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The Carlat Hospital Psychiatry Report

Pain Management (April/May/June) | 2023

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Learning Objectives, Pain Management, CHPR, April/May/June 2023

April 1, 2023

After reading these articles, you should be able to…

Confused About Acute Confusional States? A Primer on Delirium

April 1, 2023

Michael Strong, MD and Alexander Thompson, MD, MBA, MPH

Delirium is widespread among patients in ICUs and surgery units. We review the workup and management of this common condition and give you tips to help prevent it in high-risk patients.

Interpreting Urine Drug Tests

April 1, 2023

Karen Moeller, PharmD

Drug screen accuracy depends on several factors, including the type of lab test, the number of hours since the patient’s use of the drug, and more.. Dr. Moeller reviews key points.

Management of Chronic Pain

April 1, 2023

Lewei (Allison) Lin, MD, MS

Patients with psychiatric conditions are more likely than other patients to experience chronic pain and to receive opioid prescriptions. Dr. Lin shares her holistic approaches to pain management that incorporate psychosocial, psychotherapeutic, and psychopharmacologic treatments.

Electroconvulsive Therapy and Risk of Suicide in Major Depression

April 1, 2023

Sébastien Hardy, PharmD, BCPS

ECT appears effective in reducing suicidality, especially among patients 65+ years and patients with severe depression.

Why Should We Care About Hyperprolactinemia With Antipsychotic Use?

April 1, 2023

Lara Tang, MD

Highly prolactin-elevating antipsychotics, like haloperidol, risperidone, and paliperidone, are associated with an elevated risk of breast cancer, particularly among young women.

A Role for Social Media in Suicide Prevention?

April 1, 2023

Susan L. Siegfreid, MD

We worry about the detrimental effects of social media on mental health, but can social media attention be used to promote positive health outcomes? The media attention surrounding a hip-hop song about suicide prevention was associated with a significant drop in suicides in the days that followed.