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Did you know... We are always the same age inside.
Source: Gertrude Stein

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Fuqua Center Video

In May of 2015, the Fuqua Center for Late-Life Depression and the Geriatric Outpatient Clinic moved to 12 Executive Park Drive, N.E., 5th Floor, Atlanta, Georgia 30329 as part of the Emory Brain Health Center.  Click on the following link to learn more about the Brain Health Center and to watch a video about the work of the Fuqua Center www.youtube.com/watch

WAGA-TV Feature on Treatment Resistant Depression,

February 20, 2017  Click Here for link to WAGA-TV report on Treatment Resistant Depression, ECT, and an interview with Dr. William McDonald, M.D., J.B.. Fuqua Chair for Late-Life Psychiatry, Emory University School of Medicine.

Tom Johnson: I Suffer from Depression

Click here to watch this powerful video of one man's struggle with depression and his climb out of the darkness.  "I was relieved to learn what it was that was taking me in to this darkness........with medication and talk therapy..... I came up and out".   (NOTE:  Tom Johnson is a well known journalist who once served as the publisher of the Los Angeles Times and later became the President of CNN.  He believes that "you are more than a title...you are more than a position")

Experiencing Nature May Benefit People With Depression, Expert Says.

 In a piece titled “8 Creative Ways To Help A Loved One Suffering Depression,” U.S. News & World Report (12/8, Levine) quoted Drew Ramsey, MD, “an assistant clinical professor of psychiatry at Columbia University and chair of the American Psychiatric Association’s Council on Communications,” who said that “experiencing nature...can bring about ‘a little bump of dopamine from a new experience or a change of environment.’” (SOURCE: APA Headlines)

Daughters Of Women Exposed To Childhood Trauma May Be At Increased Risk For Serious Psychiatric Disorders, Study Indicates.

 In “Well,” the New York Times (11/29, Bakalar, Subscription Publication) reports, “The daughters of women exposed to childhood trauma are at increased risk for serious psychiatric disorders,” researchers found after studying some “46,877 Finnish children who were evacuated to Sweden during World War II, between 1940 and 1944.” Investigators also “tracked the health of their 93,391 male and female offspring born from 1950 to 2010.” The study revealed that “female children of mothers who had been evacuated to Sweden were twice as likely to be hospitalized for a psychiatric illness as their female cousins who had not been evacuated, and more than four times as likely to have depression or bipolar disorder.”The Connecticut Post (11/29, Cuda) reports that researchers from the National Institutes of Health were among the study authors. In a news release, Stephen Gilman, of the Division of Intramural Population Health Research at the Eunice Kennedy Shriver National Institute of Child Health and Human Development, said, “Here, we found evidence that a mother’s childhood traumatic exposure – in this case separation from family members during war – may have long-lasting health consequences for her daughters.” (SOURCE: APA Headlines)

Small Study Aims To Test How Removing Excess Amounts Of Iron From The Brain May Stave Off Alzheimer’s.

 Bloomberg News (11/29, Gale) reports that investigators are conducting a study to demonstrate “how removing excessive amounts” of iron from the brain “with a drug called deferiprone can stave off” Alzheimer’s. The 23-week, 171-patient study will begin in a few weeks in Melbourne, Australia. (SOURCE: APA Headlines)

Being Married May Be Associated With A Lower Risk Of Developing Dementia, Meta-Analysis Indicates.

 ABC World News Tonight (11/28, story 10, 0:20, Muir) reported, “A new report” indicates that “being married or having a partner could help ward off dementia.” That report also suggests “married couples generally have healthier lifestyles and more social interactions, which could play a role.”According to CNN (11/28, Howard), “lifelong single people have 42% higher dementia risk than married people,” researchers found.(SOURCE: APA Headlines)

Researchers Testing Nicotine Patches As Treatment For Early Stage Alzheimer’s Disease.

