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The Journal of Clinical Psychiatry | JCP

@psychiatristcns.bsky.social
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For clinicians, researchers, and mental health professionals shaping the future of psychiatry. From The Journal of Clinical Psychiatry.

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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 12/11/2025
🔍 In the premiere episode of The JCP Podcast, we dive into the world of mental-health research and publishing with JCP's Editor in Chief, Marlene Freeman, MD. 🎧 Available now on Spotify and Apple Podcasts, don’t miss it! 🔗 Spotify: bit.ly/43DbKPR 🔗 Apple: apple.co/3Jmk5Ax
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 10/11/2025
🔍 In the premiere episode of The JCP Podcast, we dive into the world of mental-health research and publishing with JCP's Editor in Chief, Marlene Freeman, MD. 🎧 Available now on Spotify and Apple Podcasts, don’t miss it! 🔗 Spotify: bit.ly/43DbKPR 🔗 Apple: apple.co/3Jmk5Ax
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 08/11/2025
🔍 In the premiere episode of The JCP Podcast, we dive into the world of mental-health research and publishing with JCP's Editor in Chief, Marlene Freeman, MD. 🎧 Available now on Spotify and Apple Podcasts, don’t miss it! 🔗 Spotify: bit.ly/43DbKPR 🔗 Apple: apple.co/3Jmk5Ax
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 06/11/2025
🔍 In the premiere episode of The JCP Podcast, we dive into the world of mental-health research and publishing with JCP's Editor in Chief, Marlene Freeman, MD. 🎧 Available now on Spotify and Apple Podcasts, don’t miss it! 🔗 Spotify: bit.ly/43DbKPR 🔗 Apple: apple.co/3Jmk5Ax
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 31/10/2025
Quality of life in FA isn’t just about walking or speech—it’s also about mood, behavior and functional participation. Our care models must keep up. Read more: bit.ly/3J6JKgp #PatientCare #RareNeurologicDisorders
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Neuropsychiatric Challenges of Friedreich Ataxia in a Patient Residing in a Long-Term Care Facility
Management of behavioral symptoms in Friedreich’s ataxia patients requires a nuanced approach that integrates psychiatric care with traditional neurological treatment.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 31/10/2025
For clinicians: seeing “AI counseling” as a tool, not a substitute. Ensure human supervision, cultural competence checks, and built-in crisis safeguards before deployment. Read more: bit.ly/49jjERN #ClinicalPractice #TechIntegration
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AI Counselors Cross Ethical Lines
A new study warns that AI “therapy chatbots” often violate core ethical standards, raising questions about their safety and accountability.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 31/10/2025
For mental-health program leaders: the evidence base for aripiprazole monohydrate LAI is maturing—now is a good time to revisit your protocols for selecting, initiating and following patients on LAIs. Read more: bit.ly/3JhyIoC  #ServiceDesign #PsychiatricCare
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Optimizing Treatment With Aripiprazole Monohydrate: Pharmacokinetic Advantages of Long-Acting Injectable Formulations, A Consensus Panel Report
A consensus panel reviews the pharmacokinetic advantages and clinical utility of long-acting injectable aripiprazole monohydrate to optimize treatment for schizophrenia and bipolar I disorder.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 31/10/2025
The research agenda must evolve: Which patient subgroups, treatment settings or infusion regimens might still show benefit? And how should outcomes be tracked over time? Read more: bit.ly/4qvn7To  #Research #InnovationInCare
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Serial Ketamine Infusions Fail to Outperform Placebo in New Trial
A new clinical trial found that repeated ketamine infusions offered no meaningful advantage over an active placebo for depression patients.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 31/10/2025
Clinicians: when cognitive decline shows up, don’t only check hypertension. Ask: “Has the patient’s blood pressure dropped below their norm lately?” It could be a key clue. Read more: bit.ly/4hEktH5 #PatientCare #Assessment
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The Impact of Relative and Absolute Hypotension on Cognitive Function
Hypotension acts synergistically to affect mental status by compounding problems with gas exchange, neurovascular dynamics, neuronal metabolism, and neurotoxicity.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 31/10/2025
