Disconnect Between Antipsychotic Prescribing and Metabolic Screening


Despite American Diabetes Association and APA recommendations of glucose and lipid testing for all patients started on antipsychotics, there is a disconnect between prescribing of antipsychotics and metabolic screening with most psychiatrists and physicians agreeing that psychiatrists should not treat metabolic problems, according to a study presented Monday at the APA convention in Philadelphia.

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Related Item:
Baseline Lipid Monitoring with Antipsychotics “Disappointingly Low” (MadinAmerica.com)
Rates of Metabolic Screening Remain Low in Children Taking Antipsychotics (Medscape Today)


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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].


  1. I could never imagine this working at all. If psychiatrist just refer the patient to a family doctor for metabolic screening and treatment, but doesn’t allow the family doctor to remove the causative agent, and then society refers the patient back to psychiatrists for mental health treatment… So many are going to die. Well, at least the psychiatrists get their usual comfort in knowing that they wont have to see or know about it. This is why all that they do are 5 minute med checks. Ask most psychiatrists how things are going and how they think their patients are going and they’ll say “Great!” with a look on their face as if they’re saving the world. Head in the sand.

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