Psychiatry   

Questions discussed in this category


Have you modified prescribing practices in light of the UK safety update noting risk of neurodevelopmental disorders in children whose fathers took va...

Please share options of treatment without discontinuing the stimulant as that include discontinuing the stimulant and using alternatives. 

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 ...

In patients who have decreased arousal after ischemic stroke, do you use amantadine or modafinil to aid with wakefulness and interaction with therapy ...

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

This is based on the recent publication by Bernstein et al., PMID 38551564 which investigated the increased rate of initiation of MAUD in the hospital...

In light of Straub et al's comparative study of combination vs buprenorphine alone

In light of the FDA warning about mental health side effects of the medication have you observed in particular any patients develop suicidal thoughts ...

Are any effective options available beyond nicotine replacement therapy, varenicline, or bupropion?

What medications do you use in patients who already have existing obesity and metabolic syndrome?

Should you work to wean patients of benzodiazepines? Is your approach different for patients who have been on benzodiazepines for years? What would yo...

How is it that I'm able to prescribe medications to patients (in my state) via legitimate mail order pharmacies that are located in a different state?...

Many institutions have been using droperidol in place of haloperidol due to drug shortages.

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

What medications bests treat Intermittent Explosive Disorder?

What are some ways to predict patient report alone may lead to a "false positive" bipolar disorder diagnosis and other psychiatric syndromes are prese...

Does your approach change when using a long-acting injection antipsychotic with oral antipsychotic medication?

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

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

e.g. for schizophrenia. What would be the best treatment options to minimize long term impacts related to cognition?

Do you avoid certain antidepressants related to the risks on suppressing respiratory-drive which is potentially concerning in patients with high cord ...

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

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

How have you accessed neurosteroids (allopregnanolone) for patients?

Would you consider the risk of masking autonomic signs of alcohol withdrawal with clonidine different from beta-blockers?

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...

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

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 use different approaches in different settings (i.e., the ED vs. outpatient clinic)? Do you use different approaches for chronic vs acute suici...

Have any long-term studies been conducted to collect data on adults who were prescribed SSRIs throughout their childhood?

Is there evidence for the use of varenicline, bupropion, or other medication therapies to assist in tobacco vaping cessation?

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

Should one restart lamotrigine or look for an alternative? If no other alternative available, is slow titration vs regular titration preferred?

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...

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

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...

Benzodiazepines are not ideal in this population. Are there superior alternatives, perhaps antipsychotics, that are effective and superior?


Papers discussed in this category


Paediatr Drugs, 2017 Aug

Pain Med, 2017 05 01

Journal of psychiatric practice, 2018-11

Journal of the American Academy of Dermatology, 2019-05

Med Hypotheses, 2006 Nov 28

J Am Acad Dermatol, 2021 Apr 18

Prog Neuropsychopharmacol Biol Psychiatry,

Antimicrob Agents Chemother, 2008 Nov 17

The New England journal of medicine, 2012-03-01

Neurocritical care, 2020 Aug

Neurocritical care, 2021 Feb

Stroke, 2017 Apr 12

Mov Disord Clin Pract, 2022 Oct 23

Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022 Aug 15

The journal of prevention of Alzheimer's disease, 2022

JAMA network open, 2022 Dec 01

International journal of antimicrobial agents, 2023 Jun 08

Pharmacy (Basel, Switzerland), 2023 Nov 20

International journal of antimicrobial agents, 2023 May 07

Headache, 2010-06

Headache, 2012 Jan 30

Neurology, 2019 Dec 02

Headache, 2023 Jan 27

Cureus, 2023 May 11

JAMA neurology, 2018-05-01

Frontiers in human neuroscience, 2022 May 13

Frontiers in human neuroscience, 2024 Feb 02

The American journal of psychiatry, 2022 Aug

Psychiatry research, 2020 Dec 13

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

Nature reviews. Disease primers, 2024 Jul 18

Pharmacological research, 2016 Aug 10

The Annals of pharmacotherapy, 2018 Aug 06

Addiction (Abingdon, England), 2024 May 22

Journal of the American Heart Association, 2024 Feb 28

Frontiers in pharmacology, 2024 May 22

J Acad Consult Liaison Psychiatry, 2023 Nov-Dec

Case reports in nephrology and dialysis, 2021 Aug 04

The primary care companion for CNS disorders, 2022 Dec 08

Transplantation direct, 2023 Jul 12

The American journal of emergency medicine, 2017-07

The Journal of emergency medicine, 2019 Nov 15

Am J Emerg Med, 2020 Jul

The western journal of emergency medicine, 2012 Feb

Focus (American Psychiatric Publishing), 2023 Jan 16

The western journal of emergency medicine, 2020 Jul 02

Archives of sexual behavior, 1988-06

The mental health clinician, 2016 Jun 29

Cortex; a journal devoted to the study of the nervous system and behavior, 2015 Aug 13

The Lancet. Neurology, 2013-07

Journal of neurology, neurosurgery, and psychiatry, 2014 May 14

Journal of neurology, neurosurgery, and psychiatry, 2010 Apr 14

The American journal of psychiatry, 2005 Apr

JAMA internal medicine, 2019 Oct 01

Frontiers in psychiatry, 2018 Oct 08

Pharmacoepidemiology and drug safety, 2018 Sep 25

The Journal of clinical psychiatry, 2020 Aug 04

JAMA network open, 2024 Mar 04

The American journal of psychiatry, 2011-10

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021 Feb 09

Movement disorders : official journal of the Movement Disorder Society, 2021 Mar 12

Neurology, 2022 Oct 11

Scientific reports, 2023 Nov 28

JCI insight, 2023 Jun 22

Biological psychiatry, 2010-01-15

Molecular psychiatry, 2018-10-03

Journal of affective disorders, 2020 Jul 21

The Journal of clinical psychiatry, 2023 Feb 01

CNS drugs, 2023 Aug 09

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2023 May 12

Alcohol (Fayetteville, N.Y.), 2014-06

Health technology assessment (Winchester, England), 2022 Jun

The mental health clinician, 2016 Jun 29

Journal of the American College of Cardiology, 2020 Aug 18

Annals of internal medicine, 2024 Jul 02

Oxford medical case reports, 2024 Feb 16

Cureus, 2024 Feb 02

Cureus, 2023 Nov 22

CNS drugs, 2024 Mar 19

Psychiatry research, 2024 Mar 20

Indian journal of psychological medicine, 2019 Mar-Apr

International journal of molecular sciences, 2022 Mar 04

Translational psychiatry, 2023 Oct 11

Neurology, 1991 Mar

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2013 Aug 31

JAMA psychiatry, 2023 Sep 01

Cureus, 2021 Jan 26

Schizophrenia research, 2017-11

Schizophrenia research, 2019-06

Current opinion in endocrinology, diabetes, and obesity, 2020 Oct

Frontiers in psychiatry, 2022 Jul 06

Clinical toxicology (Philadelphia, Pa.), 2008-09

BMJ case reports, 2017-08-07

The primary care companion for CNS disorders, 2018 Dec 20

Therapeutic advances in psychopharmacology, 2022 May 24

Actas espanolas de psiquiatria, 2016 May 01

Journal of clinical psychopharmacology, 1990-02

The American journal of drug and alcohol abuse, 2023 Mar 15

The American journal of psychiatry, 2012-12

The Cochrane database of systematic reviews, 2008 Jul 16