Psychosis - Articles - Page 3 | CARLAT PUBLISHING

Medications to Rapidly Treat Psychotic Agitation

September 13, 2021

Victoria Hendrick, MD. and Daniel Carlat, MD

Victoria Hendrick, MD. Editor in Chief, The Carlat Hospital Psychiatry Report. Chief, Inpatient Psychiatry, Olive View UCLA Medical Center.

Daniel Carlat, MD. Publisher, The Carlat Hospital Psychiatry Report.

Dr. Hendrick and Dr. Carlat have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How do you choose medications to calm an acutely psychotic and agitated patient? We'll tell you which ones are the safest and most effective.

Anti-NMDA Receptor Encephalitis or New-Onset Psychosis?

July 14, 2021

Alex Thompson, MD.

Alex Thompson, MD. Dr. Thompson has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

A type of autoimmune encephalitis causes agitation and psychosis, especially in young women.

CLINICAL UPDATE

Deliberate Foreign Body Ingestion

April 12, 2021

Adrienne Grzenda, MD, PhD.

Adrienne Grzenda, MD, PhD. Clinical Assistant Professor of Psychiatry & Biobehavioral Sciences, UCLA David Geffen School of Medicine and UCLA-Olive View Medical Center. Dr. Grzenda has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Why would anyone deliberately swallow a nondigestible object? What items require emergent removal, vs simple monitoring? And how can you help patients who repeatedly swallow foreign bodies?

In Brief: What Causes Affective Psychosis?

March 26, 2021

Psychotic depression and bipolar disorder are sometimes lumped together as the “affective psychoses.” Among the mood disorders, these two have a stronger biological basis, although environmental causes still contribute to their risk.

Are SSRIs Associated With Increased Rates of Violence?

February 3, 2021

Michael Posternak, MD.

Michael Posternak, MD. Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

SSRIs are often used to reduce irritability, but questions about they can cause violence have loomed over these antidepressants since the early 1990’s. This new study, with 700,000 patients followed over 7 years, suggests they can.

How to Switch Antipsychotics

February 3, 2021

Peter Smith, PsyD.

Peter Smith, PsyD. Dr. Smith has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Should you stop the old antipsychotic and start the new? Or gradually cross-taper them? This new meta-analysis compared three titration strategies to find the best way to switch from one antipsychotic to another in schizophrenia.

Modern Challenges of Delusional Disorder

September 3, 2020

Joseph Pierre, MD.

Joseph Pierre, MD. Chief, Hospital Psychiatry Division at the VA West Los Angeles Healthcare Center. Clinical Professor in the Department of Psychiatry and Biobehavioral Sciences at UCLA. Dr. Pierre has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Delusional disorder may be in the psychotic chapter, but it doesn’t respond to antipsychotics like we’d expect. Joseph Pierre reviews how to use them, which ones to avoid, and how to enhance your therapeutic relationship with this population.

EXPERT Q&A

Differentiating Psychotic Disorders: Does It Matter?

May 7, 2020

Jonathan Stevens, MD, MPH

Jonathan Stevens, MD, MPH
Chief of Child and Adolescent Psychiatry and Chief of Outpatient Services at The Menninger Clinic in Houston, TX. Dr. Stevens has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How do we understand the range of psychotic disorders in children and adolescents and how does this understand impact treatment in a more differentiated way? This interview helps clinicians to sort through what kinds of psychotic processes are at play and how to approach them in a more nuanced manner, while giving practical and realistic advice for patient management.

EXPERT Q&A

Cognitive Rehabilitation for Youth With Psychotic Disorders

May 7, 2020

Ian S. Ramsay, PhD

Ian S. Ramsay, PhD
Assistant Professor in the Department of Psychiatry at University of Minnesota. Dr. Ramsay has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Psychotic disorders in children and adolescents include a range of neuropsychiatric problems related to the multitude of underlying neurophysiological differences and the problems created by these differences. Chief among these are cognitive impacts. This interview helps outline and give guidance for managing these cognitive problems related to both psychosis and to the medication treatments that themselves can add to these problems.

A Potentially Lethal Side Effect You Probably Never Heard Of

May 7, 2020

Chris Aiken, MD.

Chris Aiken, MD. Editor-in-Chief of TCPR. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The FDA recently raised alerts about a potentially fatal side effect on clozapine that’s causing more fatalities than neutropenia. It’s constipation, and the problem extends to a few other psychotropics as well. In this article, a three step, evidence-based algorithm for managing it.