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Home » Topics » General Psychiatry

General Psychiatry
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Alcoholics Anonymous

June 1, 2006
John Chappel, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
John Chappel, MD Professor of Psychiatry, University of Nevada Medical School Fellow, American Society of Addiction Medicine Dr. Chappel has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Dr. Chappel, you’ve been involved in addiction medicine for many years. What are some of the major advances that you’ve seen over that time?
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Learning Objectives, Treating Substance Abuse, TCPR, June 2006

June 1, 2006
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 STAR*D Trial: First Results

May 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
When National Public Radio’s Science Friday devotes most of a program to a psychiatric study, it must be newsworthy. The STAR*D study got this special treatment recently, with Ira Flato interviewing John Rush about the ins and outs of the NIMH-funded project.
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How to Bring STAR*D Techniques into Your Practice

May 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Because the first results from STAR*D make antidepressants look less powerful than we might have hoped, researchers have emphasized another aspect of the study – namely, that it represents a system that allows us to bring research techniques into our practices. A review of the STAR*D treatment manual is a useful exercise.
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Interpreting the STAR*D Trial

May 1, 2006
John Rush, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
John Rush, MD Professor of Psychiatry, University of Texas Southwestern Medical School Principal Investigator and Study Director, STAR*D Trial Dr. Rush has disclosed that he was or is a consultant for Bristol Myers Squibb, Cyberonics, GlaxoSmithKline, Neuronetics, Ono, Organon; was or is a member of the speakers bureau of Cyberonics, Forest and GlaxoSmithKline; and was or is a stock shareholder of Pfizer Pharmaceuticals. The editors of The Carlat Psychiatry Report have closely reviewed the content of Dr. Rush’s interview and have determined that there are no financial conflicts of interest regarding this educational activity.
Dr. Rush, thanks for agreeing to help us understand the STAR*D trial. You were the overall principal investigator of what I believe was the largest study in history comparing different antidepressants. Looking at the first set of results, are you encouraged by the findings?
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Learning Objectives, The STAR*D Antidepressant Trial, TCPR, May 2006

May 1, 2006
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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Natural Medications in Psychiatry: A Brief Survey

April 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
There are several natural treatments out there that may be helpful in psychiatry. Recently, the British Journal of Psychiatry published a review of “complementary medicines in psychiatry,” (Br J Psychiatry 2006;188:109-121). Based on this paper and our own review of recent better quality studies, TCPR offers the following list of potentially useful natural treatments.
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Dietary Supplements: Big Money, Small Regulation

April 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
A number of natural treatments have been subjected to the same kinds of rigorous double blind studies required of conventional medications and they have fared poorly. Four of the most commercially popular of these treatments have received particularly harsh treatment from the scientific method.
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Acupuncture in Psychiatry

April 1, 2006
David Mischoulon, MD, PhD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
David Mischoulon, MD, PhD Assistant Professor of Psychiatry, Harvard Medical School Director of Alternative Remedy Studies, Depression Clinical and Research Program, Massachusetts General Hospital Dr. Mischoulon has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity. The author has disclosed that acupuncture has not been approved by the U.S. Food and Drug Administration for use in the treatment of depression or substance abuse. Please consult product labeling for the approved usage of this treatment.
Dr. Mischoulon, thank you for returning to the pages of The Carlat Psychiatry Report. I know that since our last interview, you have been involved in studying the use of acupuncture in psychiatry. Tell us about that.
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The Rise (and Fall?) of Andrew Weil

April 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Andrew Weil, M.D., who founded and directs the Program in Integrative Medicine at the University of Arizona’s Health Sciences Center in Tucson, has become the symbol of alternative medicine gone mainstream.
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