USA Today (11/28, Fletcher) reports, “Researchers are trying to treat early stage memory loss with nicotine patches to prevent those diagnosed from moving into full-blown Alzheimer’s.” The National Institute on Aging is funding the study, which will be conducted by researchers at Vanderbilt University Medical Center and the University of Southern California. (SOURCE: APA Headlines)

Study: More Than Half Of Overdose Deaths Involve Chronic Pain.

 HealthDay (11/28, Mozes) reports a new analysis found over 60 percent of opioid overdose deaths “involve people who suffer from chronic pain.” Investigators also found many of them struggled with depression or anxiety. Lead investigator Dr. Mark Olfson, a professor of psychiatry at Columbia University Medical Center, said, “The frequent occurrence of treated chronic pain and mental health conditions among overdose decedents underscores the importance of offering substance use treatment services in clinics that treat patients with chronic pain and mental health problems. Bloomberg News (11/28, Rausch) reports that according to the study, “more than half of all people who succumbed to an overdose between 2001 to 2007 were chronic pain sufferers who filled an opioid prescription and sometimes even saw a doctor in the month before they died.” Dr. Olfson said that just four percent of the deceased were ever diagnosed as having an abuse problem. According to the National Institute on Drug Abuse, “more than 33,000 Americans died from opioid overdoses in 2015,” with most of the deaths linked to prescription pain pills, “though the use of heroin was already growing rapidly, accounting for almost 13,000 fatalities that year.” (SOURCE: APA Headlines)

 

Providing End of Life-Support for Elders with Mental Illness

 Click Here for the article

Daily Discrimination May Be Associated With Depression Among Black Men, Small Study Suggests.

 Healio (11/16, Oldt) reports, “Daily discrimination was independently associated with depression among black men,” researchers found. The study’s abstract reveals that “248 adult African American men” took part. The findings were published online June 27 in the Journals of Gerontology: Series B.(SOURCE:APA Headlines)

Heart Attack Survivors At Risk Of Later Dementia, Study Suggests.

 The New York Times (11/15, Bakalar, Subscription Publication) “Well” blog reports that a study analyzing 314,911 heart attack patients and comparing them with 1,573,193 controls who had not suffered a heart attack found that “heart attack survivors have an increased risk for developing dementia.” According to the article, “There are several possible reasons for the link, including similar underlying causes for dementia and heart attack — among them, hypertension, stroke and having undergone coronary artery bypass surgery.” The findings were published in Circulation. (SOURCE: APA Headlines)

Depression In Fathers May Be Associated With Depression In Teenagers, Study Suggests

 MedPage Today (11/15, Walker) reports, “Fathers who exhibited symptoms of depression when their children were younger were more likely to have teenagers who exhibited similar symptoms,” researchers found after examining “data from two large, contemporary cohorts: one in Ireland – the Growing up in Ireland study – and one in the U.K. – the Millennium Cohort Study.” The findings were published online Nov. 15 in The Lancet Psychiatry. Also covering the story are HealthDay (11/16, Preidt) and Healio (11/16, Oldt). (SOURCE: APA Headlines)

FDA Warns Consumers About Dangers Of Kratom.

 The Washington Post (11/14, McGinley) reports the Food and Drug Administration issued a public health advisory warning “consumers to stay away from the herbal supplement kratom, saying regulators are aware of 36 deaths linked to products containing the substance.” The article points out that use of the supplement has increased in recent years as a treatment for anxiety, depression, pain, and opioid withdrawal. FDA Commissioner Scott Gottlieb said that kratom is not approved by the FDA for any use, and that there is no “reliable evidence” to support the claim that kratom is a safe treatment for opioid abuse or addiction. Gottlieb also said that the substance can have similar effects as opioids, “and carries similar risks of abuse, addiction and, in some cases, death.” On its website, NPR (11/14, Stein) reports the agency also said that calls to poison control centers in the US concerning kratom increased tenfold from 2010 to 2015. (SOURCE: APA Headlines)

Police Being Trained on How to Recognize and Respond to a Person Who Has Dementia

Click for link to article.

