john herr psychologist los gatos saratoga california

On Sabbatical

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TITLE: Mood disorders and menopause.
AUTHOR: Pearlstein T; Rosen K; Stone AB
AUTHOR AFFILIATION: Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island, USA.
SOURCE: Endocrinol Metab Clin North Am 1997 Jun;26(2):279-94
NLM CIT. ID: 97337142
ABSTRACT: Studies of depressive symptoms in menopausal women indicate that menopause is not associated with increased rates of depression, although mild mood and anxiety symptoms may occur in the few years prior to menopause. Women with previous affective disorders that are cyclic or that are associated with reproductive events may be at increased risk for depression at menopause. Because women presenting to menopause clinics are more likely to have affective disorders, the efficacy of estrogen for enhancing mood is an important question. Although some researchers suggest that estrogens have proven mood-elevating and antidepressant properties, others caution that the psychologic benefits of HRT deserve more systematic study before conclusions can be made. It has been suggested that minor psychologic symptoms at menopause or psychologic symptoms accompanied by vasomotor symptoms warrant a trial of HRT before considering psychotropic medication. If the psychologic symptoms do not respond to HRT, are not accompanied by vasomotor symptoms, or are clinically severe, antidepressant medication should be considered first or in addition to HRT. The psychologic effects of progesterone and androgens are less extensively studied than those of estrogen, and further research is needed.
MAIN MESH SUBJECTS: Menopause/*PSYCHOLOGY
Mood Disorders/DRUG THERAPY/*ETIOLOGY
ADDITIONAL MESH SUBJECTS: Androgens/PHYSIOLOGY/THERAPEUTIC USE
Clinical Trials
Depression/DRUG THERAPY/ETIOLOGY
Estrogen Replacement Therapy
Female
Human
Progesterone/THERAPEUTIC USE
Sex Behavior/DRUG EFFECTS
PUBLICATION TYPES: JOURNAL ARTICLE
REVIEW
REVIEW, ACADEMIC
LANGUAGE: Eng
REGISTRY NUMBERS: 0 (Androgens)
57-83-0 (Progesterone)

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On Sabbatical!

When my office lease expired at the end of 2004, I decided to turn it into a "sabbatical" from my private practice. Many years ago, in my grandfather's 89th year of life, he told me, "John, it is important to smell the roses while you can still smell them." His life gave living a very good reputation. It is also true that the pursuit of that philosophy required my grandfather to to re-open his assay office/ore market in Wickenburg, Arizona as a 75-year-old because he had run a little short of retirement money. Thus, if blessed with his luck and health, I'll be back.. --jjh

Copyright 1998-2007  John J. Herr, Ph.D.                                   Please send comments to jjherr@clinicalpsychologist.com