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Clinical Update

Dysregulation in Autism: Irritability, Aggression, and “Pathological Demand Avoidance”

October 1, 2024

Alyssa Aikman, MSN, APRN, PMHNP-BC. Psychiatric nurse practitioner in outpatient group practice, Vancouver, WA.

Ms. Aikman has no financial relationships with companies related to this material.

Pathological demand avoidance (PDA) is a popular concern among autistic kids and families. It’s not in the DSM, yet we need to understand and address it. This clinical update helps you approach irritability and PDA rationally to help autistic patients connect and regulate before merely prescribing D2-blocking antipsychotics.

PTSD 101: Nine Off-Label Meds

September 23, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

A new medication is knocking on the door for FDA approval in PTSD, and it isn’t MDMA. We cover that, and 8 other off label medications.

CLINICAL UPDATE

The Psychotherapy of Avoidant Personalities: A Basic Overview

July 11, 2024

Mark L. Ruffalo, MSW, DPsa

Mark L. Ruffalo, MSW, DPsa. Editor in Chief, The Carlat Psychotherapy Report, psychotherapist in private practice in Tampa, Florida, and Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Instructor of Psychiatry at Tufts University School of Medicine. He has broad clinical experience in the psychoanalytic treatment of mood, personality, and psychosomatic disorders, and has particular interest in the psychotherapy of schizophrenia and borderline personality disorder.

Dr. Ruffalo has no financial relationships with companies related to this material.

The characteristics, differential diagnosis, theoretical considerations, and treatment approaches for avoidant personality disorder (AvPD), including insights into its prevalence and cultural considerations.

Clinical Update

Addressing Social Isolation and Loneliness in Children and Teens

July 1, 2024

Aydar Shaildayev, MD and Eric Whitney, MD

Aydar Shaildayev, MD. Psychiatry resident, NYU Langone, New York, NY.

Eric Whitney, MD. Clinical assistant professor, Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY.

Drs. Shaildayev and Whitney have no financial relationships with companies related to this material.

The Surgeon General has put out a call to address loneliness and social isolation. But what do we do about it? This clinical update will help you define loneliness and social isolation, assess for them, and help lonely or isolated kids and teens.

Contingency Management with Dr. Dominick DePhilippis

June 3, 2024

Noah Capurso, MD and Dominick DePhilippis, PhD

In today's episode, Dr. DePhilippis tells us all about Contingency Management: what it is, how it works, and its evidence for the treatment of stimulant use disorders.

(Wounded Healers) Guide to Self-Disclosure

May 6, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

Clinicians who live with mental illness share the do’s and don’t’s of self-disclosure.

(Wounded Healers) Guide to the DSM

April 29, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

14 clinicians with mental illness share how they ask patients about mania, depression, psychosis, OCD, panic disorder, addiction, trauma, and suicide.

Stimulant Update with Dr. Brian Hurley

April 15, 2024

Noah Capurso, MD and Brian Hurley, MD, MBA, FAPA, DFASAM

In today's episode, Dr. Brian Hurley provides expert insights into the current state of stimulant use disorder, its implications across different regions, and available treatment options.

Controversies in Psychiatry

April 8, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

Does psychiatry keep making the same mistakes? Edward Shorter gives us a historical perspective.

Expert Q&A

Don’t Forget Fetal Alcohol Spectrum Disorders

January 1, 2024

Ira J. Chasnoff, MD

Ira J. Chasnoff, MD.

Professor of Clinical Pediatrics, University of Illinois College of Medicine, Chicago, IL; President, NTI Upstream, Chicago, IL.

Dr. Chasnoff’s company, NTI Upstream, receives a licensing fee for the 4Ps Plus© screening instrument. Relevant financial relationships listed for the author have been mitigated.

What do you look for to diagnose Fetal Alcohol Spectrum Disorder (FASD)? Read this interview with Dr. Ira Chasnoff to understand the broad impact of FASD and what to look for in the patient’s history (hint: you usually won’t see facial stigmata).