individual baseline biomarkers have limited utility as standalone predictors when pooling all historical data, lower baseline IL-2 and IL-6 emerge as promising signals for predicting treatment response in contemporary studies (2021-2026) and specific antidepressant classes (SSRIs/SNRIs).</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"88-107"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mridul Sarangal, Charmi Sarangal, Jay Vora, Karishma Soni
{"title":"Auvelity (Dextromethorphan-Bupropion) for Agitation and Aggression in Alzheimer's Disease Dementia: Mechanism, Efficacy, Safety, and Clinical Considerations.","authors":"Mridul Sarangal, Charmi Sarangal, Jay Vora, Karishma Soni","doi":"10.64719/pb.20773","DOIUrl":"10.64719/pb.20773","url":null,"abstract":"<p><strong>Background: </strong>Agitation and aggression in Alzheimer's disease (AD) are highly distressing behavioral symptoms traditionally managed with off-label atypical antipsychotics, despite boxed warnings for increased mortality in elderly patients. The emergence of Auvelity (dextromethorphan-bupropion) provides a critical, non-antipsychotic therapeutic alternative.</p><p><strong>Mechanism: </strong>This combination utilizes bupropion as a CYP2D6 inhibitor to achieve therapeutic central nervous system concentrations of dextromethorphan. Dextromethorphan acts as an uncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist and sigma-1 receptor agonist, bypassing dopaminergic blockade to promote synaptic plasticity via glutamatergic and monoaminergic modulation.</p><p><strong>Efficacy: </strong>Key clinical trials (ADVANCE-1 and ACCORD) demonstrate that dextromethorphan-bupropion produces rapid, statistically significant reductions in Cohen-Mansfield Agitation Inventory (CMAI) scores. Furthermore, it offers robust long-term maintenance, demonstrating a 3.6-fold lower risk of agitation relapse compared to placebo.</p><p><strong>Safety: </strong>The combination therapy was generally well-tolerated in trials, successfully avoiding the sedation, cognitive blunting, and heightened fall risks characteristic of antipsychotics. Clinicians must, however, monitor for blood pressure changes and potential CYP2D6 drug-drug interactions.</p><p><strong>Conclusion: </strong>Dextromethorphan-bupropion represents a highly efficacious, safer paradigm shift in the pharmacological management of AD-associated agitation, offering targeted symptom relief while minimizing the severe risks associated with standard antipsychotic use.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 4 Suppl 1","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychopharmacology of Eugeroics-<i>The Whole Nine Yards!</i>","authors":"Ahmed Naguy, Hend F Alenezi","doi":"10.64719/pb.18552","DOIUrl":"10.64719/pb.18552","url":null,"abstract":"<p><p>Eugeroics are a distinct, yet heterogeneous group of psychotropic agents that differ from classical stimulants, are less activating, of less abuse potential, sorely clinically underutilized, and have an attractive pharmacological portfolio speaking to the idea of pluripotent molecules of an expanded therapeutic potential. Herein, authors would touch briefly on the current available literature on eugeroics as germane to psychiatric practice whilst examining the extant evidence.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 3","pages":"173-180"},"PeriodicalIF":0.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evidence-Based Pharmacotherapies for Major Depressive Disorder: A Clinical Update.","authors":"Matheus G Marques, Balwinder Singh","doi":"10.64719/pb.18522","DOIUrl":"10.64719/pb.18522","url":null,"abstract":"<p><p>Major Depressive Disorder (MDD) represents the classically described episodic depression, with varying degrees of severity and recurrence. With a lifetime prevalence close to 20%, the condition represents a leading cause of disability worldwide. Pharmacotherapy is an option for initial treatment, especially in cases of higher severity. As over half of patients will not experience remission after first antidepressant trial, it is essential for clinicians to understand the vast number of medications available and their unique characteristics. This review provides a comprehensive clinical update on evidence-based pharmacotherapies for MDD, including both established and novel treatment options. Traditional monoaminergic antidepressants remain as important options with comparable efficacy but often distinct side-effect profile. Augmentation strategies are often employed with partial treatment response and are available with a wide range of mechanisms and unique clinical nuances. Fast-acting agents are now a reality in practice, including neuroactive steroids for postpartum depression and agents that target glutamatergic pathways. Relevant aspects for clinical practice are provided for over forty different medications, presenting dose ranges, adverse effects, monitoring requirements, and important patient characteristics to consider when prescribing. We also highlight concepts important for successful pharmacotherapy such as accurate diagnosis and treatment resistance. With the expanding therapeutic arsenal for MDD, ongoing comparative-effectiveness and real-world studies will be crucial for transforming today's advances into accurately personalized care.</p>","PeriodicalId":94351,"journal":{"name":"Psychopharmacology bulletin","volume":"56 3","pages":"82-108"},"PeriodicalIF":0.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}