General Psychiatry
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What Can Our Pregnant Patients Do to Prevent Mental Illness in Their Children?

March 29, 2019
Robert Freedman, MD

Robert Freedman, MD Robert Freedman, MD

Professor and Former Chairman, Department of Psychiatry, University of Colorado-Denver. Editor Emeritus, American Journal of Psychiatry.

Dr. Freedman has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

During pregnancy, untreated depression significantly increases the risk that the infant will fail to develop adequate levels of cerebral inhibition. That’s a measure of the infant’s ability to filter out irrelevant stimuli, and it’s the first sign that development is not on an optimal track.
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Amphetamines Stand Out in ADHD

March 29, 2019
Michael Posternak, MD.

Michael Posternak, MD.

Dr. Posternak has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

With so many medications available to treat ADHD, wouldn’t it be nice to know if some are better than others? In this comprehensive meta-analysis, researchers sought to compare the relative efficacy and tolerability of both stimulant and non-stimulant medications for ADHD in children and adults.
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Ask the Editor: Should You Prescribe Lithium to Suicidal Patients?

March 29, 2019
Chris Aiken, MD.

Chris Aiken, MD.

Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC.

Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

It would seem intuitive, then, that withholding lithium, which is toxic in overdose, from a suicidal patient is a safe move. However, intuition doesn’t match up with the evidence here.
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Trintellix and Cognition: A Closer Look

February 1, 2019
Michael Posternak, MD.
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.
You may have been hearing a lot of buzz about vortioxetine (Trintellix) and cognition. The FDA recently allowed a labeling change with this antidepressant that mentions specific benefits in cognitive symptoms of depression. Depressed patients tell us all the time how bad their memory is, and their concerns are valid.
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EXPERT Q&A

Light and Darkness in Bipolar Disorder

February 1, 2019
Jim Phelps, MD
Jim Phelps, MDJim Phelps, MD
Psychiatrist and author, Corvallis, OR. Creator, psycheducation.org Dr. Phelps has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Dr. Jim Phelps is the author of a textbook on bipolar spectrum disorders, A Spectrum Approach to Mood Disorders: Not Fully Bipolar But Not Unipolar—Practical Management (W. W. Norton & Company) as well as two self-help books on bipolar disorder. He conducted some of the early studies on dark therapy out of his private practice in Oregon, and we caught up with him to learn about this novel treatment for bipolar disorder.
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CBT for Insomnia

February 1, 2019
Chris Aiken, MDChris Aiken, MD. 
Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Dear Dr. Aiken: The January 2019 issue mentioned cognitive behavioral therapy for insomnia (CBT-i) as a good alternative to sleep meds. It’s hard to find a therapist trained in CBT-i in my area. Are there any evidence-based self-help options that I can recommend to my patients?
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Does Mania Follow the Sun?

February 1, 2019

Chris Aiken, MDChris Aiken, MD. 
Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

If dark nights can treat mania, can too much sunshine destabilize it? Yes and no. Mania is linked to rapid changes in sunlight, but not to the amount of light itself. Mania peaks in early spring when there’s a steep rise in sunlight. By the time the longest day of the year comes along in late June, there’s no longer a detectable increase in mania (Parker G et al, J Affect Disord 2018;226:72–76).
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