Bipolar Depression: Pregnancy, Postpartum, and Lactation.

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2016-03

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Abstract

Medication management of bipolar depression in pregnancy and lactation is best done by assessing each patient's and family's needs in detail. Keeping pregnant patients as psychiatrically stable as possible is the most important principle for clinicians. Unfortunately, there is no risk-free situation for patients with psychiatric illness. This is often the most difficult and hard to accept reality for these patients, families, and clinicians. Clinicians serve these patients best by being as transparent as possible about the risk/benefit analysis of each patient's situation with the realization that ultimately the decisions are made by the patient and family.

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Subjects

Humans, Pregnancy Complications, Depression, Postpartum, Antipsychotic Agents, Antidepressive Agents, Teratogens, Risk Factors, Bipolar Disorder, Lactation, Pregnancy, Female

Citation

Published Version (Please cite this version)

10.1016/j.psc.2015.10.002

Publication Info

Wald, Marla F, Andrew J Muzyk and Drue Clark (2016). Bipolar Depression: Pregnancy, Postpartum, and Lactation. The Psychiatric clinics of North America, 39(1). pp. 57–74. 10.1016/j.psc.2015.10.002 Retrieved from https://hdl.handle.net/10161/25083.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

Wald

Marla F. Wald

Associate Professor of Psychiatry and Behavioral Sciences
Muzyk

Andrew Muzyk

Associate Professor of the Practice of Medical Education

Dr. Andrew Muzyk is an Associate Professor of the Practice of Medical Education at Duke University School of Medicine and an Associate Professor in the Department of Pharmacy Practice at Campbell University College of Pharmacy and Health Sciences. He also holds a Clinical Associate appointment in the Duke University School of Nursing. He teaches pharmacology across health professions programs, rounds as a clinical pharmacist on the Medicine-Psychiatry service at Duke University Hospital, and conducts educational and health services research.

Teaching
At Duke University School of Medicine, Dr. Muzyk is the course director for the Foundations of Patient Care II course, which integrates pharmacology, pathology, microbiology, immunology, and clinical medicine, in the first-year medical school curriculum. Within this course he also serves as the content director for pharmacology and clinical medicine. He lectures extensively in the first-year medical student curriculum with a focus on pharmacology, psychopharmacology, and substance use disorder treatment. At Duke University School of Nursing, Dr. Muzyk is the co-course director for the Understanding Substance Use Disorders course in the Accelerated Bachelor of Science in Nursing program. Dr. Muzyk previously directed and taught in the Biological Psychiatry course for Duke psychiatry residents. 

At Campbell University College of Pharmacy and Health Sciences, he teaches pharmacotherapy with an emphasis on psychiatric, neurologic, and substance use disorders to second-year pharmacy and first-year physician assistant students. He is a course director for the Neurology-Psychiatry and Health Informatics I & II courses. Dr. Muzyk precepts fourth-year pharmacy students and pharmacy residents completing their internal medicine and psychiatry clinical rotations at Duke University Hospital. He mentors graduate students in the University of Michigan’s Master of Health Professions Education program.

Clinical Practice
Dr. Muzyk practices as a clinical pharmacist on the Medicine-Psychiatry inpatient service at Duke University Hospital, specializing in the care of patients with co-occurring medical and psychiatric conditions, substance use disorders, and complex psychopharmacology needs. He also provides psychopharmacology expertise to the Psychiatry Consult Service and the Caring for Patients with Opioid Misuse through Evidence-Based Treatment team.

Scholarship
Dr. Muzyk has authored more than 80 peer-reviewed publications addressing health professions education, psychopharmacology, and hospital-based medication outcomes. His research has appeared in journals such as Academic Medicine, Substance Abuse, Psychosomatics, Academic Psychiatry, American Journal of Pharmaceutical Education, CNS Drugs, and Pharmacotherapy. He has secured over $250,000 in research and educational funding, including support from the National Institute on Drug Abuse, Duke Academy for Health Professions Education and Academic Development, Duke Division of Addiction Medicine, Duke Bass Connections, the Josiah Charles Trent Memorial Foundation, and Campbell University. His impact is reflected by a ResearchGate score of 759.7, over 1,519 citations, and an h-index of 25. Dr. Muzyk has authored two textbook chapters, given 53 poster presentations, reviewed manuscript submissions for 40 journals, and served on the editorial board for Primary Care Companion for the Journal of Clinical Psychiatry. He has delivered more than 300 continuing education lectures, grand rounds, workshops, and symposia at the local, regional, and national level.

Awards
Dr. Muzyk’s contributions have been recognized with numerous honors, including the Dean’s Award for Excellence in Teaching and Educator of the Year award from Campbell University, the Association of American Medical Colleges Curricular Innovation Award, the Association for Multidisciplinary Education and Research in Substance Use and Addiction New Educator/Investigator Award, the Duke University Hospital Educator and Researcher of the Year Award, the Duke AHEAD Interprofessional Excellence Award, the Association of Academic Psychiatry Psychiatric Education Award, and the North Carolina Association of Pharmacists Distinguished Young Pharmacist Award.

Education and Training
Dr. Muzyk earned his PharmD from Mercer University College of Pharmacy. He completed two years of residency training, culminating in a psychiatric pharmacy residency at UNC Medical Center. He received his Master of Health Professions Education from the University of Michigan and completed a two-year Climate Health Organizing fellowship through Harvard Medical School and Cambridge Health Alliance.


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