Ketamine May Reduce Active Suicidal Thoughts in Patients With Treatment-Resistant Depression

 Ketamine may be able to rapidly reduce persistent suicidal thoughts in medicated patients with treatment-resistant depression, according to a small study published online in the Journal of Clinical Psychiatry. The findings suggest that ketamine may offer an alternative for stabilizing people in emergency situations. Previous work has shown that ketamine can provide rapid relief of depressive symptoms and lower suicidal ideation scores in patients with both unipolar and bipolar depression. This study is the first to exclusively enroll patients with active suicidal ideation (a score of 3 or higher on the Columbia Suicide Severity Rating Scale). Fourteen patients with major depressive disorder recruited for the presence of current, stable (three months or more) suicidal thoughts received open-label ketamine infusions over three weeks (0.5 mg/kg over 45 minutes for the first three infusions; 0.75 mg/kg over 45 minutes for the last three). All the patients were taking antidepressants at a dose that was stable for at least 4 weeks prior to enrollment. Explicit suicidal ideation scores (using scales such as the C-SSRS) and implicit scores (using the Implicit Association Test which measures overall attitudes and beliefs) were assessed four hours after each infusion.As Dawn Ionescu, M.D., and colleagues reported, there was a consistent decrease in suicidal scores during the three week acute phase, with seven of the 14 patients achieving remission of their ideation (a C-SSRS score of 0) by the final infusion; during a naturalistic follow-up three months later, two of these seven patients were still free of suicidal thoughts. In addition, IAT scores went up, suggesting a more positive outlook on life.“Given the length (three months or more) of participants’ ongoing suicidal ideation and the lack of currently available antisuicidal agents, this steady decrease in suicidal ideation within three weeks is noteworthy,” the authors wrote.Because there were no control groups, the authors could not be sure if multiple infusions were providing any more benefit than a single infusion, nor could they rule out that ketamine was only augmenting antidepressant action rather than acting on its own. They concluded, “Larger controlled studies (including more serious/acute patients in the emergency room) are necessary to study ketamine’s antisuicidal effects and the relationship between antisuicidal and antidepressant effects.For related information, see the American Journal of Psychiatry article “Ketamine and Other NMDA Antagonists: Early Clinical Trials and Possible Mechanisms in Depression” and the Psychiatric News article “APA Task Force to Address ‘What’s Next?’ for Ketamine.” (SOURCE: APA Alert May 13, 2016)

Emory Magazine, Autumn 2015

Click here to read about the work being done by Emory researchers as they seek ways to help make the lives of those who are living longer better.  Page 24 includes information about the work being done by Dr. William M. McDonald, J.B. Fuqua Chair for Lte-Life Depression, whose research specializes in neuro-modulation therapies for elderly patients.

Charlee Lambert, a vibrant and active 92 year old, talks with William M. McDonald, MD, J.B. Fuqua Chair for Late-Life Depression and Professor of Psychiatry and Behavioral Sciences at Emory University

When Charlee, as she likes to be called, found herself divorced in her 60s after being a corporate wife and mother to six (6) children,  she asked herself, “is this all there is?” and decided to “make an end run” reinventing herself as a playwright and storyteller.  “It was a hard time of life ….telling my story got rid of a lot of things that were negative.”   To help support herself, she opened her home to boarders, something she continues to this day although now she does it as a way to stay active and around people.   “I’ve got 4 men living with me” she chuckles and credits them with her being sure to “comb my hair before coming out of my room each day.” Charlee says the keys to aging well include “being engaged, live your life with passion, and don’t let age get in the way.”  Her three (3) prong prescription for aging,   (1) stay adaptable, (2) have friends of all ages, and (3) have fun, have served her well.  Click here to watch the video 
NOTE:  Charlee Lambert died on November 4, 2015, a little over 10 months after this video was recorded. After watching the video, Charlee sent us the the following email: "I thought you did a great job on the video.  Lots of people have seen it and my family loves it.  i feel like I have been to my own Memorial Service."  Charlee touched many people with her engaging smile and enjoyable stories and lived life following her motto of aging gracefully.

