Episode 7: Augmentation Strategies for Treatment of Unipolar Depression

Episode 7: Augmentation Strategies for Treatment of Unipolar Depression

Psychopharmacology
On today’s episode, we will be discussing options for augmentation strategies in the treatment of unipolar depression. For many patients suffering from unipolar major depression, they can continue to suffer from symptoms despite treatment with multiple adequate trials of antidepressants. The decision to add an augmentation agent is one that is most often made in such cases of depression that are what we call “resistant” to treatment. Generally speaking, there a rough algorithm exists for which steps a clinician should take in treatment a patient with depression that is not responding to initial monotherapy antidepressant treatment. First, the clinician can consider switching treatment to another antidepressant within the same class or within another class. The clinician can also consider switching treatment to psychotherapy or in the case of patients who…
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Episode 6: Antidepressant-Induced Sexual Dysfunction

Episode 6: Antidepressant-Induced Sexual Dysfunction

Medication Minute, Psychopharmacology
On today’s episode, we will be discussing treatment of antidepressant-induced sexual dysfunction. This is a topic that is incredibly important in terms of medication management in our patients and the side effects from some of those medications, and it is a topic that is often overlooked. It can be embarrassing and anxiety-provoking for medical students, residents, and even attending psychiatrists to ask these questions of our patients. However, it is a vital aspect of our assessment, and even more so when so many medications can cause such an undesirable side effect. First, we will discuss the evaluation of these side effects during psychiatric assessment, followed by a discussion of the management techniques for antidepressant-induced sexual dysfunction. References Sadock, Benjamin James. Sadock, Virginia Alcott. Ruiz, Pedro. Kaplan & Sadock's Synopsis of…
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Episode 5: Dementia in DSM5 – Part 1

Episode 5: Dementia in DSM5 – Part 1

Assessment, Diagnoses
On today’s episode, we will discuss the first part of a 2-part discussion on neurocognitive disorders according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Neurocognitive disorders involve acquired disruptions in one or more of the domains of cognition, which include Memory Language, Orientation, Judgment, Conductance of interpersonal relationships, Performing of tasks, and Problem-solving. It is important to be able to identify, diagnose, treat, and manage neurocognitive disorders in our patients as they can commonly be the basis for psychiatric symptoms, especially in our more elderly population. However, this proves to a challenging field in that it is not always black and white: there are a lot of gray areas as dementia can often have a multifactorial etiology. Neurocognitive disorders are a broad field, and…
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