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Home » pregnancy

Articles Tagged with ''pregnancy''

Capacity Assessment in Pregnant Patients

May 21, 2021
Saba Syed, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Saba Syed, MD Director of Consultation and Liaison Psychiatry, Olive View-UCLA Medical Center. Clinical Professor, UCLA. Bioethics Committee Chair, Olive View-UCLA Medical Center. Consultation-Liaison, Olive View Medical Center, Los Angeles, CA. Dr. Syed has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Imagine working with a pregnant, mentally ill woman who refuses critical obstetric interventions. Dr. Syed walks us through the steps to determine if these patients lack decisional capacity and explains how we can arrange for surrogate decision-makers.
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Buspirone: Still Effective After All These Years?

February 3, 2021
Eugene Rubin, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Eugene Rubin, MD. Psychiatrist in private practice, Bingham Farms, MI. Dr. Rubin has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Buspirone (Buspar) is approved for generalized anxiety disorder, but its efficacy there is often questioned. Here we find out how it stacks up against the benzos and SSRIs, and explore its off-label potential in depression, sexual dysfunction, alcoholism, traumatic brain injury, and premenstrual dysphoric disorder.
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Brexanolone (Zulresso) for Postpartum Depression

July 3, 2019
Talia Puzantian, Chris Aiken, MD, and Chris Aiken
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Talia Puzantian, PharmD, BCPP Chris Aiken, MD Drs. Puzantian and Aiken have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Every week of depression takes a toll on infant development, so this rapid-acting treatment fills a unique need. Here we review the clinical data and the pragmatics of getting patients connected with the therapy.
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What Can Our Pregnant Patients Do to Prevent Mental Illness in Their Children?

March 29, 2019
Robert Freedman, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Robert Freedman, MD Robert Freedman, MD

Professor and Former Chairman, Department of Psychiatry, University of Colorado-Denver. Editor Emeritus, American Journal of Psychiatry.

Dr. Freedman has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

During pregnancy, untreated depression significantly increases the risk that the infant will fail to develop adequate levels of cerebral inhibition. That’s a measure of the infant’s ability to filter out irrelevant stimuli, and it’s the first sign that development is not on an optimal track.
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Breast-feeding and Antidepressants: An Update

May 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
There’s nothing like a close friend suffering psychiatric difficulties to motivate a psychiatrist to do some serious reading. Recently, your humble editor encountered this situation.
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SSRIs in Pregnancy: Third Trimester Concerns

May 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
You may not know it, but this year marks a milestone in the world of SSRI teratology research. Ten years ago, JAMA published the first controlled study of Prozac exposure in pregnancy (1). The results? Neither Prozac nor tricyclics caused more birth defects than controls, but both antidepressants caused more neonatal complications.
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Dr. Victoria Hendrick on Using Meds in Pregnancy

May 1, 2003
Victoria Hendrick, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Victoria Hendrick, M.D.Victoria Hendrick, M.D. Director of Pregnancy and Postpartum Mood Disorders Program Assistant Professor of Psychiatry and Biobehavioral Sciences University of California, Los Angeles



Dr. Hendrick, there has been a lot of confusing and seemingly contradictory data about the safety of SSRIs during pregnancy. What’s your take?
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An OB/GYN Perspective

May 1, 2003
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Roseann Gumina, M.D., is an obstetrician/gynecologist in private practice in Milwaukee, Wisconsin. Like most OB/GYNs, Dr. Gumina sees more pregnant women on antidepressants in a given year than most psychiatrists are likely to see in a lifetime, and her perspective is informative.
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