The Carlat Psychiatry Podcast

By Pocket Psychiatry: A Carlat Podcast

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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The Best and Worst Antipsyc...

10.18.2021

In this 3-part series, we look at the rise and fall, and rise again of antipsychotics in mania, and sort through which ones work, which we should avoid, and whether their use in mania has gone overboard. Today, how an ...

The Carlat Psychiatry Podcast episodes:

10.18.2021 The Best and Worst Antipsychotics for Mania - Part 1 In this 3-part series, we look at the rise and fall, and rise again of antipsychotics in mania, and sort through which ones work, which we should avoid, and whether their use in mania has gone overboard. Today, how an ...
10.11.2021 Can Antipsychotics Worsen OCD? An interview with Michael Poyurovsky, MD, on the paradoxical effects of antipsychotics in OCD and the many ways that OCD symptoms show up in schizophrenia.Published On: 10/11/2021Duration: 18 minutes, 3 secondsRelated Article: "Can Antipsychotics Worsen OCD? (https://www.thecarlatreport.com/the-carlat-psychiatry-report/the-schizophrenia-ocd-overlap/)", The Carlat Psychiatry ...
10.04.2021 A Genetic Test that Didn't Fail Genetic testing is all the rage in psychiatry, but the test that might work best is the one that no one is talking about.Published On: 10/04/2021Duration: 15 minutes, 29 secondsRelated Article: "Genetic Testing in Depression (https://www.thecarlatreport.com/the-carlat-psychiatry-report/genetic-testing-in-depression/)," The Carlat Psychiatry Report, ...
09.27.2021 Welcome to the 21st Century Cures Act Information Sharing Rules The 21st Century Cures Act (or the “Cures Act'' for short) was a federal law passed in 2016 that included various mental health provisions. This law has significant implications on the way we share information with our patients and their ...
09.20.2021 The Spiritual Origins of Ketamine Is ketamine a glutamate antagonist or a spiritual kindler? Ketamine has two origin stories, each with its own understanding of how it treats depression. One came from the East, and one from the West, and after the Iron Curtain came ...
09.13.2021 When Psilocybin was a Psych Med Phase III clinical trials are beginning to roll out for psychedelic medications like like psilocybin and MDMA – also known as magic mushrooms and ecstasy. But this is not the first time these drugs have been used to treat mental ...
09.06.2021 Borderline, Bipolar, and Overdiagnosis Experts in borderline personality disorder and bipolar disorder reach a consensus about the mercurial temperament that underlies borderline personality. The DSM Committee restores a diagnostic code to recognizes those with a “clean bill of mental health,” and the word of ...
08.30.2021 How to Use Nortriptyline Nortriptyline + lithium is one of the top combos for keeping patients well after ECT, and in this episode we walk you through how to prescribe it, including side effects, dosing, drug levels, and drug interactions. Then, the word of ...
08.23.2021 Why Nightmares Matter Barry Krakow, MD has spent his career studying and treating nightmares. In this interview, he shares how nightmares affect mental health, and how they point to more than just PTSD. Published On: 8/22/2021 Duration: 16 minutes, 23 seconds Related Article: ...
08.19.2021 Effect Size Matters: a Mini Master Class in Autism Intervention This deep dive podcast breaks through the dogma of autism intervention and helps you to understand the three main branches of autism intervention and their very different mechanisms, the quality of autism research with a huge shift in our understanding ...
08.16.2021 Three Approaches to Autism Intervention We break down the three main autism intervention approaches, and provide you with information that will help you improve on your abilities to recognize which particular autism intervention might be best for a specific patient. Published On: 8/11/21 Duration: 27 ...
08.09.2021 6 Ways to Manage Nausea on Psych Meds Our top 6 tips for managing nausea on psych meds, and a queasy tale of a tenacious problem to watch for when your patients who get nauseous: Conditioned taste aversion. Published On: 8/9/2021 Duration: 18 minutes, 16 seconds Got feedback? ...
08.02.2021 The Top Genetic Tests The APA says that genetic testing isn’t ready for prime time, but is there anything worth salvaging in these panels? We get some answers from John Nurnberger, a co-founder of the International Society of Psychiatric Genetics, the founding editor of ...
07.26.2021 How to Use a Lightbox Guide your patients to light therapy with this tutorial, including how to select a device, what time to use it, and how to position the box. Published On: 7/26/2021 Duration: 12 minutes, 54 seconds Related Articles: "Dark and Light Therapy ...
07.19.2021 Nine New Findings with Mirtazapine Research updates on mirtazapine in anxiety, insomnia, methamphetamine abuse, and controversial news about the abuse potential of this antidepressant. Also new side effects and withdrawal symptoms discovered. Published On: 7/19/21 Duration: 16 minutes, 28 seconds Related Article: "Two Negative Studies ...
