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Browsing by Subject "Psychotropic Drugs"
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Item Psychiatric Genomics: An Update and an Agenda(American Psychiatric Association, 2018-01-01) Sullivan, Patrick F.; Agrawal, Arpana; Bulik, Cynthia M.; Andreassen, Ole A.; Børglum, Anders D.; Breen, Gerome; Cichon, Sven; Edenberg, Howard J.; Faraone, Stephen V.; Gelernter, Joel; Mathews, Carol A.; Nievergelt, Caroline M.; Smoller, Jordan W.; O’Donovan, Michael C.; Psychiatric Genomics Consortium; Biochemistry and Molecular Biology, School of MedicineThe Psychiatric Genomics Consortium (PGC) is the largest consortium in the history of psychiatry. This global effort is dedicated to rapid progress and open science, and in the past decade it has delivered an increasing flow of new knowledge about the fundamental basis of common psychiatric disorders. The PGC has recently commenced a program of research designed to deliver "actionable" findings-genomic results that 1) reveal fundamental biology, 2) inform clinical practice, and 3) deliver new therapeutic targets. The central idea of the PGC is to convert the family history risk factor into biologically, clinically, and therapeutically meaningful insights. The emerging findings suggest that we are entering a phase of accelerated genetic discovery for multiple psychiatric disorders. These findings are likely to elucidate the genetic portions of these truly complex traits, and this knowledge can then be mined for its relevance for improved therapeutics and its impact on psychiatric practice within a precision medicine framework. [AJP at 175: Remembering Our Past As We Envision Our Future November 1946: The Genetic Theory of Schizophrenia Franz Kallmann's influential twin study of schizophrenia in 691 twin pairs was the largest in the field for nearly four decades.Item What can triumphs and tribulations from drug research in Alzheimer's disease tell us about the development of psychotropic drugs in general?(Elsevier, 2015-08) Becker, Robert E.; Seeman, Mary V.; Greig, Nigel H.; Lahiri, Debomoy K.; Department of Psychiatry, IU School of MedicineDrug development for psychiatric disorders has almost ground to a halt. Some newer drugs are better tolerated or safer than older ones, but none is more effective. Years of failure in preventing or delaying the onset of illness, ameliorating symptoms, lowering suicide rates, or improving quality of life has put the commercial investments that had previously funded drug development at risk. To promote the development of psychiatric drugs with greater efficacy, we need to improve the way we bring potentially beneficial drugs to market. We need to acknowledge, as has been done in other specialties, that people differ in their response to drugs. Psychiatric drug research needs to be grounded in a better understanding of molecular brain mechanisms, neural circuits, and their relations to clinical disease. With this understanding, drugs need to be more precisely directed at specific brain targets. In psychiatric drug development, government, industry, regulatory bodies, and academia should realign to ensure medical science is used in the best interests of patients.