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Home » Topics » Hospital Psychiatry

Hospital Psychiatry
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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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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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CME Post-Test, Reproductive Psychiatry, CHPR, October/November/December 2023

October 3, 2023
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, Reproductive Psychiatry, CHPR, October/November/December 2023

October 3, 2023
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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Research Update

Long-Acting Injectable Antipsychotics and Risk of Hospitalization

October 3, 2023
Brian Holoyda, MD, MPH, MBA
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Brian Holoyda, MD. Dr. Holoyda has no financial relationships with companies related to this material.

By initiating LAIs early in the course of a patient’s illness, we can significantly delay the time to first hospitalization in young adults. 


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Research Update

Antipsychotics in Pregnancy and Risk of Neurodevelopmental Disorders

October 3, 2023
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.

This large study gives us reassuring data about neurodevelopmental outcomes in children exposed to several second-generation antipsychotic medications during pregnancy.


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Clinical Update

Diagnosing and Treating Postpartum Depression

October 3, 2023
Amanda Koire, MD, PhD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Amanda Koire, MD, PhD. Brigham and Women’s Hospital, Harvard Medical School, Boston, MA. Dr. Koire has no financial relationships with companies related to this material.

Postpartum depression is surprisingly common, yet often missed. We discuss screening techniques to ensure you won’t miss it, and share treatment approaches, including novel strategies like brexanolone, zuranolone, and TMS.


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Expert Q&A

Management of Depression During Pregnancy and Breastfeeding

October 3, 2023
Karen Horst, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_Depression in Pregnancy_Karen Horst photo-thumb.jpgKaren Horst, MD. 

Assistant Professor, Department of OB/GYN, Baylor College of Medicine; Medical Director, The Women’s Place, Pavilion for Women at Texas Children’s Hospital, Houston, TX.

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

You might worry about prescribing antidepressants during pregnancy, but data on their safety is increasingly reassuring. We provide an in-depth review on how to treat depression in pregnancy and breastfeeding.


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Expert Q&A

Treating Bipolar Disorder During Pregnancy

October 3, 2023
Lauren Osborne, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA1_BD in Pregnancy_LaurenOSBORNE-thumb.jpgLauren Osborne, MD.

Vice Chair of Clinical Research, Department of Obstetrics & Gynecology, Weill Cornell Medicine, New York, NY.

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

The management of bipolar disorder during pregnancy can be tricky. Some medications can be harmful to the fetus, and others need to be adjusted carefully due to changes in kidney and liver function. We walk you through the important considerations to keep in mind when working with these patients.


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