Psychotic Disorders&nbsp;&nbsp;&nbsp;

What is the best way to manage low systolic blood pressures on clozapine when the patient has failed multiple other antipsychotic trials?

How do you formulate and diagnose patients with chronic psychosis that developed after methamphetamine use but persists after cessation of use?

In some patients, psychotic symptoms persist long after methamphetamine cessation and lack the classic course or negative symptoms of schizophrenia. D...

What are the most effective strategies for managing weight gain associated with antipsychotic medications?

16 Answers available

How do you approach ADHD treatment in patients with psychotic disorders who are now psychiatrically stable?

What strategies have you found effective for obtaining insurance approval for xanomeline-tropsium (Cobenfy)?

What is your approach to using newer atypical antipsychotics in the treatment of schizophrenia?

E.g., Latuda (lurasidone), Fanapt (iloperidone), Vraylar (cariprazine), Rexulti (brexpiprazole), Caplyta (lumateperone), or Saphris (asenapine), Lybal...

3 Answers available

What opportunities do you see for combining xanomeline-tropsium (Cobenfy) with other anti-psychotic agents?

E.g. LAIs, clozapine

How do you approach titration or transitioning to Cobenfy in patients currently on an antipsychotic?

Are there any special concerns for antipsychotics with a higher anticholinergic burden?

How do you approach liver function testing and monitoring when using xanomeline/tropsium (Cobenfy)?

Do you obtain baseline liver function testing prior to starting Cobenfy? What would consistute a level of baseline liver dysfunction that is contraind...

How do you approach treatment-refractory schizophrenia which has not responded to multiple antipsychotic trials including clozapine?

12 Answers available

When do you consider using Uzedy, the subcutaneous long-acting injectable version of risperidone?

Other than clozapine, what antipsychotics do you use in a manic or psychotic patient with TD?

What strategies have you found most effective for obtaining prior authorization for newer antipsychotics and antidepressants?

How do you determine which medications are most likely to require prior authorization? How do you streamline the prior authorization process and fit i...

What is your approach to treating panic attacks/disorder with psychotic features?

How do you address akathisia for patients who have had otherwise an excellent response to their antipsychotic treatment?

How do you approach firearm safety counseling for outpatients with elevated suicide risk who do not meet the criteria for involuntary psychiatric hospitalization?

3 Answers available

When do you use seizure prophylaxis in patients on clozapine?

How does comorbid epilepsy influence your decision on antipsychotic medications?

How do you monitor patients who are symptomatically well-managed on clozapine with supratherapeutic drug levels?

Do you routinely prescribe an anticholinergic agent for EPS prophylaxis when starting or continuing antipsychotics or do you prefer to use it only as needed (PRN) if/when symptoms develop?

6 Answers available

What is your approach to GLP-1 agonists as a psychiatrist in patients who are overweight or have eating-related disorders?

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

8 Answers available

How do you approach stimulant prescribing for ADHD in a patient with auditory hallucinations, that can be command in nature (suicide), who will not take an antipsychotic medication?

How will the removal of the clozapine REMS requirement change your clinical practice?

4 Answers available

How do you manage fatty liver disease in patients on olanzapine who are reluctant to change meds?

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 do you treat extrapyramidal symptoms secondary to anti-psychotic use in patients who have not benefited from cogentin or benadryl?

4 Answers available

What pharmacologic treatments have you found helpful in treating comorbid schizophrenia and OCD?

What medications do you find helpful to reduce drooling associated with antipsychotics?

5 Answers available

What is your experience with metformin for improving cognitive impairment in schizophrenia?

In reference to Shao et al., PMID 37821461.

How do you adjust antipsychotic treatment during pregnancy?