What this episode covers A patient has taken the same clonazepam dose responsibly for more than a decade, and the medication has probably helped him. But sleep apnea, fatigue, memory concerns, a fall, alcohol exposure, and better treatment of his underlying anxiety have changed the clinical picture. This case excerpt follows how I decide that …
What this episode covers Billing for mental health visits can feel murky because the work is often cognitive, conversational, and risk-based rather than procedure- or lab-driven. This episode walks through how to think about billing mental health-related visits using medical decision making, time-based E/M billing, and a few key add-on codes. Quick Practical Takeaways Listen …
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What this episode covers Naltrexone is one of the most practical and underused tools for alcohol use disorder. This episode focuses on when to use it, how to start it without overcomplicating things, and how to address the common concerns that tend to get in the way. Quick Clinical Takeaways Listen Now Prefer to listen …
What this episode covers Switching antidepressants is one of the most common and often most confusing medication decisions in outpatient mental health care. This episode focuses on when a switch actually makes sense, how to choose a new antidepressant strategically, and how to carry out the transition in a way that minimizes withdrawal, side effects, …
Read more “The Antidepressant Switch Guide: When to Switch and How to do it Right”
What this episode covers Psychiatric screeners are everywhere in outpatient care, but most clinicians aren’t using them in a structured way. This episode focuses on how to use a small set of high-yield screeners to improve diagnostic clarity, reduce cognitive load, and guide treatment decisions without slowing down your workflow. Quick clinical takeaways Listen now …
Read more “Psychiatric Screeners in Primary Care: Cutting Through the Noise”