Psychopharmacology and Psychiatry Updates artwork

Psychopharmacology and Psychiatry Updates

305 episodes - English - Latest episode: 2 days ago - ★★★★★ - 232 ratings

Practical psychopharmacology updates for mental health clinicians. Useful for psychiatry / mental health professionals. Expert interviews and soundbites from CME presentations. Practical and free of commercial bias. Not sponsored by any pharmaceutical company.

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Episodes

Emerging Complementary and Integrative Therapies for Geriatric Mental Health

August 15, 2021 16:00 - 9 minutes - 12.8 MB

Are there any alternative medicine treatments that might be useful for your geriatric patients? We examine the evidence base for diet, herbal and nutritional supplements, and mind–body therapies for the prevention of dementia and the treatment of depression. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 25 Emerging Complementary and Integrative Therapies for Geriatric Mental Health

Delirium: Assessment, Consequences, and Sequelae

August 10, 2021 16:00 - 10 minutes - 14.2 MB

This episode discusses the assessment of delirium. This includes: EEG and neurological exam, cognitive dysfunctions present in delirium, recommended testing, differential diagnoses, and the consequences of delirium. Faculty: Scott Beach, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Management of Delirium Delirium: Assessment, Consequences and Sequelae

In Search of a Dose-Response Relationship in SSRIs

August 05, 2021 16:00 - 8 minutes - 11.5 MB

A meta-analysis of antidepressant doses and responses finds no evidence of improved outcomes with higher doses, just more side effects. However, this conclusion is based on fixed-dose comparison studies, which do not mirror the way we practice. Here we'll compare the lack of evidence for a dose-response relationship to your clinical practice. Faculty:  Jim Phelps Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 24 ...

Valproate/Divalproex: Metabolism, Kinetics, and Warnings

July 31, 2021 16:00 - 8 minutes - 11.2 MB

This episode discusses valproate kinetics and sublinear kinetics, valproic acid levels, its absolute contraindications, and what to consider when using the package insert. Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues Valproate/Divalproex: Metabolism, Kinetics, and Warnings

Managing Drug-Induced Movement Disorders

July 26, 2021 13:29 - 14 minutes - 20.1 MB

A practical discussion on akathisia, extrapyramidal symptoms (EPS), tardive syndromes, and acute dystonia. Guest: Gregory Pontone, M.D.  Interviewer: Mohan Gautam, D.O. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Drug-Induced Movement Disorders: The Clinical Essentials - Interview with Gregory Pontone, M.D.

Drug Metabolism: The Importance of Child-Pugh Classification for Staging Hepatic Impairment

July 21, 2021 16:00 - 7 minutes - 9.81 MB

This episode discusses the Child-Pugh scale to assess hepatic impairment. It also covers the FDA's position on the inclusion of drug metabolism data for various Child-Pugh stages and cirrhosis. Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues The Importance of Child-Pugh Classification for Staging Hepatic Impairment

Impact of Smoking Behavior on Clozapine Blood Levels

July 16, 2021 16:00 - 7 minutes - 11 MB

Clozapine blood levels can be influenced by many factors. These include dose, gender, age, body weight, caffeine, medications, and of course, smoking. How much is the reduction in clozapine levels actually due to cigarette smoking? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 24 Impact of Smoking Behavior on Clozapine Blood Levels—A Systematic Review and Meta-Analysis

The Child-Pugh Scale in Psychiatry

July 11, 2021 16:00 - 12 minutes - 17.1 MB

This episode discusses the Child-Pugh Rating Scale and how to interpret it, two clinical cases, and the use of paliperidone and lurasidone in patients with hepatic impairment (Child-Pugh C). Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues Rating Scales for Hepatic Dysfunction: Child-Pugh

Managing Neuroleptic Malignant Syndrome: An Evidence-Based Update

July 06, 2021 16:00 - 9 minutes - 13.5 MB

How should we approach the management of neuroleptic malignant syndrome? What is the role of bromocriptine, dantrolene, and ECT? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 23 The Neuroleptic Malignant Syndrome—A Systematic Case Series Analysis Focusing on Therapy Regimes and Outcome

Psychotropics and Hepatic Issues: Nonalcoholic Fatty Liver Disease

July 01, 2021 16:00 - 12 minutes - 17.1 MB

How important are ALT and AST abnormalities when prescribing psychotropics? Should you adjust dosing in patients with elevated ALT and AST? Does inflammation alter drug kinetics? Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues Diagnosis and Impact on Drug Metabolism of Nonalcoholic Fatty Liver Disease: Steatosis and Nonalcoholic Steatohepatitis

Alzheimer's Disease: Can We Lower the Risk?

