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Expert Q&A

Treatment Challenges in Atypical Parkinsonism

July 1, 2024

Alice Flaherty, MD, PhD.

Neurologist, Massachusetts General Hospital; associate professor of neurology and psychiatry, Harvard Medical School, Cambridge, MA.

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

Patients with atypical parkinsonism are less responsive to levodopa, and psychiatric medications can exacerbate motor symptoms. Dr. Flaherty advises how to choose the right treatment in patients with parkinsonism accompanied by psychosis, apathy, anxiety, and depression.

EXPERT Q&A

Managing Alcohol Withdrawal in the Emergency Department

January 30, 2023

Brian Fuehrlein, MD, PhD

Brian Fuehrlein, MD, PhD.

Addiction psychiatrist. Associate professor of psychiatry, Yale University. Director of the psychiatric emergency department at VA Connecticut. West Haven, CT.

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

Alcohol withdrawal is among the most commonly encountered scenarios managed by psychiatrists in the ED. Here, Dr. Fuehrlein discusses the natural history of alcohol withdrawal, how best to assess withdrawal risk, and choose between treatment options.

Throwback Thursday: Ginger Ale and Normal Hallucinations

October 13, 2022

Chris Aiken, MD and Kellie Newsome, PMHNP

Is it ever normal to hear voices and is ginger ale really the best treatment for nausea?

Rethinking Topiramate

August 1, 2022

Chris Aiken, MD and Kellie Newsome, PMHNP

Topiramate can cause psychosis, or treat psychosis; worsen cognition, or improve it; cause depression or… You get the point. A look at the paradoxical world of psychopharmacology.

Ginger Ale and Normal Hallucinations

June 10, 2019

Does ginger ale really help nausea? Are hallucinations ever normal? Some of the answers may surprise as we bring you highlights from the June/July double issue of the Carlat Report. Included are practical tips on how to assess spectrum symptoms of mental illnesses, how to intervene in patients at risk...

How to help your patients quiet their hallucinations

March 21, 2019

How can we help our psychotic patients cope with hallucinations that are still bothering them, despite adequate doses of antipsychotic medication? Here are some techniques to try (acknowledgments to Dr. Dost Ongur of McLean Hospital, who had discussed these in a past issue of The Carlat Psychiatry Report).Music. This sometimes...