Free_articles - Articles - Page 2

Breastfeeding and Addiction

July 3, 2021

Pochu Ho, MD. Assistant Professor of Psychiatry, Yale University. Director of Psychiatric Consultation Service, West Haven VA Medical Center, CT. Dr. Ho has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Addictive substances and medications alike can find their way into the breastmilk of lactating women, however the effect these substances have on breastfeeding babies can vary. We provide guidance on how best to manage addiction in women who are actively breastfeeding.

Disulfiram: An Underused Strategy for Alcohol Use Disorders

June 29, 2021

Stephen Wyatt, DO.

Stephen Wyatt, DO. Private practice psychiatrist with certification in addiction psychiatry, Charlotte, NC. Dr. Wyatt has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We unravel the myths that keep psychiatrists from using disulfiram (Antabuse) in alcohol use disorders. In the right patient, this medication is very effective and far less dangerous than the alternative: continued drinking.

Decisional Capacity

May 21, 2021

Erick Cheung, MD

Erick Cheung, MD

Associate Medical Director, UCLA Resnick Neuropsychiatric Hospital. Chief Quality Officer, Department of Psychiatry, UCLA, Los Angeles, CA. Dr. Cheung has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients sometimes refuse necessary, even lifesaving, treatments. How do we know they are making informed and reasonable decisions? Dr. Cheung summarizes key points in evaluating patients’ decisional capacity.

An Unexpected Opioid: Loperamide Misuse

May 21, 2021

Mara Storto, MD. and Deepti Anbarasan, MD.

Mara Storto, MD. Psychiatric Resident, Psychiatry Residency Training Program, New York University Langone Health, New York, NY. Deepti Anbarasan, MD. Clinical Assistant Professor of Psychiatry, New York University, New York, NY. Dr. Storto and Dr. Anbarasan have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We normally think of loperamide as an over-the-counter drug with a good safety profile. And it is, but only when used as directed. Recreational misuse of loperamide is on the rise with some dangerous collateral effects.

Approaches to Autism Intervention

May 20, 2021

Diane Cullinane, MD.

Diane Cullinane, MD. Developmental pediatrician. Co-founder and Executive Director Emerita of Professional Child Development Associates (PCDA), Pasadena, CA. Dr. Cullinane has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How to respond to the seismic shift in our understanding of effect sizes in autism treatment? With better informed consent: we supplemented our interview with Dr Sandbank with an article by Dr Diane Cullinane on the three main kinds of autism treatment so that you will be prepared to help families know that they have choices.

Intranasal Esketamine: New Hope for Suicidal Patients?

April 12, 2021

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.

Imagine a drug that resolves depression within hours in people at imminent risk of suicide. Esketamine may be such a drug — but is it a miracle cure? Here we look at the data and discuss the pros and cons of this new treatment.

Serotonin Syndrome Versus NMS

April 12, 2021

Laura Tormoehlen, MD

Laura Tormoehlen, MD

Associate Professor of Clinical Neurology and Clinical Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.

Dr. Tormoehlen has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Laura Tormoehlen discusses the management of neuroleptic malignant syndrome and serotonin syndrome and summarizes how to distinguish between these acute conditions.

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?

Combination Treatment for Schizophrenia

April 12, 2021

T. Scott Stroup, MD, MPH

T. Scott Stroup, MD, MPH
Professor of Psychiatry, Columbia University, NY. Dr. Stroup has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. T. Scott Stroup, Professor of Psychiatry at Columbia University, reveals surprising findings from his research on the use of adjunctive medications for schizophrenia.

Antipsychotic Dosing: How High?

April 12, 2021

Paul Barkopoulos, MD.

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

How high should we go when dosing antipsychotics in schizophrenia? A recent meta-analysis of 68 studies examined dose-response relationships in randomized controlled trials of antipsychotic medications for schizophrenia and schizoaffective disorder.