The Carlat Psychiatry Podcast

By The Carlat Psychiatry Report

Alternative Health Medicine

What's The Carlat Psychiatry Podcast about?

From the editors of The Carlat Psychiatry Report, this weekly podcast brings clear, engaging, and practical updates on clinical psychiatry. Through expert interviews and authoritative reviews, we cover all things psychiatric with an independent eye. The Carlat Report has operated free of pharmaceutical support since its inception in 2003. Hosted by Chris Aiken, MD, and Kellie Newsome, RN.

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How to use Guanfacine and C...

10.26.2020

We take you through the story of rational drug discovery that lead to the approval of guanfacine and clonidine for ADHD, and share some tips on how to use them. And the word of the day: Dyssymbole. Published On: 10/26/2020 ...

The Carlat Psychiatry Podcast episodes:

10.26.2020 How to use Guanfacine and Clonidine We take you through the story of rational drug discovery that lead to the approval of guanfacine and clonidine for ADHD, and share some tips on how to use them. And the word of the day: Dyssymbole. Published On: 10/26/2020 ...
10.24.2020 A Prescription Video Game for ADHD [60 Sec] The hand eye movements of a prescription video game are thought to exercise circuits involved in attention, and this theory did translate to small but real improvements in attention in 5 clinical trials involving over 600 children with ADHD Published ...
10.21.2020 Two Updates on Pimavenserin [60 Sec Psych] Last April we reported on Pimavenserin – Nuplazid – the novel antipsychotic that’s FDA approved in psychosis related to parkinson’s disease. In that article we mentioned a randomized controlled trial from Mass General – the CLARITY trial - that showed ...
10.19.2020 Perimenopausal Depression We interview Rita Nunacs on perimenopausal depression, and our word of the day – processomania – brings us into the crosshairs of politics and psychiatry. Published On: 10/18/20 Duration: 24 minutes, 42 seconds Article Referenced: "Mood and Menopause (Mood and ...
10.17.2020 Time to Talk About Naloxone [60 Sec Psych] New labeling from the FDA requires physicians to discuss naloxone with patients or caregivers they are prescribing opioids to. The new guideline also recommends that we prescribe naloxone to anyone who is at risk for opioid overdose, even if we ...
10.13.2020 Quarantining with Benzos [60 Sec Psych] Benzo prescriptions have risen 34% during COVID-19, particularly in women. People are also getting benzos outside of prescriptions. Drs. Islam and Choudhry discussed the emerging trend in a commentary in Clinical Psychiatry News. Specifically, they are concerned that people will ...
10.12.2020 How to Measure Cognition on Trintellix Trintellix claims to improve cognition in depression, but what does this effect look like in patient’s lives? We speak with Tom Gualtieri about the cognitive side of antidepressants, and show you how to use a 3 minute cognitive test that ...
10.07.2020 Ultraprocessed Foods Raise Depression Risk [60 Sec Psych] In 2004 Morgan Spurlock decided to see what would happen when he ate a typical McDonald’s meal for breakfast, lunch, and dinner. Over the next 30 days, we watched as he gained 24 pounds and developed high cholesterol, fatty liver, ...
10.05.2020 Living Well with Lithium A special edition for patients. Lithium is one of the most effective medications for bipolar and depression, but many of its marvels have remained obscure. Lithium has never benefited from a pharmaceutical ad (because it’s a mineral, not a medicine), ...
10.03.2020 How To Spot An Ultraprocessed Food [60 Sec Psych] This month the first systemic meta-analysis of epidemiologic studies of ultra processed foods has come out, and we have a clearer picture of what poor dietary habits do to 300,000 people. [Link (https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/consumption-of-ultraprocessed-foods-and-health-status-a-systematic-review-and-metaanalysis/FDCA00C0C747AA36E1860BBF69A62704)] Published On: 10/3/2020 Duration: 5 minutes, 34 ...
09.30.2020 26 Medications for PTSD [60 Sec Psych] When it comes to PTSD, pharmacotherapy is second-line and psychotherapy has the more robust evidence. The effect size for therapy is in the large range, while medications are in the small, with one exception…. In studies where patients are allowed ...
