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Home » Blogs » The Carlat Psychiatry Blog

The Carlat Psychiatry Blog
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Distress Tolerance Skills

June 11, 2025
Daniel Carlat, MD

I told my patient to hold an ice cube until it melted. She looked at me like I'd lost my mind.
But it worked better than three different medications.When we—as therapists, clinicians, or just as humans living day to day—have had a little too much of the demands of work, family, bills, we don't talk about distress tolerance skills. We talk about needing to chill out, go for a walk, play a game on our phone.


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The Table is Here. The Voices are Not.

RFK Jr. cleared the CDC vaccine panel. The cost: clinical judgment.
June 11, 2025
Daniel Carlat, MD

We’ve all rolled our eyes at a pharma-funded study.
But if we tossed out every researcher who’s ever worked with industry—what evidence would we have left?


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HIPAA Myths That Block Patient Care

June 11, 2025
Daniel Carlat, MD

You get a call from the ER about a patient in restraints.
Bipolar disorder. Disrobing. Yelling at staff. They need his medication history.
But his outpatient clinic won't talk to you.
"HIPAA," they say. "He needs to sign a release first.


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The 6-Question Anxiety Screen Every Clinician Needs

June 5, 2025
Daniel Carlat, MD

She's slower than her colleagues. Always the last to leave meetings. Takes forever to finish tasks.
Then you ask the right question: "Do you have any repetitive behaviors or thoughts that feel hard to control?"
Suddenly, everything clicks.


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Psych Meds that Cause Weight Loss? Yes, They Exist.

June 3, 2025
Daniel Carlat, MD

GLP-1 agonists may get the spotlight—but they’re not the only option. Many patients can’t afford them, don’t want the side effects, or prefer to stick with psychiatric meds they already know.


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You Work in the Inpatient Unit, and You Probably Don't Do Enough Therapy

June 3, 2025
Daniel Carlat, MD

When patients are acutely psychotic, manic, or suicidal, our impulse is to fine tune the meds. But a few years ago—while working primarily inpatient—I realized I was leaning too heavily on medication. My patients needed more. 


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A new AI tool can spot tardive dyskinesia (TD) more accurately than trained clinicians.

May 30, 2025
Daniel Carlat, MD

TD affects ~2.6 million people in the U.S., but only 40,000 are being treated.


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When “Education” Is Really Strategy: A Closer Look at Lilly’s Alzheimer’s CME

May 30, 2025
Daniel Carlat, MD

I just read a Lilly-sponsored CME on Medscape featuring Dr. Malaz Boustani—a respected geriatrician doing critical work with underserved communities. But this isn't just education—it's marketing for Lilly’s anti-amyloid drug Donabemab.


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You Can Be Neurodivergent. And Still Need Care.

When Neurodivergence Becomes a Rejection of Treatment, Patients Lose
May 24, 2025
Daniel Carlat, MD

At Carlat Publishing, we regularly debate trends in psychiatry—and neurodivergence is one of today’s most charged topics.
Let’s call it opinion divergence: Some on our team feel that the DSM-5 term “autism spectrum disorder” is politically insensitive. Others see it as clinically essential.


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The Strange Side of Antidepressants

Fun facts from the upcoming Medication Fact Book, 8th Edition
May 23, 2025
Daniel Carlat, MD
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