Neurology

Consultation-Liaison Psychiatry

Questions discussed in this category

How do you implement antipsychotics in the management of agitation in Alzheimer’s patients?

1 Answer available

Do you avoid SSRIs in patients with a history of RCVS?

2 Answers available

Would you avoid the use of keppra in patients with TBI due to concerns for worsening agitation?

2 Answers available

In what clinical situation would you consider using benzodiazepines in patients with dementia?

2 Answers available

What work-up do you recommend in patients with early-onset dementia?

Which genetic/other testing should be considered in an early-onset dementia work-up?

1 Answer available

Is it possible to develop worsening motor features of Parkinson's disease (PD) when using clozapine (for treatment of PD psychosis) above a certain dose?

If so, what is the recommended maximum dose of clozapine for PD patients?

1 Answer available

How would you manage a patient with secondary progressive multiple sclerosis manifesting with increased neuropsychiatric manifestations (ex. psychosis) with no recent changes on brain MRI?

1 Answer available

Are there certain sedatives or anti-epileptic meds to avoid in patients with IDD?

What are your thoughts on the ethics of inpatient use of sedatives in these patients to help with agitation to “protect themselves from harm and...

4 Answers available

How do you treat behavioral disturbances in patients with dementia with Lewy bodies?

How do you treat dangerous behavioral disturbances (aggression, nighttime wandering) in patients with dementia with Lewy bodies (DLB)?

1 Answer available

Do you use pimavanserin to treat psychotic symptoms in Lewy body dementia?

1 Answer available

How do you approach the workup and management of patients with suspected functional neurologic disorders?

What testing do you typically proceed with?

1 Answer available

Papers discussed in this category

Mov Disord Clin Pract, 2022 Oct 23

Clozapine Is Severely Underused in Parkinson's Disease Patients.

The American journal of psychiatry, 2022 Aug

Dementia Is More Than Memory Loss: Neuropsychiatric Symptoms of Dementia and Their Nonpharmacological and Pharmacological Management.

Psychiatry research, 2020 Dec 13

The Psychopharmacology Algorithm Project at the Harvard South Shore Program: An update on management of behavioral and psychological symptoms in dementia.

Journal of psychopharmacology (Oxford, England), 2018 Jan 17

Sequential drug treatment algorithm for agitation and aggression in Alzheimer's and mixed dementia.

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