07.12.2021 A Therapy to Prevent Depression Antidepressants get people better from depression, but what keeps them better? In this episode, Dr. Giovanni Fava suggests we may need to stop trying to stamp-out pathology and start finding ways to enhance well-being as patients recover. Published On: 7/12/2021 ...
07.05.2021 The Bright Side of the Serotonin Gene We interview Vladimir Maletic about the serotonin transporter gene (SERT). It’s supposed to make people more vulnerable to depression, but there’s a bright side to this gene that rarely gets attention. We talk about the strengths it confers, and whether ...
06.28.2021 The Rediscovery of Disulfiram New analyses rank disulfiram (Antabuse) among the most effective medications for alcohol use disorders. But why is it so underutilized? In this podcast we explore the history of this therapy – the oldest medication that is still in use in ...
06.28.2021 The Rediscovery of Disulfiram New analyses rank disulfiram (Antabuse) among the most effective medications for alcohol use disorders. But why is it so underutilized? In this podcast we explore the history of this therapy – the oldest medication that is still in use in ...
06.21.2021 Viloxazine (Qelbree): A Faster Strattera? On April 2, 2021, viloxazine, brand name Qelbree, received FDA approval for the treatment of ADHD in children and adolescents ages 6-17 years old. The latest issue of The Carlat Child Psychiatry Report includes a News of Note covering this ...
06.14.2021 The Memory App THINC-it is a new app that can help you track and measure your patient’s cognition. This episode includes a special patient edition from the Pocket Psychiatrist that walks patients through the app and offers tips to keep them motivated while ...
06.14.2021 The Memory App THINC-it is a new app that can help you track and measure your patient’s cognition. This episode includes a special patient edition from the Pocket Psychiatrist that walks patients through the app and offers tips to keep them motivated while ...
06.07.2021 Pharmacogenetics: Not Quite Ready for Prime Time? Clinicians are inundated with ads for genetic testing, but is genetic testing currently helpful for informing clinical care? The latest issue of The Carlat Child Psychiatry Report includes an interview with Dr. Aaron Besterman, who’s an adult and child & ...
05.31.2021 Bipolar, Barbiturates, and Punk Rock Brian Wilson, Lou Reed, and Ian Curtis all created new music genres, and each of them is reputed to have had bipolar disorder. We look at the evidence behind that, and learn a few things about psychiatry and creativity along ...
05.24.2021 How COVID Affects the Brain The psychiatric syndromes caused by COVID infection may look like commonplace DSM-5 disorders, but the cause and treatment may be different. Reference: Boldrini M, Canoll PD, Klein RS. How COVID-19 Affects the Brain. JAMA Psychiatry. 2021 Mar 26. Published On: ...
05.17.2021 13 Ways to Use Topiramate We ask the big questions: Is topiramate a drug or a sugar? Do you need to use the FDA-approved combo pill for weight loss? And which of its 13 off-label psychiatric uses are ready for clinical practice? Published On: 5/17/2021 ...
05.10.2021 What’s Wrong with Generics Rusty machinery, forged documents, and monkeys in the manufacturing plants. It’s what happens when the FDA stops checking in on things. Katherine Eban talks to us about the current crisis in generic drug safety that this breakdown in oversight is ...
05.03.2021 What Works Best in Treatment Resistant Depression Part 2 A new study looked at what works best after two antidepressants have failed, and it claims to have found some surprising winners. We take a closer look at the data in the final episode of our two-part series on treatment ...
04.26.2021 Can A Sleep Med Augment Antidepressants? We unpack 6 studies of the hypnotic eszopiclone in depressive and anxiety disorders, and conclude that there’s more going on here than a simple benefit in sleep. Our word of the day tells us something about what’s missing in depression: ...
04.19.2021 Antidepressants in Bipolar II: What the Experts Do 18 experts weigh in on how they use antidepressants in bipolar II. Sleep onset latency is defined, and we uncover the neuropsychiatric effects of marijuana in adults. Published On: 4/19/2020 Duration: 28 minutes, 11 seconds Got feedback? Take the podcast ...
04.12.2021 Mood, Metabolism, and Cognition: An Interview with Rodrigo Mansur, MD We look at three ways that the body influences psychiatric disorders in the brain – through neurohormones, inflammation, and metabolic health. Dr. Rodrigo Mansur delves into that last one in our expert interview, and we end with a new app ...
04.05.2021 Do Benzos Treat Depression? Around 50 controlled trials have tested benzodiazepines in depression, and the results are surprising. They seem to work. In this episode we look at the controversies surrounding this research and what it means for practice. Published On: 4/5/2021 Duration: 25 ...
03.29.2021 COVID, Benzos, and Opioids Overdose deaths have been rising during COVID, but simply stopping the drug causes problems of its own. In this episde, Ashwin Patkar and Richard Weisler discuss how to reduce the risk of opioid deaths in psychiatric patients. Their Current Psychiatry ...
