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Closing a Practice: Some Practical Suggestions

November 1, 2017

James T. Hilliard, Esq. Connor & Hilliard, P.C. Assistant Professor (Legal Medicine), Harvard Medical School, part-time. Mr. Hilliard has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

This article offers practical suggestions based on the author’s experiences counseling psychiatrists who are planning for retirement or who have faced unforeseen circumstances causing them to close their practices. Here, we will consider both planned and unplanned retirement scenarios.

Pharmacogenetic Testing: An Update

March 1, 2017

Daniel Carlat, MD

Daniel Carlat, MD Publisher The Carlat Psychiatry Report Dr. Carlat has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Given how many essentially equivalent medications we have to choose from, how great would it be to have a test that tells us which drug to prescribe for which patient? Everybody wants personalized medicine, and in some other specialties, such as oncology, this is becoming a standard part of treatment. In this article, we’ll review some of the basics of pharmacogenetic testing and examine in more detail the commercial genetic tests that are currently available.

Open Dialogue: A Novel Approach to Treating People With Psychotic Disorders

February 1, 2017

Adrienne T. Gerken, MD and Joseph B. Stoklosa, MD

Adrienne T. Gerken, MD Department of Psychiatry, McLean Hospital, Belmont, MA Joseph B. Stoklosa, MD Clinical director, Psychotic Disorders Division, McLean Hospital Dr. Gerken and Dr. Stoklosa have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Open Dialogue, developed in the 1990s in Tornio, Finland, is both a way of communicating (while paying attention to one’s vocabulary) and a system of care. All communication about patients occurs in their presence and is based on respectful language that is often derived from the patient’s own words. Learn more about this technique as it applies to treating psychosis in this article.

How to Treat Adult ADHD

January 1, 2017

Aashish R. Parikh, MD

Aashish R. Parikh, MD Staff psychiatrist, Veterans Affairs North Texas Health Care System. Assistant professor, University of Texas Medical School at Southwestern Dr. Parikh has disclosed that he has been a speaker for Sunovion. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity.

ADHD is relatively common in adults, with conservative estimates of a 4%–5% prevalence in the adult population, equal in men and women. However, only about 10% of adults with ADHD are receiving treatment for their condition. Over the past decade, it’s become apparent that ADHD does not suddenly end when children grow up, and that the disorder often continues into adulthood. Learn more in this article by Dr. Parikh, who has run a clinic focused on adult AHD for more than a decade.

From Infantile Autism to Autism Spectrum Disorder

January 1, 2017

Glen Elliott, MD, PhD

Glen Elliott, MD, PhD Editor-in-chief, The Carlat Child Psychiatry Report Dr. Elliott has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Changes in diagnostic criteria not only affect the clinical and public perception of a disorder, but also its perceived prevalence. Such is the case with autism. The evolution of the autism diagnosis since it was introduced into the Diagnostic and Statistical Manual (DSM) in 1980 inarguably has altered its reported prevalence.

Dialectical Behavior Therapy for Substance Use Disorders: A Primer

August 1, 2016

Yevgeny Botanov, PhD and Chelsey Wilks, MS

Yevgeny Botanov, PhD University of Washington Department of Psychology, Seattle, WA Dr. Botanov has disclosed that he is employed by Behavioral Tech, LLC. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity. Chelsey Wilks, MS University of Washington Department of Psychology, Seattle, WA Ms. Wilks has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dialectical behavior therapy (DBT) is well-known as an effective treatment for individuals with personality disorders and for reducing suicidal behavior. But it’s also quite effective for addictions. In this article, we’ll discuss DBT concepts in a bit more detail and help you apply these concepts to patients with substance abuse issues.

Reports of Gabapentin Misuse and Abuse Appear to Be True

August 1, 2016

Bret A. Moore, PsyD, ABPP

Bret A. Moore, PsyD, ABPP Board-Certified Clinical Psychologist, San Antonio, TX Dr. Moore has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Gabapentin is FDA-approved for seizures and neuropathic pain, but it’s commonly used off-label for a variety of psychiatric and physical conditions, including anxiety, insomnia, borderline personality disorder, alcohol use disorders, and multiple pain disorders. Another aspect of gabapentin use that has come to light in recent years is a seemingly pervasive pattern of misuse and abuse.

Psychopharmacology in Jails: An Introduction [Free Article]

July 1, 2016

Joe Simpson, PhD, MD

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Taking Back Control in Binge Eating Disorder

May 1, 2016

Sara Weekly, MD. Child and adolescent psychiatrist. Clinical assistant professor, New York University School of Medicine, New York, NY. Dr. Weekly has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

According to the WHO World Mental Health Surveys, BED is the most common specific eating disorder, with a lifetime prevalence of 1.9%. It is roughly twice as common as bulimia nervosa (BN), which in turn is more common than anorexia. This article reviews of how to diagnose BED and introduce strategies for helping kids and teens take back control over their consumption.

Eating Disorders: Assessment and Treatment

May 1, 2016

James Lock, MD

James Lock, MD. Professor of psychiatry and pediatrics at Stanford University School of Medicine Dr. Lock has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

James Lock, PhD, discusses his experiences treating children and adolescents with eating disorders. In the child psychiatry inpatient unit, among the kids with eating disorders, he saw that half or more were medically ill as a result of malnutrition or other behavioral problems that led to problems with electrolytes or blood pressures. His experiences eventually led him to treatment methods that involved families in an outpatient setting.