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Home » Topics » Hospital Psychiatry

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Clinical Guidance

Pain Management 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

When managing pain in inpatient psychiatric settings, you will face unique challenges, including drug interaction risks, potential substance misuse, and the concern that inadequately treated pain may worsen depression or anxiety.




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Clinical Guidance

Administering the Bush Francis Scale

May 2, 2024
Daniel Carlat, MD

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

The BFCRS (Bush-Francis Catatonia Rating Scale) identifies and quantifies catatonia severity. It includes 23 items assessing symptoms from immobility to autonomic abnormalities. 




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Clinical Guidance

The Psychiatric Review of Symptoms

May 2, 2024
Daniel Carlat, MD

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

The Psychiatric Review of Symptoms (PROS) screens for major psychiatric disorders during an initial evaluation. Use the mnemonic below to ensure you cover all major diagnostic categories.




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Research Update

Efficacy of Auvelity for Major Depression

April 1, 2024
Nina Chandler, DNP, APRN, PMHNP-BC
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Nina Chandler, DNP, APRN, PMHNP-BC. Dr. Chandler has no financial relationships with companies related to this material.

A dextromethorphan-bupropion combo tablet shows promise in treating major depression. The FDA recognized its potential in 2019, so stay tuned for more updates on this novel treatment.


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Clinical Update

Clozapine: Monitoring With Skill

April 1, 2024
Nicole Turnier, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Nicole Turnier, MD. Psychiatrist, Rochester Center for Behavioral Medicine, Rochester Hills, MI. 

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

Few medications are as complex to use as clozapine. This guide will equip you with the necessary knowledge and insights to prescribe it, monitor for side effects, and recognize key risks.


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Expert Q&A

Unraveling the Paradox of Nonsuicidal Self-Injury

April 1, 2024
Katherine L. Dixon-Gordon, PhD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CHPR_QA2_Self Harm_KDG photo.jpgKatherine L. Dixon-Gordon, PhD. 

Associate professor; Director of Clinical Training and Clinical Program Head, Psychological and Brain Sciences, University of Massachusetts, Amherst, MA.

Dr. Dixon-Gordon has no financial relationships with companies related to this material.

Dr. Dixon-Gordon sheds light on the motivations for nonsuicidal self-injury (NSSI) and provides strategies for patient treatment.


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Expert Q&A

Understanding Suicide: Prevention and Intervention Strategies

April 1, 2024
J. John Mann, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CHPR_QA1_Suicide Prvtn_JJohnMann_photo.pngJ. John Mann, MD.

Paul Janssen Professor of Translational Neuroscience in Psychiatry and Radiology; Director, Molecular Imaging and Neuropathology Division; Co-Director, Columbia Center for Prevention and Treatment of Depression, Columbia University/New York State Psychiatric Institute, New York, NY.

Dr. Mann receives royalties from the Research Foundation for Mental Hygiene for the commercial use of the Columbia-Suicide Severity Rating Scale and royalties from Columbia University for the Columbia Psychiatry Pathways app. Relevant financial relationships listed for the author have been mitigated.

We examine effective suicide prevention techniques, highlighting simple yet impactful methods such as post-hospitalization follow-ups via phone calls or postcards. Dr. Mann offers insight into these and other interventions that have been successful in lowering suicide rates.


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Clinical Update

Listen to Your Levels: Effective and Safe Prescribing of Lithium

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

Brian Holoyda, MD, MPH, MBA. Chief Psychiatrist, Contra Costa County Detention Health Services, Martinez, CA.

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

Here we focus on the safe administration of lithium, discussing how to manage both common and lesser- known side effects so that you can ensure a comprehensive approach to your patients’ care.


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Clinical Guidance

HIV in Psychiatry

February 29, 2024
Daniel Carlat, MD

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

  • Monitor for neuropsychiatric complications: HIV can affect the nervous system, leading to cognitive impairments, mood disorders, and psychotic disorders.



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    Clinical Update

    Wernicke’s Encephalopathy and Korsakoff’s Syndrome

    February 1, 2024
    David C. Fipps, DO and Shirshendu Sinha, MBBS, MD
    From The Carlat Hospital Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    David C. Fipps, DO. Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN. Shirshendu Sinha, MBBS, MD. Department of Psychiatry and Psychology, Mayo Clinic, Scottsdale, AZ.

    Dr. Fipps and Dr. Sinha have no financial relationships with companies related to this material.

    Wernicke’s encephalopathy arises from thiamine (vitamin B1) deficiency and can evolve into Korsakoff's syndrome, marked by memory deficits and confabulation. Timely detection is key to halting the progression of symptoms. Here: A guide to what signs to watch for and how to treat this disorder.


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      Medication Fact Book for Psychiatric Practice, Seventh Edition (2024) - Regular Bound Book

      The 2024 reference guide covering the most commonly prescribed medications in psychiatry.
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