The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 2 CME credits.
Joel Paris, MD
Professor, Department of Psychiatry, McGill University
Dr. Paris has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Daniel Carlat, MDEditor-in-chief, The Carlat Psychiatry ReportDr. Carlat has disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.
By and large, psychiatrists aren’t terribly comfortable when it comes to diagnosing and treating borderline personality disorder (BPD). Fortunately, diagnosing BPD is relatively easy and can often be done in 20–30 minutes. The key is to have a systematic approach, to ask high-yield questions, and to know how to efficiently follow up on responses.
Craig Malkin, PhDClinical psychologist. Lecturer, Harvard Medical School. Author of Rethinking Narcissism, published by HarperCollins
Dr. Malkin has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Pathological narcissism is a desperate need to feel special—in fact, you can call it an addiction to feeling special. We tend to focus on one presentation, which is the loud, arrogant, conceited narcissist, but there are plenty of introverted narcissists (often called vulnerable or covert in the research), and these are the patients who often show up in our office. In this Expert Q&A Dr. Malkin shares his insight on helping narcissism patients.
Talia PuzantianDeputy editor, The Carlat Psychiatry Report
Dr. Puzantian has disclosed that she has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
The U.S. Food and Drug Administration approved Ingrezza (valbenazine) for the treatment of tardive dyskinesia (TD), a disabling movement disorder that afflicts 10%–20% of people on chronic antipsychotic medication.
Daniel Carlat, MDEditor-in-chief, The Carlat Psychiatry ReportDr. Carlat has disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.
We often prescribe antidepressants to patients who are suicidal, and unfortunately, some people use these very medications to try to kill themselves. It’s been known for some time that tricyclic antidepressants are among the most toxic in overdose, so we embraced the SSRIs and later medications in part because they are considered to be safer. But how safe are they?
The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.
Eran D. Metzger, MD
Director of psychiatry, Hebrew SeniorLife. Assistant professor of psychiatry, Harvard Medical School, Boston, MA
Dr. Metzger has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
As director of psychiatry at Hebrew SeniorLife for 18 years, Dr. Metzger has witnessed a number of changes in how we manage agitation and other elements of BPSD. In this article, he outlines current thinking about such symptoms, as well as the latest techniques—both pharmacologic and non-pharmacologic—for managing them.
Andrew E. Budson, MD
Professor of neurology and associate director of the Boston University Alzheimer’s Disease Center. Author, Seven Steps to Managing Your Memory: What’s Normal, What’s Not, and What to Do About It, and Memory Loss, Alzheimer’s Disease, and Dementia: A Practical Guide for Clinicians, 2nd EdDr. Budson has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
There used to be this rule of thumb that you don’t need to worry about people who are worried about their memory; you need to worry about people who aren’t worried. And that might be true for people with dementia, where there is often a loss of insight. But if you want to pick up memory problems at the earlier, mild cognitive impairment stage, do an evaluation when someone is worried about memory loss.
KarXT (Cobenfy) is the first antipsychotic that doesn’t block dopamine. We trace the origins of this new drug to a South Asian herb used for over 5,000 years, up to the three...