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Suboxone: An Overview

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Substance Abuse

Opioid drugs represent one of the great triumphs of medicine, because they are extremely effective at relieving pain. Since the 1960s, multiple forms of synthetic opioids have been introduced, including such wellknown drugs as hydrocodone (Vicodin) and oxycodone (Percocet, Oxycontin).

Pharmacologic Treatment of Bipolar Depression [Free Article]

Bipolar Disorder - The Carlat Psychiatry Report (TCPR)

In bipolar disorder, depression is often the neglected stepchild. Mania gets more attention, perhaps because it presents so dramatically. Imagine two bipolar patients in an emergency room: one withdrawn and depressed, sitting quietly, and another ranting and pacing the room. Which one would be seen first?

Belsomra: A New Hypnotic? Don’t Get Too Excited [Free Article]

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Pharmacogenetics
Pharmacogenetics - The Carlat Psychiatry Report (TCPR)

In the wake (pun intended) of last year’s FDA warnings of next-morning impairment and the lower dosing recommendations for “Z drugs,” wouldn’t now be the perfect time for a new hypnotic to enter the marketplace?

PMS and PMDD: Mood Changes During the Menstrual Cycle [Free Article]

Women's Psychiatry - The Carlat Psychiatry Report (TCPR)

Of all the factors that contribute to mood, hormonal variations, such as those found in premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) can have a particularly strong effect. I’ve heard some people, for instance, describe PMS as a “powerful spell” that women are put under once every month.

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.

OTC Agents for Depression, Anxiety, and Insomnia [Free Article]

Natural and Alternative Treatments in Psychiatry, The Carlat Psychiatry Report

More than 38% of Americans use complementary and alternative medicine (CAM) yearly, with 12.7% using so-called “natural products." More than a third of people over age 50 report use of supplements, yet only about half have discussed this with their doctors.

Video Game Addiction [Free Article]

Problematic Technology - The Carlat Child Report (CCPR)

Video games have come a long way since Pac Man and Tetris. Games today simulate reality in massive user-generated worlds.

The Psychosis Prodrome [Free Article]

The Carlat Psychiatry Report - TCPR - January 2013

At the crossroads of these experiences lies the concept of the psychosis prodrome and early intervention/prevention efforts. But without evidence of a florid psychotic episode, when should one intervene?

Dialectical Behavior Therapy: A Primer [Free Article]

Marsha Linehan developed DBT to help patients with BPD (Linehan MM, Cognitive Behavioral Treatment of Borderline Personality Disorder. New York, NY: The Guilford Press;1993), and over the past two decades it has received strong empirical support.

Deplin: Is it Just Folate by Another Name? [Free Article]

Deplin: Is it Just Folate by Another Name? - The Carlat Psychiatry Report

Patients are probably asking you about Deplin, or L-methylfolate, a version of folic acid that is being marketed by Pamlab as an adjunctive treatment for depression.

Which Electronic Health Record Should You Buy? A Review of Three Products

The Carlat Report - Electronic Medical Records

There are a lot of electronic health record (EHR—also called electronic medical record, or EMR) companies vying for your hard earned cash. How do you decide among them?

Four “New” Antidepressants. Or Are They? [Free Article]

What’s new in antidepressant treatment? Not much.

Latuda: “Procognitive” or Pro-Profit? [Free Article]

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Schizophrenia

Lurasidone (Latuda) was approved by the FDA for schizophrenia in October 2010 and is the 10th atypical antipsychotic in our toolbox. The key question is: does lurasidone have any advantages over existing agents, or is it just another “me-too” drug?

The DSM-5: A Guide to Coming Changes [Free Article]

Sometime in 2013, we’ll presumably be forced to shell out a hundred bucks or so for the fifth edition of DSM. While we do not have the space to review every potential change here, we will cover those of most clinical importance. Free Article!

Drug Interactions in Psychiatry: A Practical Review [Free Article]

In this article we’ll survey those drug interactions that are most likely to become troublesome in day to day psychiatric practice.