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
Rounds in the General Hospital
Clozapine, Xanomeline-Trospium, and Catatonia
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.
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...
