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Home » Topics » General Psychiatry

General Psychiatry
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Gender Affirming Care in Exile: The Lawsuits

April 27, 2026
Chris Aiken, MD and Kellie Newsome, PMHNP

Two malpractice cases — one worth $2 million — are reshaping the standards of gender-affirming care. This episode traces what went wrong, what held up in court, and what every clinician needs to know when referring patients for gender affirming procedures.

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Clinical Guidance

Table: Psychiatric Medications in Pregnancy and Lactation

April 24, 2026
Victoria Hendrick, MD and Daniel Carlat, MD

Dr. Hendrick and Dr. Carlat have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

  • Table: Psychiatric Medications in Pregnancy and Lactation

  • Read More
    Fact Sheet

    Use of Psychiatric Medications in Breastfeeding Patients

    April 24, 2026
    Victoria Hendrick, MD and Daniel Carlat, MD

    Dr. Hendrick and Dr. Carlat have no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

    When new mothers are admitted to the inpatient psychiatric unit, they might ask about the safety of taking psychiatric medications while breastfeeding.


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    Fact Sheet

    Dissociative Identity Disorder: Diagnosis and Treatment

    April 24, 2026
    Daniel Carlat, MD

    Dr. Carlat has no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

    Occasionally you will encounter patients who report having multiple personalities or distinct identities, also called alters. Formerly called “multiple personality disorder,” this condition is now termed dissociative identity disorder (DID). 


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    Lithium Goes Mainstream

    April 20, 2026
    Chris Aiken, MD and Kellie Newsome, PMHNP

    In the 1950s, a young Danish psychiatrist named Mogens Schou staked his career — and his family — on a mineral most of his colleagues dismissed as dangerous nonsense. This is the story of how lithium went from fringe curiosity to the gold standard for bipolar disorder, and the bitter scientific battle that nearly derailed it.

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    Are We Preparing Autistic Patients for Adulthood?

    April 17, 2026
    Daniel Carlat, MD

    We support autistic children. We abandon autistic adults. 

    In our latest Child Psychiatry Report, Mary Baker-Ericzen, research professor at San Diego State University and clinical psychologist at the Intricate Mind Institute, asks clinicians to consider a different question at every visit: Is this patient building the skills they'll need when the system stops showing up for them?



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    Lithium: From 7UP to Table Salt

    April 13, 2026
    Chris Aiken, MD and Kellie Newsome, PMHNP

    Before lithium became a cornerstone of psychiatry, it was in soda, spa water, and salt shakers. Trace lithium’s journey from Victorian health fad to life-saving mood stabilizer, and discover why the uric acid theory that launched it may be making a comeback.

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    A Dangerous Myth in Child Psychiatry

    April 11, 2026
    Daniel Carlat, MD

    Autism doesn't protect against suicide. It hides it. 


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    When Autism Meets the Legal System: A Clinician’s Guide

    April 6, 2026
    Mara Goverman and Joshua Feder, MD

    Legal questions come up in clinical care of autistic children and adults more often than many of us expect. A parent asks for a custody letter; a school requests documentation for services; a patient asks about disability benefits or driving. When autistic patients face legal systems, clinicians can help, but only if we stay within our role.

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    The Side Effects that Quietly Destroy Teeth

    April 3, 2026
    Daniel Carlat, MD

    It's easy to treat xerostomia as a nuisance, low on the priority list when you're managing psychosis or depression. But left unaddressed, it quietly does real damage.



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