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Home » Topics » General Psychiatry

General Psychiatry
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“Risk Syndrome for First Psychosis”: A Valid Diagnosis in Psychiatry?

December 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD
One of the most controversial topics for the DSM-V committee is whether to include a new diagnosis called Risk Syndrome for First Psychosis. Patients with schizophrenia commonly report a history of prodromal symptoms before developing the full-blown disorder...
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Robust support for mood stabilizers in borderline personality disorder

December 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Section editor, Glen Spielmans, PhD
While we typically pick and choose among various drug classes to treat patients with borderline personality disorder (BPD), we have a hard time basing our choices on the evidence.
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Is Intuniv (guanfacine XR) effective for ADHD?

December 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Section editor, Glen Spielmans, PhD
Guanfacine, an alpha-2 agonist, is sometimes prescribed off-label for ADHD and has now received official FDA approval in a new, extended-release formulation. Shire will soon market the drug under the brand name Intuniv. So how well does it work?
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Adjunctive telephone therapy is cost-effective when added to antidepressants

December 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Section editor, Glen Spielmans, PhD
In order to test whether phone therapy is helpful as an adjunct to antidepressant medication, researchers enrolled 600 depressed outpatients in a randomized trial.
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Topics in the Treatment of Schizophrenia

December 1, 2009
Dost Ongur, PhD, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

TCPR-December-2009-Tx-Schizophrenia_DostOngurMD_headshot.png

Dost Ongur, MD. Clinical Director, Schizophrenia and Bipolar Disorder Program, McLean Hospital
Assistant Professor of Psychiatry , Harvard Medical School
Dr. Ongur has disclosed that he has received free study medication (Riluzole) from Sanofi Aventis for a study on bipolar depres-
sion. Dr. Carlat has found that there is no evidence of commercial bias in this educational activity.

Dr. Ongur, over the past few decades, the dominant theory of schizophrenia has been the dopamine hypothesis, but that has been changing lately. Can give us a quick review of the original hypothesis and then go on to some of the alternative neurochemical theories?
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Learning Objectives, Treating Schizophrenia, TCPR, December 2009

December 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
After reading these articles, you should be able to…
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Off-Label Treatments for Anxiety Disorders

November 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD
Your patient has anxiety, and you’ve tried the usual medications. You’ve rotated through your favorite SSRIs and SNRIs, tried some of the benzodiazepines, and even given buspirone a whirl to no avail. It’s time to go off-label.
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Panic Disorder, Social Phobia, and OCD: Is Cognitive Behavioral Therapy Still the Best?

November 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Glen Spielmans, PhD
Most treatment guidelines recommend cognitive behavioral therapy as first-line psychotherapy for anxiety disorders. In this article, Dr. Glen Spielmans will give you a brief primer of CBT techniques for panic disorder, social phobia, and obsessive-compulsive disorder, as well as review whether, for these conditions, CBT is indeed superior to other forms of therapy.
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Abilify for Depression and Bipolar Disorder: A Meta-Analysis

November 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Section editor, Glen Spielmans, PhD
Abilify (aripiprazole), which has long been FDA-approved for both schizophrenia and manic episodes of bipolar disorder, was recently approved for augmentation of antidepressants in patients with treatment-resistant depression.
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Can an EEG Predict Antidepressant Response?

November 1, 2009
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Section editor, Glen Spielmans, PhD
Clinical trials show which treatments work for “the average patient,” but we have little ability to predict which treatment will work best for any individual patient. QEEG (quantitative EEG) is a method in which a computer program reads EEG tracings and scores them along certain dimensions.
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