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Depression

Nearly Half of Depression Diagnoses Are Considered Treatment-Resistant: A Call for Better Options

Almost half of patients diagnosed with depression classify as being ‘treatment-resistant’ as new research suggests that many don’t respond to multiple antidepressant options.

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A recent study published in the British Journal of Psychiatry has shed light on an alarming reality: nearly half of patients diagnosed with depression are considered treatment-resistant. The research, led by academics from the University of Birmingham and Birmingham and Solihull Mental Health NHS Foundation Trust, found that 48% of patients who received a diagnosis of depression had tried at least two antidepressant medications, while 37% had attempted four or more different options.

Treatment-resistant depression (TRD) is typically defined as a form of depression that doesn’t respond to standard treatment protocols. With few established guidelines for managing TRD, patients often find themselves frustrated and hopeless after trying multiple medication combinations. In interviews conducted with patients who experienced TRD, many expressed their dissatisfaction with the “one size fits all” approach to treatment, citing a sense of hopelessness as they struggled to find effective solutions.

PhD researcher Kiranpreet Gill emphasized the need for better treatment options and support for those struggling with depression: “This paper highlights how widespread treatment-resistant depression is among those who are diagnosed with depression. With nearly half of all patients not responding to multiple drug options, we need more awareness and options for treating depression when first-line antidepressant medications don’t work well.”

The study also revealed alarming connections between TRD and other mental health disorders, such as anxiety, self-harm, and personality disorders, as well as physical health issues like heart disease. Patients with TRD were found to have 35% higher odds of having a personality disorder and 46% higher odds of cardiovascular disease.

Professor Steven Marwaha, co-author of the study, stressed the importance of developing and testing new treatments for patients with TRD: “This study is crucial as it demonstrates that people with TRD are at a higher risk of poorer outcomes. We need better defined care pathways for helping this population, and we’re in urgent need of developing and testing new treatments for this group.”

The research is part of the Mental Health Mission Midlands Translational Centre, which focuses on improving treatments for TRD in young, superdiverse, and deprived populations. The Centre aims to accelerate the development and delivery of innovative interventions to improve outcomes and reduce disparities in mental health care.

Depression

Uncovering the Link Between Sensitivity and Mental Health Conditions

Researchers analyzing 33 studies found strong evidence that highly sensitive people are more prone to depression and anxiety but also more likely to benefit from therapy. Since about 31% of the population is highly sensitive, experts argue that clinicians should consider sensitivity levels when diagnosing and treating mental health conditions.

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Uncovering the Link Between Sensitivity and Mental Health Conditions

For decades, mental health studies have focused on neuroticism as a primary factor in diagnosing conditions like depression and anxiety. However, researchers from Queen Mary University and the University of Surrey have conducted the first meta-analysis to examine the relationship between sensitivity and common mental health problems. The study, which analyzed 33 studies, reveals a significant positive correlation between sensitivity and depression, anxiety, post-traumatic stress disorder (PTSD), agoraphobia, and avoidant personality disorder.

Sensitivity was defined as a personality trait that allows individuals to perceive and process environmental stimuli, such as subtle changes in their surroundings or the emotions of those around them. This often-overlooked trait is crucial for understanding an individual’s mental health, particularly when it comes to developing effective treatment plans.

Tom Falkenstein, a psychotherapist and PhD student at Queen Mary University, emphasized the importance of considering sensitivity in clinical practice: “Our findings suggest that sensitivity should be considered more in clinical practice. This could lead to improved diagnosis and treatment for individuals who are highly sensitive.”

Falkenstein also noted that around 31% of the general population are considered highly sensitive and may respond better to certain psychological interventions, such as applied relaxation and mindfulness techniques. By taking sensitivity into account, mental health professionals can tailor treatment plans to meet the unique needs of each individual.

Michael Pluess, Professor in Developmental Psychology at the University of Surrey and Visiting Professor at Queen Mary University, added: “Our results provide further evidence that sensitive people are more affected by both negative and positive experiences. This highlights the importance of a supportive environment for their well-being.”

The systematic review and meta-analysis were carried out by an academic team from several universities, including Queen Mary University and the University of Surrey.

The study’s findings have significant implications for mental health care professionals, who should now consider sensitivity when developing treatment plans for individuals with depression, anxiety, PTSD, agoraphobia, or avoidant personality disorder. By doing so, they can provide more effective and personalized care to those in need.

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Depression

Groundbreaking Discovery Offers Hope for PTSD Patients

Researchers discovered that PTSD may be driven by excess GABA from astrocytes, not neurons. This chemical imbalance disrupts the brain’s ability to forget fear. A new drug, KDS2010, reverses this effect in mice and is already in human trials. It could represent a game-changing therapy.

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Groundbreaking Discovery Offers Hope for PTSD Patients

For decades, patients suffering from post-traumatic stress disorder (PTSD) have struggled to forget traumatic memories, even after the danger has passed. The failure to extinguish these fear memories has long puzzled scientists and presented a significant hurdle in treatment, particularly since current medications targeting serotonin receptors offer limited relief for only a subset of patients.