June 26, 2021 16:00 - 6 minutes - 9.31 MB

This meta-analysis is a useful reminder of risk factors to look for in your patients. You can also help them understand the long-term risks of Alzheimer's disease. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 23 Evidence-Based Prevention of Alzheimer's Disease: Systematic Review and Meta-Analysis of 243 Observational Prospective Studies and 153 Randomised Controlled Trials

Binge Eating Disorder: Diagnosis and Treatment

June 21, 2021 14:31 - 6 minutes - 8.52 MB

How can you assess binge eating disorder? Which is the preferred screening instrument? What is the role of SSRIs, TCAs, and duloxetine? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Binge Eating Disorder (BED): Diagnosis and Treatment Overview

Unipolar Depression: A Psychopharmacology Algorithm

June 16, 2021 16:00 - 14 minutes - 20 MB

What are the best treatment options for severe depression with melancholic features? Can you augment tricyclics? What is the preferred option for depression with mixed features?  Guest: David Osser, M.D. Interviewer: Mohan Gautam, D.O. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.75 CMEs: An Algorithm for the Psychopharmacology of Unipolar Nonpsychotic Depression - Interview with David Osser, M.D.

Bulimia Nervosa: Diagnostic and Treatment Essentials

June 11, 2021 16:00 - 8 minutes - 11.1 MB

When should you suspect bulimia nervosa? What is the role of antidepressants, topiramate, and ondansetron? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Bulimia Nervosa (BN): Diagnosis and Treatment Overview

Primary Insomnia: Zolpidem, Behavioral Therapy and CBT-I

June 06, 2021 16:00 - 8 minutes - 11.3 MB

What are the best treatment options for primary insomnia? What is the role of behavioral therapy and zolpidem? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 22 Effectiveness of Sequential Psychological and Medication Therapies for Insomnia Disorder: A Randomized Clinical Trial

Anorexia Nervosa: Diagnosis and Treatment

June 03, 2021 20:07 - 10 minutes - 14.2 MB

What diagnostic considerations should we keep in mind with anorexia nervosa? What are the most effective medications? Does zinc depletion play a role? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Never Too Thin: Anorexia Nervosa (AN) Diagnosis and Overview of Pharmacological Treatment

Anorexia Nervosa: Diagnosis and Treatment

June 03, 2021 20:07 - 10 minutes - 14.2 MB

What diagnostic considerations should we keep in mind with anorexia nervosa? What are the most effective medications? Does zinc depletion play a role? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Never Too Thin: Anorexia Nervosa (AN) Diagnosis and Overview of Pharmacological Treatment

Pharmacotherapy for Borderline Personality Disorder

May 27, 2021 14:15 - 11 minutes - 15.3 MB

What is the role of pharmacotherapy in borderline personality disorder? Is there evidence supporting the use of antidepressants? Which antipsychotic can be helpful? Is lamotrigine effective? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 22 Pharmacotherapy for Borderline Personality Disorder: An Update of Published, Unpublished, and Ongoing Studies

Food Avoidance: Diagnosis and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID)

May 22, 2021 16:00 - 8 minutes - 12.2 MB

What is ARFID (Avoidant/Restrictive Food Intake Disorder)? Are antidepressants helpful? What is the role of adjunctive olanzapine? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Food Avoidance: Diagnosis and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID)

Treating Bipolar Disorder in Later Life: Psychopharm Tips

May 17, 2021 20:10 - 11 minutes - 16 MB

Do you treat older patients with bipolar disorder the same as younger patients? What is the optimal lithium dose? What is the role of second-generation antipsychotics such as quetiapine? Guest: Martha Sajatovic, M.D. Interviewer: Mohan Gautam, D.O. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CMEs: Bipolar Disorder in Later Life - Interview with Martha Sajatovic, M.D.

