May 08, 2026

Top News
Lithium Altered Brain Electrical Activity Linked to Impulsive Suicide Risk
Pharmacogenomics
Genotype-Guided SSRI Prescribing Offers Mixed Results - Medscape

A study on genotype-guided SSRI prescribing yields mixed results, providing nuanced evidence for the clinical utility of pharmacogenomic testing in antidepressant treatment.

Substance Use
Self‐harm in individuals with substance use disorders: Predictive factors and risk model

This study develops a validated risk model for self-harm in patients with substance use disorders, identifying recent psychotropic medication use as a significant predictor of risk alongside prior self-harm and mental comorbidity.

Policy & Regulation
New Mexico's medical psilocybin program prepares to take off - Santa Fe New Mexican

New Mexico is launching a medical psilocybin program, representing a significant policy shift in the regulation of psychedelic substances for psychiatric treatment.

Diagnosis & Treatment
Effectiveness of Ashwagandha in Schizophrenia Patients on Risperidone

A clinical trial evaluating the adjunctive use of Ashwagandha with risperidone in schizophrenia patients, representing a study on herbal supplements in psychiatric treatment.

Clinical Pearls

Bite-sized clinical takeaways from today's literature (sources from Oct 29 – May 08)

  • Monitor patients starting aripiprazole for signs of impulse control disorders, such as pathological gambling, and educate them on this specific adverse effect.
  • Exercise extreme caution and limit duration when prescribing antipsychotics for agitation in dementia due to a significantly increased risk of mortality.
  • Consider the patient's sleep architecture when selecting antidepressants; prefer agomelatine or mirtazapine over SSRIs/SNRIs if preserving restorative sleep stages is a priority.
  • Utilize Auvelity (dextromethorphan/bupropion) as a pharmacologic option for agitation associated with Alzheimer's disease, noting its recent FDA-approved expanded use.
  • Incorporate baseline neutrophil-to-platelet ratio and pre-treatment HAMD scores into clinical judgment to predict poor response to ECT in adolescents with MDD.
  • Advocate for precision phenotyping of elevated anxious arousal in PTSD to identify subgroups that may specifically benefit from GABAergic pharmacotherapy.
  • Recognize that higher-THC medicinal cannabis products are associated with the majority of psychiatric adverse events and monitor patients closely for psychiatric reactions.
  • Discuss with patients that their treatment preference may be a more significant driver of antidepressant success than pharmacogenomic testing results.
  • Consider the combination of ketamine and dialectical behavioral therapy for patients with treatment-resistant depression and borderline personality disorder who present with suicidality.
  • Evaluate the potential for genotype-guided SSRI prescribing as a strategy to increase remission rates, while acknowledging mixed evidence regarding its routine clinical utility.

Clinical Pearl 4

Psilocybin for Cocaine Use Disorder: Peter Hendricks on a Trial Ten Years in the Making - Psychedelic Alpha

This article discusses a clinical trial investigating psilocybin for the treatment of cocaine use disorder, highlighting the long-term research efforts by Peter Hendricks.

Antidepressant Treatment Personalized by Preference, Not Pharmacogenomics - Psychiatric Times

Clinical evidence suggests that patient preference is a more effective driver of antidepressant treatment success than pharmacogenomic testing, challenging the routine use of PGx in prescribing.

Aripiprazole-Induced Pathological Gambling

This case report illustrates aripiprazole-induced pathological gambling, reinforcing the need for clinicians to monitor patients for impulse control disorders when prescribing this partial D2/D3 agonist.

Ketamine With Dialectical Behavioural Therapy (DBT) for Suicidality in Individuals With Treatment-Resistant Depression and Borderline Personality Disorder (KET-DBT)

A clinical trial is recruiting to evaluate the combination of ketamine hydrochloride and dialectical behavioral therapy for treating suicidality in patients with treatment-resistant depression and borderline personality disorder.

Pharmacogenomics 1

Genotype-Guided SSRI Prescription Approach Leads to Increased Depression Remission at Six Months - GenomeWeb

A genotype-guided SSRI prescription strategy significantly increased depression remission rates at six months, highlighting the clinical utility of pharmacogenomics in optimizing antidepressant selection.

Substance Use 1

New research raises concerns about safety of higher-THC medicinal cannabis products in Australia

Monash University research indicates that higher-THC medicinal cannabis products are associated with a majority of adverse events reported to Australia's regulator, with psychiatric disorders being the most common reaction.

