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Home » Topics » General Psychiatry

General Psychiatry
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Transcranial Direct-Current Stimul­ation: Not Ready for Prime Time Yet

December 1, 2017
Michael Posternak, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Michael Posternak, MD. Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Transcranial magnetic stimulation (TMS) was approved by the FDA in 2009 for the treatment of major depression, but TMS is costly and has so far produced only mixed results.
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RESEARCH UPDATE

Can Mindfulness-Based Stress Reduction Affect Symptom Outcomes in Older Adults?

December 1, 2017
Adam Strassberg, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Adam Strassberg, MD. Dr. Strassberg has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Mindfulness-based stress reduction (MBSR) is a formalized combination of mindfulness meditation, body awareness, and yoga. The technique has been shown to help with symptoms of depression and anxiety, and some preliminary small studies have hinted that it might improve both memory and anxiety/depressive symptoms in older patients.
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CME Post-Test - PTSD, TCPR, December 2017

December 1, 2017
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. By successfully completing the test you will be awarded a certificate for 1 CME credit.
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Learning Objectives, PTSD, TCPR, December 2017

December 1, 2017
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
After reading these articles, you should be able to…
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Retirement Toolkits

November 1, 2017
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Looking for tools and templates that will make planned or unplanned retirement and the closing or your practice easier to manage? Carlat Publishing has teamed up with the American Psychiatric Association to create handy toolkits.
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Note From the Editor-in-Chief

November 1, 2017
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD Editor-in-Chief
While I appreciate all of my TCPR subscribers, there’s one subscriber whom I value above all the others: my father. A psychiatrist who practices in the Bay Area, my father has been a loyal subscriber since Volume 1, Number 1, in January of 2003.
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Closing a Practice: Some Practical Suggestions

November 1, 2017
James T. Hilliard, Esq.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
James T. Hilliard, Esq. Connor & Hilliard, P.C. Assistant Professor (Legal Medicine), Harvard Medical School, part-time. Mr. Hilliard has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
This article offers practical suggestions based on the author’s experiences counseling psychiatrists who are planning for retirement or who have faced unforeseen circumstances causing them to close their practices. Here, we will consider both planned and unplanned retirement scenarios.
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Financial Planning for Retirement

November 1, 2017
Colin Wiens, CFP, MBA
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Colin Wiens, CFP, MBAColin Wiens, CFP, MBA Senior Financial Advisor, Larson Financial Group, LLC. Registered Representative, Larson Financial Securities, LLC. Mr. Wiens discloses that he receives various forms of compensation for financial advising services. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity.
Because of the lengthy period of training, doctors begin their first “real” jobs 8–10 years after many of their friends from college. And, depending on specialty, burnout may cause a physician to retire a few years earlier than the average American. Both these factors lead to a compressed retirement saving timeline.
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Aripiprazole Augmentation May Improve Remission Rates in MDD

November 1, 2017
Ricardo Arechiga, PharmD candidate (2018)
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Ricardo Arechiga, PharmD candidate (2018) Mr. Arechiga has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
It seems like an endless debate: When a patient does not respond to the first trial of an antidepressant, what should we do? Switch to something else? Augment with another agent? If the latter, how often should that augmenting agent be an atypical antipsychotic?
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Fluoxetine Plus CBT for Somatic Symptom Disorder

November 1, 2017
Shirley Tsai
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Shirley Tsai PharmD candidate (2018) Ms. Tsai has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Somatic symptom disorder (formerly known as hypochondriasis) is pretty common, with a prevalence of 5%–7%, and is much more likely to afflict women than men, with a gender ratio of about 10:1. While both psychotherapy and SSRI treatment are helpful, there is limited evidence about the efficacy of combining therapy with medication. A new study sought to remedy this gap.
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