Bereavement and Terminal Illness in Later-Life Depression

May 12, 2021 13:44 - 11 minutes - 16.4 MB

How to assess prolonged grief? Is there a specific therapy? Is there a role for methylphenidate? Faculty: Charles F. Reynolds III, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Evidence-Based Treatment of Major Depressive Episodes in Later Life Bereavement and Terminal Illness in Later-Life Depression: Complicated Grief and Palliative and Supportive Care

Anorexia Nervosa and Cardiac Abnormalities

May 07, 2021 13:55 - 7 minutes - 10.5 MB

Four different changes in cardiac function are associated with anorexia nervosa. All of them generally resolve if weight restoration can be achieved. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Plus Membership here Earn 0.5 CMEs: Quick Take Vol. 21 Cardiac Abnormalities Identified With Echocardiography in Anorexia Nervosa: Systematic Review and Meta-Analysis

Pharmacotherapy of Depression in Later Lafe: Maintenance Treatment

May 02, 2021 20:22 - 12 minutes - 17.8 MB

Can you combine donepezil with antidepressants in later-life depression? What are the benefits? What is the downside? Faculty: Charles F. Reynolds III, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Evidence-Based Treatment of Major Depressive Episodes in Later Life Long-Term Treatment in Later- Life Depression: Maintenance, Adverse Effects, and Combination of Antidepressants and Donepezil

Antipsychotics Ranked: Metabolic Side Effects and Mortality Risk

April 27, 2021 15:18 - 8 minutes - 11.2 MB

In schizophrenia, which antipsychotics cause the most weight gain, cholesterol, or glucose increases? Which antipsychotics cause the least? Although a new study may not change your list much, there are some surprises in this episode.  Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CME: Quick Take Vol. 21 Comparative Effects of 18 Antipsychotics on Metabolic Function in Patients With Schizophrenia, Predicto...

An Algorithm for Treating Depression in Older Adults

April 22, 2021 16:00 - 12 minutes - 17.8 MB

What do you do when your patient does not achieve remission? What are the best augmentation strategies? Faculty: Charles F. Reynolds III, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Evidence-Based Treatment of Major Depressive Episodes in Later Life Algorithm for Later-Life Depression Treatment: Antidepressants and Psychotherapy

How to Treat Hair Pulling and Skin-Picking Disorders

April 17, 2021 14:10 - 11 minutes - 15.3 MB

What is the role of N-Acetylcysteine (NAC) for hair-pulling and skin-picking Disorders? Should NAC be used as a first-line treatment? Faculty: Robert Hudak, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Obsessive-Compulsive and Related Disorders Pharmacologic Treatment of Hair-Pulling and Skin-Picking Disorders: SSRIs, N-Acetylcysteine and, Riluzole  

Clozapine and Risk of COVID-19 Infection

April 12, 2021 14:30 - 5 minutes - 7.34 MB

Can clozapine increase the risk of COVID-19 infection? What is the role of hypersalivation? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CME: Quick Take Vol. 19 Clozapine Treatment and Risk of COVID-19

How to Treat Body Dysmorphic Disorder

April 07, 2021 16:14 - 8 minutes - 11.3 MB

What is the role of SSRIs for body dysmorphic disorder? Should you prescribe antipsychotics? What are the most powerful medications for patients with delusional insight? Faculty: Robert Hudak, M.D. Host: Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Obsessive-Compulsive and Related Disorders Body Dysmorphic Disorder: Medications, CBT, and Exposure Response Prevention Therapy

Should Psychotherapy Alone Be First-Line For Depression?

April 01, 2021 22:48 - 7 minutes - 10.7 MB

What's an optimal treatment of depression according to a network meta-analysis? Should psychotherapy alone be a default first option? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CME: Quick Take Vol. 18 A Network Meta-Analysis of the Effects of Psychotherapies, Pharmacotherapies, and Their Combination in the Treatment of Adult Depression

Body Dysmorphic Disorder: Tips for Diagnosis

March 27, 2021 14:42 - 11 minutes - 16.1 MB

What are the clinical features of body dysmorphic disorder? How can you body dysmorphic disorder? Tips for screening. Faculty: Robert Hudak, M.D. Hosts: Jessica Diaz, M.D. ; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Obsessive-Compulsive and Related Disorders Body Dysmorphic Disorder: DSM- 5 Criteria and Clinical Features

Oral Contraceptives in Psychiatry: Potential Effects You Should Know

March 19, 2021 16:44 - 6 minutes - 9.25 MB

Oral contraceptives can have an impact on mood in women with a history of depression. Can they also mimic the effects of chronic psychological stress? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CMEs: Quick Take Vol. 18 Evidence for Stress-Like Alterations in the HPA Axis in Women Taking Oral Contraceptives

Hoarding Disorder: Tips for Diagnosis

March 14, 2021 14:40 - 12 minutes - 16.5 MB

What are the clinical features of hoarding disorder? How can you assess hoarding disorder? Tips for screening. What other comorbidities should you consider? Faculty: Robert Hudak, M.D. Host: Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Obsessive-Compulsive and Related Disorders Hoarding Disorder: DSM-5 Criteria, Clinical Features, Epidemiology, and Comorbidities

Are Long-Acting Injectable Antipsychotics Better Than Orals?

