Improving Patient Communication in Postpartum Depression
Experts discuss that reducing stigma, normalizing mental health conversations from the first prenatal visit, expanding access through integrated and virtual care, and addressing systemic barriers through education, collaboration, and policy reform are all critical strategies for improving the detection and treatment of perinatal mood and anxiety disorders.
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Evolving Schizophrenia Treatment Paradigm
August 11th 2025Panelists discuss how xanomeline/trospium chloride should be positioned as a first-line treatment option rather than waiting for treatment failures, given its superior effect size, comprehensive symptom coverage, and favorable tolerability profile compared with that of traditional antipsychotics.
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Recommendations for Switching to Xanomeline/Trospium Chloride for Patients With Schizophrenia
August 11th 2025Panelists discuss how switching patients to xanomeline/trospium chloride requires different cross-titration strategies depending on whether patients are on “done” medications versus “pines” medications, with special attention to anticholinergic effects when transitioning from sedating antipsychotics.
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Screening and Referral Recommendations in Postpartum Depression
Experts discuss that while standardized screening tools are important for detecting perinatal mood and anxiety disorders, true identification often relies on provider intuition, meaningful dialogue, and cross-specialty collaboration—especially in pediatric settings—to ensure timely support for both parent and child.
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Collaborative Role of Providers for Screening, Diagnosis, and Referrals in Postpartum Depression
Experts discuss that effective management of perinatal mood and anxiety disorders in primary care and obstetrics requires routine screening, clear referral pathways, provider education, and collaborative care to ensure timely diagnosis and treatment.
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Efficacy and Safety of Xanomeline/Trospium Chloride and Experience in Treating Schizophrenia
August 4th 2025Panelists discuss how real-world experience with xanomeline/trospium chloride shows efficacy across all 3 symptom domains with manageable gastrointestinal adverse effects that typically resolve within 2 weeks, requiring slow titration and patient education about empty stomach dosing.
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Xanomeline/Trospium Chloride for Treatment of Schizophrenia
August 4th 2025Panelists discuss how xanomeline/trospium chloride represents a first-in-class medication with a novel muscarinic mechanism that addresses positive, negative, and cognitive symptoms while avoiding typical antipsychotic adverse effects such as movement disorders and prolactin elevation.
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Risk Factors for Postpartum Depression
Experts discuss that while anyone can experience perinatal mood and anxiety disorders, individuals with personal or family mental health histories, recent trauma, or medication changes are at higher risk, and emphasize the critical importance of informed, individualized medication management during pregnancy and lactation to balance risks, prevent undertreatment, and ensure the well-being of both parent and child.
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Impact on Quality of Life in Postpartum Depression
Experts discuss how perinatal mental health disorders can significantly impact not only the birthing individual but also parenting capacity, partner relationships, and child development, emphasizing the need for a holistic, trauma-informed, and family-centered approach that addresses the mental health needs of both parents, supports household well-being, and mitigates long-term risks for children.
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A Case of a 24-Year-Old Man With Schizophrenia
July 28th 2025Panelists discuss how Jacob’s case demonstrates the importance of recognizing negative symptoms that preceded positive symptoms by nearly a year, and how a partial response to risperidone with continued breakthrough symptoms and cognitive “fogginess” indicates the need for treatment optimization.
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Recognizing Schizophrenia Symptoms and Diagnosis
July 28th 2025Panelists discuss how clinicians can better identify subtle and unreported schizophrenia symptoms through systematic evaluation of positive symptoms, negative symptoms, cognitive deficits, and functional impairment, which often requires input from family members and caregivers.
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Clinicians’ Perspectives on Treatment Options, Accessibility, and Adherence in Narcolepsy
July 28th 2025Panelists discuss the need for individualized narcolepsy management using complementary therapies like pitolisant, solriamfetol, and lower-sodium oxybate; emphasize persistence in overcoming insurance barriers through detailed documentation; and highlight practical adherence strategies alongside patient education and psychosocial support—including resources like Project Sleep and cognitive behavioral therapy—to optimize outcomes.
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Long-Term Management and Improving Access to Newer Treatments in Narcolepsy
July 28th 2025Panelists discuss the importance of building a flexible, trusting long-term relationship with regular, personalized follow-ups that actively explore patient challenges and adapt treatment as life changes occur, while emphasizing persistence in overcoming insurance barriers, the benefits of telehealth for access, and the critical role of psychosocial support including education and cognitive behavioral therapy (CBT) to help patients manage narcolepsy’s impact on daily life.
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Available Treatment Options in Narcolepsy
July 28th 2025Panelists discuss individualized, shared decision-making approaches to newer narcolepsy treatments like low-sodium oxybate, traditional oxybate, and solriamfetol, emphasizing lifestyle interventions such as the RISE UP protocol and addressing factors like iron deficiency, while highlighting the importance of tailored monitoring and patient-provider trust for long-term management.
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Recognizing and Differentiating Postpartum Depression
Experts discuss the importance of recognizing that perinatal mood and anxiety disorders (PMADs) can emerge before, during, or after pregnancy—often influenced by factors like pregnancy intention—and emphasize the need for comprehensive, nuanced diagnosis and holistic care that extends beyond postpartum depression to include anxiety, obsessive-compulsive disorder, posttraumatic stress syndrome, and other conditions, ensuring timely identification and support throughout the entire perinatal period.
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Defining Postpartum Depression
Experts discuss how perinatal mental health conditions—including postpartum depression, which is distinct from transient postpartum blues—require careful clinical differentiation, precise assessment, and individualized care, emphasizing the importance of expanding awareness, reducing stigma, and ensuring early, multidisciplinary intervention to support patient well-being and functional recovery.
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Patient Case: Impact of ADHD on Quality of Life
Panelists discuss how a patient named Kerstin was diagnosed with attention-deficity/hyperactivity disorder (ADHD) later in life during college when she struggled with organization and scheduling beyond her known dyslexia, leading to successful treatment with various stimulant medications including participation in clinical trials.
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Safety, Monitoring and Transition of Care in Patients with ADHD
Panelists discuss how stimulant and nonstimulant attention-deficity/hyperactivity disorder (ADHD) medications have different adverse effect profiles, with stimulants causing concerns such as misuse potential, cardiovascular effects, tics, and growth suppression.
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