Managing Metabolic Syndrome and The ‘It’s My Son Test’- Conversations with Dr Stephen Stahl
This interview is the fifth as part of a series of brief interviews where Dr Sanil Rege talks to Dr Stephen Stahl about key issues that face psychiatry and our patients. Dr Stahl, MD, is a practicing Psychiatrist in Carlsbad, USA, and author of the best-selling textbook, Essential Psychopharmacology. Dr Stahl has held faculty positions at Stanford University, the University of California at Los Angeles, the Institute of Psychiatry London, the Institute of Neurology London, and, currently, at the University of California at San Diego.
Take Home Messages:
- Switching antipsychotic medication when a person is well is a challenging decision.
If the patient has pre-diabetes and metabolic syndrome developing including obesity, then shame on you if you don’t change the drug.
- Use the ‘It’s my son test’ – How would you want your son with Schizophrenia treated?
If you’re forced to use certain drugs in the hospital because of peer mix and tradition, then it is incumbent on the people in the outpatient settings to know that there is a range of drugs that could potentially have your cake and eat it too. In other words, keep you out of the hospital, have adequate antipsychotic control and still not cause metabolic syndrome.