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General Psychiatry
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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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Clinical Guidance

HIV in Psychiatry

February 29, 2024
Daniel Carlat, MD

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

  • Monitor for neuropsychiatric complications: HIV can affect the nervous system, leading to cognitive impairments, mood disorders, and psychotic disorders.



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    Hypnotic Depression Throwback

    February 22, 2024
    Chris Aiken, MD and Kellie Newsome, PMHNP

    Here's a Throwback Thursday episode originally cast in March of 2021, where we're going to look at the question of whether adding a z hypnotic improves antidepressant response. And stay tuned to the very end where I'm going to update it with new research. We all know that when you sleep better, you feel better.


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    Stimulant Dosing

    February 19, 2024
    Chris Aiken, MD and Kellie Newsome, PMHNP

    Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing.


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    Throwback Benzos

    February 15, 2024
    Chris Aiken, MD and Kellie Newsome, PMHNP

    The release of the fast-acting antidepressant Auvelity got us thinking about an older strategy to speed up antidepressants: benzodiazepines. So we're bringing you this Thursday throwback, do benzodiazepines treat depression? Benzos and sleep meds rarely earn a mention in textbooks on depression these days, but that has not always been the case. (Part 1 of a 2 part series)


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