Sarah Rivelli, MD.

Clinical Update

Special Report: Refractory Anxiety Disorders Part 2: When First Lines Fail

March 1, 2024

Sarah K. Rivelli, MD, FACP, FAPA. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report; Assistant Professor, NYU Langone Department of Psychiatry; practicing psychiatrist, Winston-Salem, NC.

The authors have no financial relationships with companies related to this material.

In Part 2 of our special report, we explain how you can treat various types of treatment-resistant anxiety—specifically, generalized anxiety disorder, panic disorder, and social anxiety disorder.

Clinical Update

Special Report: Refractory Anxiety Disorders Part 1: First-Line Treatments

March 1, 2024

Sarah Rivelli, MD.

Sarah K. Rivelli, MD, FACP, FAPA. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report; Assistant Professor, NYU Langone Department of Psychiatry; practicing psychiatrist, Winston-Salem, NC.

The authors have no financial relationships with companies related to this material.

When it comes to anxiety disorders, first-line options are more or less the same: SSRIs, SNRIs, and psychotherapy. But when those don’t work, a broader array of options opens up, and the choice is different for each disorder.

CLINICAL UPDATE

Does Abortion Lead to Psychiatric Issues?

October 30, 2022

Sarah Rivelli, MD.

Sarah K. Rivelli, MD. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. Dr. Rivelli has no financial relationships with companies related to this material.

Abortion is becoming more difficult to obtain in the United States, and the arguments against legalization of abortion include the claim that it is harmful to a woman’s mental health. This article investigates if that is true.

In Brief: Lamotrigine Gets a New Warning

May 4, 2021

Chris Aiken, MD, and Sarah Rivelli, MD.

Chris Aiken, MD, and Sarah Rivelli, MD. Dr. Aiken and Dr. Rivelli have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

A new warning now sits beneath the list of life-threatening allergic reactions that can happen with lamotrigine. The anticonvulsant is suspected of causing cardiac arrhythmias in susceptible patients by slowing ventricular conduction and widening the QRS.