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Home » Topics » General Psychiatry

General Psychiatry
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Lab Monitoring with Mood Stabilizers: Let’s Get Real

June 1, 2005
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
“Be careful, doctor. Don’t order lab tests that you don’t really need. You’re asking for trouble.” No, that’s not TCR talking. That’s none other than George Lundberg, M.D., former editor of JAMA. He made that statement in an editorial webcast in January 2005 on Medscape, where Dr. Lundberg is Editor-in-Chief.
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Ivan Goldberg, M.D., on Treating Bipolar Depression

June 1, 2005
Ivan Goldberg, M.D.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Ivan Goldberg, M.D. Creator, Depression Central Website Private Practice of Psychopharmacology, New York City Dr Goldberg has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Dr. Goldberg, I know you’ve spent a lot of time thinking about and treating bipolar disorder over the years, beginning when you were a researcher at NIMH, then on the faculty of Columbia University, and most recently in your private practice and your managing of Depression Central. I was hoping we could begin by discussing some of the tricky aspects of diagnosing bipolar disorder.
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A Sad and Strange Chapter

June 1, 2005
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
There have been many misguided treatments for bipolar disorder and other major mental illnesses throughout the history of psychiatry, but perhaps none has been as misguided--and as damaging--as the one practiced by Henry Aloysius Cotton, M.D.
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Pediatric bipolar disorder vs. “severe mood dysregulation:” Are they the same or different?

May 14, 2005
Section editor, Glen Spielmans, PhD
...
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Collaborative Problem Solving

May 14, 2005
...
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How to Help Your Patients Lose Weight

May 1, 2005
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Many pages of The Carlat Report have been devoted to how we cause our patients to become obese with some of the medications we prescribe. In this article, we review ways in which we can atone for our sins.
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Smoking Cessation: An Update

May 1, 2005
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Too many of our patients smoke, especially those with schizophrenia. Amazingly, the best estimate is that 85% of patients with schizophrenia are regular smokers (Am J Psychiatry 1986; 143:993-997). While we may not have a whole lot of time during our sessions to discuss smoking, it’s still helpful to tuck away some smoking cessation tools in your arsenal.
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Dr. Laurence Guttmacher on Medical Screening in Schizophrenia

May 1, 2005
Laurence Guttmacher, M.D.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Laurence Guttmacher, M.D. Chief of Psychiatry and Acting Clinical Director, Rochester Psychiatric Center Associate Dean and Associate Professor of Psychiatry The University of Rochester School of Medicine and Dentistry Dr Guttmacher has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Dr. Guttmacher, as the Chief of Psychiatry at a large state hospital (the Rochester Psychiatric Center), you have a wealth of experience caring for the chronically mentally ill. I know you have been giving quite a bit of thought lately to medical issues that psychiatrists may be missing in this population.
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Smoking and Health

May 1, 2005
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Archeological evidence suggests that tobacco grew in the Americas as long ago as 6000 B.C., and that the custom of smoking it began with the Mayans, sometime around 1000 B.C. The first European to smoke is thought to be Rodrigo de Jerez, who, with Christopher Columbus, observed the custom in Cuba in 1493.
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Psychostimulants and Strattera Explained

April 1, 2005
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Okay, we’re assuming, number one, that you have done a good job diagnosing ADD or ADHD, and that ADHD is the primary diagnosis, far out-shadowing any comorbid problems that may also be present. And number two, we are assuming that you, the patient, and the parents (if the patient is under age) have all agreed that now is the time for a medication trial.
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