PSYREFLECT

Issue #41

May 25, 2026

#1Research

Schizophrenia as a Disorder of Network Hierarchy: What Multi-Level fMRI Reveals

Schizophrenia here looks less like a severed cable and more like a hierarchy that has folded in on itself — locally overwired, globally unintegrated.

schizophreniafunctional-connectivityfMRIneuroimaging-biomarker
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#2Research

The Insula Reroutes in Untreated OCD — and Cognitive Inflexibility Follows the Wiring

In untreated OCD the affective-interoceptive insula goes quiet toward the thalamus while the control insula over-grips sensorimotor cortex — and the tighter that grip, the harder the patient finds it to shift sets.

OCDinsulafunctional connectivitycognitive flexibility
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#3Research

A Dopamine Signature for Postpartum Psychosis — Read Off the Midbrain

A standard MRI scanner just read a persistent dopamine signature off the midbrains of women who had recovered from postpartum psychosis — the first biological trace of a disorder we usually only see when it is already an emergency.

postpartum psychosisdopamineneuromelanin MRIpsychosis spectrum
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#4Research

Resetting the Clock: Triple Chronotherapy as a Fast-Acting Add-On for Bipolar and Unipolar Depression

Chronotherapy buys you the first week — the week suicide risk is highest — but the maintenance plan still has to earn the rest.

bipolar disorderchronotherapycircadian rhythminpatient psychiatry
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#5Tool

Measurement-Based Care Is No Longer Optional — and the Tooling Has Finally Caught Up

measurement-based careroutine outcome monitoringMBCclinical tools
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#6Industry

Cobenfy Meets the Ward: First Real-World Data Cools the "New Mechanism" Story

A genuinely new mechanism is not the same as a genuinely better outcome — and treatment-resistant patients are where that distinction gets tested first.

schizophreniaCobenfyxanomeline-trospiumtreatment-resistant
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