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

PCC
Diagnosis and Management of Acute Psychosis
Rounds in the General Hospital

March 23, 2023

The underlying cause of psychotic disorders is often uncertain. Determination of the nature, time course, and severity of psychotic symptoms and whether they are a consequence of a primary...
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PCC
Delirium in Pediatric Patients
Rounds in the General Hospital

February 16, 2023

Delirium, particularly hypoactive delirium, is frequently underdiagnosed; therefore, routine screening is recommended in pediatric patients.
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PCC
Agitation and an Altered Mental Status in the ED
Rounds in the General Hospital

December 8, 2022

Mr A was brought to the ED by police due to increasingly irritable and disturbing behavior for the last month. This Rounds report provides guidance on managing altered mental...
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PCC
Hypertensive Emergency in a Patient With Anxiety
Rounds in the General Hospital

November 10, 2022

Hypertensive emergencies can be difficult to diagnose and manage, and various neuropsychiatric manifestations can arise during such a crisis.
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PCC
Recognizing and Addressing Health Care Disparities Among Black Populations
Rounds in the General Hospital

August 2, 2022

Here, the authors discuss discrimination in health care and offer suggestions on how to incorporate social determinants of health into routine patient encounters to address unmet patient needs.
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PCC
New-Onset Paranoia in an Elderly Woman With Bipolar Disorder
Rounds in the General Hospital

July 5, 2022

If you ever wondered how often paranoia develops in the elderly and in those with preexisting bipolar disorder or what other conditions can contribute to or precipitate psychotic symptoms,...
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PCC
Trust in the Doctor-Patient Relationship
Rounds in the General Hospital

June 21, 2022

If you have ever wondered how trust in the doctor-patient relationship can be established, reflected on how that trust can be fractured or lost, or deliberated on how trust...
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PCC
Facilitating Smoking Cessation in Primary Care
Rounds in the General Hospital

May 17, 2022

Here, the authors discuss the importance of tobacco cessation, best practices involving pharmacologic agents and counseling techniques, and strategies to address myths related to smoking cessation.
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PCC
Challenging a Surrogate Decision-Maker
Rounds in the General Hospital

May 12, 2022

When a proxy medical decision-maker is not acting as the patient wished or in the best interest of the patient, the decision-making of the surrogate can be challenged. Read...
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JCP
Psychological Dimensions of Palliative Care Consultation
Cross Talk: Case Conferences From MGH

February 22, 2022

This compelling case presentation illustrates the challenges of providing palliative care during the pandemic. The expert discussion that follows examines the case from various perspectives and suggests ways clinicians...
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PCC
Managing Clozapine in Primary Care
Rounds in the General Hospital

February 17, 2022

In this article, gain insight into the management of patients taking clozapine. The authors also provide critical steps for early detection and management of life-threatening complications of clozapine, including...
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PCC
Rounds in the General Hospital

January 27, 2022

Have you been unsure about how racial discrimination can contribute to anxiety, depression, or poor health? Have you been unsure about how to intervene with patients who experience acculturative...
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Consensus Report on XT Use in Practice

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

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