Recent content by caxoo

It gets more interesting if there is a - how should this be put - a cultural element that sometimes predisposes to overeating/unhealthy eating habits. Granted, I've never had to navigate a discussion where this was ever a source of serious friction and it's always been easily compromisable with...

When I imagine the picture, I picture a 60-70yo F, around 25-35 BMI, and usually patient isn't concerned about decreased intake although does report it, while family is the ones really concerned with it. The discussion isn't really whether we should shy away from ANY medication treatment, but...

I'd argue that unless symptoms aren't severe enough to cause dysfunction/subjective complaints, or patient is resistant to meds, an approach of ADT + addressing other social issues concurrently is warranted in most cases I don't have pts weight 1mo ago vs 3mo cause this is a hypothetical lol...

Family concerns that's pt not eating and need to be encouraged to eat BMI let's say 30

As stated Patient and family are concerned with sleep and poor appetite but patient is technically either obese or overweight ... what would be your go to? edit: here, let me make the question more clear In a patient who is objectively overweight but who has clear concerns for decreased...

You are a big nerd, and I'm also a big nerd for understanding this completely

As stated, interesting situation where invega is the only thing that has worked well, but risperdal surprisingly is one of the worst ones for the pt Any similar cases/thoughts and comments as to why? Do the other risperdal metabolites really have that much variation in clinical effects? Or is...

I'm a little confused as to which ones are in preparation for STEP 3...I was about to buy all the separate field self-assessments (neuro, EM, family, etc), but nobody seems to mention any of these in their studying materials which makes me think this is stuff for STEP 2

Anecdotally and n=1, pt improved rapidly with addition of antipsychotic, in both O and moreso in C Now curious to see if there's exploration in the literature about immediate addition of antipsychotic to SSRI to achieve faster response in pts whose OCD is particularly distressing, instead of...

Excellent exactly what I was looking for ty, I also pubmeded before asking the Q but my search skills seem to be weaker than yours

How fast in your clinical experience does it take for SSRI to kick into effect (let's say ~50% response) in OCD? When pt is already on SSRI, how fast does it take for anti-psychotic adjuvant to kick into effect?

No. Looking at the Psych spreadsheet, there were multiple people with high scores getting plenty more interview invites than me. There is no hard data on this, and everything I think might be completely wrong, but these are the factors I believe impacted me: - Too few extra-curriculars and...

Hey OP, was in the same boat as you last year. STEP 1/2 24x/25x, multiple research and stuff -> 7 interviews, no SOAP offers. Matched into my #4 today If you got any questions for next steps I'm here for ya

Psychiatry

1/5 of doctors hate their job? Cotdam