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A large database study found that vulvar lichen sclerosus (a chronic skin condition causing intense itching) is associated with significantly higher rates of depression, anxiety disorder, and major depressive disorder diagnoses compared to non-vulvar lichen sclerosus. Early treatment of vulvar lichen sclerosus was associated with reduced risk of these psychiatric conditions.
This audit examined the extent of gymnasium and exercise physiologist utilization among 100 patients discharged from a private psychiatric inpatient unit, finding that only 24% had documented gym attendance, with higher usage among those with substance use disorders than affective disorders. The study recommends standardized procedures for exercise assessment and referral, as those potentially most benefiting from exercise coaching were underrepresented in exercise physiology referrals.
Bipolar II disorder remains underrecognized despite its official diagnostic status since 1994, leading to diagnostic delays averaging over 10 years and inappropriate antidepressant treatment. This review examines differential diagnosis, disease course, comorbidities, and suicide risk while identifying critical gaps in bipolar II-specific treatment research and differences from bipolar I in treatment response.
A 6-week home-based tDCS intervention targeting 44 adults with moderate-to-severe bipolar depression showed significant improvements in short-term verbal memory and trends toward better learning and processing speed. The portable, supervised protocol demonstrates feasibility and potential therapeutic benefit for cognitive deficits associated with bipolar depression, though larger studies are needed.