Antipsychotic
Medications
NIH-level prescribing and metabolic monitoring. Second-generation antipsychotics are widely used in psychiatry — as augmentation agents for depression, as mood stabilizers for bipolar, and for psychotic conditions. Dr. Farkas prescribes them with the rigor they require.
How Dr. Farkas approaches
Medications
Evidence-based, neurobiologically-informed. Every prescribing decision is grounded in mechanism — not tradition or trial-and-error.
From evaluation to
lasting results
Antipsychotics is used to treat
these conditions
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What to expect at
your first appointment
New patient evaluations are 30–60 minutes — never a rushed intake. Dr. Farkas takes your full psychiatric, medical, and medication history before making any prescribing decisions. You'll leave with a clear diagnosis, a treatment plan that makes sense to you, and a follow-up already scheduled.
Telehealth available throughout South Carolina and New York. In-person at our Hilton Head Island, SC office.
Ready for prescribing done
at the MD/PhD level?
30–60 minutes. Expert diagnosis. A treatment plan built around your specific neurobiology and goals.
Antipsychotic prescribing covers schizophrenia, bipolar disorder, treatment-resistant depression augmentation, and severe agitation in dementia (with black-box caution). Dr. Farkas balances efficacy with metabolic monitoring (weight, glucose, lipids), movement disorder screening, and — where indicated — clozapine expertise and long-acting injectable formulations.
Key Takeaways
- Antipsychotics are used for schizophrenia, bipolar disorder, and as add-ons in treatment-resistant depression.
- Second-generation antipsychotics can raise weight, blood sugar, and cholesterol, so regular metabolic monitoring is standard.
- Clozapine is uniquely effective after two failed antipsychotic trials, with required blood monitoring.
- Tardive dyskinesia is a possible long-term movement side effect, and FDA-approved treatments exist.
Frequently Asked Questions
What is metabolic monitoring?
Second-generation antipsychotics can cause weight gain, insulin resistance, and dyslipidemia. Baseline and periodic monitoring of weight, waist, fasting glucose, hemoglobin A1c, and lipids is standard care per APA guidelines and prevents downstream diabetes and cardiovascular disease.
When is clozapine used?
Clozapine is uniquely effective for treatment-resistant schizophrenia (failure of two adequate antipsychotic trials) and reduces suicide risk. It requires REMS-mandated monitoring for agranulocytosis but shouldn't be delayed once criteria are met.
What is tardive dyskinesia?
Involuntary, repetitive movements — most commonly of face, mouth, and tongue — that can develop with long-term antipsychotic use, especially with first-generation agents. Second-generation antipsychotics carry lower risk. FDA-approved treatments (valbenazine, deutetrabenazine) exist.
Related pages
Call or text 988 (Suicide & Crisis Lifeline). Text HOME to 741741 for the Crisis Text Line. Call 911 or go to your nearest emergency room if you are in immediate danger.