The psychiatric review of symptoms (PROS) is an important though often neglected part of the initial psychiatric evaluation

Telepsychiatry has become a standard part of emergency and inpatient hospital care, driven by workforce shortages, after-hours coverage needs, and lasting changes from the COVID-19 pandemic.

IV ketamine's rapid antidepressant and anti-suicidal effects make it well suited to the inpatient timeline, where the 6–8-week lag of standard antidepressants is often untenable.

Liver function tests (LFTs) are critical in psychiatry because the liver metabolizes most psychotropic medications, and because heavy alcohol or substance use may impair hepatic function.

Although DSM-5-TR cautions against diagnosing catatonia and delirium at the same time, real-world patients do not always fit neatly into one category. A prospective quality-improvement study of more than 700 medical inpatients found substantial overlap between the two syndromes, with implications for screening and treatment.

After reading these articles, you should be able to…

By successfully completing the test you will be awarded a certificate for 2 CME credit.

When an older inpatient develops altered mental status, the answer is not always delirium or dementia—it is often both. In this review we discuss how to distinguish acute from chronic cognitive change, avoid missing hypoactive delirium, use medications judiciously, and set realistic expectations for patients and families.