March 09, 2021 12:57 - 8 minutes - 11.3 MB

Are long-acting injectable antipsychotics better than oral antipsychotics for preventing relapse and re-hospitalization in schizophrenia? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CME: Quick Take Vol. 17 Long-Acting Injections in Schizophrenia: A 3-Year Update on Randomized Controlled Trials Published January 2016–March 2019

Antiepileptics in Pregnancy

March 04, 2021 12:54 - 9 minutes - 13.4 MB

How bad are valproic acid effects in the newborn? Is there a role for carbamazepine and oxcarbazepine? How to prescribe lamotrigine during pregnancy? Faculty: Wendy Marsh, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Prescribing Antiepileptic Drugs for Bipolar Disorder During Pregnancy: Valproate, Carbamazepine, and Lamotrigine Earn 1 CME: Clinical Management of Bipolar Disorder in Pregnancy Learn more about Premium Membership here

tDCS for Schizophrenia

February 27, 2021 21:20 - 6 minutes - 9.61 MB

Is transcranial direct current stimulation for negative symptoms of schizophrenia a good idea? Faculty: Jim Phelps, M.D. Host: Flavio Guzman, M.D. Links Efficacy and Safety of Transcranial Direct Current Stimulation for Treating Negative Symptoms in Schizophrenia Earn 0.5 CME: Quick Take Vol. 16 Learn more about Premium Membership here  

Antipsychotics in Pregnancy: Are They Safe?

February 22, 2021 13:03 - 8 minutes - 12.2 MB

How safe are first-generation antipsychotics in pregnancy? What's their teratogenicity risk? How safe are second-generation antipsychotics? Are risks dose-dependent? What glucose test should you order and when? Faculty: Wendy Marsh, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Clinical Management of Bipolar Disorder in Pregnancy Prescribing Lithium During Pregnancy: Pharmacokinetics, Dosing, and Monitoring  

Should you prescribe omega-3 fatty acids?

February 17, 2021 17:00 - 7 minutes - 10.9 MB

Omega-3 fatty acids have been shown in some randomized trials to be more effective than placebo in the treatment of depression, but a Cochrane review concluded that they are no better than placebo. Should you suggest omega-3 fatty acids for patients with depression? If so, what dose should you recommend? Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CME: Quick Take Vol. 17 Omega-3 and Polyunsaturated Fat ...

Prescribing Lithium During Pregnancy

February 12, 2021 17:00 - 8 minutes - 12 MB

How does pregnancy affect lithium pharmacokinetics? How do lithium levels fluctuate across the first, second, and third trimesters? How often should you monitor lithium blood levels? Should you stop lithium prior to labor? Faculty: Wendy Marsh, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: Clinical Management of Bipolar Disorder in Pregnancy Prescribing Lithium During Pregnancy: Pharmacokinetics, Dosing, and Monitori...

Using E-Cigarettes: What Clinicians Must Know

February 07, 2021 17:00 - 7 minutes - 10.1 MB

Can e-cigarettes help in smoking cessation? What are the main disadvantages of e-cigarettes? What is a dual user? Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME: The Clinical Guide On Tobacco Use Disorder Using E-Cigarettes: What Clinicians Must Know

Premenstrual Mood Syndromes: Oral Contraceptives in Psychiatry?

February 02, 2021 17:00 - 9 minutes - 8.65 MB

Should psychiatrists prescribe oral contraceptives? What is the role of oral contraceptives in the treatment of PMDD? How do oral contraceptives work in premenstrual syndromes? Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME- "Premenstrual Mood Syndromes" Hormonal Treatments for Premenstrual Syndromes: Oral Contraceptives, GnRH Agonists, and Oophorectomy 

Antidepressants for Bipolar Depression

January 28, 2021 17:00 - 8 minutes - 12.2 MB

What can we conclude from 9 international guidelines addressing the role of antidepressants in the treatment of bipolar depression? Can antidepressants induce treatment resistance? Some authoritative authors say, maybe. Research editor: James Phelps, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 0.5 CMEs: Quick Take Vol. 16 Evaluating the Efficacy and Safety of Antidepressants in Patients With Bipolar Disorder

PMS and PMDD: Intermittent Antidepressant Dosing?

