Joseph M. Pierre, MD

Conspiracy theory or delusion? 3 questions to tell them apart

Many psychiatrists conceptualize mental illnesses, including psychotic disorders, across a continuum where their borders can be ambiguous.

Publish date: February 5, 2021

Instead of trying to “talk the patient out of” his or her belief, focus on sustaining and strengthening the physician-patient alliance.

For emergency agitation, evidence suggests newer alternatives may be a better choice.

The evidence is mixed, and the benefits are uncertain.

Anticholinergics, antidepressants, antipsychotics, and gabapentinoids may also be subject to misuse or abuse.

Diligent assessment and judicious prescribing can help optimize outcomes.

As THC levels rise, the risk of psychosis, cognitive deficits, and structural brain changes increases In the United States, the average potency of...

Research suggests marijuana may be a ‘component cause’ of psychosis

Author:: Joseph M. Pierre, MD; Donna A. Wirshing, MD; William C. Wirshing, MD

For patients on the brink of the neuroleptic threshold, risks of high-dose antipsychotics may outweigh any benefit.