As an adjunctive treatment, you’d start at 2mg, not 10. And the FDA approved cap is 30 - which you might, under exceptional circumstances tailored very specifically to a patient, choose to exceed. But I’ve never seen or heard of 50, never mind as being some sort of standard. It’s just AI slop.

I agree. But then, The NY Times doxxed him and nearly ruined his career without any pressing reason to do so - one can understand why physicians are leery of putting themselves out there.

No way that’s going to backfire horribly, disincentivizing docs from coming to that province to begin with.

Any practice-changing updates?

I upload pertinent PDFs for each project. It keeps the results finely tuned, rather than sprawling out across all of my reading interests

#psychiatry

I feed premium ChatGPT PDFs of textbooks and papers, and use it to produce first drafts of PowerPoint decks for talks on those topics

Deep TMS + EXRP done in tandem and following the course of TMS can work wonders. That combo helped a patient of ours get over their fear of “pizza that touched air that touched other pizza” as well as saliva and bodily fluids. There are promising trials underway with psilocybin for severe OCD also.

Do we have enough loved ones to make this an iterated problem?

I think it’s because the side effects of psychotropics (not just stims), either primarily or as an intensifier of a primary process, are often on the differential. My question is why they’re not promptly restarted when that question has been resolved.

Sigh. I had Medicare deny lab coverage on a pt because I ordered iron labs when they were normocytic. Because, you know, -other symptoms- weren’t a good enough reason to investigate.

We found compelling evidence that neurogenesis is greatly boosted by ECT. Studies of the effects of antidepressants were mixed.

Surprisingly, evidence was almost absent for Lithium - even though I have long heard that it is thought to stimulate neurogenesis or plasticity.