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Copy Number Variants Did Not Moderate ADHD or Autism Outcomes in ALSPAC

Photoreal illustration of DNA strands and developmental timeline overlaid on a schematic young adult, conveying genetic moderation of childhood neurodevelopmental outcomes.

A 2026 ALSPAC analysis tested a narrow claim behind routine genetic screening for childhood attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD): whether rare copy number variants (CNVs; deleted or duplicated DNA segments) make young-adult outcomes worse than ADHD/ASD status alone would predict. In 8,414 people with usable CNV data, ADHD and ASD predicted worse …

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Cognitive Reserve in First-Episode Psychosis: Education PRS Adds 4.2%

Photoreal illustration of brain with strengthening neural networks suggesting reserve and protection against cognitive decline.

A 2026 analysis of 174 people with non-affective first-episode psychosis found that cognitive reserve was tied to 3 signals available near illness onset: age at onset, family history of psychosis, and polygenic liability for educational attainment. Adding the education polygenic score raised the model’s adjusted R² from 13.5% to 17.7%, a real but modest gain …

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1 mg Guanfacine for Self-Harm Thoughts in ADHD-PTSD-BPD Case

MHD featured image for 1 mg guanfacine and self-harm thoughts in complex ADHD, PTSD, BPD, and ASD comorbidity.

A 2026 case report linked 1 mg nightly guanfacine modified-release to first-ever cessation of intrusive deliberate self-harm thoughts in a 16-year-old with attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) traits, borderline personality disorder (BPD) traits, and post-traumatic stress disorder (PTSD). The same case became more interesting after the patient stopped taking guanfacine and the self-harm …

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Anxious Depression fMRI Meta-Analysis Finds Left Temporal Activation

Editorial brain-map card for anxious depression with highlighted limbic and prefrontal regions from an earlier draft framing.

A 2026 fMRI meta-analysis of 11 studies found a narrow anxious-depression signal: 829 anxious-depression patients differed from 681 non-anxious MDD patients in left middle temporal gyrus activation (SDM-Z = 2.046, p = 0.020), while healthy-control contrasts centered on the anterior commissure and right middle frontal gyrus. The calibrated interpretation is not “amygdala and insula hyperactivity …

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Lithium Loading Dose Did Not Clearly Beat Standard Acute-Mania Titration

Photoreal illustration of lithium tablets and blood-level monitoring chart, conveying acute-mania pharmacological strategy.

A 60-patient randomized trial of lithium loading for acute bipolar I mania reported faster serum lithium attainment than standard titration and a larger 14-day Young Mania Rating Scale (YMRS) change score, but the same accepted manuscript says absolute YMRS scores at Days 3, 7, and 14 were not significantly different between the 2 arms when …

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