Rounds in the General Hospital
For hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms, Dr Stern discusses diagnosis and management with members of the Consultation Service at Massachusetts General Hospital. These rounds reports will prove useful for clinicians practicing at the interface of medicine and psychiatry.
Rounds in the General Hospital
The Meaning of Monitoring to Patients and their Families in Critical Care Units
July 7, 2026
Patients and family members in ICUs frequently focus on the numeric displays of monitoring devices to feel that they are in control, rather than adrift in a helpless situation.
Rounds in the General Hospital
Communicating With Intubated Patients
July 2, 2026
Communication difficulties associated with critical illness and mechanical ventilation increase the likelihood of developing neuropsychiatric sequelae of critical illness and can worsen short- and long-term patient outcomes.
Rounds in the General Hospital
Strategies for Documenting the Medical Record
May 7, 2026
Documentation should be objective and relevant, especially in psychosocially complex cases—too much information can interfere with establishing the correct diagnosis and treatment plan, while too little increases risk of…
Rounds in the General Hospital
Diagnosis and Management of Rage
December 23, 2025
This article offers a practical framework for distinguishing rage from irritability and impulsivity, identifying underlying neuropsychiatric drivers, and guiding evidence-based management across conditions including PTSD, TBI, and mood disorders.