Psychiatry

General Primary Care

Questions discussed in this category

How do you approach managing intolerable vivid dreams as a side effect of SSRIs?

What pharmacologic and non-pharmacologic strategies have you found helpful in managing brain fog following COVID-19 infection?

3 Answers available

What is your antipsychotic of choice and general titration regimen in the outpatient setting for a patient with dementia and behavioral disturbances (assuming reversible causes such as urinary retention, constipation, etc. have been addressed)?

3 Answers available

How do you counsel patients with depression about the role exercise may play in alleviating depressive symptoms?

How do you educate patients about the role exercise may play in depression treatment? What type, frequency, and intensity of exercise do you recommend...

7 Answers available

What strategies do you use for patients on medications for ADHD who experience afternoon rebound/withdrawal?

5 Answers available

What is your medication of choice when considering outpatient alcohol withdrawal management (diazepam vs chlordiazepoxide vs lorazepam)?

For your recommended medication, are you doing a scheduled set dose, or is it primarily symptom-driven?

4 Answers available

How do you counsel patients who are interested in using kratom for chronic pain management?

4 Answers available

How do you decide when and how often to reach out to patients with serious mental illness who are disengaging from care due to psychosocial stressors?

How do balance concern for safety with patient autonomy? What factors do you take into consideration when determining whether to proactively reach out...

2 Answers available

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

What therapeutic approaches have you found effective for athletes with anorexia nervosa whose eating disorder symptoms are intertwined with sport-driven weight pressures?

1 Answer available

How do you balance the risks and benefits of stimulant treatment in patients with poorly controlled hypertension?

How do you weigh cardiovascular risks against the potential functional and emotional consequences of undertreated ADHD? What blood pressure thresholds...

2 Answers available

How do you manage patients who develop SIADH secondary to an SSRI but have had a strong positive response to that same medication?

What monitoring strategies (e.g., sodium checks, fluid restriction, dose adjustments) have you found most practical in these cases? In what situations...

2 Answers available

What do you recommend as a first-line antidepressant in patients with major depressive disorder and migraines?

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 would you consider prescribing a wakefulness promoting agent for excessive daytime sleepiness from insufficient sleep?

I.e. no sleep disorder diagnosis, unsuccessful behavioral interventions for improved sleep

4 Answers available

How do you determine when ongoing outpatient treatment is no longer beneficial, and it may be appropriate to transition a patient to another provider?

2 Answers available

How do you counsel patients on the risks and benefits of antidepressant use during pregnancy?

How do you approach shared decision-making when patients express hesitancy about medication exposure in utero? What is your approach when a patient is...

2 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

How do you manage anxious children who are somatically focused and do not tolerate SSRIs?

6 Answers available

Do you consider using buspirone for the management of anxiety in older patients?

4 Answers available

What is your next step in management for patients who develop sexual side effects on an SSRI (anorgasmia, low libido, etc.) but are responding well to therapy?

Related Mednet discussion on low libido and SSRIs

3 Answers available

How do you define treatment-resistant depression in your practice?

What strategies do you use to counsel patients on continuing an antidepressant until therapeutic doses versus switching agents if they perceive a lack...

1 Answer available

Is there a role for use of GLP-1/GIP receptor agonists in the management of substance use disorders, whether or not they meet other inclusion criteria for their use?

2 Answers available

How do you approach diagnosing ADHD in patients with significant trauma histories?

2 Answers available

How do you approach patient requests for medical time away from work or other accommodations (such as disability paperwork) when the patients have mild-moderate symptoms being managed in the outpatient setting?

How do you evaluate for time off? Return to work? How do you deal with time off requests in the presence of non-adherence to treatment recommendations...

2 Answers available