In practicing addiction medicine and psychiatry, I have found that the judicious use of Ambien or Sonata has a place in the management of early abstinence, especially since insomnia is an oft-cited cause of relapse. However, the use of Benadryl and Vistaril are problematic in the treatment of insomnia and anxiety in the substance dependent population.
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
If you really want to understand Premenstrual Dysphoric Disorder (PMDD), you'd better have a pretty good understanding of the normal menstrual cycle.
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
It's been a year and a half now since TCR last took up the perennially hot topic of SSRI use in pregnancy (TCR Vol 1, No 5, 2003).
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Over the last few years, the concept of menopause has hit the national radar screen with a vengeance. One of the reasons for the onslaught of publicity was a nasty bit of research news released in 2002, when the initial results of the Women's Health Initiative Study were made public (JAMA. 2002; 288:321-333).
Adele Viguera, M.D.
Assistant Professor of Psychiatry, Harvard Medical School
Associate Director, Perinatal and Reproductive Psychiatry Program,
Massachusetts General Hospital
Dr. Viguera has disclosed that she is a member of the speakers bureau of GlaxoSmithKline.
Dr. Viguera, what are your responsibilities in the Perinatal and Reproductive Psychiatry Program?
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
The concept of a difficult spell preceding the menstrual period in some women is not new. Hippocrates was said to have noted it, and in 1847, Dr. Ernst von Feuchtersleben said, "The menses in sensitive women is almost always attended by mental uneasiness, irritability, and sadness."
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
When we were planning this issue, several friends and readers were a bit surprised. "A whole issue on OCD? Is there anything new to say about it?" There's plenty to say that's both new and old.
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
When it comes to a neuroanatomical understanding of psychiatric symptoms, OCD is considered the superstar of the field. A wealth of data has implicated the involvement of a specific neuroanatomical loop in OCD.
Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
You're a cutting edge psychiatrist. Not only are you great with meds, but you have a passing knowledge of CBT (cognitive-behavior therapy) techniques for the treatment of OCD. Sorry. You're already behind the curve.
Lorrin M. Koran, M.D.
Professor, Department of Psychiatry and Behavioral Sciences
Director of the Obsessive-Compulsive Disorder Clinic
Stanford University Medical Center
Dr. Koran has disclosed that he has received research grants from Forest Laboratories, Eli Lilly & Co., Pfizer Inc., and AstraZeneca, and is a member of the speakers bureaus of Forest Laboratories and Pfizer Inc.
First of all, Dr. Koran, I can't resist plugging your marvelous book on OCD (Obsessive-Compulsive and Related Disorders in Adults: A Comprehensive Clinical Guide, 1999, Cambridge University Press). It's readable and chock-full of great information. How did you get into the field of OCD?
Viibryd has gone generic, but is it worth prescribing? We review all there is to know about vilazodone in this update from our #1 most read article of 2023.