Neuroticism is not in the DSM, but it's a common cause of anxiety and may predict thether a patient respond to an SSRI. We talk with Nassir Ghaemi and bring you practical insights into this personality trait. How to recognize it, how to treat it, and how to avoid over-treating...
It’s a bit of dogma that goes rarely challenged in inpatient psychiatry—patients can’t use smartphones. There are multiple reasons for this, ranging from privacy issues (patients might Instagram other patients), clinical issues (patients might isolate themselves and not go to groups), safety issues (they might break and use the screen...
Psychiatrist Shawn Christopher Shea shares his top tips on engaging patients in their medication treatment. Dr. Shea has been fine tuning the art of doctor-patient communications for over 30 years through best-selling texts on psychiatric interviewing and suicide assessment. His latest book, The Medication Interest Model, presents a unique model for talking...
Dealing with potentially violent patients is daunting, but we can play an effective role in assessing and reducing violence risk. This post from The Carlat Psychiatry Report links to some key resources.Risk Assessment Tools Classification of Violence Risk (COVR): available at www.parinc.com Historical, Clinical, Risk Management (HCR-20): available at www.parinc.com Psychopathy...
Here's a recent article from The Carlat Child Psychiatry Report I highly recommend.In the March/April 2019 issue Dr. Suzan Song talked to us about helping refugees and asylum seekers in this Expert Q&A. We hear of many children and adolescents who are refugees, most seeking asylum. There are calls for...
I was a reader of The Carlat Psychiatry Report before I was an editor, and there were two things that led me to subscribe to it:1) They cover topics that get missed in the psychiatric press, like practical tips and treatments that aren't backed by a promotional budget.2) They give...
Using Vitamins, specific diets, and herbal remedies, Integrative Medicine (IM) focuses on supporting the innate healing powers of the body.IM is not without its disadvantages. Firstly, and chiefly, the evidence base for efficacy is deficient by the standards of conventional medicine. In part, this is due to a lack of...
Excerpted from a past issue of The Carlat Addiction Treatment Report, Matthew Goldenberg, DO, Founder of Professionals Health Solutions and assistant professor of psychiatry at Cedars-Sinai Medical Center, offers the following advice:Enhance your patients’ courage. Many people with SUDs may not think of themselves as brave, but it takes guts...
In The Carlat Child Psychiatry Report, Elizabeth Tien, MD, a child & adolescent psychiatrist at Maimonides Medical Center in Brooklyn, NY, offers off-label advice on prescribing medications for children with PTSD. Below are some general tips, but to get a handy table on which meds to choose and how to...
First developed in the 1920s, EEG entails applying electrodes to the scalp’s surface to measure electricity generated by neural activity. The brain works primarily via action potentials that lead to the release of neurotransmitters into synaptic clefts. Although EEG can’t detect the tiny amount of electricity produced by the individual...