2min snip

Psychiatry & Psychotherapy Podcast cover image

Q&A with Dr. Michael Cummings

Psychiatry & Psychotherapy Podcast

NOTE

Augmenting Strategies and Considerations for Non-Responsive Psychosis

Augmenting strategies for non-responsive psychosis when 400 milligrams of maintainer is not effective could include considering mood stabilizers like lithium or valproic acid if there is evidence of bipolar diathesis. It is advised not to choose dopamine antagonists due to low receptor availability when using aripiprazole. SSRIs may be considered for negative symptoms. Before transitioning to long-acting injectables like Maitena or Aristotle, it is crucial to ensure the individual responds well to aripiprazole, considering the extended washout time associated with these medications.

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