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Home » Topics » General Psychiatry

General Psychiatry
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Neurontin: Does it work for Anxiety?

March 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Neurontin (gabapentin) spends plenty of time in our patient’s medicine cabinets, but lately it has spent nearly as much time splashed across news sections of daily papers. Parke-Davis, the company that used to market Neurontin before it merged with Pfizer, has been accused of improperly promoting its use for a variety of off-label indications (1).
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Dr. Mark Pollack on Treating Panic Disorder

March 1, 2003
Mark H. Pollack, M.D.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Mark H. Pollack, M.D.Mark H. Pollack, M.D. Director, Center for Anxiety and Traumatic Stress Related Disorders, M Massachusetts General Hospital Associate Professor of Psychiatry, Harvard Medical School.


Dr. Pollack, as the head of the Anxiety Disorders Program at Mass General, you’ve had the opportunity to evaluate thousands of patients with panic disorder. Do have any practical tips for those of us with less experience?
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Ephedra-induced Panic

March 1, 2003
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Laura Duffy, M.D. is an Attending Psychiatrist at California Pacific Medical Center in San Francisco who was recently referred a patient with panic disorder whose anxiety was triggered in an unusual way.
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The Trouble with Zyprexa

February 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Zyprexa (olanzapine) became rapidly popular after its introduction in the United States in 1996. Its structural similarity to Clozaril (clozapine) led to hopes that it would be as effective for treatment-resistant cases as Clozaril but without the risk of agranulocytosis.
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Abilify: The Perfect Antipsychotic?

February 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
Abilify (aripiprazole) is out! But you probably already know this, if your mailbox and fax machine have become as saturated with BMS-funded missives from CME, Inc. as mine have been. The hired guns are out in force once again, and so we front-line clinicians are faced with the task of separating the authentic wheat from the hyped-up chaff.
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Atypicals: Do they work for Depression?

February 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
In the beginning of modern psychiatry, there was only one medication— Thorazine (Chlorpromazine). Thorazine was originally classified as an antihistamine, and was used to treat everything thrown in the path of psychiatrists: psychosis, mania, depression, and anxiety.
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Dr. Michael Jibson on Choosing Among Atypicals

February 1, 2003
Michael D. Jibson, M.D., Ph.D.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Michael D. Jibson, M.D., Ph.D.Michael D. Jibson, M.D., Ph.D. Clinical Associate Professor of Psychiatry, University of Michigan, Ann Arbor, Michigan
Dr. Jibson, how do you go about deciding which atypical antipsychotic to prescribe for a particular patient?
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Abilify

February 1, 2003
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
J.C. Michael Shea is Supervising Psychiatrist at Health and Education Services in Haverhill Massachusetts, and has treated many thousands of schizophrenic patients over a 30 year career. He has definitely hopped onto the Abilify bandwagon, and his perspective is an interesting one.
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St. John’s Wort: Wilting in America

January 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
America has not been kind to St. John’s Wort. In Europe, this flowering bush that blooms around June 24 (St. John’s Day), has been all the rage for about 2000 years. It was first mentioned by the Roman Pliny the Elder in the first century, and over the past two millennia it has been used for a variety of ills, including diarrhea, urinary problems, demonic exorcism, and more recently, for melancholia.
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Effexor XR: Is it really as good as they say it is?

January 1, 2003
Daniel Carlat, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information
Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
… psychiatric research standards, the numbers were huge: 851 patients in the Effexor XR group, 748 in the SSRI group (Prozac, Paxil, and Luvox), and 446 in the placebo group. The doses of comparator SSRIs were robust enough to mirror what we actually use in clinical practice, and treatment duration...
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