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Home » Topics » Hospital Psychiatry

Hospital Psychiatry
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Research Update

Antipsychotic Polypharmacy: Maybe Not So Risky After All?

July 1, 2024
Sébastien Hardy, PharmD, BCPS
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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.



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Research Update

Does Menopause Increase Risk of Psychosis?

July 1, 2024
Briana Tillman, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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.


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Expert Q&A

The Emerging Field of Lifestyle Psychiatry

July 1, 2024
Douglas Noordsy, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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.


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Clinical Update

Establishing a Token Economy in a Psychiatric Unit: Guidelines and Benefits

July 1, 2024
J. Brandon Birath, PhD and Victoria Hendrick, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

J. Brandon Birath, PhD. Director of Psychology Training, Olive View-UCLA Medical Center, Los Angeles, CA.

Victoria Hendrick, MD. Chief, Inpatient Psychiatry, Olive View-UCLA Medical Center, Los Angeles, CA; Editor-in-Chief, The Carlat Hospital Psychiatry Report.

Dr. Birath and Dr. Hendrick have no financial relationships with companies related to this material.

Token economies utilize a system where positive behaviors are rewarded with tokens that can be exchanged for desired items or privileges, fostering increased patient engagement and autonomy. We outline the essential steps for initiating and overseeing a token economy within a psychiatric unit.


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Expert Q&A

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

July 1, 2024
Shayan Rab, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CHPR_ QA1_Shayan Rab_photo.jpegShayan 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.


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Clinical Update

Don’t Delay: Interventions in Early Psychosis

July 1, 2024
Brian Holoyda, MD, MPH, MBA
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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.


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Clinical Guidance

Viral Hepatitis in Psychiatry

June 2, 2024
Daniel Carlat, MD

Dr. Carlat has no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

  • Hepatitis B and C are prevalent among psychiatric inpatients, often transmitted through shared needles and sexual contact.



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    Clinical Guidance

    Urinary Tract Infections in Psychiatry

    June 2, 2024
    Daniel Carlat, MD

    Dr. Carlat has no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

  • Urinary tract infections (UTIs) are common, especially among female patients.



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    Clinical Guidance

    Acute Stroke Symptoms in Psychiatry

    June 2, 2024
    Daniel Carlat, MD

    Dr. Carlat has no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

    Identifying a potential acute stroke in the psychiatric unit is crucial because immediate treatment can usually prevent permanent neurologic damage.




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    Clinical Guidance

    Abnormal Lipid Levels in Psychiatry

    June 2, 2024
    Daniel Carlat, MD

    Dr. Carlat has no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

    You’ll frequently encounter cases of hyperlipidemia among your patients on the psychiatric unit. Individuals with chronic mental illnesses are at a higher risk due to poor dietary habits, inadequate health care follow-up, smoking, and lack of physical exercise.




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