How to Choose a Psych Med
The Carlat Psychiatry Blog, Volume , Number ,
https://www.thecarlatreport.com///
We speak with David Osser, whose psychopharmacology algorithm project challenges many conventions about psychiatric medications. When antidepressants cause more depression. Psychotic disorders that don’t respond to antipsychotics. When to trust the evidence, and what to do with clinical experience. Published on: 4/13/20 Duration: 18 minutes, 56 seconds Related Articles: “The Psychopharmacology Algorithm Project,” The Carlat Psychiatry Report, April 2020 Got feedback? Take the podcast survey.
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My early experience as both an RN and a Psych NP, was working in both inpatient (locked) and ICU units, along with a Psych Emergency Department. I do understand that one can develop a bias according to what is seen in practice. However in my case, I saw so very very many patients who were bipolar who had been placed on or given an adjunct of an antidepressant – and the outcomes were very poor. So in that “culture” (huge multi-facility health/hospital organization) it was very much a thing that one single episode of mania was considered a severe and permanent contra-indication to any use of antidepressant. Since then, I’ve seen prescribers using combinations, even when they themselves would diagnose (or document that they supported) the diagnosis of bipolar. What I saw (and I was in a position to see the “worst outcomes”) was that this could really be a terrible thing to do.