5 Powerful Benefits to Pro-Aging Thinking

CNN January 6, 2015  "The way you perceive aging can actually influence how you age. Aging, like many aspects of life, is a self-fulfilling prophecy. Positive and negative attitudes can affect your health behaviorally, psychologically and even biologically. Being "pro-aging," or satisfied with your own aging, can make you adopt healthier behaviors, feel in control of how you age and even heighten your immune system. Being "anti-aging," or perceiving aging negatively, can do the opposite."  Click Here to Read the Artcile in Full

Helen Mayberg Delivers the Distinguished Faculty Lecture on "Rethinking Depression and its Treatment: Insights from Studies of Deep Brain Stimulation,"

 On Tuesday, February 4, 2014, Dr. Helen Mayberg delivered the Distinguished Faculty Lecture on "Rethinking Depression and its Treatment: Insights from Studies of Deep Brain Stimulation," sponsored by the Emory University Faculty Council. Mayberg is professor of psychiatry, neurology, and radiology, and holds the Dorothy C. Fuqua Chair in Psychiatric Neuroimaging and Therapeutics.  Click here for a link to the lecture.

Treating Depression with Electroconvulsive Therapy (ECT)

 Electroconvulsive Therapy (ECT) is an effective treatment for severe depression.  Click on the following links to watch a video on ECT from the January 25, 2012 episode of "The Dr. Oz Show".  http://www.doctoroz.com/videos/inside-shock-therapy-treatment-pt-1   http://www.doctoroz.com/videos/inside-shock-therapy-treatment-pt-2

Community Gardens: Where Seniors Cultivate Food and Friendships

Click on the following link to read how community gardens in Athens, Georgia are helping older adults in the area sustain good mental and physical health.www.georgiahealthnews.com/2013/07/community-gardens-seniors-cultivate-food-friendships/ 

The New York Times’s, Jane Brody Explores “Staying Independent in Old Age, With a Little Help

 In this fascinating article on remaining in one’s home as long as possible, Elinor Ginzler, director of the Cahnmann Center for Supportive Services at the Jewish Council for the Aging in Rockville, Md., writes that “the ability to age in place is greatly determined by the physical design and accessibility of a home, as well as community features like the availability of nearby services and amenities, affordable housing and transportation options.” Read the full article here.

Skydiving at 82

Click Here to watch the incredible story of 82 year old sky diver Dilys Price.

Link to NPR Article - 8 Ways You Can Survive - And Thrive In - Midlife

 Click Here for a link to an article from NPR outlining secrets to midlife happiness

Georgia Psychiatric Physicians Association Honors J. Rex Fuqua with the Distinguished Service Award at their 2011 Summer CME Meeting

 J. Rex Fuqua was recognized by the Georgia Psychiatric Physicians Association at the 2011 Summer CME Meeting for his outstanding efforts to positively impact the mental health of Georgians through the "Common Ground" initiative.

 J. Rex Fuqua is a businessman who understands community service and mental health.  Rex is an accomplished entrepreneur and Chairman and CEO of Fuqua Capital Corporation.  He has been extraordinarily successful in business, but to his community he is known as a leader in mental health.  Rex has been a determined advocate for the mentally ill in Georgia and nationally for two decades.  He has provided both leadership and a vision in developing novel treatments particularly in children and adolescents and promoting legislation to provide a safety net for patients with severe and persistent mental illness.

In Georgia, Rex funded W. Edward Craighead as the first J. Rex Fuqua Professor at Emory University.  Dr. Craighead started the Childhood and Adolescent Mood Disorders Program to provide therapy to children at risk for recurrent mood disorders.  He has also developed international research with investigators in Reykjavik, Iceland to understand the genesis of childhood mood disorders in the areas of psychological, genetic, environmental and neurobiological components of mood disorders. 

Rex has also been a guiding force on the boards of both the Fuqua Center for Late-Life Depression and Skyland Trail and his service on these boards is a level of his commitment to the mental health of Georgians of all ages and a testament to his leadership.  He is also a member of the Board of Councilors at Emory University's Carter Center and in that role has promoted legislation to provide for the most disadvantaged patients with mental illness.

