Vitamin D Deficiency and Depression 6/20/19

Recent literature has found a link between vitamin D deficiency and psychiatric illnesses, particularly depression. Several studies have shown that vitamin D supplementation can benefit depression symptoms. The goal of this e-Weekly is to review the literature and provide practical information for providers on using vitamin D supplementation as part of a depression treatment plan. […]

Improving Detection of Postpartum Depression 6/13/2019

Postpartum depression (PPD) is fairly common, with a prevalence of 10-15%. PPD can occur anytime in the first year after delivery. The postpartum year is one of the highest risk periods for first-onset depression for women with approximately 50% of women who will have a depressive disorder in their lifetime experiencing their first episode of […]

ADHD Treatment Concerns in Adolescents 6/6/2019

This e-weekly is based on a clinical consultation asking about adjusting ADHD treatment in an adolescent based on concerning side effects. This is probably a scenario that is common for many primary care providers, so we thought it would be useful to present the question and clinical discussion in this format. Clinical Question: This is […]

Using Antidepressants in Bipolar Disorder 5/30/2019

The mainstay of medication treatment for patients diagnosed with bipolar disorder is a mood stabilizer. These medications ideally can help manage the manic/hypomanic symptoms as well as the depressive symptoms that can occur in bipolar disorder. Patients with bipolar disorder, either Bipolar I or Bipolar II, typically spend more time in depression than in mania. […]

Differentiating Serotonin Syndrome and Neuroleptic Malignant Syndrome 5/23/2019

Serotonin syndrome (SS) and neuroleptic malignant syndrome (NMS) are each rare psychiatric emergencies that can lead to fatal outcomes. NMS occurs in 1/1000 patients treated with neuroleptic medications. Because the treatment is very different for these two conditions, it is important to know how to identify symptoms for each and be able to differentiate between […]

Bupropion: Distinguishing between the truths and the myths 5/16/2019

Bupropion is an effective antidepressant but is not as commonly utilized as other antidepressants like the selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). This is likely because it is less well understood and there are some myths about this medication that limit its use.  Bupropion’s mechanism of action is very different […]

Breastfeeding Mothers and Psychotropic Medication for Depression 5/9/2019

Mental health concerns can occur in the postpartum period, and depression is the most common mental health concern that is seen. Previous e-Weekly’s have discussed the effects of postpartum depression on a new mother and her bonding with her baby. It is not uncommon for a new mother to feel like she has to make […]

Opioid Use Disorders: Assessment and Treatment (Part 2) 5/2/2019

The last e-weekly discussed the opioid epidemic. This article will discuss more about assessing for opioid use disorders and appropriate treatments. A person is diagnosed as having an opioid use disorder if he develops symptoms of tolerance and withdrawal to opioids as well as at least two other symptoms in the same year. Tolerance is […]

Opioid Use Disorders: The Current Epidemic (Part 1) 4/25/2019

The opioid epidemic has become a national emergency. Opioid related deaths have increased ~300% from 2001 to 2016. It is known that overdoses are a leading cause of accidental death in the United States, and the number has been increasing yearly from 2002 to present time. Drug overdoses cause more deaths than car accidents and […]

Practice Guidelines for Treating AUD 4/18/2019

Alcohol Use Disorder (AUD) is very common and can lead to medical, occupational, social and legal impairments for affected individuals and their families. Despite the high prevalence of AUD and its significant public health consequences, patients with this disorder continue to be under-identified and undertreated. The American Psychiatric Association has recently come out with practice […]