Psychiatry

General Hospital Medicine

Questions discussed in this category

How do you counsel patients on the risks vs benefits of naltrexone for alcohol use disorder with persistently elevated liver enzymes?

Is there an absolute cutoff for AST/ALT that you use where the risks outweigh the potential harm reduction benefits of using the medication? &nbs...

2 Answers available

How do you manage sleep disturbances in patients with Alzheimer’s disease without relying heavily on deliriogenic medications?

2 Answers available

What medications are preferred and contraindicated for insomnia in patients with a recent stroke or traumatic brain injury?

2 Answers available

When do you consider using disulfiram in patients with alcohol use disorder?

In what patient populations would you consider using disulfiram (Antabuse) instead of, or in addition to, acamprosate or naltrexone? In your experienc...

6 Answers available

Is there a role for functional medicine approaches in psychiatric treatment?

How do you critically assess the evidence base for functional medicine approaches? How do you respond when patients specifically request functional me...

1 Answer available

What are your preferred non-benzodiazepine therapies for the hyperactive/agitated phase of methamphetamine withdrawal, both in the hospital and in the office?

Assume QTc is not prolonged, electrolytes are reasonably normal, and the patient is not already on heavy psychotropic polypharmacy.

2 Answers available

When do you consider using phenobarbital over symptom-driven alcohol withdrawal protocols for patients at low-to-moderate risk of withdrawal complications?

1 Answer available

Do you routinely prescribe naloxone at discharge for patients with a known history of opioid use disorder?

2 Answers available