A 45-year-old man who smokes 1 pack per day presents to your clinic. He has hypertension, COPD, and expresses interest in quitting smoking. He previously tried nicotine patches but relapsed after two weeks. He is open to medication options. Which is the most appropriate next step in treatment?
Read DetailsA 23-year-old woman presents with her first episode of psychosis, including auditory hallucinations and paranoid delusions. She has no prior psychiatric history. Her medical history is significant for type 2 diabetes mellitus (HbA1c 8.2%) and obesity (BMI 34). She is very concerned about weight gain and its impact on her diabetes control. Which of the following antipsychotics would be the most appropriate first-line choice for this patient?
Read DetailsA 62-year-old man with a history of alcohol use disorder presents to your outpatient clinic. He has been sober for 2 years but continues to struggle with insomnia and irritability. He reports occasional cravings but does not want to relapse. Which non-pharmacological intervention would be most beneficial at this stage?
Read DetailsA 46-year-old man presents to your clinic reporting tremors, anxiety, and diaphoresis 12 hours after his last drink. He typically consumes one pint of vodka daily. He denies seizures or hallucinations. Vital signs: BP 152/90, HR 110, T 99.2°F. What is the most appropriate next step in management?
Read DetailsA 45-year-old woman with chronic schizophrenia has been on haloperidol (Haldol) 20 mg daily for 5 years. During a routine follow-up, you decide to perform an Abnormal Involuntary Movement Scale (AIMS) examination to screen for tardive dyskinesia. Which of the following best describes the primary purpose and methodology of the AIMS assessment?
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