General Outpatient Psychiatry   

How do you explain this process to patients or address any concerns they raise about privacy, data use, or the role of AI? Is there a standardized sta...

Logistical barriers in implementing TMS can include equipment acquisition, funding, staffing, training, reimbursement, or institutional approval. What...

Does your approach change when using a long-acting injection antipsychotic with oral antipsychotic medication?

Would you consider charging a small fee for managing C-2 prescriptions between appointments instead of requiring the patient to come monthly?

How do you balance the benefits of treating depression versus the risk of transition to mania? Do you consider stopping the medication as soon as the ...

When do you consider referral for neurocognitive assessment?

Do you consider this medication for "food noise" associated with BED/bulimia?

In patients without a psychotic disorder.

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

Any alternatives to drug holiday, bupropion, sildenafil, and yohimbine?

Given the concern about potential TD in female patients treated with second-generation atypical antipsychotics as an adjunct to antidepressants, are y...

In light of publication from Davis et al., PMID 39693081.

I have several forensic patients who have elevated LFTs and fatty liver on ultrasound, at least in part due to long-term olanzapine use. They are all ...

How strong is the evidence that antipsychotic medication can increase the risk of venous thromboembolism and pulmonary embolus? 

In light of the FDA warning about mental health side effects of the medication have you observed in particular any patients develop suicidal thoughts ...

In reference to Shao et al., PMID 37821461.

Have you modified prescribing practices in light of the UK safety update noting the risk of neurodevelopmental disorders in children whose fathers too...

What medications do you use in patients who already have existing obesity and metabolic syndrome?

With patients increasingly accessing psychedelics through online forums or home-grown sources for chronic PTSD and depression, how should psychiatrist...

Considering a growing interest in the use of dextromethorphan for depression (Majeed et al., PMID 33682569).

Do you worry about additional increased risk of seizure for patients using medications to assist in weight loss such as GLP-1 agonists?

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...

How do you approach this in patients who are approaching or are over 65 given the contraindications of benzodiazepine use in geriatric populations? Wh...

Do you defer or avoid use in patients with untreated simple hypertension or other cardiac history?

For example, related to psilocybin or synthetic THC?

How do you address exacerbation of mood symptoms in patients who want to continue hormone birth control?

How is it that I'm able to prescribe medications to patients (in my state) via legitimate mail order pharmacies that are located in a different state?...

When using a stimulant, how aggressive are you with an anti-manic mood stabilizer? 

What are some ways to predict patient report alone may lead to a "false positive" bipolar disorder diagnosis and other psychiatric syndromes are prese...

When would you consider symptoms to be potentially of other etiology? Would you ever consider a conversion or functional diagnosis?

In light of research that suggests SSRIs increase the risk of closed-angle glaucoma, Chen et al., PMID 28257449.

Can you include both patient directed and clinician directed resources?

Do you avoid certain antidepressants related to the risks on suppressing respiratory-drive which is potentially concerning in patients with high cord ...

Have you found significant differences among SSRIs and SNRIs (e.g., paroxetine vs fluoxetine vs sertraline vs escitalopram vs duloxetine)? What data d...

How have you accessed neurosteroids (allopregnanolone) for patients?

I have observed a trend where patients who are being tapered off of long-term benzodiazepine (especially in the geriatric population) prescriptions ar...

Do you use different approaches in different settings (i.e., the ED vs. outpatient clinic)? Do you use different approaches for chronic vs acute suici...

Should one restart lamotrigine or look for an alternative? If no other alternative available, is slow titration vs regular titration preferred?

Do you avoid due to the increased risk of GI adverse events?

There does not appear to be any guidance from the most recent published protocols on this topic. For individuals with dementia, recommendations call f...