The brain’s “fuel” is blood flow. Cut it off (even partially) and you trigger oxidative stress, calcium influx, cell death—starting within minutes.  bit.ly/4hEktH5 #PerfusionMatters #Neurobiology
psychiatrist.com
The Impact of Relative and Absolute Hypotension on Cognitive Function
Hypotension acts synergistically to affect mental status by compounding problems with gas exchange, neurovascular dynamics, neuronal metabolism, and neurotoxicity.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 30/10/2025
Accountability gap: Unlike licensed human therapists, AI counselors are not certified, regulated or bound by professional boards — yet they’re engaging in therapeutic roles. That matters. Read more: bit.ly/49jjERN #Regulation #AIInHealth
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AI Counselors Cross Ethical Lines
A new study warns that AI “therapy chatbots” often violate core ethical standards, raising questions about their safety and accountability.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 30/10/2025
Interdisciplinary coordination (neurology + psychiatry + long-term-care nursing) is not optional—it’s essential when behavioral symptoms emerge in hereditary ataxia settings. Read more: bit.ly/3J6JKgp #LongTermCare #TeamBasedCare
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Neuropsychiatric Challenges of Friedreich Ataxia in a Patient Residing in a Long-Term Care Facility
Management of behavioral symptoms in Friedreich’s ataxia patients requires a nuanced approach that integrates psychiatric care with traditional neurological treatment.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 30/10/2025
Embedding LAIs into treatment workflows: beyond prescribing, services must include patient education, monitoring intervals and adherence support to fully leverage the advantages of aripiprazole LAI. Read more: bit.ly/3JhyIoC #MentalHealthServices #Implementation
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Optimizing Treatment With Aripiprazole Monohydrate: Pharmacokinetic Advantages of Long-Acting Injectable Formulations, A Consensus Panel Report
A consensus panel reviews the pharmacokinetic advantages and clinical utility of long-acting injectable aripiprazole monohydrate to optimize treatment for schizophrenia and bipolar I disorder.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 30/10/2025
For programs offering off-label ketamine infusions: current evidence suggests modest benefit at best when used as an adjunct in inpatient settings. Managing expectations is essential. Read more: bit.ly/4qvn7To  #HealthServices #PatientCare
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Serial Ketamine Infusions Fail to Outperform Placebo in New Trial
A new clinical trial found that repeated ketamine infusions offered no meaningful advantage over an active placebo for depression patients.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 29/10/2025
Hypotension + another insult (hypoxia, anemia, TBI) = higher risk for cognitive/neurological damage. It’s the combo that compounds the harm.  bit.ly/4hEktH5 #CriticalCare #BrainFlow
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The Impact of Relative and Absolute Hypotension on Cognitive Function
Hypotension acts synergistically to affect mental status by compounding problems with gas exchange, neurovascular dynamics, neuronal metabolism, and neurotoxicity.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 29/10/2025
A new inpatient trial of repeated ketamine infusions found no significant advantage over an active psychoactive control in reducing depressive symptoms. Read more: bit.ly/4qvn7To  #Psychiatry #Depression
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Serial Ketamine Infusions Fail to Outperform Placebo in New Trial
A new clinical trial found that repeated ketamine infusions offered no meaningful advantage over an active placebo for depression patients.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 29/10/2025
The pharmacologic balance in FA: Treating psychiatric symptoms without worsening motor/neurologic function is complex—but possible, as shown in a recent long-term care case. Read more: bit.ly/3J6JKgp #Psychopharmacology #Neurology
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Neuropsychiatric Challenges of Friedreich Ataxia in a Patient Residing in a Long-Term Care Facility
Management of behavioral symptoms in Friedreich’s ataxia patients requires a nuanced approach that integrates psychiatric care with traditional neurological treatment.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 29/10/2025
Initiation planning matters: variability in metabolism (CYP2D6/CYP3A4), drug-interactions and patient history must guide LAI selection and management. Read more: bit.ly/3JhyIoC #ClinicalPractice #PrecisionMedicine
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Optimizing Treatment With Aripiprazole Monohydrate: Pharmacokinetic Advantages of Long-Acting Injectable Formulations, A Consensus Panel Report