On a national level, Rex has convened international experts to Skyland Trail to develop guidelines for the treatment of the severe and persistently mentally ill.  He has also been a leader in the National Network of Depression Centers, a network of leading depression centers and academic medical centers, and gave one of the keynote addresses at their recent national conference.

Rex is a trustee emeritus of Duke University, a member of the Board of Visitors of The Fuqua School of Business. He is a trustee and former chairman of the Atlanta Botanical Garden. He serves on the Board of the George West Mental Health Foundation and the Sheridan Arts Foundation. He is an emeritus member of the Board of Overseers of the Terry College of Business at the University of Georgia.

CHASING THE BLUES (EMORY HEALTH Summer 2010)

 One in four people over the age of 65 suffers from depression, yet often they don’t realize what is wrong.  Symptoms of depression in older adults are frequently attributed to memory problems or the aging process.  The mission of Emory's Fuqua Center for Late-Life Depression is to help people understand that depression is NOT a normal part of aging.  Click here to read more.

Click on the link to read about MEDCottage, a backyard living structure for an aging relative

  http://newoldage.blogs.nytimes.com/2012/05/01/in-the-backyard-grandmas-new-apartment/

SENIOR FOCUS: LATE LIFE DEPRESSION & DEMENTIA

Cobb Senior Services, in a monthly broadcast of Senior Focus, features issues faced by older adults. Featured in March are: Dr. Monica Parker and Eve Byrd. The program airs on Cobb's Government Access Chanel 23: Fridays-6 pm, Sat & Sun-1:30 pm, Mon-Noon.         

WATCH THE VIDEO: You may also see the informative discussion by clicking this link.

OLDER AMERICANS BEHAVIORAL HEALTH: Issue Brief 2: Alcohol Misuse and Abuse Prevention

Alcohol use problems in the older adult population often go unrecognized. Click on the following link to read more about this issue.http://www.ncoa.org/improve-health/center-for-healthy-aging/content-library/Older-Americans-Issue-Brief-2_Alc-Misuse_12JUN04_PressQualgrayscale.pdf

Men Recovering From Hip Surgery May Experience More Cognitive Difficulties, Higher Mortality Within First 22 Days Compared With Women, Study Suggests

 MedPage Today (2/8, Bachert) reports that research indicated “men who were recovering from hip surgery often experienced more cognitive difficulties and higher mortality within the first 22 days compared with women.” The study, which included 166 men and 168 women, was published in the Journal of the American Geriatrics Society.(SOURCE: APA Headlines)

Rapid Increase in Opioid Dose Increases Risk of New-Onset Depression

Click Here for Link to Article

Postmenopausal Anxiety Linked to Severe Impairment in Quality of Life

Click Here for Link to Article (SOURCE: Psychiatry Advisor)

Depression Often Untreated in Dialysis Patients

 Click Here for Link to Psychiatry Advisor Article

Aging In Place Poses Challenges For Many US Seniors.

 On its front page, the Wall Street Journal (9/26, A1, Levitz, Subscription Publication) reported in a 2,100-word article on the difficulties faced by many US seniors who choose to age in place in their own homes because they want to or simply cannot afford nursing homes or assisted living options. Aging in place is often difficult for seniors without families or friends, who live in places with a scarcity of supportive services to help them manage their day-to-day needs, and who have limited incomes. Meanwhile, on the front of its New York section, the New York Times (9/27, MB1, Leland, Subscription Publication) reported in a 2,470-word piece that last year, researchers at the “RAND Corporation estimated...that Americans spend 30 billion hours annually caring for older relatives and friends, with most of them juggling caregiving along with jobs, families and other demands on their time.” Seniors over the age of 85 are “among the fastest-growing age groups” in New York City, where “pressures” on family caregivers “have grown accordingly,” along with “higher rates of depression, stress, high blood pressure and heart disease. (SOURCE: APA Headlines)

Brain Activity Lowers Rate of Age-Related Mental Decline

 Click Here to Read Article in Psychiatry Advisor

 


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