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The Primary
Care Companionfor CNS Disorders
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Primary Care Companion for CNS Disorders

Psychotherapy Casebook February 1, 2002

Overcoming Obstacles: Therapeutic Success Despite External Barriers

Prim Care Companion J Clin Psychiatry 2002;4(1):27-29

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What predicts therapeutic success? One might answerthe question with a question: “How many psychiatrists does it take to change a light bulb?” Theanswer: “Only one, but the light bulb has to really want tochange.”

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New Series The JCP Podcast Lamotrigine clearance can rise by 200% to 300% in pregnancy, turning a previously stable dose into therapeutic failure, while the postpartum reset can make that same dose toxic fast. This conversation gets practical about monitoring, tapering, and why screening for bipolar disorder in postpartum depression can change treatment decisions.

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