A middle-aged man with glasses, a mustache, and thinning hair smiles at the camera. He is wearing a striped shirt, a black sweater vest, and a yellow tie against a plain light background.

Theodore A. Stern, MD

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; White River Junction VA Medical Center, White River Junction, Vermont; Burlington Lakeside Community Based Outpatient Clinic, Burlington, Vermont

Figure: White logo for The Primary Care Companion for CNS Disorders with circular icon at left, shown on a light gray background.

Rounds in the general hospital with Dr Stern

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.

PCC
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
Talking to Pregnant Patients About Substance Use
Rounds in the General Hospital

November 11, 2025

A 33-year-old pregnant woman presented to the obstetric triage unit at 28 weeks. She and her partner reported that this pregnancy was going smoothly except for one thing: she...
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PCC
Talking to Patients About Inflammatory Bowel Diseases
Rounds in the General Hospital

November 6, 2025

Find out what triggers irritable bowel diseases and how your patients can manage their GI symptoms and utilize psychotropic agents in this comprehensive guide.
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PCC
Psychological Sequelae of Drone Attacks
Rounds in the General Hospital

November 6, 2025

Read about a newly emerging form of combat stress, one shaped by the relentless and psychologically corrosive nature of modern drone warfare.
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PCC
Choosing a Pharmacologic Strategy for Psychosis
Rounds in the General Hospital

October 28, 2025

Find out which antipsychotic agent to prescribe to your patient with psychosis and learn how to balance the concepts of efficacy, tolerability, and cost.
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PCC
Impact of Hypotension on Cognitive Function
Rounds in the General Hospital

October 23, 2025

Hypotension acts synergistically to affect mental status by compounding problems with gas exchange, neurovascular dynamics, neuronal metabolism, and neurotoxicity.
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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
Talking to Your Patients About HSCT
Rounds in the General Hospital

September 30, 2025

If you have been unsure about what you should discuss with your patients who might undergo hematopoietic stem cell transplantation, then this case and discussion should prove useful.
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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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PCC
Antihistamines: Indications, Interactions, and Adverse Effects
Rounds in the General Hospital

September 16, 2025

Many antihistamines share a propensity for muscarinic receptor antagonism at higher doses, leading to symptoms of anticholinergic toxicity.
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Consensus Report on XT Use in Practice

Figure: Graphic promoting Consensus Report on Xanomeline-Trospium; colorful net design shown with JCP logo in lower left.

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