A consensus panel reviews the pharmacokinetic advantages and clinical utility of long-acting injectable aripiprazole monohydrate to optimize treatment for schizophrenia and bipolar I disorder.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 29/10/2025
One hour. Two experts. 1.25 CME credits. All designed to help you deliver better DMD care. 🗓 October 30 | Live Virtual CME 🔗 Register → cmeinstitute.com/live-dmd-2025
cmeinstitute.com
Live CME Activity Series on Next-Generation DMD Care
CME Institute | Innovative and Accredited CME for Today’s Practicing Clinicians
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 29/10/2025
Crisis-handling matters: Chatbots that don’t reliably offer emergency resources when suicidal ideation arises are operating outside the ethics we expect in therapy. Read more: bit.ly/49jjERN  #PatientSafety #AIMentalHealth
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AI Counselors Cross Ethical Lines
A new study warns that AI “therapy chatbots” often violate core ethical standards, raising questions about their safety and accountability.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 28/10/2025
When you hear “low blood pressure,” think: is this low *for this patient? A drop from their baseline may hurt cognition even if it’s within “normal” range for most.  Read more: bit.ly/4hEktH5 #ClinicalInsight #Neurology
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The Impact of Relative and Absolute Hypotension on Cognitive Function
Hypotension acts synergistically to affect mental status by compounding problems with gas exchange, neurovascular dynamics, neuronal metabolism, and neurotoxicity.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 28/10/2025
More than generative text: When AI “counselors” overlook cultural/familial context (e.g., advising independence while ignoring guilt tied to cultural norms) — that’s a red flag. Read more: bit.ly/49jjERN #DigitalTherapy #ClinicalInsight
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AI Counselors Cross Ethical Lines
A new study warns that AI “therapy chatbots” often violate core ethical standards, raising questions about their safety and accountability.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 28/10/2025
In FA, neuropsychiatric symptoms are under-recognized as part of the disease spectrum. Early detection and integrated care can make a major difference. Read more: bit.ly/3J6JKgp #RareDisease #BehavioralHealth
psychiatrist.com
Neuropsychiatric Challenges of Friedreich Ataxia in a Patient Residing in a Long-Term Care Facility
Management of behavioral symptoms in Friedreich’s ataxia patients requires a nuanced approach that integrates psychiatric care with traditional neurological treatment.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 28/10/2025
The once-every-two-month ready-to-use aripiprazole LAI is now emphasized for its potential to improve convenience and adherence—especially in populations where daily medication is challenging. Read more: bit.ly/3JhyIoC #Adherence #Psychopharmacology
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Optimizing Treatment With Aripiprazole Monohydrate: Pharmacokinetic Advantages of Long-Acting Injectable Formulations, A Consensus Panel Report
A consensus panel reviews the pharmacokinetic advantages and clinical utility of long-acting injectable aripiprazole monohydrate to optimize treatment for schizophrenia and bipolar I disorder.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 28/10/2025
Blinding issues matter: in the trial most participants and raters accurately guessed who received ketamine — a factor that may inflate perceived benefits.  Read more: bit.ly/4qvn7To #ClinicalTrialDesign #Psychopharmacology
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Serial Ketamine Infusions Fail to Outperform Placebo in New Trial
A new clinical trial found that repeated ketamine infusions offered no meaningful advantage over an active placebo for depression patients.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 28/10/2025
New consensus panel report highlights that aripiprazole monohydrate LAIs offer more stable pharmacokinetics than daily oral dosing—potentially better aligning treatment with long-term needs in schizophrenia & bipolar I. Read more: bit.ly/47sc9p8 #Psychiatry #LAI
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 27/10/2025
A new study flags major ethical gaps in AI-therapy chatbots: poor contextual awareness, deceptive empathy and weak crisis handling. Read more: bit.ly/49jjERN #MentalHealth #AIethics
bit.ly
AI Counselors Cross Ethical Lines
A new study warns that AI “therapy chatbots” often violate core ethical standards, raising questions about their safety and accountability.
