Several psychiatric medications prolong the QTc interval and place patients at risk of the dreaded torsade de pointes. Some patients are particularly vulnerable to QTc prolongation: the elderly, patients with heart disease and electrolyte imbalances, and patients taking certain medications, like thioridazine and ziprasidone. We provide a step-by-step guide so that you can keep your patients safe from this cardiovascular side effect.

Paraphilias, eg voyeurism and exhibitionism, are intense and recurrent sexual interests and
behaviors that involve atypical objects or activities. They become disorders when they put people at risk of harm or cause distress or impairment. Dr. Holoyda reviews the latest
treatments for these disorders and discusses approaches for working with registered sex
offenders on psychiatric units.

Subpoenas can be tricky. You must balance your legal duties to comply with your obligations to your patients confidentiality. To make things even more complicated, not all subpoenas are valid. Dr. VanDercar walks us through the steps to follow when we receive a subpoena.

You have probably encountered patients who adamantly insist a loved one has been replaced by an impostor. Here are tips for how to treat them.

Richard Moldawsky, MD. Dr. Moldawsky, author for this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

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