Anxiety - Articles - Page 10 | CARLAT PUBLISHING

Should we trust the experts?

September 16, 2019

Why does the top-selling psychiatric textbook base its recommendations on the lowest grade of medical evidence? Psychiatric practice is often mislead by expert opinion, practice trends, and neurotransmitter theories. In the case of paroxetine (Paxil), venlafaxine (Effexor), and mirtazapine (Remeron), this misinformation has created some popular myths that don't hold...

Is Paxil the Best SSRI for Anxiety?

August 30, 2019

Chris Aiken, MD

Chris Aiken, MD Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Paxil built its reputation as the best SSRI for anxiety, but the data suggests the opposite.

Helping Children To Tell Us About Their Experience

June 22, 2019

There are some ways to help you assess the type of anxiety that leads to inattention. Consider the following tips, which we’ve excerpted from an article from The Carlat Child Psychiatry Report newsletter:Catalog. Work with the child to develop a list of activities in which the child is calm and...

Safe Use of Gabapentin with Patients

June 19, 2019

Although there’s been a lot of discussion about gabapentin’s abuse potential, gabapentin substance use disorders are pretty rare, with one study finding that only 2% of 44,148 patients using gabapentin alone met criteria for sustained overuse (Peckham et al, Pharmacotherapy, in press). The one area where you should show caution,...

Prescribing Patterns for Children With Anxiety Disorders

June 11, 2019

Pavan Madan, MD.

Pavan Madan, MD. Dr. Madan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Anxiety disorders are some of the most common conditions we encounter in children and adolescents, and clinicians employ a variety of medications to treat them. This study examined prescribing patterns for the initial treatment of pediatric anxiety.

Building Self-Regulation in Children

March 13, 2019

Stuart Shanker, PhD

Stuart Shanker, PhD

Professor of psychology and philosophy at York University, Toronto

Dr. Shanker has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

“Self-regulation” has become a buzz phrase to help children manage stress, become resilient, and stave off depression, anxiety, and post-traumatic stress disorder. To gain a better understanding of this concept, we interviewed Stuart Shanker, PhD, founder and CEO of the MEHRIT Centre (https://self-reg.ca). Dr. Shanker sets up self-regulation programs in school districts across Canada.

Prescription CBD Is Available, But Are We Ready to Use It?

January 1, 2019

Chris Aiken, MD

Chris Aiken, MD Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Your patient comes in with a new medication on his list: CBD oil. He started taking it for anxiety and wants to know if it’s safe. You hedge, explaining that there is limited information available on unregulated products, but the patient is persistent. He says CBD oil is available as a prescription, and wonders if you could write one for it.

Anxiety Everywhere: Grappling With a Pervasive Symptom

January 1, 2019

Moira Rynn, MD

Moira Rynn, MD

Chair for the Department of Psychiatry and Behavioral Sciences at Duke University School of Medicine, Durham, NC.

Dr. Rynn has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Moira Rynn has been doing clinical research examining new medications for children with anxiety disorders. Her passion is working with children who have failed first-line, evidence-based treatments. How do we help these children? What are our options?

How Effective Are Medications for Pediatric Anxiety?

January 1, 2019

Thomas Jordan, MD.

Thomas Jordan, MD. Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Antidepressants are part of the first-line treatment for severe childhood anxiety disorders when removal of stressors and psychotherapy are not enough, but are all antidepressants created equal in this situation?

Benzodiazepines for Anxiety: Where They Fit In

May 1, 2018

Michael Posternak, MD.

Michael Posternak, MD. Psychiatrist in private practice, Boston, MA Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Benzodiazepines (BZDs) are widely used, rarely studied, and much maligned. So where exactly do they fit in today’s medication arsenal for treating anxiety? This article discusses when BZDs are appropriate and when they are not, and how to choose among the various BZDs.
But before doing so, let’s first address the elephant that always seems to be lurking in the BZD room: their addictive potential.