General Psychiatry
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E&M Codes for Fun and Profit: A Story of 4 Psychiatrists

February 1, 2016
Daniel Carlat, MD
Daniel Carlat, MD Editor-in-Chief, Publisher, The Carlat Psychiatry Report Dr. Carlat has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Since 2013, all psychiatrists have had to use new CPT (Current Procedural Terminology) codes. This article gives you a quick overview of evaluation and management (E/M) coding, and I’ll share the experiences of 4 psychiatrists who have been using these codes over the last 3 years.
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Starting Your Own Private Practice: A Business Model

February 1, 2016
Jennie Byrne, PhD, MD
Jennie Byrne, PhD, MD Private practice psychiatrist, Chapel Hill, NC; consultant to psychiatric practices Dr. Byrne discloses that she receives income from consulting with psychiatrists on their practices, and that she has created a video series, “Transform Your Private Practice,” and an e-book, “Opening Your Private Practice.”
Dr. Byrne consults with psychiatrists on startinig a private practice, and helps them troubleshoot their practice model. In this interview, she shares her insight on starting a private practice with the base understanding that embarking on private practice is essentially starting a small business.
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Antipsychotic Polypharmacy: Helpful or Harmful?

January 1, 2016
Kelly N. Gable, Pharm.D and Daniel Carlat, MD
Kelly N. Gable, Pharm.D Associate Professor, SIUE School of Pharmacy Psychiatric Care Provider, Places for People Dr. Gable has disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.   Daniel Carlat, MD Editor-in-Chief, Publisher, The Carlat Report. Dr. Carlat has disclosed that he has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
Prescribing two antipsychotics to a single patient is a common practice in clinical settings. Increasingly, we are being scolded for this practice. If possible, stick with a single antipsychotic. But if the situation seems to call for polypharmacy, here are some factors to guide your decision-making.
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ICD-10: What You Need to Know

January 1, 2016
Daniel Carlat, MD
Daniel Carlat, MD Editor-in-Chief, Publisher, The Carlat Report. Dr. Carlat has disclosed that he has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
On October 1, 2015, you had to start using ICD-10 codes for reporting diagnoses in order to get paid by insurance companies. But what does ICD-10 mean, how does it relate to DSM-5, and what does a practicing clinician need to know about it?
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Managing Bipolar Disorder: Practical Tips

January 1, 2016
Stephen M. Strakowski, MD
Stephen M. Strakowski, MD Senior Vice President and Chief Strategy Officer of UC Health; Professor of Psychiatry & Behavioral Neuroscience, Psychology & BME at the University of Cincinnati Dr. Strakowski discloses that he has been a paid consultant to Sunovion and Procter & Gamble. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity.
Dr. Strakowski shares tips on diagnosing bipolar disorder, in addition to insight on treatment strategies such as maintaining a regular schedule, mood charting, cognitive behavioral therapy, and medication.
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Before You Write That Prescription: Guidelines for Ordering Lab Tests

November 1, 2015
Rajnish Mago, MD
Rajnish Mago, MD Director, Mood Disorders Program, Associate Professor of Psychiatry, Thomas Jefferson University Dr. Mago discloses that he has received research grants from Alkermes, Allergan (formerly Forest Laboratories), Genomind, and Takeda, and that he has been a paid consultant to Genomind, Guidepoint Global, Otsuka, and Lundbeck. Dr. Carlat has reviewed this article and found no evidence of bias in this educational activity.
Mental health clinicians often ask for a single, black-and-white answer to the question: Which lab tests should I order before starting this particular medication? Inevitably, the answer is that it depends. Here are some guidelines that are useful.
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Distinguishing Between Medical and Psychiatric Conditions

November 1, 2015
Barbara Schildkrout, MD

TCPR_Nov_Dec2015_BarbaraShildkroutMD_headshot.pngBarbara Schildkrout, MD

Assistant Professor of Psychiatry, Part-Time Harvard Medical School, in the Department of Psychiatry at Beth Israel Deaconess Medical Center, Boston, Massachusetts. Author of “Unmasking Psychological Symptoms” and “Masquerading Symptoms,” both published by John Wiley and Sons, Inc.

Dr. Schildkrout has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Schildkrout discusses strategies for differentiating medical and psychiatric disorders. The interview covers how mental health professionals can catch red flags for medical conditions such as dimentia and seizures.
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