General Outpatient Psychiatry   

Questions discussed in this category


What strategies have you found effective in advocating for clinically appropriate visit lengths or frequency? How do you balance productivity pressure...

Which ones do you recommend, particularly when cost is prohibitive? Which has the highest efficacy? How do you counsel patients on using them?

If yes, what kind of training did you pursue? How do you see psilocybin fitting into your practice (or not)? Are there particular skills you feel woul...

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

How do you balance preserving the therapeutic alliance while ensuring appropriate risk mitigation?

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

What are other ways to treat this beyond reducing the dose / switching medications? What interventions have you had the most success with?

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

Do you administer them at intake, follow-up, or both? How frequently do you use them? How do you gauge the accuracy and validity of patients’ re...

How do you monitor patient progress while using these treatments? When would you consider these as opposed to non-prescription mobile apps such as CBT...

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

Have you ever prescribed it to patients already taking other psychiatric medications such as SSRIs, SNRIs, bupropion, or second-generation antipsychot...

When do you consider referring a patient to a clinical trial? How have patients responded to being offered trial participation? What has your experien...

Do you ever recommend specific diets, such as the ketogenic diet? If so, in what clinical contexts?

Have you considered these agents in treatment-resistant cases or in patients with comorbid metabolic conditions? 

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...

What academic accomodations do you write for? How does the severity of their ADHD impact which accomodations you consider? How do you word any support...

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 ...

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

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 ...

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?

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...

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

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...

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

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...


Papers discussed in this category


Journal of psychiatric practice, 2018-11

Journal of the American Academy of Dermatology, 2019-05

Med Hypotheses, 2006 Nov 28

J Am Acad Dermatol, 2021 Apr 18

Prog Neuropsychopharmacol Biol Psychiatry,

Antimicrob Agents Chemother, 2008 Nov 17

Psychosomatics, 1991

Clinical and experimental dermatology, 2024 Mar 21

Journal of the European Academy of Dermatology and Venereology : JEADV, 2024 May 10

Headache, 2010-06

Headache, 2012 Jan 30

Neurology, 2019 Dec 02

Headache, 2023 Jan 27

Cureus, 2023 May 11

JAMA neurology, 2018-05-01

Journal of the American College of Cardiology, 2020 Aug 18

Annals of internal medicine, 2024 Jul 02

Oxford medical case reports, 2024 Feb 16

Cureus, 2024 Feb 02

Cureus, 2023 Nov 22

CNS drugs, 2024 Mar 19

Psychiatry research, 2024 Mar 20

Indian journal of psychological medicine, 2019 Mar-Apr

International journal of molecular sciences, 2022 Mar 04

Translational psychiatry, 2023 Oct 11

Neurology, 1991 Mar

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2013 Aug 31

Cureus, 2021 Jan 26

Schizophrenia research, 2017-11

Schizophrenia research, 2019-06

Current opinion in endocrinology, diabetes, and obesity, 2020 Oct

Frontiers in psychiatry, 2022 Jul 06

Clinical toxicology (Philadelphia, Pa.), 2008-09

BMJ case reports, 2017-08-07

The primary care companion for CNS disorders, 2018 Dec 20

Therapeutic advances in psychopharmacology, 2022 May 24

Actas espanolas de psiquiatria, 2016 May 01

Journal of clinical psychopharmacology, 1990-02

Journal of neurology, 2024 Jun 19

The American journal of psychiatry, 2012-12

Therapeutic advances in psychopharmacology, 2013-10

The Cochrane database of systematic reviews, 2008 Jul 16

Epidemiology and psychiatric sciences, 2022 Sep 16

CNS drugs, 2022 Jun 27

Expert opinion on pharmacotherapy, 2023 Jun 27

Neuropsychopharmacology reports, 2025 Mar

Archives of physical medicine and rehabilitation, 1992-10

Journal of neurotrauma, 2015-08-15

Psychosomatics, 2019

The Journal of head trauma rehabilitation, 2021 Jul-Aug 01

BMJ open, 2019 Jul 09

Clinical neuropharmacology, 2017 Sep/Oct

The Journal of head trauma rehabilitation, 2014 Sep-Oct

The Journal of neuroscience : the official journal of the Society for Neuroscience, 2016-12-14

Life (Basel, Switzerland), 2023 Apr 19

Therapeutic drug monitoring, 2006 Jun

The New England journal of medicine, 2024 Jul 25

JAMA psychiatry, 2025 Mar 01

Archives of general psychiatry, 2008 Dec

Current nutrition reports, 2022 Sep 13

The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists, 2015-10

The American journal of psychiatry, 2016-05-01

Journal of clinical and experimental neuropsychology, 2002 Dec

Frontiers in veterinary science, 2019 Jun 06

Frontiers in medicine, 2023 Apr 25

Biological psychiatry, 2019 Aug 09

Diabetes therapy : research, treatment and education of diabetes and related disorders, 2024 Apr 26

The American journal of psychiatry, 2023 Feb 22