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Home » Topics » Clinical Update

Clinical Update
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CLINICAL UPDATE

Prior Authorizations for Psychiatric Medications: A Primer for Frustrated Clinicians

April 5, 2022
Chris Aiken, MD. and Tony Thrasher, DO, DFAPA
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Chris Aiken, MD. Editor-in-Chief of TCPR. Practicing psychiatrist, Winston-Salem, NC. Tony Thrasher, DO, DFAPA. President, American Association for Emergency Psychiatry (AAEP). Medical Director of Crisis Services, Milwaukee County Behavioral Health. Clinical Associate Professor, Medical College of Wisconsin, Milwaukee, WI. The authors have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Practical tips for dealing with the latest throng of bureaucracy in mental health care, including strategies for reducing paperwork, low-cost pharmacies, and apps that authorize meds.
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CLINICAL UPDATE

Deprescribing Anti-anxiety Medications in Older Adults

April 1, 2022
Rachel Meyen, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Rachel Meyen, MD. Outpatient geriatric psychiatrist, General Mental Health Clinic, Sacramento VA Medical Center. Dr. Meyen has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Our inclination may be to “not rock the boat” when a patient is stable and not misusing prescribed medication. However, tapering anti-anxiety medications in older adults is often a good idea when considering the risks of falls, sedation, and accidents.
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CLINICAL UPDATE

Management of Psychogenic Polydipsia

March 23, 2022
Susie Morris, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
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.
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CLINICAL UPDATE

Atomoxetine for Children and Adolescents: An Update

January 31, 2022
Mikveh Warshaw, NP.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Mikveh Warshaw, NP. Psychiatric mental health nurse practitioner, Community Health Center Inc. and faculty member of Center for Key Populations (CKP) Program, Middletown, CT. Ms. Warshaw has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Atomoxetine (ATX) has been available for about 20 years to treat ADHD in children and adolescents. But does it work? If so, what is its place in treatment? We talk about the relative efficacy of ATX and clinical situations where ATX has specific advantages.
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CLINICAL UPDATE

School Inclusion: What You Need to Know

January 31, 2022
Joshua Feder, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Joshua Feder, MD. Private practice child and adolescent psychiatrist, San Diego, CA. Editor-in-Chief, The Carlat Child Psychiatry Report. Dr. Feder has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Inclusion can help children with developmental and learning challenges as well as typical students. But inclusion is more than a geographic placement. Placements fail when there is poor planning. This article helps you problem solve placement challenges to support families and schools in achieving the Least Restrictive Environment for your patients.
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CLINICAL UPDATE

Using Equine-Assisted Psychotherapy

October 18, 2021
Anja Kriegeskotten, MD, Peter Parry, MBBS, and Renee Sievert, RN, MFT,
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Anja Kriegeskotten, MD Psychiatrist in Australia, accredited equine therapist. Peter Parry, MBBS, consultant child and adolescent psychiatrist and senior lecturer at Flinders University in Adelaide, Australia. Renee Sievert, RN, MFT, certified equine therapist, CA.  Dr. Kriegeskotten, Dr. Parry, and Ms. Sievert have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Equine therapy is becoming popular for a variety of child and adolescent mental health problems, from ADHD, anxiety disorders and PTSD to developmental challenges. In this article our experts describe the nuts and bolts of equine assisted psychotherapy, covering the research and the practicalities of these approaches.
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CLINICAL UPDATE

Depression, Vitamin D, and COVID-19

May 4, 2021
Paul Riordan, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Paul Riordan, MD. Assistant Consulting Professor of Psychiatry, Duke University. Dr. Riordan has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Vitamin D deficiency is causing everything from depression to cancer to COVID-19, at least that’s what our patients are hearing. Paul Riordan looks at the strength of that research and clarifies when to check levels and when to supplement.
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CLINICAL UPDATE

Deliberate Foreign Body Ingestion

April 12, 2021
Adrienne Grzenda, MD, PhD.
From The Carlat Hospital Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Adrienne Grzenda, MD, PhD. Clinical Assistant Professor of Psychiatry & Biobehavioral Sciences, UCLA David Geffen School of Medicine and UCLA-Olive View Medical Center. Dr. Grzenda has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Why would anyone deliberately swallow a nondigestible object? What items require emergent removal, vs simple monitoring? And how can you help patients who repeatedly swallow foreign bodies?
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CLINICAL UPDATE

Six Tips for Working With Older Adults

March 26, 2021
Rehan Aziz, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Rehan Aziz, MD, explains how to interview older adults and which medications to use and which ones to avoid in this population.
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CLINICAL UPDATE

Perioperative Pain Management in Opioid Use Disorder

March 19, 2021
Rehan Aziz, MD.
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Previously, clinicians commonly stopped opioid agonists (methadone and buprenorphine) to simplify pain control during and after surgery. New guidance from the American Society of Addiction Medicine now suggests otherwise.
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