000
The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 27/10/2025
One hour. Two experts. 1.25 CME credits. All designed to help you deliver better DMD care. 🗓 October 30 | Live Virtual CME 🔗 Register → cmeinstitute.com/live-dmd-2025
cmeinstitute.com
Live CME Activity Series on Next-Generation DMD Care
CME Institute | Innovative and Accredited CME for Today’s Practicing Clinicians
000
The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 27/10/2025
Despite promising early data, when layered onto standard inpatient care, ketamine infusions did not yield better outcomes in mood, cognition or quality of life in a recent study. Read more: bit.ly/4qvn7To  #EvidenceBased #MentalHealth
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Serial Ketamine Infusions Fail to Outperform Placebo in New Trial
A new clinical trial found that repeated ketamine infusions offered no meaningful advantage over an active placebo for depression patients.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 27/10/2025
Patients with Friedreich’s ataxia may display significant neuropsychiatric symptoms—including depression, refusal of care/food and aggression—not just motor decline. Read more: bit.ly/3J6JKgp  #FriedreichsAtaxia #Neuropsychiatry
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Neuropsychiatric Challenges of Friedreich Ataxia in a Patient Residing in a Long-Term Care Facility
Management of behavioral symptoms in Friedreich’s ataxia patients requires a nuanced approach that integrates psychiatric care with traditional neurological treatment.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 27/10/2025
Low BP isn’t always benign. A new study shows both absolute and relative hypotension can impair brain function via reduced perfusion → neuronal stress → potential damage. Read more: bit.ly/4hEktH5 #BrainHealth #Hypotension
bit.ly
The Impact of Relative and Absolute Hypotension on Cognitive Function
Hypotension acts synergistically to affect mental status by compounding problems with gas exchange, neurovascular dynamics, neuronal metabolism, and neurotoxicity.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 25/10/2025
New research suggests that mixing tobacco with cannabis might amplify the brain changes linked to both. 🧠
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
Rare presentations like incubus syndrome remind us that delusions are shaped by context—and must be approached with diagnostic rigor and cultural awareness. Full case report: 🔗 www.psychiatrist.com/pcc/incubus-sy… #Psychiatry #CulturalCompetency #CaseStudy
psychiatrist.com
Incubus Syndrome in a Man With Alcohol Dependence
The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
Social cognition is a promising target for early psychosis care. Integrating it into treatment may improve long-term outcomes. Read the full research: 🔗 www.psychiatrist.com/news/how-socia…
psychiatrist.com
How Social Thinking Shapes Recovery in Early Schizophrenia
In early schizophrenia, success hinges on how well thinking skills fuel social understanding—especially reading subtle social cues.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
Clozapine + ECT is often used in treatment-resistant schizophrenia. But clinicians must remain alert for rare complications like NMS. This case illustrates how to intervene quickly and safely. 🔗 bit.ly/4n9aASR #Psychiatry #Schizophrenia #ClozapineCare
psychiatrist.com
Development of Neuroleptic Malignant Syndrome After Administration of Clozapine and Electroconvulsive Therapy in a Patient With Schizophrenia
This case describes the diagnostic challenges of atypical neuroleptic malignant syndrome in a patient with schizophrenia and the potential interaction between clozapine and ECT.
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Reposted by The Journal of Clinical Psychiatry | JCP
Dr. Gail Saltz @drgailsaltz.bsky.social · 24/10/2025
A new poll has shown that the majority of Americans are significantly worried about their health care costs increasing
buff.ly
Harvard professor issues warning over healthcare costs
Meanwhile, a new poll has shown that the majority of Americans are significantly worried about their health care costs increasing next year.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
Somatic delusions are rare—but underrecognized. This article outlines clinical signs, diagnostic pearls, and treatment options. Essential reading for psychiatric and general medical providers. 🔗 bit.ly/43rZJMG #Psychiatry #SomaticDelusions #MedicalPsychiatry
psychiatrist.com
Somatic Delusions: An Approach to Diagnosis and Treatment
Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
Mental health in the U.S. stands at a crossroads. Will the next era be one of renewed innovation—or continued decline? Read the full analysis at Psychiatrist.com: www.psychiatrist.com/news/mental-he… #MentalHealthResearch #Psychiatry
psychiatrist.com
Psychiatrist.com - Home of The Journal of Clinical Psychiatry and The Primary Care Companion for CNS Disorders
Psychiatrist.com, a medical publisher, offers peer-reviewed research, clinical guidelines, and CME from the Journal of Clinical Psychiatry and Primary Care Companion
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
Get the evidence-based guidance you need to keep pace. Join leading experts for Next-Generation DMD Care, a live CME on October 30. cmeinstitute.com/live-dmd-2025
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 24/10/2025
If it’s in the news—or about to be—it’s in your inbox. Stay ahead in clinical psychiatry. 🧠 Sign up for free: www.psychiatrist.com/membership #Psychiatry #ClinicalNews #MedicalUpdates
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23/10/2025
Too many tabs, not enough time? A free Essential Membership gives you curated psychiatry updates without the search. 📬 www.psychiatrist.com/membership
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Psychiatrist.com, a medical publisher, offers peer-reviewed research, clinical guidelines, and CME from the Journal of Clinical Psychiatry and Primary Care Companion
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23/10/2025
Why does NMS develop in clozapine patients—despite its atypical pharmacologic profile? This case prompts new questions for clinicians and researchers alike. 🔗 www.psychiatrist.com/pcc/neurolepti…
psychiatrist.com
Development of Neuroleptic Malignant Syndrome After Administration of Clozapine and Electroconvulsive Therapy in a Patient With Schizophrenia
This case describes the diagnostic challenges of atypical neuroleptic malignant syndrome in a patient with schizophrenia and the potential interaction between clozapine and ECT.
