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How Ethnicity Influences Medication Response

October 1, 2018
Donna Lisi, PharmD. and Chris Aiken, MD.
Donna Lisi, PharmD. Contributing writer to the Carlat Psychiatry Report newsletters. Chris Aiken, MD. Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC.   Drs. Lisi and Aiken have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.
From cultural expectations to genetic variations, ethnicity has a strong effect on medication response. In this article, we’ll review five areas where ethnic groups can differ in their biological response to psychiatric medications.
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Working With Transgender Patients

October 1, 2018
Jack Drescher, MD
Jack Drescher, MDJack Drescher, MD. 
Clinical professor of psychiatry at Columbia University, College of Physicians and Surgeons; member of the DSM-5 work group on sexual and gender identity disorders.

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

Our profession has a number of obstacles to overcome in gaining the trust of transgender and gender non-conforming patients. We turn to this month’s expert, Jack Drescher, MD, to better understand how to work with this population.
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Behavioral Strategies for Suicide Prevention

October 1, 2018
Chris Aiken, MD.
Chris Aiken, MD. Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
What can you do—beyond prescribing medications—to help your patients who have suicidal ideation? There are many strategies that you can teach your patients, even in the context of brief psychopharm visits.
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Ask the Editor: Three Significant Food Interactions with ADHD Medications

October 1, 2018
Chris Aiken, MD.
Chris Aiken, MD.

Editor -in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients often ask how their stimulant medication interacts with food. Can you tell us more about this?
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Are All Psychotherapies for Anorexia Created Equal?

October 1, 2018
Adam Strassberg, MD, and Chris Aiken, MD.
Adam Strassberg, MD, and Chris Aiken, MD. Drs. Strassberg and Aiken have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Psychotherapy is the main treatment for anorexia nervosa, but which type works best? Several therapies have good evidence in this population, but they differ in their models and methods, and head-to-head comparisons among them are rare. To overcome that limitation, this study used a technique called “network meta-analysis,” which evaluates different treatments based on how they measured up against a common comparison group.
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Benzodiazepines: New Risks for an Old Drug

September 1, 2018
Chris Aiken, MD
Chris Aiken, MD Editor-in-Chief of The Carlat Psychiatry Report Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
In the May 2018 issue of TCPR, we wrote about using benzodiazepines for anxiety and other disorders, and we got some reader feedback that we did not provide a thorough enough review of medication risks. So, in a follow-up article this month, I will focus on two groups where benzos pose the greatest risks: opioid users and the elderly.
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Calming Agitated Patients in an Emergency

September 1, 2018
Avrim Fishkind, MD 
Avrim Fishkind, MDAvrim Fishkind, MD.

Chief Executive Officer and Chief Medical Officer of JSA Health Corporation in Houston, TX, and a past president of the American Association for Emergency Psychiatry Dr. Fishkind has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

When I work with an agitated patient, I start by saying, “Hi, I’m Dr. Fishkind. My job is to keep you safe today.” Your first job should be to take away any possibility that the person thinks you’re dangerous or that you’re there to cause harm. So, start by identifying who you are, what you do, and that you are there to help.
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