Hospital Psychiatry - Articles - Page 18

Assessing and Treating Catatonia

March 23, 2022

Stephan Heckers, MD William P. and Henry B. Test Professor Chair, Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center. Psychiatrist-in-Chief, Vanderbilt Psychiatric Hospital. Nashville, TN. Dr. Heckers has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients experiencing catatonia often improve quickly with benzodiazepines, but how can we help patients who fail to respond? Dr. Heckers summarizes the management of catatonia, including refractory cases, and tells us of other illnesses to consider in our differential diagnoses.

Electroconvulsive Therapy: A Primer

March 23, 2022

Stephen J. Seiner, MD

Stephen J. Seiner, MD Director of neurotherapeutics, McLean Hospital. Belmont, MA. Dr. Seiner has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Seiner runs one of the busiest ECT programs in the country and speaks to us about recent innovations in the procedure. He also tells us which patients are the best candidates and shares tips for how to prolong ECT’s benefits.

CLINICAL UPDATE

Management of Psychogenic Polydipsia

March 23, 2022

Susie Morris, MD.

Susie Morris, MD. Assistant professor of psychiatry and forensic psychiatrist, UCLA. Los Angeles, CA. Dr. Morris has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Compulsive water drinking, or psychogenic polydipsia, is surprisingly common on inpatient psychiatric units. We learn how to diagnose and manage this potentially life-threatening condition.

Responding to Sexual Activity on the Inpatient Psychiatric Unit

March 23, 2022

Husna Najand, MD.

Husna Najand, MD. Olive View—UCLA Psychiatry Residency Program. Dr. Najand has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The unit staff inform you that two patients on the unit are engaging in sexual activity. What do you do next? Dr Najand reviews guidelines for managing sexual incidents, both consensual and nonconsensual.

Clozapine for Conduct Disorder in Schizophrenia

March 23, 2022

Anne Li, MD.

Anne Li, MD. Dr. Li has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Clozapine appears more effective than other antipsychotic medications in reducing violent behavior among patients with schizophrenia and a history of conduct disorder.

Sublingual Atropine Drops and Clozapine-Induced Drooling

March 23, 2022

Sébastien Hardy, PharmD, BCPS.

Sébastien Hardy, PharmD, BCPS. Dr. Hardy has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sialorrhea, or excessive salivation, is a distressing side effect from clozapine. Sublingual atropine drops help reduce clozapine-induced hypersalivation.

Note From the Editor-in-Chief

March 23, 2022

Victoria Hendrick, MD

Victoria Hendrick, MD Editor-in-Chief of The Carlat Hospital Psychiatry Report. Clinical professor at the David Geffen School of Medicine at UCLA. Medical Director of Inpatient Psychiatry at Olive View—UCLA Medical Center

For the first time in nine years, DSM-5 has undergone a text revision. DSM-5-TR, released in March 2022, contains updates and clarifications for the descriptive texts and criteria of most disorders.

CME Post-Test - Catatonia, CHPR, April/May/June 2022

March 23, 2022

The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 2 CME credits.