Reviews
Cases That Test Your Skills
Hold or not to hold: Navigating involuntary commitment
In the ED, Mr. H is depressed and suicidal, but does not agree to voluntary hospitalization. What elements will factor into whether civil...
Pearls
Preparing patients with serious mental illness for extreme HEAT
Climate change is causing intense heat waves that threaten human health across the globe.
Pearls
Lithium for bipolar disorder: Which patients will respond?
T hough Cade discovered it 70 years ago, lithium is still considered the gold standard treatment for preventing manic and depressive phases of...
Pearls
Melatonin as a sleep aid: Are you prescribing it correctly?
Difficulty achieving regular restorative sleep is a common symptom of many psychiatric illnesses and can pose a pharmaceutical challenge,...
Evidence-Based Reviews
Risk factors for nonsuicidal self-injury: A review of the evidence
Understanding the differences in risk for adolescents and adults can help inform treatment.
Savvy Psychopharmacology
How bariatric surgery affects psychotropic drug absorption
Ms. B, age 60, presents to the clinic with high blood pressure, hyperlipidemia, type 2 diabetes mellitus, depression, and anxiety.
Cases That Test Your Skills
Impaired cognition in a patient with schizophrenia and HIV
Mr. F has schizophrenia and HIV. His insight to both illnesses is limited. Could a change in his antipsychotic regimen improve his cognition and...
Pearls
Pregnancy termination: What psychiatrists need to know
Approximately half of pregnancies in the United States are unplanned, and approximately one-fifth of pregnancies end in elective termination.
Evidence-Based Reviews
Generalized anxiety disorder: 8 studies of biological interventions
FIRST OF 2 PARTS: Evidence suggests several medications and rTMS may offer benefit.
Savvy Psychopharmacology
Smoking cessation: Varenicline and the risk of neuropsychiatric adverse events
Mr. T, age 34, is a veteran who recently returned to civilian life.
Pearls
Termination of pregnancy for medical reasons: A mental health perspective
Termination of pregnancy for medical reasons (TFMR) occurs when a pregnancy is ended due to medical complications that threaten the health of a...