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Home » Topics » General Psychiatry

General Psychiatry
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The Uses of Pharmacogenetic Testing

October 1, 2014
Steven Hamilton, PhD, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Steven Hamilton, PhD, MD.

Psychiatrist, The Permanente Medical Group, Kaiser-Permanente San Francisco Medical Center, Clinical faculty, Department of Psychiatry, University of California, San Francisco.

Dr. Hamilton has disclosed that he is an unpaid scientific advisor to 23andMe, which offers a commercial genome test. Dr. Balt has reviewed this interview and found no evidence of bias in this educational activity.
Get insight into the uses of pharmacogenetic testing in psychiatry, in an interview with psychiatrist Steven Hamilton, MD, PhD.
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Physicians May Overprescribe Antidepressants Based on Brief Depression Questionnaires

October 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Brief depression screening questionnaires are popular, especially with primary care providers (PCPs). However, a new study suggests that PCPs who use these questionnaires might be prescribing antidepressants to patients who don’t need them.
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Sunshine Linked to Suicide Rates

October 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Sunshine and other forms of bright light are considered to be helpful for depressed patients. Patients with seasonal affective disorder (SAD) feel better as the days lengthen, and bright light therapy is effective for the depression in patients with and without SAD. However, seasonal studies of suicide have found that the prevalence is highest in the spring, which is counterintuitive if we consider light to be an antidepressant.
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Research Indicates Schizophrenia is Eight Distinct Disorders

October 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
If you thought schizophrenia was a single disorder, new research suggests that you may need to rethink this point of view.
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Learning Objectives, Pharmacogenetics, TCPR, October 2014

October 1, 2014
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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Maintenance of Certification: What You Need to Know

September 1, 2014
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD
Editor-in-Chief, Publisher, The Carlat Report.
Dr. Carlat has disclosed that he has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
Since I last wrote about MOC in 2010, the most relevant news has not been within the program itself, but in the increasingly rancorous reaction against its requirements from physicians of all specialties. Regardless, it doesn’t look like ABPN is going to be ditching MOC any time soon, so this article pretty much lays out what you have to do, without (much) editorializing.
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Op-Ed: Maintenance of Certification—Is it safe to opt out?

September 1, 2014
Janis Bacon Petzel, MD, DFAPA
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Janis Bacon Petzel, MD, DFAPA Psychiatry and Geriatric Psychiatry, MaineGeneral Medical Center, Augusta, Maine Dr. Petzel has disclosed that she has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
The American Board of Psychiatry and Neurology’s (ABPN) new Maintenance of Certification (MOC) process has created an uproar in many physician circles. It’s not the idea of proving competence that inflames strong emotions among physicians, it’s the manner in which MOC is being implemented.
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Using Transcranial Magnetic Stimulation (TMS) in Your Practice

September 1, 2014
Karl Lanocha, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Karl Lanocha, MD. Neuropsychiatrist, Mindful Health Solutions, Sacramento, CA

Dr. Lanocha has disclosed that he received a $6,000 payment in the last year from the speakers’ bureau of Neuronetics, the makers of the NeuroStar TMS system. Dr. Carlat has reviewed this interview to ensure the absence of commercial bias, either in favor of any particular TMS product, or in favor of TMS over other treatment options. In a future issue of TCPR, we will review the most recent efficacy literature and will compare the pros and cons of specific TMS devices.

Get insight into how you can use transcranial magnetic stimulation (TMS) to help patients with depression who have failed to respond to therapy and antidepressants, in an interview with neuropsychiatrist Karl Lanocha, MD.
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Mood Stabilizer Plus Antidepressant May Protect Against Mania

September 1, 2014
Glen Spielmans, PhD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Glen Spielmans, PhD, has disclosed that he has no relevant financial or other interests in any commercial companies ertaining to this educational activity.

Most of you would hesitate to put a patient with bipolar I on antidepressants without adding a mood stabilizer, in order to prevent a switch to mania. If this is your clinical practice, you are following the recommendations of the APA consensus guidelines for the treatment of bipolar depression. But the hard data to support the danger of switching is surprisingly weak.
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CBT Moderately Effective in Improving Quality of Life for Anxiety Disorders

September 1, 2014
Glen Spielmans, PhD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Glen Spielmans, PhD, has disclosed that he has no relevant financial or other interests in any commercial companies ertaining to this educational activity.

Cognitive behavioral therapy (CBT) has been shown to be effective in reducing the symptoms of anxiety disorders. But there’s not a lot of information about whether it improves patients’ quality of life (QoL), even though one would think improvement in QoL is inherent when anxiety is reduced.
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