January 23, 2021 17:00 - 8 minutes - 8.26 MB

Which antidepressant class is effective for the premenstrual syndromes PMS and PMDD? How can you use antidepressants intermittently to relieve PMS symptoms (luteal-phase and symptom-onset dosing)? Should you prescribe only antidepressants that have been approved by the FDA for PMDD? Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME- "Premenstrual Mood Syndromes" Psychopharmacology for PMS and PMDD:...

Atomoxetine for Adult ADHD

January 18, 2021 17:00 - 5 minutes - 5.1 MB

Atomoxetine is the only non-stimulant medication approved by the FDA for the treatment of ADHD in adults. We discuss: Its most common and not-so-common side effects. What other non-stimulants you can use. Faculty: Oscar Bukstein, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME- "The Clinical Guide to Adult ADHD" Nonstimulant Treatments for Adult ADHD: Atomoxetine, Bupropion, Alpha Agonists, and Others

Premenstrual Mood Syndromes: How to Assess?

January 13, 2021 17:00 - 9 minutes - 9.08 MB

What is the most helpful and accurate way of understanding premenstrual mood symptoms? What is the preferred scale available? Does it have any limitations? Are period tracking apps useful for diagnosing PMDD? Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME- "Premenstrual Mood Syndromes" Clinical Assessment and Diagnosis of Premenstrual Mood Syndromes and Prospective Rating Scales

Adult ADHD: Using Psychostimulans

January 08, 2021 17:00 - 9 minutes - 8.59 MB

What is preferred: Long-acting or short-acting formulations? What are the general prescribing principles for all psychostimulants? What are their most common side effects? What side effects you should monitor? Faculty: Oscar Bukstein, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME- "The Clinical Guide to Adult ADHD" Psychostimulants for Adult ADHD: Formulations, Prescribing Tips, Adverse Effects and Monitoring

Smoking and Psychotropic Use: Effects on Blood Levels

January 03, 2021 17:00 - 7 minutes - 6.68 MB

Can smoking affect psychotropic levels? What are the two antipsychotics most commonly affected by smoking? Which is the antidepressant most commonly affected by smoking? Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D. ; Flavio Guzman, M.D. Learn more about Premium Membership here Earn 1 CME- "The Clinical Guide to Tobacco Use Disorder" Watching out for Tobacco–Drug Interactions: Pharmacokinetics, Pharmacodynamics and Deinduction

Lithium: Sexual Side Effects and Cognitive Impairment

December 29, 2020 17:00 - 13 minutes - 12.7 MB

In this episode, we discuss cognitive impairment and sexual problems with lithium. Here are some question we cover: How should you discuss cognitive complaints with your patients? What does neuropsychological testing tell us about cognitive impairment with lithium? What strategies can you use to mitigate the sexual side effects of lithium? Faculty: David Osser, M.D. Learn more about Premium Membership here Earn 1.5 CMEs - "Lithium: How to Manage Dosage and Side Effects and Persu...

Top 10 Drug Combinations in Major Depressive Disorder: Interview with Dr. Michael Thase PART 2

December 24, 2020 17:00 - 23 minutes - 21.8 MB

This interview discusses the use of lithium, thyroid hormone, second-generation antipsychotics, newer antidepressants, and ketamine/esketamine as adjunctive agents in managing major depressive disorder. Faculty: Michael Thase, M.D. Learn more about Premium Membership here Earn 0.75 CMEs - "Top 10 Drug Combinations in MDD - Interview with Prof. Michael E. Thase"

Top 10 Drug Combinations in Major Depressive Disorder: Interview with Dr. Michael Thase PART 1

December 19, 2020 17:00 - 30 minutes - 28 MB

This interview discusses the use of MAOIs and tricyclic antidepressant combinations, adjunctive benzodiazepines and trazodone, and the use of psychostimulants as adjunctive agents in managing major depressive disorder. Faculty: Michael Thase, M.D. Learn more about Premium Membership here Earn 0.75 CMEs - "Top 10 Drug Combinations in MDD - Interview with Prof. Michael E. Thase"

Managing Tardive Dyskinesia: Clinical Pointers

December 14, 2020 17:00 - 8 minutes - 7.51 MB

Today's episode is about the management of tardive dyskinesia. Here are some questions we cover in this episode:  What is the best way to approach tardive dyskinesia? This episode will discuss an algorithm with levels of evidence for each treatment option. What is the evidence level for second-generation VMAT-2 inhibitors, such as deutetrabenazine and valbenazine? Is there evidence for prescribing anticholinergics in tardive dyskinesia? Should you use them? What options do you have ...