09.28.2020 The Mental Toll of Quarantine How did the rate of depression triple over a single month in 2020? In this episode you’ll learn how to distinguish clinical depression from normal stress, so you’re better prepared to take care of the 1 in 3 U.S. adults ...
09.26.2020 New Schizophrenia Guidelines [60 Sec Psych] In September 2020 the APA updated their schizophrenia practice guidelines. Here’s how things have changed since the 2004 edition. [Link (http://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines)] Date Published: 9/26/2020 Duration: 4 minutes, 27 seconds Got feedback? Take the podcast survey (http://www.thecarlatreport.com/podcastsurvey).
09.23.2020 The Antipsychotics Weigh In [60 Sec Psych] When it comes to weight gain on antipsychotics, most of what we know is from industry sponsored trials, and most of them were done on Caucasian patients. Few of those studies compare the antipsychotics side by side, which leaves us ...
09.21.2020 Lithium vs. Coronavirus Half a dozen research papers suggest that lithium’s anti-viral properties may extend to the coronavirus. But the idea is far from tested, and patients with coronavirus are also at higher risk for lithium toxicity. We also touch on a safer ...
09.19.2020 Suvorexant prevents delirium [60 Sec Psych] We often worry about sleep meds in the medically ill, and there’s plenty of cause to: falls, respiratory suppression, and confusion. On the other hand, sleep disruption is a major risk factor for delirium, and there’s growing evidence that some ...
09.17.2020 Air Quality and Mental Health Air pollution, including particulate matter from forest fires, is a leading cause of health problems globally. It is also linked to psychiatric problems in children and adolescents. We take a closer look at the evidence and clinical implications in this ...
09.16.2020 Morgellons: A Tiny Bug or a Big Delusion? If you haven’t seen a patient with Morgellons yet, it’s a good guess that you soon will. Patients with this syndrome experience crawling, biting, and stinging sensations in the skin. [Study Link (https://pubmed.ncbi.nlm.nih.gov/30446193/)] Published On: 9/16/2020 Duration: 8 minutes, 4 ...
09.14.2020 How to Talk to Patients with Delusions Do antipsychotics treat all psychoses? And how do you talk to patients when they don’t work? Psychiatrist Michael Posternak shares his top tips. Plus: What the “Beads Task” tells us about the psychological underpinnings of delusional disorder. Published On: 9/13/2020 ...
09.09.2020 What Patients Are Saying About Antipsychotic [60 Sec Psych] In the early 1990’s, half of US patients with bipolar disorder took lithium. Now it’s closer to 15%, and the use of antipsychotics has more than doubled to fill the gap. A new survey reveals what patients think about these ...
09.07.2020 How to Minimize Lithium's Side Effects Nausea, tremor, cognition, and renal function. We bring you our top tips for managing these side effects, including when to use instant release vs. controlled release and how to optimize the serum level for patient safety. Published On: 9/7/2020 Duration: ...
09.05.2020 Trazodone in Frail Insomniacs [60 Sec Psych] It’s risky business – giving sleep meds to the elderly and the medically ill – and today we have some reassuring data. [Link (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344257/)] Published On: 9/5/2020 Duration: 2 minutes, 22 seconds Got feedback? Take the feedback survey (http://www.thecarlatreport.com/podcastsurvey).
09.02.2020 A Landmark Adoption Study [60 Sec Psych] Dr. Kenneth Kendler's latest compares biological siblings where one was adopted and the other raised by the birth parents. The study found that children adopted into a stable adoptive home had a reduced rate of depression by 23%. [Link (https://pubmed.ncbi.nlm.nih.gov/32340466/)] ...
08.31.2020 Existential Despair and Bipolar Depression Nassir Ghaemi reads excerpts from his work on the therapeutic relationship in bipolar disorder. We talk about how to empathize with manic patients through the technique of “manic siding,” and catalogue over a dozen types of bipolar depression, including one ...
