Diagnosis - Articles - Page 3 | CARLAT PUBLISHING

How Effective is Atomoxetine in Children and Adolescents

June 27, 2022

With the recent approval of another non-stimulant ADHD medication (viloxazine, brand name Qelbree), this is a good time to revisit atomoxetine.

Using Clinical Scales in Child Psychiatry

January 31, 2022

Rajeev Krishna, MD, PhD, MBA

Rajeev Krishna, MD, PhD, MBA

Medical Director of Inpatient Services for Behavioral Health at Nationwide Children’s Hospital in Columbus, OH. Dr. Krishna’s comments are his private opinions and do not represent Nationwide Children’s Hospital.

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

Clinicians often rely largely on their clinical interview to arrive at a diagnosis and track treatment outcomes. We interviewed Dr. Rajeev Krishna to learn how structured use of assessment scales can improve your diagnostic precision and your outcomes, and how you can build these assessments into your everyday clinical practice.

How to Diagnose Bipolar Disorder

November 5, 2021

Gordon Parker, MD, PhD, DSc.

Gordon Parker, MD, PhD, DSc. Scientia Professor of psychiatry at the University of New South Wales. In 2002 he founded the Black Dog Institute, a clinical research center for mood disorders. Dr. Parker’s research has focused on the phenomenology and diagnosis of depression and bipolar disorder. Dr. Parker has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Gordon Parker takes on the DSM and offers up a practical approach to diagnosing bipolar disorder. Included is a new self-rated scale that Dr. Parker developed to separate normal good moods from hypomania.

EXPERT Q&A

The Schizophrenia-OCD Overlap

September 28, 2021

Michael Poyurovsky, MD

Michael Poyurovsky, MD

Ma’ale HaCarmel Mental Health Center, Tirat Carmel, Israel; Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel. Dr. Poyurovsky has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

OCD and schizophrenia often overlap, but treatment of this comorbidity is risky terrain. Dr. Poyurovsky explains when antidepressants should be avoided and details which antipsychotics are more likely to exacerbate OCD and which ones are more likely to help it.

How to Diagnose ADHD in Bipolar Disorder

September 28, 2021

Chris Aiken, MD.

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

Most patients with bipolar disorder have cognitive complaints, but it’s a mistake to diagnose them all with ADHD, and a mistake to miss the genuine ADHD-bipolar comorbidity as well. Inside, a step-by-step guide to teasing apart the diagnoses.

Overdiagnosis in Psychiatry

September 10, 2021

Joel Paris, MD

Joel Paris, MD

Professor emeritus at McGill University, and senior psychiatrist and research associate at Sir Mortimer B. Davis-Jewish General Hospital. Dr. Paris is the former editor of the Canadian Journal of Psychiatry and the author of 25 books including Overdiagnosis in Psychiatry, 2nd ed. (Oxford University Press; 2020). Dr. Paris has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Joel Paris explains why adult ADHD, depression, bipolar II, PTSD, and borderline personality are overdiagnosed in psychiatry at the expense of schizophrenia.

ADHD Prevalence in the US Black Population

July 14, 2021

Thomas Jordan, MD.

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

We all need to become more aware of the differences in the population prevalence of mental health problems among various communities. This research update offers more recent data, upending what we knew when DSM-5 came out, and giving us a better sense of how to assess black youth and avoiding bias in the diagnostic process.

Diagnosing and Treating Stimulant Use Disorders

May 21, 2021

Adriane dela Cruz, MD, PhD

Adriane dela Cruz, MD, PhD

Assistant Professor of Psychiatry at UT Southwestern Medical Center, Dallas, TX. Dr. dela Cruz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. de la Cruz gives advice for working with patients with addiction to prescription and illicit stimulants. She provides concrete strategies for diagnosis, harm reduction, evidence-based treatments, and contingency management in this challenging patient population.

Autism: The Goal Posts Have Moved

June 10, 2020

Peter Smith, PsyD.

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

The mysterious rise in autism diagnoses has invited every type of conjecture, from vaccines to aging parents. By comparing it to the rate of schizophrenia, this study arrived at an answer that’s a little more mundane, but a lot less speculative.

Adult-Onset ADHD

November 15, 2019

Michael Posternak, MD. and Chris Aiken, MD.

Michael Posternak, MD. Psychiatrist in private practice, Boston, MA. Chris Aiken, MD. Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Posternak and Dr. Aiken have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.

“I think I have ADHD” is a common complaint of psychiatric patients. Just about every disorder in the DSM can cause symptoms of ADHD, as can a host of medical problems. In this article we’ll show you how to sort through the possibilities.