Psychiatry

Dr. Leilani Sharpe

Feb 3, 20223 min read

Innovations in Psychiatry: Chlorpromazine

Patients with long-standing mental illness have been around for far longer than the medical specialty of psychiatry. I'd feel...

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Dr. Leilani Sharpe

Jan 31, 20221 min read

Innovations in Psychiatry

New Series: Innovations in Psychiatry

So far on the blog we've covered introductions to psychotherapy, psychiatric clinics, emergency psychiatry, psychiatric hospitalization,...

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Dr. Leilani Sharpe

Jan 7, 20221 min read

Outpatient Child Psychiatry

New Series: Outpatient Child Psychiatry

I'm going to spend the next several posts on what it's like to start care with an outpatient child psychiatrist. Currently I'm debating...

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Discharge Planning Conversations: What Is Your Support System?

Dr. Leilani Sharpe

Dec 29, 20212 min read

Discharge Planning Conversations

Discharge Planning Conversations: What Is Your Support System?

Every patient on an inpatient hospital unit receives a similar support team, and units are ideally designed to meet the staffing needs

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New Series: Discharge Planning Conversations

Dr. Leilani Sharpe

Dec 28, 20211 min read

Discharge Planning Conversations

New Series: Discharge Planning Conversations

Since many hospitalizations are brief, part of inpatient care planning is to help determine which resources would support a patient over the

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Psychiatric Hospitalization: "The Milieu"

Dr. Leilani Sharpe

Dec 22, 20211 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: "The Milieu"

Almost all psychiatric hospitals have a large, open, lounge area that is shared by all patients. But instead of this space being called som

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Psychiatric Hospitalization: Medication Tolerance

Dr. Leilani Sharpe

Dec 21, 20211 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Medication Tolerance

Psychiatric medications may be started or adjusted during inpatient hospitalization, if appropriate. But since the most common goal of...

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Psychiatric Hospitalization: Stabilization, Not Complete Recovery

Dr. Leilani Sharpe

Dec 17, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Stabilization, Not Complete Recovery

Some of the uncertainty is understandable. Every patient is different and what a person might need changes. Some patients may be admitted

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Psychiatric Hospitalization: Think About It As Daily Appointments

Dr. Leilani Sharpe

Dec 15, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Think About It As Daily Appointments

Hopefully, one day I'll be about to write more about why outpatient psychiatric appointments are structured the way they are. It's a...

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Psychiatric Hospitalization: Team Rounding vs Individual Work

Dr. Leilani Sharpe

Dec 14, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Team Rounding vs Individual Work

Historically, morning rounds were completed with the entire team present. The mindset was that rounds would take as long as they needed...

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Psychiatric Hospitalization: Getting Settled In

Dr. Leilani Sharpe

Dec 13, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Getting Settled In

Due to the demand for psychiatric hospital beds, once an ER or CSU team is notified that an appropriate bed is available and ready for a...

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Psychiatric Hospitalization: "Freestanding Psychiatric Hospital"

Dr. Leilani Sharpe

Dec 9, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: "Freestanding Psychiatric Hospital"

When the decision has been made to move forward with psychiatric admission, a patient's care team may also need to determine which...

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Psychiatric Hospitalization: Legal Status

Dr. Leilani Sharpe

Dec 7, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Legal Status

Previously, I wrote about how someone's patterns of thinking can affect their behavior. When it comes to psychiatric hospitalization, consi

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Psychiatric Hospitalization: "No Appropriate Lower Level of Care"

Dr. Leilani Sharpe

Dec 6, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: "No Appropriate Lower Level of Care"

When discussing whether psychiatric admission is needed, one of the most common questions I'm asked in an ER, PES, or CSU is: "Why does it

94 views0 comments

Psychiatric Hospitalization: Beds Are Limited

Dr. Leilani Sharpe

Dec 3, 20212 min read

Psychiatric Hospitalization

Psychiatric Hospitalization: Beds Are Limited

Sometimes patients are surprised that they will be transferred from an ER setting to a crisis stabilization unit or psychiatric ER

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Psychiatric Subspecialities: Child and Adolescent Psychiatry

Dr. Leilani Sharpe

Nov 30, 20211 min read

Psychiatric Subspecialties

Psychiatric Subspecialities: Child and Adolescent Psychiatry

All child psychiatrists must complete an adult psychiatry residency before continuing on to another two years of training to see minors.

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Psychiatric Subspecialities: Forensic Psychiatry

Dr. Leilani Sharpe

Nov 29, 20211 min read

Psychiatric Subspecialties

Psychiatric Subspecialities: Forensic Psychiatry

Forensic psychiatrists often work in courts, contributing to decisions on whether someone is competent to stand trial.

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Psychiatric Subspecialties: Geriatric Psychiatry

Dr. Leilani Sharpe

Nov 24, 20211 min read

Psychiatry

Psychiatric Subspecialties: Geriatric Psychiatry

The human body continues to change in function as it ages. So it isn't a surprise that treatment approaches that might work well for a youn

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Psychiatric Subspecialties: Addiction Psychiatry

Dr. Leilani Sharpe

Nov 23, 20211 min read

Psychiatric Subspecialties

Psychiatric Subspecialties: Addiction Psychiatry

Addiction is a complex experience. There are intricate interactions between predisposition, behaviors, thought patterns, coping skills, rew

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Dr. Leilani Sharpe

Nov 19, 20211 min read

Psychiatric Subspecialties

New Series: Psychiatric Subspecialties

Psychiatrists are physicians who choose to specialize in the diagnosis and treatment of mental health disorders. Their training prepares...

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