Maria Gianan Peer Supervision Group (Virtual) Weds. January 15, 2025

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Past Posts

Clinical Discussion Highlights!

Treatment Resistant Depression in a young man in mid 20’s with a passive “wish to die”. Options?  MAOI’s (cause for concern due to blood pressure/compliance issues), ECT, Ketamine  or newer mechanism medication like Cobenify (off label)?? No easy answers, but the value of therapeutic relationbship the Psych NPs offer is invaluable and life sustaining.

Discussion of lithium orotate verses full strength lithium

Older female patient with protracted grief to multiple losses; managing the referral request from mulitple medical speciality parties who seek Psych NP opinion re: treatment options; group explored the need to recognize grief and grief reactions, verses medicalizing difficult human conditions!

Meeting and Conference Reminders:

MAAPPN “Pearls of Practice II” Friday September 26th, 2025

MCNP Annual Conference May 8, 2025 at 7:45am ET – Friday, May 9, 2025 

ISPN (New Orleans) March 19 to 22, 2025

Cambridge Health Alliance has Mindfulness and Compassion Grand Rounds Feb 3, April 21 and May 5th, 2025 via Harvard Medical School (open to all)