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Home » Topics » General Psychiatry

General Psychiatry
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Cannabis and the Endocannabinoid System

June 1, 2014
Tisa Adkinson, DO and Pavan Madan, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Tisa Adkinson, DO Child and Adolescent and Addiction Psychiatrist, CARES, the Child and Family Institute, New York, NY Dr. Adkinson has disclosed that she has no relevant relationships or commercial interests in any companies related to this educational activity.   Pavan Madan, MD Child and Adolescent Psychiatry Fellow, Mount Sinai St. Luke’s-Roosevelt Hospital Center, New York, NY Dr. Madan has disclosed that he has no relevant relationships or commercial interests in any companies related to this educational activity.
Considering the increased efforts to legalize marijuana in many states, greater public awareness of marijuana and its potential medicinal uses, and new research on cannabis and its constituents, it is essential that psychiatrists understand some of its proposed benefits—and fundamental risks.
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Marijuana in Psychiatry

June 1, 2014
Itai Danovitch, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Itai Danovitch, MD President, California Society of Addiction Medicine, Associate Clinical Professor, Cedars Sinai Medical Center, Los Angeles, CA Dr. Danovitch has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
President of the California Society of Addiction Medicine Itai Danovitch offers an overview of what psychiatrists should know about medical marijuana.
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Maternal Flu and Risk of Bipolar Disorder

June 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Several past studies have investigated a possible link between infections during pregnancy and psychiatric illness in the offspring. These studies may be biased, however, by poor recall or by a clinical, as opposed to serological, diagnosis of infection in the mother. A recent study attempted to overcome this bias by measuring influenza antibodies—a more precise manner of identifying influenza exposure—drawn from the mothers of bipolar offspring.
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The Media’s Role in Suicide Clusters

June 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Does newspaper coverage of suicide promote copycat suicides? A recent retrospective study examined this question by comparing suicide clusters among teens to isolated suicides, and how local newspapers covered these events.
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FDA Issues Safety Warning on Lunesta

June 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
In mid-May, the FDA released a warning that eszopiclone (Lunesta) can cause next-day impairment when taken at the recommended target dose of 3 mg/day. As a result, the FDA has lowered the recommended starting dose to 1 mg/day.
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Move Over Ketamine? New Fast-Acting Antidepressant Shows Promise

June 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
A new drug is showing rapid, long-lasting results in early rodent studies, according to a paper presented by Jeffrey Talbot of Roseman University of Health Sciences at the annual meeting of the Federation of American Societies of Experimental Biology (FASEB) in April.
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Learning Objectives, Marijuana, TCPR, June 2014

June 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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The “Whole-Patient” Approach to Psychiatric Diagnosis

May 1, 2014
Margaret S. Chisolm, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Margaret S. Chisolm, MD Associate Professor, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD Dr. Chisholm has disclosed that she receives book royalties from the JHU Press. Dr. Balt has reviewed this article and found no evidence of bias in this educational activity.
Alongside DSM, another conceptual model has risen, one based on concepts originally developed by Adolf Meyer and Karl Jaspers in the early 20th century. In the 1980s, these ideas were organized and later were described in the book, The Perspectives of Psychiatry, published in 1998 (Johns Hopkins University Press). The Perspectives of Psychiatry’s authors, Paul McHugh and Phillip Slavney, have steadfastly viewed the DSM system as fundamentally flawed and have consistently expressed concern about its negative impact on the field.
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The Trouble with DSM-5

May 1, 2014
Allen Frances, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Allen Frances, MD Chair, DSM-IV Task Force, Professor Emeritus, Duke University School of Medicine, Durham, NC Dr Frances has disclosed that he receives book royalties from HarperCollins Publishing and the Guilford Press. Dr. Balt has reviewed this interview and found no evidence of bias in this educational activity.
DSM-IV task force chair Allen Frances, MD, delves into the details of DSM-5.
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Citalopram May Help with Agitation in Alzheimer’s Disease

May 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Agitation is common in Alzheimer’s disease (AD), and while antipsychotics are frequently given for agitation, they can also increase risk for cardiac and cerebrovascular events. What to do? A group of researchers recently investigated the possibility that an antidepressant, citalopram (Celexa), may be an alternative choice.
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