Management strategies for antidepressant-related sexual dysfunction.

Antidepressant-related sexual dysfunction is one of the most frequently met adverse effects for individuals suffering from major depressive disorder. When primary prevention by non-pharmacological measures fails, empirical coping strategies might be proposed. In this article, we present a brief overview of pharmacological strategies for antidepressant-related sexual dysfunction, considering antidepressants and conceivable corrective medications. We suggest dividing these strategies into three groups: (1) tapering (dose reduction, therapeutic window or short-term treatment interruption); (2) maintenance (focusing on spontaneous remission); (3) optimizing treatment (substitution for another antidepressant or addition of treatments to correct sexual side effects). Whichever strategy is selected, we encourage the clinician to propose the most adequate therapeutic option for the patient, while considering the efficacy and overall tolerance of the current antidepressant strategy, the affected phase of sexuality and patient preferences and gender. This summary is limited to antidepressant treatments and correctors marketed in France and aimed at a clinician reading to help manage patients suffering from antidepressant-induced sexual dysfunction.

[Bipolar disorders in children and adolescents]. / Trouble bipolaire de l'enfant et de l'adolescent.

While difficult, early detection of bipolar disorders in children and adolescents is crucial. Depending on age, diagnosis may be more or less difficult. Family history and the environment must also be taken into account.

[Individuality of psycho-traumatism and psycho-traumatized people]. / Individualité du traumatisme et des traumatisés psychiques.

Clinical aspects of post-traumatic psychiatric disorders are now well-known. But it might be advisable to not extend wrongly the field of these disorders. Authors emphasize differences between life event and traumatic event, and dwell on the singularity of trauma which gathers of subjectivity. By another way they describe specific characteristics of different traumatisms, at any age. At last, they recall the risks connected to some professions, especially firemen, policemen and all rescuers.