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Home » Topics » Clinical Update

Clinical Update
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Clinical Update

Exit Strategy: Discharging Patients Who Resist Leaving

October 1, 2024
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Victoria Hendrick, MD. Chief, Inpatient Psychiatry, Olive View-UCLA Medical Center, Los Angeles, CA; Editor-in-Chief, The Carlat Hospital Report.

Dr. Hendrick has no financial relationship with companies related to this material.

Malingering, deceptive, or disruptive patients: what do you do when you encounter a patient who is resistant to discharge yet does not exhibit a clinical need for continued inpatient care? In this article, we review the key steps of the administrative discharge process.


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Clinical Update

Pondering a Career Move? Insights Into Psychiatric Hospital Settings

October 1, 2024
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Victoria Hendrick, MD. Chief, Inpatient Psychiatry, Olive View-UCLA Medical Center, Los Angeles, CA; Editor-in-Chief, The Carlat Hospital Report.

Dr. Hendrick has no financial relationship with companies related to this material.

Each psychiatric hospital setting offers its own unique challenges and rewards. You might appreciate the clinical autonomy and resources available in private hospitals, tackle complex cases in state hospitals, or balance research and teaching in academic environments. Non-profits focus on underserved populations, VA hospitals specialize in veteran care, and forensic hospitals blend psychiatry with legal work. The right choice for you depends on your interests and the challenges you're prepared to take on.


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Clinical Update

“Quality” Measures in Inpatient Units: A Primer for the Frustrated

October 1, 2024
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Victoria Hendrick, MD. Chief, Inpatient Psychiatry, Olive View-UCLA Medical Center, Los Angeles, CA; Editor-in-Chief, The Carlat Hospital Report.

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

We delve into the quality measures that psychiatric hospitals must follow, including IPFQR and HBIPS standards, to ensure compliance with CMS and Joint Commission requirements. You’ll learn why these measures matter and how they impact your daily work


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Clinical Update

Unraveling Post-SSRI Sexual Dysfunction

September 26, 2024
Awais Aftab, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Awais Aftab, MD. Psychiatrist in Cleveland, Ohio, and Clinical Assistant Professor of Psychiatry at Case Western Reserve University. Author of the online newsletter Psychiatry at the Margins.

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

Patient advocacy groups are adamant that it exists. European regulators have given it the stamp of approval. Here, we look at the evidence that sexual dysfunction can persist long after stopping an SSRI.


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Clinical Update

A New Era for Buprenorphine

September 26, 2024
Noah Capurso, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR-Oct2024_QA_NCapurso headshot.pngNoah Capurso, MD, MHS.

Associate Professor of Psychiatry, Yale University, New Haven, CT; Editor-in-Chief, The Carlat Addiction Treatment Report.

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

A buprenorphine boot camp for all who need to know how to use it in the post-X-waiver age.


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Clinical Update

Post X-Waiver Buprenorphine Prescribing

September 26, 2024
Noah Capurso, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Noah Capurso, MD, MHS. Associate Professor of Psychiatry, Yale University, New Haven, CT; Editor-in-Chief, The Carlat Addiction Treatment Report.

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

All clinicians need to know how to use buprenorphine under the DEAs new regulations. Meanwhile, the fentanyl crisis is changing how we use it. Noah Capurso shows us how to navigate these waters.


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Clinical Update

Neuroscience-Based Nomenclature: Significance to Psychiatrists

September 3, 2024
Heidi Moawad, MD and Chris Aiken, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Heidi Moawad, MD. Neurologist and teaching faculty, Case Western Reserve University School of Medicine.

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC.

The authors have no financial relationships with companies related to this material.

NbN helps to address stigma by emphasizing the pharmacological properties of medications rather than terms that may lead to misunderstandings among patients and their families


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Clinical Update

Gepirone: A First Look

September 3, 2024
Chris Aiken, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC.

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

Learn about the risks and efficacy of gepirone (Exxua) for treating MDD.



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CLINICAL UPDATE

Pharmacotherapy for Panic Disorder: What Therapists Need to Know

August 6, 2024
Daniel Carlat, MD
From The Carlat Psychotherapy Report
Issue Links: Editorial Information

Daniel Carlat, MD. Medical Director of Inpatient Psychiatry/Chairman of Psychiatry at Melrose Wakefield Healthcare. Publisher, Carlat Publishing.

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

An overview of current pharmacotherapy for panic disorder, including the use of antidepressants, benzodiazepines, and emerging treatments like pregabalin, as well as the importance of combining medication with psychotherapy and guidance for therapists when discussing medication concerns with their clients.


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Clinical Update

Transcranial Direct Current Stimulation

August 1, 2024
Kelvin Quiñones-Laracuente, MD, PhD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Kelvin Quiñones-Laracuente, MD, PhD. Psychiatry resident, NYU Langone Medical Center.

Dr. Quiñones-Laracuente has no financial relationships with companies related to this material.

Your patients may be using it at home (even if they’re not telling you). We look at whether transcranial direct current stimulation (tDCS) works and how it differs from transcranial magnetic stimulation (TMS).


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