General Psychiatry
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Highlights From This Issue

September 3, 2020
The coronavirus can penetrate the brain, causing delirium, psychosis, and persistent cognitive problems in patients with COVID-19.Lithium has antiviral effects, but its role in COVID-19 is undetermined. 1 in 3 patients with bipolar disorder are excellent lithium responders.Delusional disorder requires more than medication. Antipsychotics have limited efficacy here, and pimozide...
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How COVID-19 Affects the Brain

September 3, 2020
Paul Riordan, MD.
Paul Riordan, MD. Assistant Consulting Professor of Psychiatry, Duke University. Dr. Riordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Pandemics create a long list of psychosocial stressors, but COVID-19 also has direct effects on the CNS. Neuropsychiatric syndromes can develop after the respiratory illness resolves. Paul Riordan reviews the cardinal symptoms to look for after a COVID infection.
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Who Should Get Lithium?

September 3, 2020
Janusz Rybakowski, MD, PhD
Janusz Rybakowski, MD, PhDJanusz Rybakowski, MD, PhD

Janusz Rybakowski is a pioneer in lithium research who has authored over 500 articles on clinical psychiatry. He is a professor of psychiatry at Poznan University in Poland, former chairman of psychiatry at the Medical Academy Bydgoszcz, and author of an upcoming textbook on lithium. Dr. Rybakowski has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Some patients respond so well to lithium that they rarely need other interventions. Janusz Rybakowski sums up what we know about the optimal lithium responder, how to use this underutilized medication, and what lithium’s antiviral properties mean in the era of COVID-19.
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Modern Challenges of Delusional Disorder

September 3, 2020
Joseph Pierre, MD.
Joseph Pierre, MD. Chief, Hospital Psychiatry Division at the VA West Los Angeles Healthcare Center. Clinical Professor in the Department of Psychiatry and Biobehavioral Sciences at UCLA. Dr. Pierre has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Delusional disorder may be in the psychotic chapter, but it doesn’t respond to antipsychotics like we’d expect. Joseph Pierre reviews how to use them, which ones to avoid, and how to enhance your therapeutic relationship with this population.
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RESEARCH UPDATE

Two Augmentation Strategies Compared in Bipolar I

September 3, 2020
Richard Moldawsky, MD

Richard J. Moldawsky, MD. Dr. Moldawsky has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Carbamazepine or valproic acid? Both have been used to augment lithium for decades, but which one works best? A new trial tests them head-to-head.
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Highlights From This Issue

July 30, 2020
Most symptoms of traumatic brain injury improve when sleep is addressed, but daytime rest is ill advised.Medications for generalized anxiety disorder tend to have a small effect size. Silexan, a proprietary extract of lavender, is an exception.Online pharmacies save costs, and we have resources to make sure they are safe...
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