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Home » Topics » Hospital Psychiatry

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Clinical Guidance

Syphilis in Psychiatry

January 31, 2024
Daniel Carlat, MD

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

  • Syphilis, often termed the "great imitator," is a sexually transmitted infection (STI) that can present symptoms similar to many other conditions, including psychotic and mood disorders. Here we review its stages, diagnosis, and treatment.



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    Clinical Guidance

    Sexually Transmitted Diseases in Psychiatry

    January 31, 2024
    Daniel Carlat, MD

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

  • You’ll sometimes encounter STDs among patients in psychiatric units.



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    Research Update

    Initiation of Gender-Affirming Hormones and Mental Health Outcomes

    January 31, 2024
    Erin Conklin, MSN, CNP, PMHNP-BC
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Erin Conklin, MSN, CNP, PMHNP-BC. Ms. Conklin has no financial relationships with companies related to this material.

    A study on gender-affirming hormones in adolescents and adults found they are linked to better mental health in transgender people, leading to reduced psychological distress and suicidal thoughts. The findings reinforce the Endocrine Society's advice to provide transgender adolescents with access to GAH.


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    CME Post-Test, Substance Use Disorders, CHPR, January/February/March 2024

    January 31, 2024
    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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    Research Update

    Are Individuals With Major Depressive Symptoms More Likely to Own a Gun in the United States?

    January 31, 2024
    Susan Siegfreid, MD.
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Susan L. Siegfreid, MD. Dr. Siegfreid has no financial relationships with companies related to this material.

    A survey of gun ownership and gun purchasing plans found that individuals with depressive symptoms were significantly more likely to purchase a gun, or plan to purchase a gun, compared to non-depressed individuals, especially during the COVID-19 pandemic.


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    Research Update

    Sublingual Dexmedetomidine for Acute Agitation in Bipolar Disorder

    January 31, 2024
    Sébastien Hardy, PharmD, BCPS.
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

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

    Sublingual dexmedetomidine was found to work effectively and quickly for mild to moderate agitation in patients with bipolar disorder.


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    Clinical Update

    Inpatient Use of Benzodiazepines for Patients With Substance Use Disorders

    January 31, 2024
    Audrey Abelleira, PharmD, BCPP
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Audrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, VA Connecticut Healthcare System; clinical instructor, Yale School of Medicine, New Haven, CT.

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

    Benzodiazepines are highly beneficial for managing anxiety and agitation in psychiatric inpatient settings, but we must be cautious about prescribing them to patients with substance use disorders (SUDs). Here we review strategies to reduce the risk of benzodiazepine misuse and discuss alternative medication options, including second-generation antipsychotics, antidepressants, gabapentin, and pregabalin.


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    Expert Q&A

    Alcohol Withdrawal: What to Watch For on the Psychiatric Inpatient Unit

    January 31, 2024
    Caridad Ponce Martinez, MD, FAPA, FASAM
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    QA2_Caridad Ponce Martinez_photo.jpgCaridad Ponce Martinez, MD, FAPA, FASAM.

    Assistant professor of psychiatry, UMass Chan Medical School, Worcester, MA.

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

    Dr. Ponce Martinez highlights the need to identify and manage alcohol withdrawal in psychiatric settings, underscoring the use of the CIWA-Ar scale for monitoring symptom progression. While benzodiazepines remain the primary treatment, she reviews alternative treatment strategies and tells us which patients are so high risk that they must be transferred to a medical unit for care.


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    Expert Q&A

    Substance-Induced Psychosis: Diagnostic Dilemmas and Treatment Options

    January 31, 2024
    Nicholas Athanasiou, MD, MBA, DFASAM
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    QA1_Nicholas Athanasiou_photo.JPGNicholas Athanasiou, MD, MBA, DFASAM.

    Associate clinical professor, Psychiatry and Biobehavioral Sciences (DGSOM), UCLA Olive View Psychiatry Residency Program; Supervising Mental Health Psychiatrist, Los Angeles County Department of Mental Health, Los Angeles, CA.

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

    Substance-induced psychosis (SIP) presents diagnostic challenges in distinguishing it from primary psychotic disorders, with substance timing, symptom type, and duration being key differentiators. Effective treatment combines antipsychotic medications and substance cessation strategies. Dr. Athanasiou reviews key points in the management of SIP.


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    ketamine canstockphoto17640753.png
    CARLAT WEBINAR

    Ketamine and the Evolving Psychopharmacologic Pipeline for Depression

    December 8, 2023
    Robert C. Meisner, MD

    0.50 CME Credits. Robert Meisner, MD, explores the latest developments in psychiatric treatment with ketamine and esketamine, including their differences and emerging insights for clinicians.


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