A recent discovery by researchers at the Institute for Basic Science (IBS) and Ewha Womans University has uncovered a new brain mechanism driving PTSD. Led by Dr. C. Justin LEE at the IBS Center for Cognition and Sociality and Professor LYOO In Kyoon at Ewha Womans University, the team found that excessive GABA produced by astrocytes impairs the brain’s ability to extinguish fear memories. This deficit is a core feature of PTSD, explaining why traumatic memories can persist long after the threat has passed.

The researchers discovered that a highly selective and reversible monoamine oxidase B (MAOB) inhibitor called KDS2010 can reverse PTSD-like symptoms in mice. The drug has already passed Phase 1 safety trials in humans, making it a strong candidate for future PTSD treatments.

PTSD remains challenging to treat, with current medications targeting serotonin pathways providing limited relief for many patients. The new study focused on the medial prefrontal cortex (mPFC), a region of the brain critical for regulating fear. Importantly, GABA levels decreased in patients who showed clinical improvement, highlighting the chemical’s central role in recovery.

To uncover the origin of this excess GABA, the researchers examined postmortem human brain tissue and used PTSD-like mouse models. They found that astrocytes were producing abnormal amounts of GABA via the enzyme monoamine oxidase B (MAOB). This astrocyte-derived GABA impaired neural activity, blocking the brain’s ability to forget traumatic memories.

When KDS2010 was administered to mice, they showed normalized brain activity and were able to extinguish fear responses. The drug reduced GABA levels, restored blood flow in the mPFC, and re-enabled memory extinction mechanisms. This study confirms astrocytic MAOB as a central driver of PTSD symptoms and MAOB inhibition as a viable therapeutic path.

A major challenge was linking clinical findings in humans with cellular mechanisms in the lab. The researchers applied a “reverse translational” strategy: they began with clinical brain scans, moved backward to identify the cellular source of dysfunction, then confirmed the mechanism and tested drug effects in animal models. This approach led to a new understanding of how glial cells actively shape psychiatric symptoms.

“This study is the first to identify astrocyte-derived GABA as a key pathological driver of fear extinction deficit in PTSD,” said Dr. WON Woojin, a postdoctoral researcher and co-first author of the study. “Our findings not only uncover a novel astrocyte-based mechanism underlying PTSD but also provide preclinical evidence for a new therapeutic approach using an MAOB inhibitor.”
Director C. Justin LEE emphasized that “This work represents a successful example of reverse translational research, where clinical findings in humans guided the discovery of underlying mechanisms in animal models. By identifying astrocytic GABA as a pathological driver in PTSD and targeting it via MAOB inhibition, the study opens a completely new therapeutic paradigm not only for PTSD but also for other neuropsychiatric disorders such as panic disorder, depression, and schizophrenia.”
The researchers plan to further investigate astrocyte-targeted therapies for various neuropsychiatric disorders. With KDS2010 currently undergoing Phase 2 clinical trials, this discovery may soon lead to new options for patients whose symptoms have not responded to conventional treatments.

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Depression

The Unseen Toll of the Pandemic: How Stress and Isolation May Be Aging Your Brain

Even people who never caught Covid-19 may have aged mentally faster during the pandemic, according to new brain scan research. This large UK study shows how the stress, isolation, and upheaval of lockdowns may have aged our brains, especially in older adults, men, and disadvantaged individuals. While infection itself impacted some thinking skills, even those who stayed virus-free showed signs of accelerated brain aging—possibly reversible. The study highlights how major life disruptions, not just illness, can reshape our mental health.

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The COVID-19 pandemic has left an indelible mark on humanity, but its impact may go beyond the physical toll of the virus itself. A recent study suggests that even those who never contracted COVID-19 may have experienced accelerated brain aging due to the stresses and disruptions caused by the pandemic.

Led by experts at the University of Nottingham, the research team analyzed longitudinal brain scans from nearly 1,000 healthy adults, taken as part of the UK Biobank study. Some participants had scans before and after the pandemic, while others only had pre-pandemic scans. Using advanced imaging and machine learning, the researchers estimated each person’s “brain age” – how old their brain appeared to be compared to their actual age.

The findings were striking: people who lived through the pandemic showed signs of faster brain aging over time than those scanned entirely before it. The changes were most noticeable in older individuals, men, and those from more disadvantaged backgrounds. Notably, only participants who were infected with COVID-19 between their scans showed a drop in certain cognitive abilities, such as mental flexibility and processing speed.

“This study reminds us that brain health is shaped not only by illness but by our everyday environment,” said Dorothee Auer, Professor of Neuroimaging and senior author on the study. “The pandemic put a strain on people’s lives, especially those already facing disadvantage. We can’t yet test whether the changes we saw will reverse, but it’s certainly possible, and that’s an encouraging thought.”

Stress, isolation, and global disruption may have left their mark on people’s minds, leading to accelerated brain aging. However, the study highlights the possibility of reversibility, offering a glimmer of hope for those affected. The pandemic has taught us that even in the face of adversity, our brains can adapt and potentially recover – a testament to the resilience of the human spirit.

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