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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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Drug Addiction Linked to Cortical Thinning in 65 of 68 Brain Regions

Photoreal illustration of a human brain with cortical regions highlighted across substance categories, representing the cross-substance morphometric pattern in addiction.

Whether alcohol, cocaine, nicotine, and cannabis damage the same brain regions or different brain regions has been hard to settle in the addiction-imaging literature. A 2026 ENIGMA Addiction analysis by Georgiadis et al. — pooling 4,733 brains across 51 sites — now has an answer. Research Highlights Across 2,782 people with substance use disorder (SUD) …

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Lithium in Pregnancy: Why Late Discontinuation Backfires

Photoreal illustration representing lithium prescribing decisions during pregnancy, with imagery of a pregnant figure and pharmaceutical motifs.

Lithium prescribing during pregnancy sits in a knot of competing risks. The teratogenicity data have been recalibrated dramatically since the 1970s, while the postpartum-relapse data have moved in the opposite direction. Most popular framing still treats lithium as a uniquely dangerous fetal exposure to be avoided when possible. The new Chauhan UK cohort shows what …

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Melatonin Phases & Circadian Rhythms vs. Depression & Anhedonia Severity (2024 Study)

In the intricate world of mental health, the rhythms of our body’s natural processes play a pivotal role, particularly the circadian rhythm of melatonin, a hormone primarily produced by the pineal gland. Recent research suggests that variations in melatonin’s circadian rhythm might not only distinguish between depression and bipolar disorder but also correlate with the …

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Cerebellum Activity Predicts Euthymia (Stable Mood) vs. Depression in Bipolar Disorder (2024 Study)

Bipolar disorder (BD), a complex and multifaceted mental illness, manifests through various mood states including depression, mania/hypomania, and euthymia. Recent advances in neuroimaging, particularly resting-state functional magnetic resonance imaging (fMRI), have shed light on the intricate dynamics of brain activity underlying these mood states. A new study employing dynamic fractional amplitude of low-frequency fluctuations (dfALFF) …

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Genetics of Female Reproductive Behaviors & Psychiatric Disorders: Age of First Sexual Intercourse Significant (2023 Study)

The complex interplay between reproductive behaviors and psychiatric disorders is an area of interest within the scientific community, revealing how our genetic makeup may influence both our reproductive milestones and mental health. A recent study sheds light on this relationship, focusing on the causal pathways linking reproductive behaviors, such as the age at first sexual …

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