Binge Eating Disorder: Should You Use Vyvanse?

Binge Eating Disorder: Should You Use Vyvanse?

In January of this year, the FDA approved the stimulant lisdexamfetamine (Vyvanse) as the first drug with an indication for binge eating disorder (BED). Patients are hearing the buzz and may be asking you to prescribe it, but you may have some questions first.

Computer Assisted Psychiatry: An Introduction and Road Test

Computer Assisted Psychiatry: An Introduction and Road Test

There are plenty of ways that we use technology in psychiatric practice these days—including e-prescribing, electronic health records, referring patients to websites for psychoeducation, etc. But when was the last time you referred a patient to their computer for psychotherapy? Well, it may be time to consider it. 

Understanding and Treating Panic Disorder

The Carlat Behavioral Health (TCRBH), November 2012, Panic Disorder

As it is currently conceptualized in the DSM-IV-TR, panic disorder can occur with or without agoraphobia. This article will describe what is involved in determining whether an individual has panic disorder and how to treat it.

Research Update

Helping the Severely Mentally Ill to Help Themselves

“Self-management” is a newly popular buzzword among clinicians treating the seriously mentally ill.

Novel Program Effective for Anxiety Disorders in Primary Care

Anxiety disorders are commonly seen in primary care, whether they present on their own, or comorbid with other illnesses. There’s good evidence for both cognitive-behavioral therapy (CBT) and pharmacotherapy in anxiety disorders, but many patients don’t receive such treatment.

Expert QA

Cognitive Behavioral Therapy for Panic Disorder

Some of the CBT techniques that have proven effective for panic disorder include breathing retraining, cognitive restructuring, and relaxation training.

Free Article

The Vast Landscape of Services that is “Rehab” [Free Article]

If a patient comes in and says, “doc, I think I need to go to rehab,” what should you do? Most people think of rehabs as residential facilities, but these days, the term “rehab” includes a broad spectrum of treatment settings, most of which, in fact, are not residential—only 10% of people receiving specialized addiction services go to residential rehab. 

Foster Care and Child Psychiatry: A Primer [Free Article]

Nearly one in three foster children have significant psychiatric problems during their time in foster care—especially those related to trauma and neglect that brought them into the system. This article is a brief primer on how foster care works, and how psychiatrists get involved.

Dialectical Behavior Therapy: A Primer [Free Article]

Dialectical Behavior Therapy - The Carlat Behavioral Health Report

Although it has not been established how the effectiveness of DBT compares with that of other therapies, DBT is the most evidence-based treatment for borderline personality disorder.

How Do Psychotherapy and Medication Change the Brain? [Free Article]

We know that for many conditions, both medications and psychotherapy work about equally well. Common sense would dictate that there is some final common pathway of neuropsychiatric change underlying the symptomatic improvements we see. But identifying what is happening in a living human brain is extremely tricky.