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Home » Topics » General Psychiatry

General Psychiatry
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Research Update

Does Psychiatric Hospitalization Prevent Suicide Attempts?

February 1, 2025
Vishwani Sahai-Siddiqui, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Vishwani Sahai-Siddiqui, MD. Dr. Sahai-Siddiqui has no financial relationships with companies related to this material.

A surprise result from a super-sized database. 


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Expert Q&A

ECT: An Update

February 1, 2025
W. Vaughn McCall, MD, MS
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_McCall_headshot.pngW. Vaughn McCall, MD, MS

Professor Emeritus, Department of Psychiatry and Health Behavior; Medical College of Georgia, Augusta University.

Dr. McCall reports that he is a consultant for Alza TV, Axon Medical Technologies, Carelon, Haleon, and Idorsia. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

The FDA has changed the labeling on ECT, and Vaughn McCall clarifies where this treatment fits among newer interventions like ketamine and TMS.


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Clinical Update

How Long Should We Continue Esketamine?

February 1, 2025
Steven Hamilton, PhD, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Steven Hamilton, MD, PhD. The Permanente Medical Group, Department of Psychiatry, Kaiser Permanente San Francisco Medical Center.

Dr. Hamilton has no financial relationships with companies related to this material.

Response to esketamine (Spravato) is brisk and bold, but how do you keep patients well over the long term? We look at new research on continuation, tapering, and switching strategies.


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Temperament and Diagnosis

January 27, 2025
Kellie Newsome, PMHNP, Chris Aiken, MD, and Margaret S. Chisolm, MD

Learn how an understanding of patient’s temperament and the meaning of their life story can unlock psychotherapeutic avenues of treatment on our interview with Margaret Chisolm.


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The Missing Perspectives in DSM

January 20, 2025
Kellie Newsome, PMHNP, Chris Aiken, MD, and Margaret S. Chisolm, MD

Margaret Chisolm shares the Perspectives model, a way of assessing patients that builds on the DSM takes the famous manual a few steps further.


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2025 Carlat Psychiatry Report Self-Assessment Course

Course Access
January 14, 2025

The 2025 Carlat Psychiatry Report Self-Assessment Course includes all 10 newsletter issues from 2025 and the Hospital Psychiatry Fact Book (2025) for a total of 24 Category 1 CME Credits and 8 ABPN Self-Assessment Credits for Maintenance of Certification.


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Psychopharm Secrets: Side Effects

January 13, 2025
Kellie Newsome, PMHNP and Chris Aiken, MD

Depression and cognitive impairment on benzos, tardive dyskinesia, anticholinergics, and neurotoxicity from high dose stimulants. These are the side effects that patients aren’t likely to notice until it’s too late.


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Overdiagnosis with Allen Frances

January 6, 2025
Kellie Newsome, PMHNP, Chris Aiken, MD, and Allen Frances, MD

Allen Frances helped create DSM-IV, but in this episode he takes on its diagnostic overreach.


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Research Update

Strategies to Reduce Antipsychotic-Induced Hyperprolactinemia

January 1, 2025
Sarah Azarchi, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Sarah Azarchi, MD. Dr. Azarchi has no financial relationships with companies related to this material.

Five strategies to reduce prolactin on antipsychotics tested in this meta-analysis


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Expert Q&A

ADHD: Beyond Stimulants

January 1, 2025
Nicholas J. Nissen, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Nicholas J. Nissen, MD

Concierge psychiatrist, specializing in nonstimulant management of ADHD and anxiety disorders. Austin, TX.

Dr. Nissen has no financial relationships with companies related to this material.

 

Stimulants may hold the prize for effect size in ADHD, but nonstimulants have advantages for the right patient. Nicholas Nissen shows us how to use five medications, two supplements, and lifestyle approaches in ADHD.


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