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Dive into a collection of past posts and rediscover timeless content.

Clinical Evidence

Antidepressant Withdrawal: Two One-Thirds, Two Different Claims

Sep 28, 2026

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12 min read

Antidepressant Withdrawal: Two One-Thirds, Two Different Claims

A small Swiss study locates a withdrawal signal in the lower-dose phase of antidepressant discontinuation. Its most useful finding is a comparison; its most vulnerable conclusion is an incidence estimate.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

Before Changing Lithium, Check the Clock

Sep 25, 2026

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3 min read

Before Changing Lithium, Check the Clock

A routine level needs a dose-to-draw interval. Suspected toxicity needs prompt assessment.

The Psychiatric Record
The Psychiatric Record

Clinical Assessment

"On the Phone All Night" Is Not a Clinical History

Sep 24, 2026

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3 min read

"On the Phone All Night" Is Not a Clinical History

Online life belongs in family work for psychosis. It should be described with the same specificity as sleep, work, and relationships.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

What the Autism Life-Expectancy Headline Leaves Out

Sep 23, 2026

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8 min read

What the Autism Life-Expectancy Headline Leaves Out

The population and comparator change the meaning of the number. The causes of death give clinicians more useful questions to ask.

The Psychiatric Record
The Psychiatric Record

Practice Operations

Before You Sign the Form

Sep 22, 2026

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6 min read

Before You Sign the Form

Every form asks for an opinion. Decide its scope before you give it.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

After First Psychotic Mania, Revisit the Maintenance Plan

Sep 21, 2026

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3 min read

After First Psychotic Mania, Revisit the Maintenance Plan

An observational study prompts a clearer account of why a regimen is continuing after the acute episode.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

Long-Acting Injections in Bipolar Disorder: Relapse Polarity Matters

Sep 18, 2026

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4 min read

Long-Acting Injections in Bipolar Disorder: Relapse Polarity Matters

A drop in manic admissions is a meaningful finding. Depression prevention still needs its own evidence.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

Treating ADHD Alongside Stimulant-Use Disorder

Sep 16, 2026

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3 min read

Treating ADHD Alongside Stimulant-Use Disorder

A treatment ranking still needs a clinical target, a suitable patient, and a workable follow-up plan.

The Psychiatric Record
The Psychiatric Record

Technology & AI

Whose Voice Is a Psychiatric Speech Model Learning?

Sep 15, 2026

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4 min read

Whose Voice Is a Psychiatric Speech Model Learning?

Separating patient speech from a full diagnostic interview changed model performance. What a model hears defines the scope of its evidence.

The Psychiatric Record
The Psychiatric Record
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