Important Psychiatry Crisis and Emergency Resources 7/18/2019

Last week’s e-weekly reviewed what situations might warrant the use of a safety plan and what is included in one. Safety plans typically include resources, both local and possibly hotlines or websites. The goal for this e-weekly is to provide information on some useful resources that could be utilized in a person’s specific safety plan. […]

Developing and Implementing a Safety Plan 7/11/2019

Often when a patient is in crisis, we talk about putting a “safety plan” in place. It may not be clear to all providers what a safety plan is or why it might be helpful. The goal of this e-weekly is to discuss what a safety plan is, how to develop and implement one, and […]

School Safety 6/27/2019

The United States has 57% more school threats than all other industrialized nations combined. Most experts agree that this is at least partially related to the relatively easier access to guns in the United States compared to other developed countries, but this e-weekly is not about the gun debate. It is a review of the […]

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 […]