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QTc Prolongation and Psychotropic Medications

Psychiatrists and other clinicians frequently prescribe psychotropic drugs that may prolong cardiac repolarization, thereby increasing the risk for torsades de pointes (TdP). The corrected QT interval (QTc) is the most widely used and accepted marker of TdP risk. This resource document was created in response to the paucity of strong evidence to guide clinicians in best practice prescription and monitoring of psychotropic medications that may increase risk of TdP.

Vagal nerve stimulation (VNS) white paper

Vagal nerve stimulation for treatment resistant epilepsy has been available in the United States since 1997, and improved mood noted in epilepsy patients led to studies examining the use of VNS for treatment resistant depression. VNS implantation consists of placement of the stimulator in the chest wall that is attached by wires tunneled through the skin to the left vagus nerve in the carotid sheath. Potential side effects include voice alteration, hoarseness, coughing, paresthesia, dyspnea and

Psychiatry and Military Service

The APA Resource Document on Psychiatry and Military Services was prepared as part of an APA Action Paper to improve the awareness of all APA members regarding military implications of psychiatric diagnoses and treatments. This resource document outlines the key considerations for civilian psychiatrists treating active-duty military personnel.

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