Late-Life Mental Health

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Late-Life Mental Health QuarterlyThe Winter 2012 RESEARCH NEWS 2 RESEARCH DISCOVERIES IN THE NEWS 5 INTERVIEW WITH A RESEARCHER Eric R. Kandel, M.D. 9 ASK THE RESEARCHER 10 FREQUENTLY ASKED QUESTIONS ON LATE-LIFE MENTAL HEALTH 21 GLOSSARY 22 NEW TREATMENTS/THERAPIES 24 MOMENTUM Events Calendar Save the Dates Healthy Minds Across America Symposia 32 MEET A DISTINGUISHED INVESTIGATOR Dilip V. Jeste, M.D. Page 5 FEATURE 13 A FAMILY STORY FOCUS The Lottmann Family: Late-Onset Mental Illness on Unravels a Family’s Life LATE-LIFE 17 NARSAD GRANTS ON LATE-LIFE MENTAL HEALTH MENTAL HEALTH Scientific Council “The Brain & Behavior Research Foundation Scientific Council has grown to include 132 volunteer members, each of whom bring special skills and unique knowledge bases that cover every aspect of brain and behavior research. The reach of the Brain & Behavior Research Foundation support extends to the world's leading medical research and care facilities. Our effort knows no borders. The impact of our effort is not only in the development of promising scientists, but also in the focus it brings to the challenge and urgent need of bringing hope and better lives to all those living with mental illness.” Herbert Pardes, M.D. President, Scientific Counci President & CEO, NewYork-Presbyterian Hospital President Herbert Pardes, M.D. Vice President Emeritus Floyd E. Bloom, M.D. George K. Aghajanian, M.D. Jay Adam Gingrich, M.D., Ph.D. Ronald McKay, Ph.D. Schahram Akbarian, M.D., Ph.D. David Goldman, M.D., Ph.D. James H. Meador-Woodruff, M.D. Huda Akil, Ph.D. Frederick K. Goodwin, M.D. Herbert Y. Meltzer, M.D. Susan G. Amara, Ph.D. Anthony A. Grace, Ph.D. Karoly Mirnics, M.D. Stewart A. Anderson, M.D. Paul Greengard, Ph.D. Bita Moghaddam, Ph.D. Nancy C. Andreasen, M.D., Ph.D. Suzanne N. Haber, Ph.D. Dennis L. Murphy, M.D. Amy F.T. Arnsten, Ph.D. Philip D. Harvey, Ph.D. Charles B. Nemeroff, M.D., Ph.D. Jay M. Baraban, M.D., Ph.D. Stephan Heckers, M.D. Eric J. Nestler, M.D., Ph.D. Jack D. Barchas, M.D. René Hen, Ph.D. Andrew A. Nierenberg, M.D. Samuel H. Barondes, M.D. Fritz A. Henn, M.D., Ph.D. Patricio O'Donnell, M.D., Ph.D. Francine Mary Benes, M.D., Ph.D. Robert M.A. Hirschfeld, M.D. Steven M. Paul, M.D. Wade H. Berrettini, M.D., Ph.D. Steven E. Hyman, M.D. Godfrey D. Pearlson, M.D. Randy D. Blakely, Ph.D. Robert B. Innis, M.D., Ph.D. Daniel S. Pine, M.D. Pierre Blier, M.D., Ph.D. Jonathan A. Javitch, M.D., Ph.D. Robert M. Post, M.D. Robert W. Buchanan, M.D. Daniel C. Javitt, M.D., Ph.D. James B. Potash, M.D., M.P.H. Peter F. Buckley, M.D. Lewis L. Judd, M.D. Steven G. Potkin, M.D. William E. Bunney, Jr., M.D. Peter W. Kalivas, Ph.D. Pasko Rakic, M.D., Ph.D. Joseph D. Buxbaum, Ph.D. Eric R. Kandel, M.D. Judith L. Rapoport, M.D. William F. Byerley, M.D. Richard S.E. Keefe, Ph.D. Perry F. Renshaw, M.D., Ph.D., M.B.A. Marc G. Caron, Ph.D. Samuel J. Keith, M.D. Kerry J. Ressler, M.D., Ph.D. William T. Carpenter, Jr., M.D. Martin B. Keller, M.D. Carolyn B. Robinowitz, M.D. Cameron S. Carter, M.D. John R. Kelsoe, M.D. Bryan L. Roth, M.D., Ph.D. BJ Casey, Ph.D. Kenneth S. Kendler, M.D. John L. R. Rubenstein, M.D., Ph.D. Dennis S. Charney, M.D. James L. Kennedy, M.D. Elaine Sanders-Bush, Ph.D. Bruce M. Cohen, M.D., Ph.D. Robert M. Kessler, M.D. Akira Sawa, M.D., Ph.D. Jonathan D. Cohen, M.D., Ph.D. Kenneth K. Kidd, Ph.D. Alan F. Schatzberg, M.D. Richard Coppola, D.Sc. Mary-Claire King, Ph.D. Nina R. Schooler, Ph.D. Joseph T. Coyle, M.D. Rachel G. Klein, Ph.D. Robert Schwarcz, Ph.D. Jacqueline N. Crawley, Ph.D. John H. Krystal, M.D. Philip Seeman, M.D., Ph.D. Karl Deisseroth, M.D., Ph.D. James F. Leckman, M.D. Solomon H. Snyder, M.D., D.Sc., J. Raymond DePaulo, Jr., M.D. Ellen Leibenluft, M.D. D.Phil. (Hon. Causa) Ariel Y. Deutch, Ph.D. Robert H. Lenox, M.D. John S. Strauss, M.D. Wayne C. Drevets, M.D. David A. Lewis, M.D. John David Sweatt, Ph.D. Ronald S. Duman, Ph.D. Jeffrey A. Lieberman, M.D. John A. Talbott, M.D. Jan A. Fawcett, M.D. Irwin Lucki, Ph.D. Carol A. Tamminga, M.D. Stan B. Floresco, Ph.D. Robert C. Malenka, M.D., Ph.D. Laurence H. Tecott, M.D., Ph.D. Judith M. Ford, Ph.D. Anil K. Malhotra, M.D. Ming T. Tsuang, M.D., Ph.D., D.Sc. Alan Frazer, Ph.D. Husseini K. Manji, M.D., FRCPC Leslie G. Ungerleider, Ph.D. Robert R. Freedman, M.D. J. John Mann, M.D. Rita J. Valentino, Ph.D. Fred H. Gage, Ph.D. John S. March, M.D., M.P.H. Nora D. Volkow, M.D. Aurelio Galli, Ph.D. Helen S. Mayberg, M.D. Karen Dineen Wagner, M.D., Ph.D. Mark S. George, M.D. Robert W. McCarley, M.D. Daniel R. Weinberger, M.D. Elliot S. Gershon, M.D. Bruce S. McEwen, Ph.D. Jon-Kar Zubieta, M.D., Ph.D. Mark A. Geyer, Ph.D. Paul