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Home » Topics » General Psychiatry

General Psychiatry
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Op-Ed: Maintenance of Certification—Is it safe to opt out?

September 1, 2014
Janis Bacon Petzel, MD, DFAPA
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Janis Bacon Petzel, MD, DFAPA Psychiatry and Geriatric Psychiatry, MaineGeneral Medical Center, Augusta, Maine Dr. Petzel has disclosed that she has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
The American Board of Psychiatry and Neurology’s (ABPN) new Maintenance of Certification (MOC) process has created an uproar in many physician circles. It’s not the idea of proving competence that inflames strong emotions among physicians, it’s the manner in which MOC is being implemented.
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Using Transcranial Magnetic Stimulation (TMS) in Your Practice

September 1, 2014
Karl Lanocha, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Karl Lanocha, MD. Neuropsychiatrist, Mindful Health Solutions, Sacramento, CA

Dr. Lanocha has disclosed that he received a $6,000 payment in the last year from the speakers’ bureau of Neuronetics, the makers of the NeuroStar TMS system. Dr. Carlat has reviewed this interview to ensure the absence of commercial bias, either in favor of any particular TMS product, or in favor of TMS over other treatment options. In a future issue of TCPR, we will review the most recent efficacy literature and will compare the pros and cons of specific TMS devices.

Get insight into how you can use transcranial magnetic stimulation (TMS) to help patients with depression who have failed to respond to therapy and antidepressants, in an interview with neuropsychiatrist Karl Lanocha, MD.
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Mood Stabilizer Plus Antidepressant May Protect Against Mania

September 1, 2014
Glen Spielmans, PhD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Glen Spielmans, PhD, has disclosed that he has no relevant financial or other interests in any commercial companies ertaining to this educational activity.

Most of you would hesitate to put a patient with bipolar I on antidepressants without adding a mood stabilizer, in order to prevent a switch to mania. If this is your clinical practice, you are following the recommendations of the APA consensus guidelines for the treatment of bipolar depression. But the hard data to support the danger of switching is surprisingly weak.
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CBT Moderately Effective in Improving Quality of Life for Anxiety Disorders

September 1, 2014
Glen Spielmans, PhD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Glen Spielmans, PhD, has disclosed that he has no relevant financial or other interests in any commercial companies ertaining to this educational activity.

Cognitive behavioral therapy (CBT) has been shown to be effective in reducing the symptoms of anxiety disorders. But there’s not a lot of information about whether it improves patients’ quality of life (QoL), even though one would think improvement in QoL is inherent when anxiety is reduced.
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Another Sleeping Pill on the Market: Merck’s Belsomra

September 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
The US Food and Drug Administration (FDA) last month approved Merck’s new insomnia drug, Belsomra, the first in a new class of hypnotics termed “orexin antagonists.” If you’ve never heard of orexin, put on your seat belts, because you’ll be getting a crash course from your local drug reps.
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Should We Share Therapy Notes with Our Patients?

September 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Like most psychiatrists, you are likely a bit wary of sharing your therapy notes with your patients. Will they be offended by reading painfully honest descriptions of their issues? Will they be confused by your use of psychiatric terminology?
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Step Right Up—Meaningful Use Incentives are Adding Up

September 1, 2014
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
In 2011, the federal government began offering financial rewards for providers to implement electronic health records (EHRs) in caring for their Medicare and Medicaid patients. For eligible doctors, these “meaningful use” incentives could provide you with extra income of up to $44,000 over five years in Medicare incentives and $63,750 in Medicaid incentives over six years.
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Learning Objectives, Keeping up in Psychiatry, TCPR, September 2014

September 1, 2014
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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Investigating Bias in Research

July 1, 2014
Rebecca Twersky-Kengmana, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Rebecca Twersky-Kengmana, MD Psychiatrist in private practice, New York, NY Dr. Twersky-Kengmana has disclosed that she has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
It’s important to understand what bias is not. Bias is not fraud, as it does not involve intentional prejudice. Bias is also not random error, which creates deviation in results strictly by chance, and can be mitigated with a large enough study sample. Put simply, bias has to do with the unintentional skewing of results due to human failings such as poor trial design or unconscious wishes for desirable outcomes.
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How to Read a Research Article

July 1, 2014
Joshua Sonkiss, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Joshua Sonkiss, MD Medical director, Behavioral Health Unit, Fairbanks Memorial Hospital, Fairbanks, AK Dr. Sonkiss has disclosed that he has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
As a physician, you’re expected to practice evidence-based medicine. But how can anyone keep up with the latest research?
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