A middle-aged man with glasses, a mustache, and thinning hair smiles at the camera. He is wearing a striped shirt, a black sweater vest, and a yellow tie against a plain light background.

Theodore A. Stern, MD

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; White River Junction VA Medical Center, White River Junction, Vermont; Burlington Lakeside Community Based Outpatient Clinic, Burlington, Vermont

PCC
Strategies for Documenting the Medical Record
Rounds in the General Hospital

May 7, 2026

Documentation should be objective and relevant, especially in psychosocially complex cases—too much information can interfere with establishing the correct diagnosis and treatment plan, while too little increases risk of...
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How to Document Complex Cases
Rounds in the General Hospital

April 9, 2026

Case presentations often drive differential diagnosis creation by what is said (and not said) and by whether information given is the "lead" or merely a (potentially interesting) tidbit.
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PCC
Strategies for Managing Dyspnea
Rounds in the General Hospital

April 2, 2026

Pharmacologic approaches and behavioral and psychological interventions such as mindfulness, relaxation, and CBT can mitigate dyspnea and associated anxiety.
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PCC
Administering ECT to Critically Ill Patients
Rounds in the General Hospital

March 5, 2026

ECT can be lifesaving for critically ill individuals with severe psychiatric and neuropsychiatric conditions; however, cardiac monitoring is essential.
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PCC
Understanding the Impact of Moral Injury
Rounds in the General Hospital

February 26, 2026

Healing of moral injuries requires truth-telling, communal recognition, and moral repair—not just medication or cognitive restructuring.
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PCC
Preventing Physician Burnout
Rounds in the General Hospital

February 10, 2026

The authors clarify misconceptions about burnout and depression and identify best practices and approaches for burnout at the individual and institutional level.
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PCC
Diagnosing and Treating Impulsivity
Rounds in the General Hospital

February 5, 2026

Impulsivity is a characteristic of many psychiatric and neuropsychiatric conditions throughout the lifespan; however, in older adults it frequently signals an emerging neurodegenerative process.
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Managing Grief and Bereavement
Rounds in the General Hospital

January 29, 2026

Risk factors that predispose to complicated grief include past psychiatric conditions, especially depression or substance use, unexpected death, the death of a child, and poor social support.
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PCC
Treatment and Referral for AUD in Primary Care
Rounds in the General Hospital

January 13, 2026

Explore which treatments are best for your patients with alcohol use disorders and when you should refer for specialized psychological or pharmacologic interventions.
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PCC
Diagnosis and Management of Rage
Rounds in the General Hospital

December 23, 2025

This article offers a practical framework for distinguishing rage from irritability and impulsivity, identifying underlying neuropsychiatric drivers, and guiding evidence-based management across conditions including PTSD, TBI, and mood disorders.
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PCC
Facilitating Academic Success for Clinicians
Rounds in the General Hospital

December 16, 2025

Many clinicians, experience “imposter syndrome,” which can foster the false belief that they are unqualified for promotion.
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PCC
Using Digital Technologies to Avoid Doctor’s Orders
Rounds in the General Hospital

December 2, 2025

The availability of portable technologies and application-based services can complicate caretaking in the hospital setting, as patients can circumvent medical recommendations.
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