Clear, engaging, and practical updates on clinical psychiatry.
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Nuedexta. A 60 year old cough medicine gets approve for uncontrollable crying, but the drug company has its eyes on a bigger target: Agitation in dementia. Follow the trail of pseudoscience, bribery, and indictments, and learn a few clinical pearls about this dextromethorphan-quinidine combination along the way.Published On: 2/17/20Duration: 15 minutes, 51...
30-50% of patients with depression have signs of inflammation, and some of those markers may help predict which medication they'll respond to. Andrew Miller, MD, of Emory University is one of the leading researchers in this field, and in this interview he tells us when to suspect inflammation and how...
A new antidepressant is under development that could change the field even more than esketamine. And even if it doesn't, its novel effects on the mind reveals something that can help our patients today. This fascinating drug was commonly prescribed by psychiatrists in the 1950's until Richard Nixon tried to...
Antipsychotics. For some, long term use is best, for others, you need to keep it short. In this interview with Nassir Ghaemi we dig into the research to find some answers.Date Published: 1/27/20Duration: 27 minutes, 1 secondArticle Referenced: "Antipsychotic Maintenance: How Long Is Enough?", The Carlat Psychiatry Report, January 2020The...
From a public health standpoint, ADHD is worse than the top five killers in the U.S. combined. Russell Barkley, PhD, is a Clinical Professor of Psychiatry at the Virginia Commonwealth University Medical Center (VCUMC), Richmond, VA. His research findings have lit a fire under the ADHD community. Listen to excerpts of his...
The gut microbiome influences the brain in numerous ways, but can building a better microbiome treat depression? Dr. Ted Dinan walks us through the science in this interview.Published On: 1/17/21Duration: 27 minutes, 50 secondsArticle Referenced: "Probiotics in Psychiatry," The Carlat Psychiatry Report, January 2021Transcript:Today, an interview with Dr. Ted Dinan (Dee-nan)...
These are the articles from 2019 that changed our practice. Dark therapy for mania. CBD oil. Genetic testing. An antidepressant diet. Viagra and the brain. Sleep in PTSD. Antidotes for weight gain and nausea. Light therapy for depression.Date Published: 1/6/2020Duration: 10 minutes, 48 secondsTake the Podcast Survey to help us launch a CME...
When a patient is diagnosed with ADHD for the first time in adulthood, they have a lot of baggage to overcome. Years of living with the symptoms has probably shaped their identity, and in part 2 of our interview with Scott Shapiro, MD, we learn how to address the core...
Child psychiatrists are grappling with the problem of pervasive use of marijuana in an age where legalization of use for adults has led to even greater use in teens. In this episode, Dr. Feder and Mara go over two recent interviews in The Carlat Child Psychiatry Report with Gabriella Gobbi, MD, PhD, of...
Vitamins have dozens of positive studies in mental health, but is it better to give one single vitamin or a broad variety? Or should you just stick with a healthy diet? In this interview, Dr. Julia Rucklidge explains the difference, and how micronutrients can help people with ADHD, irritability, emotional...