Pearls
Pearls
Prescribing medications in an emergency situation? Document your rationale
Emergent medication use is indicated in numerous clinical scenarios, including psychotic agitation, physical aggression, or withdrawal from...
Pearls
Dealing with deception: How to manage patients who are ‘faking it’
Caring for patients who fabricate or exaggerate psychiatric symptoms for primary or secondary gain is a challenging proposition.
Pearls
Recognizing and treating ketamine abuse
Many patients use illicit ketamine, either for recreational purposes or as self-treatment to control depressive symptoms.
Pearls
Would you recognize this ‘invisible’ encephalopathy?
Prevalence estimates of minimal hepatic encephalopathy vary widely because of the poor standardization of diagnostic criteria and potential...
Pearls
Physician burnout vs depression: Recognize the signs
Physician burnout and depression can be associated with adverse outcomes in patient care and personal health.
Pearls
DBS vs TMS for treatment-resistant depression: A comparison
This article compares DBS and TMS, and offers suggestions for educating patients about the potential adverse effects and therapeutic outcomes of...
Pearls
How to avoid ‘checklist’ psychiatry
Our patients are best served when we take the necessary time to use all resources to conceptualize them as more than a checklist of symptoms.
Pearls
Child trafficking: How to recognize the signs
Child trafficking often is hidden, even from the clinicians who see its victims.
Pearls
Polypharmacy: When might it make sense?
What are factors that could help determine whether a multi-medication regimen might be warranted for your patient?
Pearls
Hypersomnolence: Unraveling the causes
Hypersomnia—recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep—requires a stepwise assessment.
Pearls
When your patient is a physician: Overcoming the challenges
This article describes challenges of treating physicians, and solutions treating clinicians can employ to minimize potential pitfalls.