ITEMS IN AFP WITH KEYWORD:
As part of the Deprescribing Guidelines in the Elderly Project, a Canadian team consisting of two family physicians, one geriatric psychiatrist, two geriatricians, and four pharmacists has provided recommendations to guide physicians in deprescribing antipsychotics for behavioral and psychological symptoms of dementia and insomnia.
Although a patient’s capacity to make medical decisions is usually assessed intuitively, there may be times when a more formal assessment is needed. Find out which tools are best for evaluating a patient’s decision-making capacity, when to seek consultation with a psychiatrist, and when a surrogate decision maker should be consulted.
Jun 1, 2018 Issue
Atypical Antipsychotics for Disruptive Behavior Disorders in Children and Adolescents [Cochrane for Clinicians]
Risperidone reduces measures of aggression and improves conduct in children with disruptive behavior disorders; however, only short-term use is recommended. Weight gain of 2 to 2.5 kg (4.4 to 5.5 lb) is common. There is insufficient evidence to evaluate the benefits of other antipsychotics.
Hypnosis provides small to moderate improvements in surgical pain and burn debridement pain in adults.
What are the benefits and harms of treatments for adults with binge-eating disorder?
Jan 1, 2017 Issue
Extended-Release Bupropion for Preventing Seasonal Affective Disorder in Adults [Cochrane for Clinicians]
When started in the fall, extended-release bupropion, 300 mg once daily, is effective in preventing recurrent symptoms in high-risk adults with a history of SAD (number needed to treat [NNT] = 5), as well as those at lower risk (NNT = 8). Headaches, nausea, and insomnia may limit adherence to treatment.
Dec 1, 2016 Issue
Aripiprazole vs. Placebo or Haloperidol for Schizophrenia [Medicine by the Numbers]
Aripiprazole was shown to have one major benefit over placebo, but favorable outcomes with haloperidol throw its effectiveness into question. Are the differences merely anomalies?
Learn how to choose among the different clinical examination tools, and find out which conditions may be suggested by abnormal results of cognitive testing.
Jul 1, 2016 Issue
APA Updates Guidelines on Psychiatric Evaluation in Adults [Practice Guidelines]
The American Psychiatric Association (APA) recently released the third edition of its guidelines on psychiatric evaluation of adults. The nine-part guideline has been updated based on new evidence identified since the previous edition was released in 2006.
Apr 15, 2016 Issue
Evaluation of Behavior Change in Patients with Developmental Disabilities [Curbside Consultation]
A mother brought her 19-year-old nonverbal, autistic son to our clinic. She requested medication for him to reduce the number of episodes that include loud vocalizations, thrashing, and head banging. These episodes usually occur in the car. At baseline, the man has difficulty with movement, characte...