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Dive into a collection of past posts and rediscover timeless content.
Olanzapine Without the Waiting Room

Oct 9, 2026

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4 min read

Olanzapine Without the Waiting Room

A new monthly injection changes access to olanzapine. Its use still depends on response, tolerability and informed consent.

The Psychiatric Record
The Psychiatric Record

Prescribing

Before Restarting Lamotrigine

Oct 8, 2026

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3 min read

Before Restarting Lamotrigine

An old maintenance prescription does not settle the next dose after an interruption.

The Psychiatric Record
The Psychiatric Record

Clinical Decisions

When Waiting Is Part of the ECT Decision

Oct 7, 2026

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3 min read

When Waiting Is Part of the ECT Decision

For severe depression, the treatment discussion needs to account for what may happen while another option is being tried.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

When Nightmares Improve, Reassess the Rest of PTSD

Oct 6, 2026

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3 min read

When Nightmares Improve, Reassess the Rest of PTSD

A nightmare response deserves recognition while broader PTSD treatment stays active.

The Psychiatric Record
The Psychiatric Record

Clinical Assessment

When “Mild” Tardive Dyskinesia Isn’t Mild to the Patient

Oct 5, 2026

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3 min read

When “Mild” Tardive Dyskinesia Isn’t Mild to the Patient

Functional burden belongs in the treatment conversation, even when observed movements seem mild.

The Psychiatric Record
The Psychiatric Record

Recovery & Function

IPS Starts With the Wish to Work

Oct 2, 2026

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5 min read

IPS Starts With the Wish to Work

Eligibility for employment support and fitness for a particular job are different questions. "Not ready" needs a definition.

The Psychiatric Record
The Psychiatric Record

Clinical Assessment

An Antipsychotic Does Not Explain Every Prolactin Result

Oct 1, 2026

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4 min read

An Antipsychotic Does Not Explain Every Prolactin Result

Recognizing a medication effect is the beginning of an assessment, not permission to stop asking questions.

The Psychiatric Record
The Psychiatric Record

Practice Operations

A Paid Claim Can Still Be a Pay Cut

Sep 30, 2026

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4 min read

A Paid Claim Can Still Be a Pay Cut

Payment status, policy applicability and payment accuracy are three different questions.

The Psychiatric Record
The Psychiatric Record

Practice Operations

One 7-Tesla Session, One Early Signal

Sep 29, 2026

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6 min read

One 7-Tesla Session, One Early Signal

A small MRI biofeedback trial illustrates why losing statistical significance does not establish fading benefit, and why an early mood signal still needs a convincing explanation.

The Psychiatric Record
The Psychiatric Record
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