Schizophrenia - Articles - Page 2

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Clinical Update

Causes of Psychosis in Older Adults

July 1, 2024

Julia Cromwell, MD and Christianne Gonzalez Davidson, MD

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Christianne Gonzalez Davidson, MD candidate 2024. Tufts University School of Medicine, Boston, MA.

Late-life psychosis has many causes—we’ll walk you through this important differential.

Research Update

Aerobic Exercise Boosts Cognitive Training Benefits in Early Schizophrenia

July 1, 2024

Sébastien Hardy, PharmD, BCPS

Sébastien Hardy, MD. Dr. Hardy has no financial relationships with companies related to this material.

Incorporating a simple and low-cost intervention—aerobic exercise—into cognitive rehabilitation programs for patients with schizophrenia accelerates cognitive gains and improves school and work functioning.

Research Update

Antipsychotic Polypharmacy: Maybe Not So Risky After All?

July 1, 2024

Sébastien Hardy, PharmD, BCPS

Sébastien Hardy, MD. Dr. Hardy has no financial relationships with companies related to this material.

The findings of this large study offer some reassurance about the safety and efficacy of antipsychotic polypharmacy, despite general treatment guidelines cautioning against it.

Research Update

Does Menopause Increase Risk of Psychosis?

July 1, 2024

Briana Tillman, MD

Briana Tillman, MD. Dr. Tillman has no financial relationships with companies related to this material.

This comprehensive study highlights the need for gender-specific treatment in schizophrenia spectrum disorders, revealing that hormonal changes call for lower antipsychotic doses for female patients under 45 and higher doses for those who are post-menopausal.

Expert Q&A

The Emerging Field of Lifestyle Psychiatry

July 1, 2024

Douglas Noordsy, MD

Douglas Noordsy, MD.

Clinical Professor and Director of Lifestyle Psychiatry; Psychiatrist, INSPIRE Early Psychosis Clinic, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.

Dr. Noordsy has no financial relationships with companies related to this material.

Dr. Noordsy highlights compelling evidence suggesting that lifestyle changes, like regular exercise and nutritious diets, can significantly improve psychiatric treatment outcomes.

Expert Q&A

Street Psychiatry: Providing Outreach and Care to the Unhoused Mentally Ill

July 1, 2024

Shayan Rab, MD

Shayan Rab, MD

Associate Medical Director, Field-Based Services, Los Angeles County Department of Mental Health, Los Angeles, CA.

Dr. Rab has no financial relationships with companies related to this material.

Dr. Rab, pioneering street psychiatrist, shares the innovative methods he uses for effective outreach to unhoused mentally ill individuals, like mobile medication delivery and personalized housing strategies.

Clinical Update

Don’t Delay: Interventions in Early Psychosis

July 1, 2024

Brian Holoyda, MD, MPH, MBA

Brian Holoyda, MD. Chief Psychiatrist, Contra Costa County Detention Health Services, Martinez, CA. Dr. Holoyda has no financial relationships with companies related to this material.

We highlight the profound difference early intervention makes in the trajectory of psychotic disorders, reducing symptom severity, suicide risk, and functional impairment.

Research Update

Sertraline in Schizophrenia

May 1, 2024

Richard Moldawsky, MD

Richard Moldawsky, MD. Dr. Moldawsky has no financial relationships with companies related to this material.

This study investigates whether augmenting risperidone with sertraline can improve negative symptoms.

Expert Q&A

A Therapeutic Approach to Schizophrenia

May 1, 2024

Mark L. Ruffalo, MSW, DPsa

Mark L. Ruffalo, MSW, DPsa.

Editor-in-Chief, The Carlat Psychotherapy Report. Psychotherapist in private practice in Tampa, Florida. Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Instructor of Psychiatry at Tufts University School of Medicine.

Dr. Ruffalo has no financial relationships with companies related to this material.

Dr. Ruffalo discusses ways to build trust and address patients' goals in managing schizophrenia symptoms.

Expert Q&A

A Therapeutic Approach to Schizophrenia

April 1, 2024

Mark L. Ruffalo, MSW, DPsa

Mark L. Ruffalo, MSW, DPsa

Editor-in-Chief, The Carlat Psychotherapy Report. Psychotherapist in private practice in Tampa, Florida. Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Instructor of Psychiatry at Tufts University School of Medicine.

Dr. Ruffalo has no financial relationships with companies related to this material.

How do you establish trust with patients who have psychosis? Dr. Ruffalo: Shorter sessions are more appropriate for psychotherapy with schizophrenia, like 30 minutes instead of the usual 45–50 minutes. Longer sessions tend to increase the patient’s interpersonal anxiety.