Medication–induced hyperprolactinemia is more common than you might think and it can produce detrimental long-term health sequelae. Two endocrinologists -- Drs Fountas and Karavitakis – review the work-up and management of this common side effect.
How can we reduce the use of seclusions and restraints while keeping staff and patients safe? Dr. Knox gives us a detailed overview of these interventions and shares strategies to minimize their use, including by changing hospital cultures and norms.
We spend years learning how to treat psychiatric illnesses, so it can feel uncomfortable to treat nonpsychiatric conditions like urinary tract infections. But as medical providers, we want to optimize our patients’ health outcomes, especially since we are often the only clinicians they have easy access to. Here we review uncomplicated medical conditions that we frequently see among patients with chronic mental illnesses.
Imagine if patients in mental health crises could go to a soothing environment with art, music, and snacks, and where they are seen and treated promptly. Dr. Nordstrom describes EmPATH units and tells us how they reduce hospital admissions and emergency room overcrowding.
We know prenatal lithium exposure increases the risk of heart defects in newborns. By keeping lithium doses and blood levels under certain cut-off points, we can reduce this risk, according to this large meta-analysis.
Dr. Hendrick is a clinical professor at the David Geffen School of Medicine at UCLA and is the director of inpatient psychiatry at Olive View—UCLA Medical Center, where she carries a caseload of patients and provides teaching and supervision for medical students and psychiatry residents. After completing medical school and psychiatric residency at UCLA, she spent several years working as a principal investigator and co-investigator on N.I.M.H. funded research studies. She has authored or co-authored over 75 research papers, editorials, books and other publications. She has a long-standing interest in the needs of severely mentally ill patients from underserved populations and has worked in community mental health settings her entire career.
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