Avoid directly challenging patients’ beliefs about infestation. Instead, focus on shared, symptom-based concerns—such as emotional distress, anxiety, or sleep disruption—that both the patient and clinician can acknowledge.
How do you support a patient with Delusional Infestation (DI)? Read More »
Restrictive eating disorders are defined by calorie restriction and resulting malnutrition. People with AN intentionally restrict energy intake and have an intense fear of weight gain, body dysmorphia and/or a lack of recognition of the severity of malnutrition.
How do you care for patients with restrictive eating disorders in primary care? Read More »
Special Guest Author Keith Sakata, MD
Need maximum pain relief? TCAs work best. In general, choose nortriptyline over amitriptyline—it’s less sedating, less anticholinergic, and less likely to cause weight gain.
What medications can help both pain and depression? Read More »
When non-pharmacological approaches to managing behavioral disturbances in dementia are insufficient, acetylcholinesterase inhibitors, SSRIs, and second generation antipsychotic medications should be considered.
An anniversary reaction is an onset or re-occurrence of trauma or grief symptoms triggered by an anniversary of trauma or loss.
How do you support a patient through an anniversary reaction? Read More »
Donepezil and other acetylcholinesterase inhibitors are the first-line medications used for cognitive and neuropsychiatric symptoms of Alzheimer’s Dementia, including mild-to-moderate anxiety, depression, irritability, and agitation.
General non-pharmacologic strategies to address behavioral and psychological symptoms in a person with dementia and specific strategies to reduce the potential harms of wandering are reviewed.
How do you manage behavioral and psychological symptoms in a patient with dementia? Read More »