08.24.2020 Insight: The Lost Cause in Psychotherapy Is self-knowledge a good thing, or is it just fuel for self-absorption and depressive rumination? We look through four psychotherapies to learn what makes the difference between meaningful insight and navel gazing. Published On: 8/24/2020 Duration: 19 minutes, 38 seconds ...
08.17.2020 Traumatic Brain Injury: An Interview with Jonathan Silver Traumatic Brain Injury (TBI) causes a host of psychiatric symptoms, and they don’t always respond to medications the way that other diagnoses do. In this interview, Jonathan Silver shares his top treatment tips on TBI. Dr. Silver is the co-editor ...
08.15.2020 Depressed and Indecisive [60 Sec Psych] Today’s study looked at psychological factors that predict relapse into depression. They people who were recovered from depression and taking antidepressants along with healthy controls, nearly 200 in total. All the underwent a decision making test that asked them to ...
08.12.2020 Lithium and Cognition: The Largest Study to Date [60 Sec Psych] This study is the largest longitudinal study of cognition in lithium to date. Katherine Burdick and colleagues started with 262 patients with bipolar I – 64% were taking lithium [Link (https://www.nature.com/articles/s41386-020-0683-2?proof=t)]. They made two key measurements, with the main limitation ...
08.10.2020 What Works for Treatment Resistant Anxiety? Silexan, an extract from Lavender with pharmaceutical properties, is one of only two treatments with a large effect size in generalized anxiety disorder. We rank all the treatments by strength and look to see if any of them can work ...
08.08.2020 Topiramate and Adderall Reduce Cocaine Use [60 Sec Psych] We always say that single positive studies need replication, and here comes one. In 2012 a randomized trial found that the combination of topiramate and adderall xr worked better than placebo at helping people with frequent cocaine use stay sober. ...
08.05.2020 Borderline Personality Disorder: Listen with Care [60 Sec Psych] Dialectical Behavior Therapy ─ DBT ─ has become the gold standard for borderline personality disorder, and other therapies are starting to go head-to-head with DBT in clinical trials. We reviewed one that fared well, Good Psychiatric Management, in our Summer ...
08.03.2020 The Best SSRI Part 2 Are the SSRIs really that different? If a patient doesn't respond to one will they respond to another? We sift through three decades of research to find answers. Published On: 8/3/20 Duration: 19 minutes, 13 seconds Got feedback? Take the ...
08.01.2020 Which Medications Should You Stop Before ECT? Electroconvulsive therapy (ECT) depends on the seizure threshold, so you don’t want to throw that off before starting it. Anticonvulsants and benzodiazepines are concerning, as are antidepressants. Although bupropion has a notorious risk for seizures, a recent meta-analysis of all ...
07.29.2020 A New Confidentiality Law [60 Sec Psych] SAMSHA has changed their laws around the release of substance use information, and the result applies to more mental health professionals than one might think. Read more. (https://www.samhsa.gov/newsroom/press-announcements/202007131330 ) Published On: 7/29/20 Duration: 4 minutes, 11 seconds Got Feedback? Take ...
07.27.2020 The Best SSRI Part 1 We search through the rubble of 1990's marketing to find out what makes the SSRIs different, and encounter along the way our word of the day: Zimelidine. Published On: 7/27/20 Duration: 10 minutes, 47 seconds Got feedback? Take the podcast ...
07.26.2020 Preventing Trauma With Racial Socialization [60 Sec Psych] Race-based traumatic stress affects mental health in young people of color. A 2019 paper in American Psychologist puts that racial socialization into a framework some listeners may be familiar with. [Link (https://psycnet.apa.org/fulltext/2019-01033-006.html)] Published On: 7/25/20 Duration: 5 minutes, 51 seconds ...
07.26.2020 Preventing Trauma With Racial Socialization [60 Sec Psych] Race-based traumatic stress affects mental health in young people of color. A 2019 paper in American Psychologist puts that racial socialization into a framework some listeners may be familiar with. [Link (https://psycnet.apa.org/fulltext/2019-01033-006.html)] Published On: 7/25/20 Duration: 5 minutes, 51 seconds ...