03.22.2021 How to Stop Benzos and Stimulants Swapnil Gupta, author of Deprescribing in Psychiatry, shares tips on how to help patients taper off benzodiazepines and psychostimulants. She adds a special therapeutic ingredient, but it’s not a medication. Then we digress into one of the oldest medications known ...
03.15.2021 In Memoriam: Hagop Akiskal and the Bipolar Spectrum DSM-5 has adopted many of the concepts from Hagop Akiskal’s Bipolar Spectrum, but not in the way he had planned. Here we trace his thinking back to the early 1970’s, when Dr. Akiskal reshaped the way we think about depression ...
03.08.2021 What Works Best in Treatment Resistant Depression Part 1 What works best when the first antidepressant fails? And the second? Today, we bring you part 1 in our special series on treatment resistant depression. Published On: 3/7/21 Duration: 16 minutes, 1 second Got feedback? Take the podcast survey (http://www.thecarlatreport.com/podcastsurvey).
03.01.2021 Duty to Warn: Antidepressants in Children and Adolescents For nearly 17 years, since the FDA black box warning about suicidality with antidepressants, our community has been quoting data that downplays this concern. We were wrong. We were deceived. Antidepressants can be lifesaving, but there really is a duty ...
02.22.2021 How Buspirone Mixed with Melatonin to Make an Antidepressant In 2012, psychiatrists at Harvard’s Massachusetts General Hospital discovered a novel antidepressant. It seemed to improve depression and cognition without causing any significant side effects. There was only one problem. The ingredients were practically free, and there was no way ...
02.15.2021 When Depression Gets Worse on an Antidepressant Bupropion and restless legs syndrome: a randomized controlled trialWhen a patient complains that their mood got worse on an antidepressant, it doesn’t necessarily mean they are sensitive to medications. In this episode, we detail 6 other reasons why depression can ...
02.08.2021 Deprescribing Part 1 An interview with Swapnil Gupta on when and how to come off psychiatric medications. Plus, tips on cross-tapering antidepressants, and the word of the day: Ephedra. Published On: 2/8/2021 Duration: 17 minutes, 1 second
02.01.2021 The Antidepressant Calendar: How to “Just Do It” Behavioral activation came about in the 1990’s as a challenge to the CBT model of depression. The basic strategy behind this therapy blends well with brief medication visits, and we explain how to use it in this professional guide. Check ...
01.25.2021 The Birth of Lamotrigine Richard Weisler tells the tale of science and serendipity that lead to his discovery of lamotrigine for bipolar depression 30 years ago. He shares a few dosing tips, and touches on how he works with patients and their families. Plus, ...
01.18.2021 Are Probiotics Ready for Practice? 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: 1/17/21 Duration: 27 minutes, 50 seconds Article Referenced: "Probiotics in ...
01.11.2021 Cognitive Enhancers: The Brain on Chess The Queen’s Gambit is Netflix’s critically acclaimed series about a chess prodigy who gets “a little help from her friends.” In this episode we find out what they got right, and wrong, about psychiatric meds and cognitive enhancement. Published On: ...
01.04.2021 Rebuilding Life after Bipolar Brett Stevens has lived through the worst of bipolar and come out standing. Here’s what he did to get his life back. This is the first edition of The Pocket Psychiatrist, a monthly series you can share with your patients ...
12.28.2020 What We Learned in 2020 A look at the top 10 practice-changing highlights from our 2020 journal. Tardive dyskinesia, inflammation, lumateperone, top first-line medications, trazodone in depression, Silexan for anxiety, excellent lithium responders, hormones and mood, and ramelteon’s generic debut. Published On: 12/28/2020 Duration: 26 ...
12.21.2020 Retracted Retractions are on the rise in medical research, and we get to the bottom of it with Ivan Oransky, cofounder of RetractionWatch.com (RetractionWatch.com). Published On: 12/21/2020 Duration: 25 minutes, 12 seconds Got feedback? Take the podcast survey (http://www.thecarlatreport.com/podcastsurvey).
12.17.2020 Melatonin Supplements in Middle Age [60 Sec Psych] Most of the research on melatonin has involved older adults, and there it seems to work pretty well, just a little less effective than most prescription sleep meds. So how well does melatonin work in middle aged adults? This new ...
12.14.2020 Therapy in the Med Visit: An Interview with Donna Sudak Donna Sudak shares her tips for weaving cognitive behavioral therapy (CBT) into the 30-minute psychotherapy session with medication. The article on rating scales she references - Free, Brief, and Validated - is available here (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310476/pdf/nihms-589127.pdf). Published On: 12/14/2020 Duration: 19 ...
12.12.2020 Night Eating in Bipolar Disorder [60 Sec Psych] Not only do we get more urges to eat at night, but we tend to overeat and lean more towards junk food. So how does that play out in bipolar disorder? This new study by Francisco Romo-Nava and colleagues at ...

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