Our goal for the Carlat Hospital Psychiatry Report is to help you manage the unique and complex issues in hospital psychiatry. We will strive to fill every issue with practical information relating to inpatient psychiatry, psychiatric consultation-liaison, and psychiatric emergencies.

Patients who refuse necessary treatments pose a challenging dilemma. What do we do if patients refuse care based on delusional beliefs or are unable to understand the risks of treatment? We focus this issue on capacity assessments so that you will know whether your patients are making informed decisions about their care, and how to proceed if they lack decisional capacity.

We also review treatments for tardive dyskinesia. It might be hard to believe that effective treatments are finally available for this dreadful side effect, but VMAT2 inhibitors really do produce noticeable and significant improvements. We tell you everything you need to know about these medications.

Also in this issue, we review suvorexant for delirium, tell you about a little-known risk of SSRIs for stroke patients, discuss the relationship between cancer patients’ longevity and antidepressant adherence, and share an ingenious method to reduce antipsychoticinduced hyperprolactinemia.

We want to hear from you! Give us feedback and send suggestions for topics you want us to cover.

Sincerely,
Victoria Hendrick, MD