Article
Clozapine-induced GI hypomotility: From constipation to bowel obstruction
To avoid the potentially serious risks associated with GI hypomotility, we offer simple approaches for clinicians to follow when treating patients...
Article
4 Ways to help your patients with schizophrenia quit smoking
Emphasize to these patients that smoking cessation is the most important change they can make to improve their health.
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Four questions to guide clinical decisions
Consider the facts, the patient’s hopes and fears, and the concerns of others when making treatment recommendations
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The ABCs of estimating adherence to antipsychotics
Your patient’s adherence to a medication regimen is both an attitude and a behavior, and you need to assess both
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Schizophrenia? Target 6 symptom clusters
During the interview include tests of verbal fluency and word list recall to detect problems in the cognitive symptom cluster
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Clozapine drug levels guide dosing
Once you have an accurate drug level, take advantage of clozapine’s linear pharmacokinetics; if you double the dose, you double the level
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Support patients coping with medical illness
Determine if your patient can find meaning in the illness by asking, ‘Has this illness taught you anything or changed you?’
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Dosing units help avoid medication errors
Employing clinical reference dosing units helps you easily spot psychotropic doses outside the usual range.
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Self-rating scales tell you more than the score
Results of self-rating scales that do not match your clinical impression of a patient can inform your diagnosis.
Article
Thoughtful diagnoses: Not ‘checklist’ psychiatry
In our experience, psychiatry residents often are encouraged to present rich psychodynamic or biopsychosocial formulations, while diagnostic...