Chirag M. Vyas, MBBS, MPH

Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

PCC
Clozapine: Its Use and Monitoring
Rounds in the General Hospital

July 30, 2024

The authors provide the latest information on clozapine use, including when your patients should receive or avoid taking it, what laboratory tests are required before and during administration, and...
Desta S. Lissanu, Chirag M. Vyas, Carol S. Lim, et al
PCC
Evaluation and Management of Treatment-Resistant Schizophrenia
Rounds in the General Hospital

July 2, 2024

If you have ever been uncertain about how to evaluate patients with a chronic psychotic illness or struggled over how best to manage treatment-resistant schizophrenia, then this case vignette...
Carol S. Lim, Abigail L. Donovan, Chirag M. Vyas, et al
PCC
Caring for Traumatized Elders
Rounds in the General Hospital

April 23, 2024

Patients with a history of trauma may experience heightened anxiety and fear when faced with medical settings, examinations, or treatments.
Dominique Popescu, Emily Mellen, Ilana Ander, et al
JCP
Vitamin D3 and Omega-3 Fatty Acids for Depression Prevention
Original Research

June 26, 2023

Although several lines of evidence suggest that vitamin D3 and omega-3 fatty acids promote mood health, neither supplement showed benefits for indicated and selective prevention of late-life depression.
Chirag M. Vyas, David Mischoulon, Grace Chang, et al
PCC
Drug-Induced Abnormal Involuntary Movements
Rounds in the General Hospital

May 11, 2023

Treatment of involuntary movements is based on their underlying etiology; however, symptomatic treatments are indicated to reduce motoric and psychological symptoms that impair social function and worsen quality of...
Shreedhar Paudel, Abigail L. Donovan, Aldis Petriceks, et al
PCC
Use of Physical Restraints in the ED
Rounds in the General Hospital

May 4, 2023

Restraints are the emergency intervention of last resort to manage agitated or aggressive behavior in the ED.
Abigail L. Donovan, Aldis H. Petriceks, Shreedhar Paudel, et al
PCC
Diagnosis and Management of Acute Psychosis
Rounds in the General Hospital

March 23, 2023

The underlying cause of psychotic disorders is often uncertain. Determination of the nature, time course, and severity of psychotic symptoms and whether they are a consequence of a primary...
Chirag M. Vyas, Aldis H. Petriceks, Shreedhar Paudel, et al
PCC
Agitation and an Altered Mental Status in the ED
Rounds in the General Hospital

December 8, 2022

Mr A was brought to the ED by police due to increasingly irritable and disturbing behavior for the last month. This Rounds report provides guidance on managing altered mental...
Abigail L. Donovan, Chirag M. Vyas, Aldis Petriceks, et al
PCC
New-Onset Paranoia in an Elderly Woman With Bipolar Disorder
Rounds in the General Hospital

July 5, 2022

If you ever wondered how often paranoia develops in the elderly and in those with preexisting bipolar disorder or what other conditions can contribute to or precipitate psychotic symptoms,...
Shreedhar Paudel, Chirag M. Vyas, Celeste Peay, et al
PCC
Facilitating Smoking Cessation in Primary Care
Rounds in the General Hospital

May 17, 2022

Here, the authors discuss the importance of tobacco cessation, best practices involving pharmacologic agents and counseling techniques, and strategies to address myths related to smoking cessation.
Manjola U. Van Alphen, Shreedhar Paudel, Chirag M. Vyas, et al
PCC
Managing Clozapine in Primary Care
Rounds in the General Hospital

February 17, 2022

In this article, gain insight into the management of patients taking clozapine. The authors also provide critical steps for early detection and management of life-threatening complications of clozapine, including...
Manjola U. Van Alphen, Chirag M. Vyas, Shreedhar Paudel, et al
PCC
Rounds in the General Hospital

December 17, 2020

In this issue's Rounds in the General Hospital, the authors discuss the risks and benefits of polypharmacy and strategies for tapering and discontinuing antipsychotics in those with schizophrenia.
Shreedhar Paudel, Chirag M. Vyas, Theodore A. Stern

Celebrating
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