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Home » Topics » Clinical Update

Clinical Update
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Clinical Update

Mood Stabilizers for Bipolar Disorder in Older Adults: Special Considerations

January 30, 2023
Rehan Aziz, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Rehan Aziz, MD. Associate professor of psychiaitry and neurology, Rutgers Robert Wood Johnson Medical School. New Brunswick, NJ. Dr. Aziz has no financial relationships with companies related to this material.

We evaluate the usage, risks, and dosing of mood stabilizers to help clinicians optimize their choice of treatment.


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CLINICAL UPDATE

Alcohol Use Disorder and Thiamine Supplementation

January 30, 2023
Audrey Abelleira, PharmD, BCPP
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Audrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, Pain Management and Opioid Safety Program Coordinator, VA Connecticut Healthcare System. Clinical instructor, Yale School of Medicine. New Haven, CT.

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

We all learn that patients with alcohol use disorder should receive thiamine supplementation. But why, and how should it be given? We discuss the pathophysiology that underlies thiamine deficiency in alcohol use disorder and why it is so important. We then go over the latest thiamine supplementation guidelines.


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CLINICAL UPDATE

What to Know About Injectable Buprenorphine (Sublocade)

January 30, 2023
Audrey Abelleira, PharmD, BCPP
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Audrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, Pain Management and Opioid Safety Program Coordinator, VA Connecticut Healthcare System. Clinical instructor, Yale School of Medicine. New Haven, CT.

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

Various formulations of buprenorphine abound, and a new long-acting injectable form (Sublocade) is one of the latest arrivals. But does it actually work? Here, we review the pharmacology behind it, go over efficacy data, and provide guidance on how to decide when to consider long-acting injectable buprenorphine for your patients.



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CLINICAL UPDATE

Misuse of Legally Available Substances in Adolescents and Teens

January 30, 2023
Deepti Anbarasan, MD and Eric Whitney, MD, MSEd
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Eric Whitney, MD, MSEd. Clinical Instructor, Child and Adolescent Psychiatry Fellow, NYU Grossman School of Medicine. New York, NY.

Deepti Anbarasan, MD. Associate Professor, Psychiatry & Neurology, New York University. New York, NY.

Dr. Whitney and Dr. Anbarasan have no financial relationships with companies related to this material.

This clinical update covers the psychogenic effects and risks of four readily accessible, legally available, and commonly misused over-the-counter medications. Our patients misuse these medications which have potential for real harm, including drug-drug interactions with prescribed medications.


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CLINICAL UPDATE

Psychogenic Non-Epileptic Seizures

January 2, 2023
Susie Morris, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Susie Morris, MD, MA. Assistant professor of psychiatry and forensic psychiatrist, UCLA. Los Angeles, CA.

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

Your patient experiences frequent episodes of falling to the floor and shaking for several minutes, but extensive neurologic work-ups find no evidence of epilepsy. Might your patient have psychogenic nonepileptic seizures? Several clues will help you distinguish these from epileptic seizures. We review the evaluation and management of this challenging condition.
 


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CLINICAL UPDATE

Management of Depression and Neurocognitive Impairment in Patients With HIV

January 2, 2023
Garrett Rossi, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Garrett Rossi, MD. Inpatient/consult attending psychiatrist, AtlantiCare Regional Medical Center. Pomona, NJ.
Dr. Rossi has no financial relationships with companies related to this material.

Strategies for HIV-associated mood and cognitive changes


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CLINICAL UPDATE

Viibryd Goes Generic, But Is It Worth Prescribing?

January 1, 2023
Chris Aiken, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Chris Aiken, MD. Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has no financial relationships with companies related to this material.

Goodbye Viibryd, hello vilazodone. This novel medication has missed the mark in a lot of trials, but it still has a narrow niche in the crowded field of antidepressants.


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CLINICAL UPDATE

Trauma and Addiction

October 31, 2022
Will Rutland MD, JD, MPH
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue

Will Rutland, MD, JD, MPH. Assistant Professor and Psychiatry Clerkship Director, UAB Heersink, School of Medicine, Montgomery Regional Campus. Montgomery, AL.    

Dr. Rutland, author of this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Here, we describe treatment approaches for patients with comorbid addiction and PTSD.


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CLINICAL UPDATE

Trichotillomania: Diagnosis and Treatment

October 30, 2022
Michael Posternak, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Michael Posternak, MD. Psychiatrist in private practice, Boston, MA. Dr. Posternak has no financial relationships with companies related to this material.

Trichotillomania (TTM) is a disorder that seems to lurk in the shadows. We hear about it but rarely see it. 


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CLINICAL UPDATE

Does Abortion Lead to Psychiatric Issues?

October 30, 2022
Sarah Rivelli, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Sarah K. Rivelli, MD. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. Dr. Rivelli has no financial relationships with companies related to this material.

Abortion is becoming more difficult to obtain in the United States, and the arguments against legalization of abortion include the claim that it is harmful to a woman’s mental health. This article investigates if that is true.


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