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Home » Topics » General Psychiatry

General Psychiatry
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How to Use Varenicline (Chantix)

May 1, 2022
Stephen Wyatt, DO.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Steven A. Wyatt, DO. Adjunct faculty, University of North Carolina at Charlotte. Dr. Wyatt has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

There are three medications with FDA approval for nicotine dependence: Nicotine replacement therapies, bupropion, and varenicline. Varenicline (Chantix) is arguably the most effective, but cost and concerns about neuropsychiatric side effects have limited its use, and a recent recall of the product temporarily stopped it entirely.
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Racism and Psychiatry

May 1, 2022
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Kali D. Cyrus, MD, MPH 

Assistant professor, Department of Psychiatry, Johns Hopkins Medicine, Baltimore, MD. Physician-activist in private practice, Washington, DC.

Dr. Cyrus has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity. 


Race and identity are hot topics, even for White people, so psychiatrists need to find a better way to talk about it. The pandemic brought the dynamics of oppression and inequality to the forefront in medicine. Racism is not just happening in the news, the protests, and the Black Lives Matter movement.
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Tricyclic Antidepressants: When and How to Use Them

May 1, 2022
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Edmund S. Higgins, MD. Clinical associate professor, Psychiatry and Behavioral Sciences, Medical University of South Carolina. Dr. Higgins has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Tricyclics have been used in psychiatry since the 1950s, when imipramine was introduced as the first mass-marketed antidepressant. Fluoxetine and the other SSRIs largely supplanted the tricyclics in the 1990s, but these medications still have their uses.
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CME Post-Test - Race and Mental Health, TCPR, May 2022

May 1, 2022
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME Credit.
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What Works in Bipolar Depression

April 11, 2022
Chris Aiken, MD and Kellie Newsome, PMHNP
From psychotherapy to ECT, pramipexole to lamotrigine, a walk through 20 therapies for bipolar depression.
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Thyroid Augmentation in Bipolar Disorder

April 5, 2022
Tammas Kelly, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Tammas Kelly, MD. Clinical Assistant Professor of Psychiatry at the Jacobs School of Medicine and Clinical Associate Professor of Psychiatry at the George Washington University School of Medicine. Author of The Art and Science of Thyroid Supplementation for the Treatment of Bipolar Depression. Dr. Kelly has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
A primer on the role of thyroid augmentation in bipolar depression, including dosing tips, side effects, interactions, and when and if to perform labs. With Tammas Kelly, MD.
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CLINICAL UPDATE

Antidepressants: When Dosage Matters

April 5, 2022
Rehan Aziz, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
When it comes to antidepressants, bigger is not better. Here we review the optimal dose ranges for antidepressants, describe how higher doses can worsen symptoms, and show you how to talk to patients about the issue.
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CLINICAL UPDATE

Prior Authorizations for Psychiatric Medications: A Primer for Frustrated Clinicians

April 5, 2022
Chris Aiken, MD. and Tony Thrasher, DO, DFAPA
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Chris Aiken, MD. Editor-in-Chief of TCPR. Practicing psychiatrist, Winston-Salem, NC. Tony Thrasher, DO, DFAPA. President, American Association for Emergency Psychiatry (AAEP). Medical Director of Crisis Services, Milwaukee County Behavioral Health. Clinical Associate Professor, Medical College of Wisconsin, Milwaukee, WI. The authors have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Practical tips for dealing with the latest throng of bureaucracy in mental health care, including strategies for reducing paperwork, low-cost pharmacies, and apps that authorize meds.
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RESEARCH UPDATE

Anticholinergic-Associated Cognitive Impairment in Schizophrenia

April 5, 2022
Brian Miller, MD, PhD, MPH.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Brian Miller, MD, PhD, MPH. Dr. Miller has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Antipsychotics, benztropine, and antidepressants have anticholinergic properties that can impair cognition. A study takes a deep dive into the magnitude of the risk of dementia in schizophrenia.
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Structural Brain Changes After ECT for Depression

April 5, 2022
Chris Aiken, MD and Batya Swift Yasgur, MA, LSW
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Chris Aiken, MD Batya Swift Yasgur, MA, LSW The authors have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
How does ECT change the brain? A systemic review offers up some answers.
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