General Outpatient Psychiatry   

Considering a growing interest in the use of dextromethorphan for depression (Majeed et al., PMID 33682569).

Do you worry about additional increased risk of seizure for patients using medications to assist in weight loss such as GLP-1 agonists?

Any alternatives to drug holiday, bupropion, sildenafil, and yohimbine?

Would you consider charging a small fee for managing C-2 prescriptions between appointments instead of requiring the patient to come monthly?

How do you evaluate for time off? Return to work? How do you deal with time off requests in the presence of non-adherence to treatment recommendations...

How do you approach this in patients who are approaching or are over 65 given the contraindications of benzodiazepine use in geriatric populations? Wh...

How do you balance the benefits of treating depression versus the risk of transition to mania? Do you consider stopping the medication as soon as the ...

Do you defer or avoid use in patients with untreated simple hypertension or other cardiac history?

How do you address exacerbation of mood symptoms in patients who want to continue hormone birth control?

When using a stimulant, how aggressive are you with an anti-manic mood stabilizer? 

What medications bests treat Intermittent Explosive Disorder?

When would you consider symptoms to be potentially of other etiology? Would you ever consider a conversion or functional diagnosis?

In light of research that suggests SSRIs increase the risk of closed-angle glaucoma, Chen et al., PMID 28257449.

Can you include both patient directed and clinician directed resources?

Have you found significant differences among SSRIs and SNRIs (e.g., paroxetine vs fluoxetine vs sertraline vs escitalopram vs duloxetine)? What data d...

I have observed a trend where patients who are being tapered off of long-term benzodiazepine (especially in the geriatric population) prescriptions ar...

Do you avoid due to the increased risk of GI adverse events?

There does not appear to be any guidance from the most recent published protocols on this topic. For individuals with dementia, recommendations call f...