R. McHugh, M.D. Board of Directors OFFICERS Chairman Dear Friends, Stephen A. Lieber President and CEO This is a very special year for us at the Brain & Behavior Benita Shobe Research Foundation as we begin our 25th year of awarding NARSAD Grants leading to advances and breakthroughs Vice President in scientific research. NARSAD was formed with a vision of Suzanne Golden transforming brain and behavior research through drama- Secretary tically accelerated investments to better understand the John B. Hollister causes of mental illness, develop better treatments and improve lives. Since that time more than 4,000 NARSAD Grants have been funded—with almost $300 Treasurer Arthur Radin, CPA million of donor contributions—to scientists around the world. This investment has shaped the psychiatric field and enabled countless discoveries that are paving the road to curing the diseases of the brain. DIRECTORS Anne E. Abramson We open this issue of The Quarterly with highlights of some of the most recent Mark H. Alcott, Esq. Bonnie D. Hammerschlag discoveries in 2011. They reflect the breadth of the research we fund, across mental George B. Handran, Esq. illnesses and across research disciplines. We then turn to our theme of ‘late-life Ken Harrison mental health’ with a profile interview of Nobel Prizewinner Eric R. Kandel, M.D., Milton Maltz longtime Brain & Behavior Research Foundation Scientific Council Member and Marc R. Rappaport Barbara K. Streicker three-time NARSAD Distinguished Investigator Grantee. He speaks of the aging Robert S. Warshaw, Esq. brain, emphasizing its plasticity and capacity to continually learn and adapt, and expresses the critical importance of the Foundation’s support of the field. PRESIDENT EMERITA We visit the personal story of Janet Larsen, who shares the journey of her father’s Constance E. Lieber mental illness and how its late onset was handled more than 40 years ago. With her story, we can appreciate the advances made in understanding mental illnesses, the DIRECTORS EMERITI development of diagnostic tools and the improved treatments available today. Hal B. Hollister It also reminds us of the progress being made in dealing with these illnesses as Patsy Hollister Tamar Maltz diseases of the brain, akin to the many diseases of the body. With increased Jeanne P. Robertson knowledge, the stigma of mental illness, too familiar to too many families, is slowly Shari Staglin being chipped away. The In ‘Meet a Distinguished Investigator’, Dr. Dilip V. Jeste, one of the world’s foremost Quarterly experts on geriatric psychiatry, shares his perspective. He explains what drew him to the field, highlights the key challenges of late-life mental health and expresses his CREDITS: deep wish for the full recognition in society that those in late life (with or without Writers: mental illness) are invaluable resources in their wealth of experience and wisdom. Judith N. Schwartz Peter Tarr, Ph.D. Throughout 2012 we will share more about our 25-years of unparalleled contribu- Editors: tions and commitment to the field of brain and behavior research. We count on you Laura C. Wells to join our Campaign for Productive Lives with your recommitment to, once again, Vice President, Marketing and Communications accelerate the momentum, build upon the substantial foundation made to date and support the brilliant minds working to improve the lives of all those suffering. Dianne Ackerman Associate Director, Communications and Public Relations Thank you for continuing the journey with us. The momentum is great and there is so much work yet to be done. Layout/Design: Lorraine Divone Production and Art Director Yours sincerely, On the Cover: Eric R. Kandel, M.D. Nobel Prizewinner, Brain & Behavior Research Benita Shobe Foundation Scientific Council Member President & CEO www.bbrfoundation.org 1 Research Discoveries in the News A Sampling of NARSAD Grants at Work: Visit our website to read more: Highlights from 2011 bbrfoundation.org Next Generation Therapies: Diagnostic Tools / Basic Research: Schizophrenia Early Intervention: Depression Schizophrenia and Bipolar Scientific Council Aaron T. Beck, M.D., and colleagues Andrea Danese, M.D., Ph.D., Jonathan Mill, Ph.D., and colleagues Member (SC) demonstrate that cognitive behavioral and colleagues discover that people demonstrate that potentially reversible therapy (CBT) can successfully treat the mistreated in childhood are twice as epigenetic changes play Distinguished ‘negative’ symptoms of schizophrenia, likely to suffer depression a key role in mental Investigator (DI) such as emotional flatness, listlessness and respond poorly to illness in the first and isolation.
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