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
Communicating With Intubated Patients
Rounds in the General Hospital

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.
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PCC
Psychological Adverse Effects of Psychedelic Use
Rounds in the General Hospital

June 25, 2026

This case-based review explores psychological adverse effects of psychedelic use, covering risk factors, trauma history, phenomenology, and evidence-based management strategies for clinicians.
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PCC
Medical Complications of Psychedelics
Rounds in the General Hospital

June 23, 2026

This case-based review covers acute complications, drug interactions, and long-term safety across psilocybin, MDMA, ketamine, and ibogaine, with practical guidance for clinicians.
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PCC
Improving Cardiac Arrest Survivorship
Rounds in the General Hospital

June 4, 2026

Affective states and conditions such as anxiety, PTSD, and depression are common in those who have survived a cardiac arrest, and untreated psychiatric symptoms are associated with worse cardiac...
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PCC
Alcohol Use Disorders in Primary Care
Rounds in the General Hospital

May 21, 2026

Patients with major depressive disorder and a comorbid AUD often present with more severe manifestations, including thoughts of suicide, co-occurring personality disorders, and higher rates of smoking.
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PCC
Manifestations Associated With CNS Lesions
Rounds in the General Hospital

May 19, 2026

Neuropsychiatric manifestations of brain metastases are varied, although certain symptoms can be associated with the brain region in which there is a metastasis; lesions that affect certain parts of...
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PCC
Differentiating Bipolar and Other Psychiatric Disorders
Rounds in the General Hospital

May 12, 2026

Diagnosis of bipolar spectrum disorder is often complicated, as most patients present for care during depressive episodes, which are more frequent than hypomanic or manic episodes.
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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
Strategies for Managing Dyspnea
Rounds in the General Hospital

April 2, 2026

Pharmacologic approaches and behavioral and psychological interventions such as mindfulness, relaxation, and CBT can mitigate dyspnea and associated anxiety.
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PCC
Administering ECT to Critically Ill Patients
Rounds in the General Hospital

March 5, 2026

ECT can be lifesaving for critically ill individuals with severe psychiatric and neuropsychiatric conditions; however, cardiac monitoring is essential.
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PCC
Understanding the Impact of Moral Injury
Rounds in the General Hospital

February 26, 2026

Healing of moral injuries requires truth-telling, communal recognition, and moral repair—not just medication or cognitive restructuring.
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