Psych Vivas · Psychopharmacology — phototherapy and chronotherapy
Phototherapy and chronotherapy — consultant viva
Fellowship viva covering BLT parameters, circadian PRC, SAD vs nonseasonal trials, bipolar light rules, and chronotherapy packages.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
Examiner places cards: 10,000 lux, Can-SAD, Lam 2016, phase advance, Sit midday light, wake therapy, Eastman 3 weeks, hypomania on day 5.
Station structure
Time: 8–10 minutes. Depth: consultant teaching registrar. Expect named trials, lux/timing numbers, bipolar deltas, and stop rules without inventing local subsidy codes as universal law.[3]
References8ShowHide
- [1]Eastman CI, Young MA, Fogg LF, et al. Bright light treatment of winter depression: a placebo-controlled trial. Arch Gen Psychiatry, 1998.PMID 9783558
- [2]Golden RN, Gaynes BN, Ekstrom RD, et al. The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. Am J Psychiatry, 2005.PMID 15800134
- [3]Terman M, Terman JS. Light therapy for seasonal and nonseasonal depression: efficacy, protocol, safety, and side effects. CNS Spectr, 2005.PMID 16041296
- [4]Lam RW, Levitt AJ, Levitan RD, et al. The Can-SAD study: a randomized controlled trial of the effectiveness of light therapy and fluoxetine in patients with winter seasonal affective disorder. Am J Psychiatry, 2006.PMID 16648320
- [5]Lewy AJ, Lefler BJ, Emens JS, et al. The circadian basis of winter depression. Proc Natl Acad Sci U S A, 2006.PMID 16648247
- [6]Lam RW, Levitt AJ, Levitan RD, et al. Efficacy of Bright Light Treatment, Fluoxetine, and the Combination in Patients With Nonseasonal Major Depressive Disorder: A Randomized Clinical Trial. JAMA Psychiatry, 2016.PMID 26580307
- [7]Sit DK, McGowan J, Wiltrout C, et al. Adjunctive Bright Light Therapy for Bipolar Depression: A Randomized Double-Blind Placebo-Controlled Trial. Am J Psychiatry, 2018.PMID 28969438
- [8]Wirz-Justice A, Benedetti F, Berger M, et al. Chronotherapeutics (light and wake therapy) in affective disorders. Psychol Med, 2005.PMID 16045060