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Home » Topics » Hospital Psychiatry

Hospital Psychiatry
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CME Post-Test, Involuntary Commitment & Patient Rights, CHPR, October/November/December 2025

October 1, 2025
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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


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Learning Objectives, Involuntary Commitment & Patient Rights, CHPR, October/November/December 2025

October 1, 2025
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

After reading these articles, you should be able to…


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Clinical Update

Advance Directives: Guiding Patients Toward Dignity and Autonomy

October 1, 2025
Anasheh Nazarian, RN and Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Anasheh Nazarian, RN. Behavioral Health Nurse Educator, Olive View-UCLA Medical Center, Los Angeles, CA.

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

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

ADs play an important role in patient care, but talking about them isn’t always easy.


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Clinical Update

Moral Injury in Hospital Psychiatry: Recognizing and Addressing an Invisible Wound

October 1, 2025
Alaina Burns, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Alaina Burns, MD, MPH. Assistant clinical professor, Department of Psychiatry and Biobehavioral Sciences, UCLA-Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA.

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

As psychiatrists, we strive to do all we can for our patients, but what happens when circumstances force us to do less than our best?


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In Brief

Palliative Psychiatry

October 1, 2025
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Victoria Hendrick, MD. Editor-in-Chief, The Carlat Hospital Psychiatry Report. 

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

Palliative psychiatry is an emerging and thought-provoking approach that challenges us to rethink how we care for individuals with severe and persistent mental illness.


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Expert Q&A

Civil Commitment for Substance Use Disorders

October 1, 2025
Kenneth Minkoff, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Kenneth Minkoff, MD. Vice President of ZiaPartners, Inc., Tucson, AZ.

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

These laws have been around for decades, and they usually come from a place of deep frustration. Family members, law enforcement, and others in the community encounter people with serious SUDs—people who are spiraling, refusing help, and putting themselves or others at risk.


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Research Update

Tapering Antipsychotics in Patients With Schizophrenia or Recurrent Psychotic Disorders

October 1, 2025
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. 

Many patients with schizophrenia or recurrent psychotic disorders want to reduce or stop their antipsychotic drugs to minimize adverse effects like sedation, weight gain, and emotional blunting, all of which can impair social functioning.


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Research Update

Do Antipsychotics Increase Breast Cancer Risk?

July 1, 2025
Alaina Burns, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Alaina Burns, MD. Dr. Burns has no financial relationships with companies related to this material. 

Do antipsychotics raise breast cancer risk? A new study suggests that long-term use of prolactin-raising antipsychotics may increase that risk in women with severe mental illness. We review the findings, highlight which medications pose greater concern, and offer guidance on monitoring, screening, and prescribing safer alternatives when appropriate.


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Expert Q&A

Breaking the Stigma: Helping Physicians Seek and Sustain Recovery

July 1, 2025
Peter Grinspoon, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Dr. Peter Grinspoon is a primary care physician and cannabis specialist at Massachusetts General Hospital; Instructor in Medicine, Harvard Medical School, Boston, MA. Author of Free Refills: A Doctor Confronts His Addiction (Hachette Books, 2016) and Seeing Through the Smoke: A Cannabis Specialist Untangles the Truth About Marijuana (Prometheus, 2023). 

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

Dr. Peter Grinspoon reflects on his own recovery from opioid addiction and the barriers that keep doctors from seeking help. He shares personal insights and evidence-based strategies for supporting physician recovery and makes the case for a more compassionate, flexible model of care and monitoring.


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Clinical Update

Making the Case: How to Reduce Insurance Denials in Psychiatric Care

July 1, 2025
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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

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


Insurance denials are frustrating but preventable. Here we outline strategies to reduce denials.


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