Expert Q&A

Minimizing the Use of Seclusion and Restraints

Topics: Agitation | hospital culture | restraints | seclusion | Violence

CHPR: Please tell us a little about yourself. Dr. Knox: Previously I was the director of the psychiatric emergency setting at a large community health center, and later I was CMO of the Harris Center for Mental Health and IDD. At that time, I was also on the board of the American Association for Emergency Psychiatry and worked with Project BETA (Best

Read More
Research Update

Clozapine for Conduct Disorder in Schizophrenia

Topics: Clozapine | Conduct Disorder | Schizophrenia | Violence

REVIEW OF: Krakowski M et al, Am J Psychiatry 2021;178(3):266–274 STUDY TYPE: Randomized controlled trial We often struggle to find effective interventions for aggressive behavior in patients with schizophrenia. For patients with a history of conduct disorder, the task is even more challenging. Patients with schizophrenia will often have shown s

Read More
Clinical Update

Medications to Rapidly Treat Psychotic Agitation

Topics: Agitation | Antipsychotics | Aripiprazole | Benzodiazepines | Chlorpromazine | De-escalation | Diphenhydramine | Droperidol | Emergency | Haloperidol | Hydroxyzine | olanzapine | Pharmacotherapy | Promethazine | Psychosis | Quetiapine | Risperidone | Violence | Ziprasidone

If you work in an emergency department (ED) or psychiatric inpatient unit, you’ve encountered agitated and even violent patients. We can help many patients settle down by listening empathically, validating their emotions, and offering oral medications, but even with our best efforts, these interventions do not always work. Medications help reduce agit

Read More
Expert Q&A

How to Come Off a Psych Med Part 1: Antipsychotics

Topics: Citalopram | Escitalopram | Fluoxetine | Prozac | Risk | Serotonin Specific Reuptake Inhibitors (SSRIs) | SSRIs | Violence

TCPR: There are a lot of books on deprescribing from the antipsychiatry movement, but your book seems to take a different approach.Dr. Gupta: The biggest difference is that the authors of this book all acknowledge that there is a place for psychotropic medications. They can be extremely beneficial for the patient in the right situation. My concern is wi

Read More