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Home » Topics » General Psychiatry

General Psychiatry
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How to Talk to Patients About Porn Use

August 29, 2025
Daniel Carlat, MD

We ask about alcohol.

We ask about weed.

Sometimes we even ask about TikTok.

But porn?




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He Wasn’t Psychotic. He Was Terrified. (Part #3)

August 28, 2025
Daniel Carlat, MD

What happens when the patient doesn’t want therapy?



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Cannabis for Anxiety? What the Data Really Says

August 26, 2025
Daniel Carlat, MD

How do you approach patients who ask about cannabis for anxiety?



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A New Ketamine

August 25, 2025
Chris Aiken, MD and Kellie Newsome, PMHNP

The FDA just approved Ketarx for surgical pain, but the company has its eyes on depression.



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When ADHD Isn’t ADHD: A Cautionary Case

August 22, 2025
Daniel Carlat, MD

A reminder that focus problems don’t always mean ADHD. That suffering doesn’t always need a label. And that quick relief can sometimes do lasting harm.



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He Wasn’t Psychotic. He Was Terrified. (Part #2)

August 20, 2025
Daniel Carlat, MD

Yesterday I wrote about what it feels like to live with social anxiety.

Today I want to talk about how we ask about it.


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He Wasn’t Psychotic. He Was Terrified. (Part#1)

August 19, 2025
Daniel Carlat, MD

We talk about social anxiety like it’s just shyness with a clinical name. But for some patients, it’s life-halting.


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How to Start a Psych Medication III

August 18, 2025
Chris Aiken, MD and Kellie Newsome, PMHNP

Meds that require special skill to start: Atomoxetine and prazosin, plus a new FDA warning on stimulants.



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Research Update

Did Publication Bias Inflate the Efficacy of Alprazolam XR?

August 14, 2025
Jeremy Mills, DNP, PMHNP-BC
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Jeremy Mills, DNP, PHNP-BC. Dr. Mills has no financial relationships with companies related to this material.

Publication bias is put to the test.


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Research Update

Topiramate Versus Naltrexone for Alcohol Use Disorder

August 14, 2025
Matt Settle NP
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Matt Settle, NP. Mr. Settle has no financial relationships with companies related to this material.

Topiramate matches naltrexone for AUD—and adds perks for patients with obesity, migraines, or binge eating.



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    Medication Fact Book for Psychiatric Practice, Seventh Edition (2024) - Regular Bound Book

    The updated 2024 reference guide covering the most commonly prescribed medications in psychiatry.
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    General Psychiatry

    KarXT (Cobenfy): The Breakthrough Antipsychotic That Could Change Everything

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    General Psychiatry

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