Shreedhar Paudel, MD, MPH

Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; All authors contributed equally to the work.; Corresponding author: Shreedhar Paudel, MD, MPH, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114 ([email protected]).

Drug-Induced Abnormal Involuntary Movements

Rounds in the General Hospital

Drug-Induced Abnormal Involuntary Movements

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

Use of Physical Restraints in the ED

Rounds in the General Hospital

Use of Physical Restraints in the ED

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

Diagnosis and Management of Acute Psychosis

Rounds in the General Hospital

Diagnosis and Management of Acute Psychosis

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

Agitation and an Altered Mental Status in the ED

Rounds in the General Hospital

Agitation and an Altered Mental Status in the ED

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

New-Onset Paranoia in an Elderly Woman With Bipolar Disorder

Rounds in the General Hospital

New-Onset Paranoia in an Elderly Woman With Bipolar Disorder

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

Facilitating Smoking Cessation in Primary Care

Rounds in the General Hospital

Facilitating Smoking Cessation in Primary Care

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

Managing Clozapine in Primary Care

Rounds in the General Hospital

Managing Clozapine in Primary Care

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

Rounds in the General Hospital

A Prescription for Deprescribing Antipsychotics

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

Rounds in the General Hospital

Respiratory Failure Leading to Intubation After Flibanserin Ingestion in a Toddler

October 1, 2020

Have you ever seen a toddler who ingested a toxic agent, been uncertain about the dangers of psychotropics in children, or wondered if antidotes exist to reverse such toxidromes?...

Neil D. Fernandes, Catherine Naber, Shreedhar Paudel, et al