Policy & Regulation 2

FDA approves Auvelity for Alzheimer's disease-related agitation

FDA has approved the expanded use of Auvelity (dextromethorphan/bupropion) to treat agitation associated with Alzheimer's disease, providing a new pharmacologic option for behavioral symptoms in dementia.

Bill to create psychedelic therapy program in Louisiana passes unanimously, heads to governor - WAFB

Louisiana has passed a bill to establish a state-regulated psychedelic therapy program, marking a significant policy shift for the clinical use of psychedelics in the region.

Diagnosis & Treatment 4

The consequences of antipsychotic medication use for people living with dementia: a systematic review and meta-analysis

A large meta-analysis confirms that antipsychotic use in dementia patients is associated with a significantly increased mortality risk, reinforcing the need for cautious prescribing and regular medication reviews.

Precision phenotyping of elevated arousal in posttraumatic stress disorder: implications for personalized GABAergic pharmacotherapy

This review suggests that precision phenotyping of elevated anxious arousal in PTSD may identify a subgroup of patients who respond specifically to GABAergic pharmacotherapy, advocating for stratified clinical trials.

Lithium may help curb impulsive decisions tied to suicide risk - Medical Xpress

Research suggests lithium may reduce impulsive decision-making associated with suicide risk, reinforcing its clinical utility in mood disorders and suicide prevention.

One powerful treatment, two opposite outcomes: Psychedelic therapy may heal some patients while deeply unsettling others

Psychedelic-assisted therapy with psilocybin or LSD yields divergent clinical outcomes, with some patients experiencing therapeutic benefit while others deteriorate, highlighting the need for careful patient selection and monitoring in emerging psychiatric treatments.

Mechanism of Action 5

Lithium may help curb impulsive decisions tied to suicide risk

A study demonstrates that lithium treatment alters brain electrical activity associated with impulsive decision-making in suicide attempt survivors, offering a potential neurophysiological mechanism for its protective effect.

Psilocybin Rebuilds the Brain’s Physical Wiring

Preclinical or early clinical research indicates psilocybin induces lasting anatomical changes in brain tracts and reduces neural rigidity, offering a mechanistic basis for its therapeutic effects in psychiatric conditions.

Psilocybin Rebuilds the Brain’s Physical Wiring - Neuroscience News

This article describes the mechanism of action of psilocybin, specifically its ability to promote neuroplasticity and rebuild synaptic connections, which is relevant to understanding its therapeutic potential in psychiatric conditions.

Psilocybin Dampens Aggression and Attack Behaviors - Neuroscience News

Preclinical research indicates psilocybin reduces aggression and attack behaviors, providing mechanistic insight into its potential for treating conditions characterized by impulsivity and aggression.

Magnetic Pulses Restore Brain Circuits to Treat Depression

New cellular-level evidence reveals that accelerated TMS restores synaptic connections in IT neurons, offering a mechanistic explanation for its rapid antidepressant effects.

Drug Development 2

The FDA has cleared a clinical trial to evaluate the combination of the investigational drug NRX-101 with robotic-enabled TMS for treating depression and suicidality.

Redefine Study: A Study Evaluating the Efficacy, Safety, and Tolerability of COMP360 in Participants With Post-traumatic Stress Disorder

A clinical trial is recruiting participants to evaluate the efficacy, safety, and tolerability of COMP360 (psilocybin) for the treatment of post-traumatic stress disorder.

Podcast Summary 1

[Podcast] Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern

This podcast discusses the use of deep brain stimulation and neuromodulation for treating OCD, binge eating disorder, and depression, alongside the neuroscience of compulsive behaviors.

Digital Health 1

tDCS: Sleep to Mood in Depression (S2M-D)

A clinical trial is recruiting to evaluate transcranial direct current stimulation (tDCS) as an intervention for Major Depressive Disorder, representing a digital health/neuromodulation treatment approach rather than a pharmacologic one.

Uncategorized 3

Journal Article 1

Efficacy and Tolerability of Seven Antipsychotic Drugs in Acutely Ill Patients With Schizophrenia: A Randomized, Multicenter, Assessor-Blinded Trial - Psychiatry Online

This article reports on a randomized, multicenter trial comparing the efficacy and tolerability of seven antipsychotic drugs in acutely ill patients with schizophrenia, providing direct comparative data for prescribing decisions.