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Biomedical subjects

Joseph A Lieberman

Publications and source records attributed to Joseph A Lieberman.

5 recordsLinked to original sources

Metabolic changes associated with antipsychotic use.

In the United States, the risk of type 2 diabetes is currently growing to epidemic proportions, with many physicians unaware that disorders such as schizophrenia and bipolar disorder naturally place patients at an increased risk for diabetes. Another serious concern for physicians is the development of metabolic syndrome, also known as syndrome X, in patients suffering from schizophrenia. Metabolic syndrome often encompasses medical conditions such as weight gain, hypertriglyceridemia, and increased insulin, glucose, and low-density lipoprotein cholesterol levels. Treatment with atypical antipsychotics may increase the risk of metabolic syndrome and diabetes, and physicians need to be proactive when treating patients with schizophrenia. Physicians should be aware that the treatment of schizophrenia involves the right balance for the patient in terms of adverse effects versus benefit, and failing to treat a patient's mental illness because of potential medical problems may place the patient at an increased risk for more serious problems.

Journal Article↗

Managing anticholinergic side effects.

Atypical antipsychotics are associated with a lower risk of extrapyramidal symptoms (EPS) and tardive dyskinesia than the conventional antipsychotics; however, many atypical antipsychotics can cause other potentially harmful side effects such as anticholinergic side effects. Peripheral and central anticholinergic side effects can cause physical and mental impairment. Awareness of the medications that have the potential to cause anticholinergic side effects as well as proper management of these symptoms can aid physicians in treating patients who need antipsychotic therapy.

Journal Article↗

The differential diagnosis of fatigue and executive dysfunction in primary care.

The diagnosis of the patient reporting fatigue or the signs of executive dysfunction can be perplexing for the primary care physician. Both symptoms are associated with a wide range of both somatic and psychiatric symptoms and often occur together, although they can exist independently. Using some simple diagnostic and mnemonic tools, such as BATHE, SIG E CAPS, and SWIKIR, may aid the clinician in differentiating possible causes of fatigue and executive dysfunction and determining whether they are signs of physical or mental disease.

Anxiety Disorders↗