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Home » Topics » General Psychiatry

General Psychiatry
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Expert Q&A

A Therapeutic Approach to Schizophrenia

April 1, 2024
Mark L. Ruffalo, MSW, DPsa
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Ruffalo.pngMark L. Ruffalo, MSW, DPsa

Editor-in-Chief, The Carlat Psychotherapy Report. Psychotherapist in private practice in Tampa, Florida. Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Instructor of Psychiatry at Tufts University School of Medicine.

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

How do you establish trust with patients who have psychosis? Dr. Ruffalo: Shorter sessions are more appropriate for psychotherapy with schizophrenia, like 30 minutes instead of the usual 45–50 minutes. Longer sessions tend to increase the patient’s interpersonal anxiety.



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Expert Q&A

Lifestyle Medicine in Psychiatry

April 1, 2024
Beth Frates, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Beth Frates, MD. Part-time Clinical Assistant Professor, Harvard Medical School Physical Medicine and Rehabilitation. 

Dr. Frates reports she is on the boards of Jenny Craig, obVus Solutions, and Clearning.com. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Dr. Frates shows us how to engage patients in the six pillars of lifestyle medicine during a brief therapy visit.


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Research Update

Powering Up the Brain: tDCS for ADHD?

April 1, 2024
Jesse Koskey, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Jesse Koskey, MD. Dr. Koskey has no financial relationships with companies related to this material.

A popular DIY therapy for depression (transcranial direct current stimulation) is tested in ADHD. 


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Clinical Update

A Personalized Approach to Antidepressant Augmentation

April 1, 2024
Deepti Anbarasan, MD and David Liebers, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Deepti Anbarasan, MD. Associate Professor, Psychiatry and Neurology, New York University, New York, NY.

David Liebers, MD. Psychiatry resident at NYU Langone Department of Psychiatry. 

The authors have no financial relationships with companies related to this material.

The best augmentation strategy varies by patient. Learn which features help personalize the plan.


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Deprescribing Anti-anxiety Meds in Older Adults

March 25, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

All sorts of medications are prescribed for anxiety in older adults. Today, we look at when and how to discontinue them.



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CME Post-Test, Positive Psychology, TCPR, March 2024

March 1, 2024
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

By successfully completing the test you will be awarded a certificate for 1 CME credit.


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Clinical Update

Special Report: Refractory Anxiety Disorders Part 2: When First Lines Fail

March 1, 2024
Sarah Rivelli, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Sarah K. Rivelli, MD, FACP, FAPA. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report; Assistant Professor, NYU Langone Department of Psychiatry; practicing psychiatrist, Winston-Salem, NC.

The authors have no financial relationships with companies related to this material.

In Part 2 of our special report, we explain how you can treat various types of treatment-resistant anxiety—specifically, generalized anxiety disorder, panic disorder, and social anxiety disorder.


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Research Update

Intermittent Theta-Burst Stimulation for Depression and Suicidality

March 1, 2024
Kate J. Travis, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Kate Travis, MD. Dr. Travis has no financial relationships with companies related to this material.

Although intermittent theta-burst stimulation demonstrates efficacy in depression treatment, we look into how it addresses suicidality?


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Expert Q&A

Wisdom in Psychiatry

March 1, 2024
Dilip V. Jeste, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR QA JESTE - HEADSHOT.jpgDilip V. Jeste, MD.

Director, Global Research Network on Social Determinants of Health and Exposomics; President-Elect, World Federation for Psychotherapy; Editor-in-Chief, International Psychogeriatrics; Past President, American Psychiatric Association; and coauthor of Wiser (Sounds True; 2020).

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

Dr. Jeste's research journey challenges stereotypes and explores the science behind mental well-being as we age.


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Clinical Update

Special Report: Refractory Anxiety Disorders Part 1: First-Line Treatments

March 1, 2024
Sarah Rivelli, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Sarah K. Rivelli, MD, FACP, FAPA. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report; Assistant Professor, NYU Langone Department of Psychiatry; practicing psychiatrist, Winston-Salem, NC.

The authors have no financial relationships with companies related to this material.

When it comes to anxiety disorders, first-line options are more or less the same: SSRIs, SNRIs, and psychotherapy. But when those don’t work, a broader array of options opens up, and the choice is different for each disorder.


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