James K. Rustad, MD

Geisel School of Medicine, Dartmouth, Lebanon, New Hampshire; Larner College of Medicine, University of Vermont, Burlington, Vermont; White River Junction VA Medical Center White River Junction, Vermont

PCC
Neuromodulatory Technologies for CNS Disorders
Rounds in the General Hospital

August 13, 2026

Neuromodulatory devices and wearables are transforming psychiatric care; this case-based review covers FDA-approved uses, contraindications, and clinical integration for depression, PTSD, and pain.
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PCC
Clozapine, Xanomeline-Trospium, and Catatonia
Rounds in the General Hospital

August 11, 2026

Abrupt clozapine discontinuation during a cross-taper to xanomeline/trospium chloride can trigger catatonia. Learn how overlapping cholinergic mechanisms complicate this transition and how to manage withdrawal-induced catatonia.
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PCC
Strategies for Documenting the Medical Record
Rounds in the General Hospital

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...
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PCC
How to Document Complex Cases
Rounds in the General Hospital

April 9, 2026

Case presentations often drive differential diagnosis creation by what is said (and not said) and by whether information given is the "lead" or merely a (potentially interesting) tidbit.
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PCC
Diagnosing and Treating Impulsivity
Rounds in the General Hospital

February 5, 2026

Impulsivity is a characteristic of many psychiatric and neuropsychiatric conditions throughout the lifespan; however, in older adults it frequently signals an emerging neurodegenerative process.
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PCC
Facilitating Academic Success for Clinicians
Rounds in the General Hospital

December 16, 2025

Many clinicians, experience “imposter syndrome,” which can foster the false belief that they are unqualified for promotion.
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Using Digital Technologies to Avoid Doctor’s Orders
Rounds in the General Hospital

December 2, 2025

The availability of portable technologies and application-based services can complicate caretaking in the hospital setting, as patients can circumvent medical recommendations.
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PCC
Sequelae of Toxic Exposures in Veterans
Rounds in the General Hospital

November 25, 2025

A 45-year-old veteran has ongoing symptoms likely related to past exposure to burn pits, dust storms, airborne industrial pollutants, and head trauma from hard parachute landings.
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PCC
Primary Care and Mental Health Collaboration
Rounds in the General Hospital

November 13, 2025

Since PCPs are often the first health care professionals to see patients with symptoms of a mental health disorder, they play a vital role in the identification, management, and...
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PCC
Managing Somatic Delusions
Rounds in the General Hospital

October 16, 2025

Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.
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PCC
Diagnosing and Treating Dizziness
Rounds in the General Hospital

September 18, 2025

Psychiatric treatment of dizziness includes behavioral therapy to decrease arousal to the identified stimulus and pharmacologic interventions to decrease acute anxiety and prevent onset of downstream anxiety.
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