by Eric Christianson | Aug 9, 2026 | Psychiatry and Addiction Medication and Disease State Clinical Pearls
I’m often presented with situations where an elderly patient is experiencing new-onset hallucinations. As a pharmacist, my primary focus is to look at the medication list and identify if any drug could potentially be the culprit. Here’s my list of...
by Eric Christianson | Jun 24, 2026 | Psychiatry and Addiction Medicine Case Studies
In this case scenario, I demonstrate the venlafaxine prescribing cascade. Mrs. J is a 72-year-old female with depression, chronic pain, and hypertension controlled on lisinopril 20 mg daily. Due to persistent depression and pain symptoms, her venlafaxine XR dose is...
by Eric Christianson | Jan 28, 2026 | Psychiatry and Addiction Medicine Case Studies
This was a case I came across recently where duloxetine was added to a patient’s regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an SNRI in Effexor. This led to a case of duplicate SNRI therapy....
by Eric Christianson | Mar 12, 2025 | Dermatology, ENT, Ophthalmology Case Studies
SM is a 48-year-old female who has new-onset symptoms of restlessness, irritability, insomnia, and vivid nightmares. Over the past 3 months, she has also experienced increasing anxiety and mood swings. She reports a feeling of impending doom and difficulty...
by Eric Christianson | Jul 5, 2023 | Psychiatry and Addiction Medication and Disease State Clinical Pearls
It’s no secret that I’ve spent a ton of time in long-term care and assisted living facilities helping the healthcare team take care of some challenging residents. I outline my top 5 pet peeves in geriatric psych management. Believe me, it was hard to...