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Home » Topics » General Psychiatry

General Psychiatry
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l-Methylfolate for Depression: Costly Mistake or Good Thinking?

August 1, 2019
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Folic acid and l-methylfolate are two versions of the same vitamin. Both are popular for antidepressant augmentation, but one is a expensive prescription. We compared them side-by-side and found that one has a slight advantage.
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Medication Side Effects Part II: Weight Gain, Akathisia, Hair Loss, and Orthostasis

August 1, 2019
Rajnish Mago, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rajnish Mago, MDRajnish Mago, MD

Editor-in-Chief of Simple and Practical Mental Health and author of Side Effects of Psychiatric Medications: Prevention, Assessment, and Management Dr. Mago has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Mago reveals his top strategies for common side effects. Featuring safe-dosing of metformin, vitamins for hair loss, and special stockings for orthostasis.
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A New Treatment for Bipolar Depression

August 1, 2019
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
With Vrylar’s new approval, there are now four atypicals antipsychotics with an indication in bipolar depression. Only two of these, however, are known to work in mania as well as depression. None of the atypicals stands out as the perfect choice for bipolar depression, but there are pros and cons to each that make them fitter better with certain patients.
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Another Black Eye for Prazosin in PTSD?

August 1, 2019
Nicholas Rosenlicht, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Nicholas Rosenlicht, MD Dr. Rosenlicht has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Recent trials cast doubt on prazosin’s role in PTSD, but there are reasons to doubt their results.
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Learning Objectives, Side Effects Part II, TCPR, August 2019

August 1, 2019
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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CME Post-Test - Side Effects Part II, TCPR, August 2019

August 1, 2019
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 1 CME credit.
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Esketamine Gets FDA Approval

July 3, 2019
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Michael Posternak, MD. Psychiatrist in private practice, Boston, MA. Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
On March 5, 2019, the FDA approved esketamine (Spravato) nasal spray as add-on therapy to traditional antidepressant medications for treatment-resistant depression (TRD). In this article, I will describe the events that led to esketamine’s development, review the data submitted to the FDA, and discuss what the future might hold for esketamine.
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Risk Evaluation and Mitigation Strategy (REMS) Programs

July 3, 2019
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Certain psychiatric treatments require both the healthcare provider and patient to enroll in a Risk Evaluation and Mitigation Strategy (REMS) program before they are administered. Here are links to enroll.
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Medication Side Effects: Nausea, Sweating, and Dry Mouth

July 3, 2019
Rajnish Mago, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rajnish Mago, MDRajnish Mago, MD
Editor-in-Chief of Simple and Practical Mental Health and author of Side Effects of Psychiatric Medications: Prevention, Assessment, and Management Dr. Mago has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Does ginger ale treat nausea? Not really, but Dr. Mago has some better ideas, and this interview is packed with new and practical ways to manage common side effects of psychiatric medications.
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Are Auditory Hallucinations Ever Normal?

July 3, 2019
Joseph M. Pierre, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Joseph M. Pierre, MD. Chief, Hospital Psychiatry Division at the VA West Los Angeles Healthcare Center. Clinical Professor in the Department of Psychiatry and Biobehavioral Sciences at UCLA. Dr. Pierre has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
When a patient presents with auditory hallucinations (AH), are you likely to diagnose a psychotic disorder? If no other symptoms are present, would you recommend an antipsychotic? If you answered yes to either question, there’s some new research that may change your mind.
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