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Reflections on Psychiatry & Psychology


Ketamine and Postpartum Depression: A Promising New Treatment Option
Ketamine and postpartum depression: A landmark BMJ study found that a single dose of esketamine after childbirth reduced postpartum depression by 75% in at-risk mothers. Learn what this means for prenatal depression treatment and maternal mental health.
Alexander Papp, MD
Dec 1, 20243 min read


The Resurgence of Psychedelic Psychiatry: An Exciting Yet Cautious Advance
Psychedelic psychiatry is moving from fringe research to mainstream clinical practice. An overview of psilocybin, MDMA, and ketamine — including benefits, risks, and what the evidence supports.
A. Papp MD & Julie Myers, PsyD, MSCP
Jul 7, 20243 min read


Unlocking the Brain: How the Lateral Habenula Influences Depression and Ketamine Therapy
The lateral habenula (LHb) stands out as a critical structure in understanding depression. This blog explores the LHb's role in the intricate landscape of neuroscience, its connection to depressive symptoms, and how ketamine therapy offers new hope by affecting this brain structure. The Lateral Habenula: A Critical Brain Structure The lateral habenula (LHb) is a small, symmetrical, paired nucleus located deep within the brain, nestled between the two thalamic bodies. It is in
Alexander Papp, MD
Apr 28, 20242 min read


A New Oral Medication for Postpartum Depression
Zurzuvae, the first FDA-approved oral pill for postpartum depression, is taken for 14 days and can reduce symptoms within days. Costing about $15,900, access may be limited despite its rapid action compared with traditional antidepressants.
Alexander Papp, MD
Nov 26, 20232 min read


A New PAM on the Block
Zuranolone (Zurzuvae) is the first oral GABA-modulating antidepressant for postpartum depression. Taken for 14 days, it can improve symptoms within 3 days; benefits may last weeks. Common side effects include drowsiness and dizziness.
Alexander Papp, MD
May 28, 20232 min read


Heart Rate Variability Biofeedback
Biofeedback teaches control over body functions. HRV biofeedback helps sync heart rate and breathing, boosting parasympathetic response, improving stress, anxiety, and self-regulation.
Julie Myers, PsyD, MSCP
Aug 28, 20222 min read


The Diagnosis of Bipolar II Disorder
Bipolar II disorder alternates between depression and hypomania but is hard to diagnose because patients often enjoy or fail to recognize hypomania and seek help only during depression. Recollections may be distorted, so collateral history from others is often crucial for accurate diagnosis.
Julie Myers, PsyD, MSCP
May 29, 20222 min read


Through the Stomach to the ... Brain!
Research shows a two-way gut–brain link: gut bacteria shape brain development and influence mood. Dysbiosis may contribute to anxiety and depression. Probiotics show mental health benefits, but aren’t yet FDA-regulated or reliable stand-alone treatments.
Alexander Papp, MD
Sep 26, 20212 min read
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