Psychiatry Ask The Experts Index

 
 
  • Insight and Schizophrenia What evidence-based treatment improves insight? In what phase of the illness is such intervention best? What undesirable clinical effects can insight have?
  • Smoking and Schizophrenia What evidence-based treatment improves insight? In what phase of the illness is such intervention best? What undesirable clinical effects can insight have?
  • State-of-the-art Treatment for Negative Symptoms of Schizophrenia What are primary negative symptoms? How can you treat them? What are secondary negative symptoms and what 3 factors are responsible for them? How can you treat secondary negative symptoms?
  • Lithium and Hair Loss What can you do if your patient's thyroid test results are normal, but she is losing her hair? Why? If that option does not work, what other choices do you have?
  • Prescribing an Afternoon 'Booster;' Patient Variations in Duration of Effect When are short-acting, afternoon doses of stimulant contraindicated in adults with ADHD?
  • Antipsychotics and Diabetes Which antipsychotics have the best metabolic profile? What should you do if your patient develops new-onset diabetes after taking antipsychotics? How can you best manage diabetes?
  • Antidepressant Withdrawal Mania as a Predictor of Bipolarity What is antidepressant withdrawal mania? What medications may be associated with this phenomenon and why? Does antidepressant withdrawal mania predict bipolarity?
  • The Effectiveness of ECT for Bipolar Disorder How effective is ECT for bipolar depression, depression with a switch into mania, refractory mania, and maintenance? For what 2 types of patients should it be considered a first-line treatment?
  • The Meaning of the Term "Bipolar Disorder" What differentiates bipolar from unipolar depression? What factors are relevant when considering antidepressants?
  • What Can I Do to Help Patients With Belonephobia (Fear of Needles)? I frequently encounter patients with severe belonephobia. Some actually refuse injections of pain medication after major surgery. Others faint just waiting in line for injections. What can be done?
  • Distinguishing Bipolar From Unipolar Depression How can you recognize the depressed patient who is at increased risk for development of bipolar disorder? Here are some practical tips.
  • Atypical Antipsychotics and Bipolar Disorder Are olanzapine, quetiapine, ziprasidone, aripiprazole, and risperidone mood stabilizers? For how long can these atypical antipsychotics prevent relapses? When are relapses most likely to occur?
  • Antidepressants in the Pipeline What drugs act as agonists at the neurokinin (NK) level? How are they useful? When might they be approved by the FDA?
  • Does Combining Duloxetine and Amitriptyline Raise the Risk for Seizures? Each drug has an associated risk for seizures, but what about in combination?
  • Correct Stimulant Dose for Adults; Interactions Between SSRIs and Stimulants? Are higher doses of stimulants really more effective for adults with ADHD? Are they safe?
  • Sex and Antidepressants How often do SSRIs cause sexual dysfunction? When reducing the dosage does not help, what can you do? What options are best for which kinds of patients?
  • Bipolar Depression Why is it seemingly more difficult to treat bipolar depression than bipolar mania? Why does it seem so hard to get the FDA to approve medications for bipolar depression?
  • Managing the Side Effects of Clozapine What are the potential side effects of clozapine? Why? What pharamacologic and nonpharmacologic solutions can you offer your patients?
  • New Methods for the Administration of Psychiatric Medication How has the pharmacokinetic profile of some pills improved? What old drugs may be reformulated for lingual or nasal administration? What new techniques minimize metabolism by liver enzymes?
  • The New "Blue Light" Intervention for Seasonal Affective Disorder (SAD) How does light therapy work? What are its strengths and weaknesses? What 2 promising alternatives affect the circadian systems that mediate response to bright full-spectrum light?
 
 
 
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