000
The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23/10/2025
Study takeaway: Patients with stronger social cognitive skills at baseline were more likely to achieve real-world functional recovery. #EarlyIntervention #MentalHealth 🔗 www.psychiatrist.com/news/how-socia…
psychiatrist.com
How Social Thinking Shapes Recovery in Early Schizophrenia
In early schizophrenia, success hinges on how well thinking skills fuel social understanding—especially reading subtle social cues.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23/10/2025
Progress is not inevitable. Without renewed investment in prevention, early intervention, and access to treatment, the next decade may see further regression. 🔗 www.psychiatrist.com/news/mental-he…
psychiatrist.com
Mental Health Progress Stalls At A Crossroads
America’s mental health shows mixed progress, with youth improving but adults still struggling to get care.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23/10/2025
Comorbid alcohol dependence complicates presentation: • Increased vulnerability to psychosis • Sleep disruption • Potential for withdrawal-related symptoms This case outlines how clinicians navigated those layers. 🔗 www.psychiatrist.com/pcc/incubus-sy…
psychiatrist.com
Incubus Syndrome in a Man With Alcohol Dependence
The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 23/10/2025
Case-based insight: A patient convinced worms were in their skin underwent unnecessary testing before the psychiatric etiology was recognized. Early psychiatric consultation could have changed the course. 📖 www.psychiatrist.com/pcc/somatic-de…
psychiatrist.com
Somatic Delusions: An Approach to Diagnosis and Treatment
Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.
000
The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 22/10/2025
Clinical decision-making in this case: ✔️ Immediate cessation of ECT ✔️ Hospitalization ✔️ Medication management ✔️ Gradual re-initiation of psychiatric treatment 🔗 www.psychiatrist.com/pcc/neurolepti…
psychiatrist.com
Development of Neuroleptic Malignant Syndrome After Administration of Clozapine and Electroconvulsive Therapy in a Patient With Schizophrenia
This case describes the diagnostic challenges of atypical neuroleptic malignant syndrome in a patient with schizophrenia and the potential interaction between clozapine and ECT.
010
The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 22/10/2025
Why wait to find out what’s new in psychiatry? Get highlights, peer-reviewed content, and CME opportunities—sent directly to your email. 🖱️ Free sign-up: www.psychiatrist.com/membership
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The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 22/10/2025
The challenge: Distinguishing cultural or spiritual interpretation from true delusional intensity. This case required careful differential diagnosis and clinical sensitivity. 📖 www.psychiatrist.com/pcc/incubus-sy…
psychiatrist.com
Incubus Syndrome in a Man With Alcohol Dependence
The authors present a rare case of a 36-year-old man with alcohol dependence who developed multisensory hallucinations characteristic of incubus syndrome.
000
The Journal of Clinical Psychiatry | JCP @psychiatristcns.bsky.social · 22/10/2025
Get the evidence-based guidance you need to keep pace. Join leading experts for Next-Generation DMD Care, a live CME on October 30. cmeinstitute.com/live-dmd-2025
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