A middle-aged man with glasses, a mustache, and thinning hair smiles at the camera. He is wearing a striped shirt, a black sweater vest, and a yellow tie against a plain light background.

Theodore A. Stern, MD

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; White River Junction VA Medical Center, White River Junction, Vermont; Burlington Lakeside Community Based Outpatient Clinic, Burlington, Vermont

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Psychological Adverse Effects of Psychedelic Use
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Psychological Adverse Effects of Psychedelic Use

June 25, 2026

This case-based review explores psychological adverse effects of psychedelic use, covering risk factors, trauma history, phenomenology, and evidence-based management strategies for clinicians.
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Medical Complications of Psychedelics
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Medical Complications of Psychedelics

June 23, 2026

This case-based review covers acute complications, drug interactions, and long-term safety across psilocybin, MDMA, ketamine, and ibogaine, with practical guidance for clinicians.
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Improving Cardiac Arrest Survivorship
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Improving Cardiac Arrest Survivorship

June 4, 2026

Affective states and conditions such as anxiety, PTSD, and depression are common in those who have survived a cardiac arrest, and untreated psychiatric symptoms are associated with worse cardiac...
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Alcohol Use Disorders in Primary Care
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Alcohol Use Disorders in Primary Care

May 21, 2026

Patients with major depressive disorder and a comorbid AUD often present with more severe manifestations, including thoughts of suicide, co-occurring personality disorders, and higher rates of smoking.
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Manifestations Associated With CNS Lesions
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Manifestations Associated With CNS Lesions

May 19, 2026

Neuropsychiatric manifestations of brain metastases are varied, although certain symptoms can be associated with the brain region in which there is a metastasis; lesions that affect certain parts of...
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Differentiating Bipolar and Other Psychiatric Disorders
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Differentiating Bipolar and Other Psychiatric Disorders

May 12, 2026

Diagnosis of bipolar spectrum disorder is often complicated, as most patients present for care during depressive episodes, which are more frequent than hypomanic or manic episodes.
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Strategies for Documenting the Medical Record
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Strategies for Documenting the Medical Record

May 7, 2026

Documentation should be objective and relevant, especially in psychosocially complex cases—too much information can interfere with establishing the correct diagnosis and treatment plan, while too little increases risk of...
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How to Document Complex Cases
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How to Document Complex Cases

April 9, 2026

Case presentations often drive differential diagnosis creation by what is said (and not said) and by whether information given is the "lead" or merely a (potentially interesting) tidbit.
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Strategies for Managing Dyspnea
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Strategies for Managing Dyspnea

April 2, 2026

Pharmacologic approaches and behavioral and psychological interventions such as mindfulness, relaxation, and CBT can mitigate dyspnea and associated anxiety.
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Administering ECT to Critically Ill Patients
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Administering ECT to Critically Ill Patients

March 5, 2026

ECT can be lifesaving for critically ill individuals with severe psychiatric and neuropsychiatric conditions; however, cardiac monitoring is essential.
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Understanding the Impact of Moral Injury
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Understanding the Impact of Moral Injury

February 26, 2026

Healing of moral injuries requires truth-telling, communal recognition, and moral repair—not just medication or cognitive restructuring.
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Preventing Physician Burnout
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Preventing Physician Burnout

February 10, 2026

The authors clarify misconceptions about burnout and depression and identify best practices and approaches for burnout at the individual and institutional level.
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1 Read counts for articles published before 2020 may include some non-human traffic.

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