The Carlat Psychiatry Podcast How to Start a Psych Medication
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Aug 4, 2025 Discover the essential steps before starting psychiatric medication, focusing on patients' hopes and fears. Learn how to provide realistic hope and set expectations effectively. The importance of trust and communication in medication management is emphasized, alongside discussing risks and choices. Dive into innovative treatments like light therapy for bipolar depression, highlighting safety and stabilization effects. An enlightening conversation that prepares both patients and providers for the journey ahead!
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Know Patient Hopes and Fears
- Understand the patient's hopes and fears before prescribing psych meds. - Ask about symptom priorities, medication concerns, and deal-breaking side effects.
Offer Treatment Options
- Always offer patients two to three treatment options, including non-medication paths. - This builds trust and aligns treatment with patient preferences.
Provide Realistic Hope and Education
- Share realistic hope by describing success stories with medications. - Explain how meds work by linking them to brain changes and healthy lifestyle synergies.