07.22.2020 Promoting Assertiveness in Adolescents [60 Sec Psych] What can mental health clinicians do to help our patients who may be dealing with discrimination in their day-to-day lives? Assertiveness is a specific skill that we can model and teach our patients. A paper by Bhardwaj and Vishwas in ...
07.22.2020 Promoting Assertiveness in Adolescents [60 Sec Psych] What can mental health clinicians do to help our patients who may be dealing with discrimination in their day-to-day lives? Assertiveness is a specific skill that we can model and teach our patients. A paper by Bhardwaj and Vishwas in ...
07.20.2020 How to Talk to Patients with Autism Patricia Eaves reveals common pitfalls and shares her top tips for communicating with patients with autism. Read more in the recommended text, "The TEACCH Approach to Autism Spectrum Disorders" by Gary B. Mesibov et al. Plus the word of the ...
07.20.2020 How to Talk to Patients with Autism Patricia Eaves reveals common pitfalls and shares her top tips for communicating with patients with autism. Read more in the recommended text, "The TEACCH Approach to Autism Spectrum Disorders" by Gary B. Mesibov et al. Plus the word of the ...
07.18.2020 Implicit Bias Training in Health Care [60 Sec Psych] What practical role do we have as mental health professionals in creating a more fair and just society? Doctors Javeed Sukhera and Chris Watling published a framework for integrating implicit bias recognition in medical education that makes a lot of ...
07.18.2020 Implicit Bias Training in Health Care [60 Sec Psych] What practical role do we have as mental health professionals in creating a more fair and just society? Doctors Javeed Sukhera and Chris Watling published a framework for integrating implicit bias recognition in medical education that makes a lot of ...
07.15.2020 Here’s What Happens When You Treat ADHD in the Elderly [60 Sec Psych] In 2004 the FDA approved the first stimulant for adult ADHD: Adderall XR. Now it’s nearly 20 years later, and some of those patients are elderly. Yet there are only a few studies of stimulants in people over age 50 ...
07.15.2020 Here’s What Happens When You Treat ADHD in the Elderly [60 Sec Psych] In 2004 the FDA approved the first stimulant for adult ADHD: Adderall XR. Now it’s nearly 20 years later, and some of those patients are elderly. Yet there are only a few studies of stimulants in people over age 50 ...
07.13.2020 How to Treat Untreatable Depression Joseph Goldberg, MD shares his top psychopharm strategies for highly-treatment resistant depression, and weighs in on whether further medication trials are ever futile. Published On: 7/13/2020 Duration: 15 minutes, 46 seconds Related Articles: "When Further Medication Trials Seem Futile (https://www.thecarlatreport.com/the-carlat-psychiatry-report/when-further-medication-trials-seem-futile/)," ...
07.13.2020 How to Treat Untreatable Depression Joseph Goldberg, MD shares his top psychopharm strategies for highly-treatment resistant depression, and weighs in on whether further medication trials are ever futile. Published On: 7/13/2020 Duration: 15 minutes, 46 seconds Related Articles: "When Further Medication Trials Seem Futile (https://www.thecarlatreport.com/the-carlat-psychiatry-report/when-further-medication-trials-seem-futile/)," ...
07.11.2020 I Feel Better Naked [60 Sec Psych] Whether gardening outdoors or hiking in the woods, getting back to nature is generally good for mental health. But what about just getting naked? Today we report on the first randomized controlled trial of naked activity on body-image anxiety. Published ...
07.11.2020 I Feel Better Naked [60 Sec Psych] Whether gardening outdoors or hiking in the woods, getting back to nature is generally good for mental health. But what about just getting naked? Today we report on the first randomized controlled trial of naked activity on body-image anxiety. Published ...
07.08.2020 A New Cause of Depression: Light at Night [60 Sec Psych] Evening light is associated with so many health risks ─ cancer, diabetes, heart disease ─ that the AMA has a position statement on it. Psychiatrists may need to pay attention as well. It’s been linked to depression, mania, and poor ...

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