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Rounds in the General Hospital

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
Pharmacologic Management of TBI
Rounds in the General Hospital

July 16, 2024

Cognitive complaints, including difficulties with attention, concentration, and memory, are common in patients post-TBI; however, many medications have been studied in the treatment of cognition after TBI. Read on…
Sofia E. Matta, Christina LaCroix, Kaloyan Tanev, 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
Neuropsychiatric Complications of Hypervitaminosis D
Rounds in the General Hospital

June 13, 2024

A 28-year-old man presented to the emergency department with severe agitation, insomnia, weakness, constipation, and muscle jerks after nonsuicidal overdosing of vitamin D.
James K. Rustad, Adam Z. Spitz, Brandon C. Wilson, et al
PCC
Impact of Disability on Medical Care
Rounds in the General Hospital

June 6, 2024

Given that many people have disabilities, physicians should develop skills that assess the level of disability, the functional consequence of illness, and the social and physical environments of patients…
Mirza Baig, Andrew S. Chun, Ashika Bains, et al
PCC
Management of Rumination and Obsessions in Primary Care
Rounds in the General Hospital

May 30, 2024

Difficult-to-control negative repetitive thoughts can manifest as ruminations or obsessions. Appropriate early identification and intervention can positively affect the course and prevent an episode of psychiatric illness.
Sharmin Ghaznavi, Charlotte Schiewe, Theodore A. Stern

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More PCC Articles

JCP
Bad Dreams and Nightmares Preceding Suicidal Behaviors
Original Research

November 23, 2022

Suicidal behavior may be preceded by a sequence of altered dreams that goes from bad dreams to nightmares and finally to suicidal scenarios in dreams a few weeks before…
Pierre A. Geoffroy, Rodolphe Borand, Marine Ambar Akkaoui, et al
JCP
Measuring Executive Function in ADHD With the BRIEF-A
Original Research

November 21, 2022

The BRIEF-A identified executive function deficits in adults with ADHD that added disability beyond that associated with ADHD alone.
Joseph Biederman, Maura L. DiSalvo, Chloe R. Hutt Vater, et al
JCP
Tools to Detect Suicide Risk
Meta-Analysis

November 16, 2022

More than 20 instruments have been developed to assist in detecting suicide risk in adults. This systematic review used likelihood ratio analysis to determine the diagnostic accuracy of instruments…
Natalie B. Riblet, Sarah Matsunaga, Younji Lee, et al
JCP
Addressing Unmet Needs in Bipolar Disorder
Academic Highlights

November 16, 2022

Bipolar disorder presents on a spectrum, with bipolar depression on one end and bipolar I on the other and a host of other presentations in between. As guidelines are…
Joseph F. Goldberg, Melissa P. DelBello, Holly A. Swartz
JCP
Effect of Benzodiazepines on Antidepressant Effects of Ketamine
Original Research

November 14, 2022

Findings of studies examining the impact of benzodiazepines on antidepressant effects of ketamine are contradictory. This study assessed whether concomitant oral benzodiazepines differentially affected treatment response to ketamine versus…
Anna Feeney, Bettina B. Hoeppner, Marlene P. Freeman, et al
JCP
Treating PTSD and Alcohol Use Disorder
Cross Talk: Case Conferences From MGH

November 9, 2022

PTSD and alcohol use disorder intersect in a patient with childhood trauma and persistent avoidance. Seven experts provide insight from multicultural, psychodynamic, and pharmacologic perspectives.
Rachel Zack Ishikawa, Rachel Steere, Nkechi Conteh, et al
JCP
Changes in Alcohol-Related Behaviors and Quality of Life During the COVID-19 Pandemic
Brief Report

November 7, 2022

During the pandemic, problem drinking remained low in people without alcohol use disorder (AUD) and declined in those with a history of AUD. However, alcohol craving increased in both…
Jeremy W. Luk, Bethany L. Stangl, Tommy Gunawan, et al
JCP
Suvorexant and Lemborexant for Prevention of Delirium
Original Research

November 7, 2022

The novel dual orexin receptor antagonists (DORAs) suvorexant and lemborexant may be helpful in preventing delirium. This study examined the efficacy of these two DORAs in preventing delirium in…
Ayaka Matsuoka, Shuko Tobita, Rintaro Sogawa, et al
JCP
Relationship Between bvFTD and Psychiatric Disorders
Original Research

November 2, 2022

The behavioral variant of frontotemporal dementia (bvFTD) overlaps with primary psychiatric disorders (PPD). This study compared family history of PPD in patients with bvFTD, healthy controls, and patients with…
Siham Icho, Nicole Korten, Lianne Reus, et al
JCP
Psychotropic Use in Youth With MDD and ADHD
Original Research

October 31, 2022

Data from a 17-year study point to overprescription of antipsychotics in school-aged children and indicate closer agreement between diagnosis and psychotropic use with age.
Miranda U. Liang, Natchanan Charatcharungkiat, Rebecca Tillman, et al
JCP
Bipolar Disorder and PMDD: Comorbidity Conundrum
Commentary

October 26, 2022

Teri Pearlstein, MD, discusses a recent review that highlights the difficulties of diagnosing PMDD in women with bipolar disorder.
Teri Pearlstein
JCP
Relationship of PMDD and Bipolar Disorder
Systematic Review

October 26, 2022

In the 5 studies reviewed, 10%–15% of people with PMDD also had bipolar disorder, while 27%–76% of those with bipolar disorder also had PMDD.
Verinder Sharma, Dwight Mazmanian, Heidi Eccles

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