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Home » Topics » Clinical Update

Clinical Update
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CLINICAL UPDATE

Prescribing to Children of Divorce

March 12, 2021
Anthony Charuvastra, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Anthony Charuvastra, MD. Adjunct Assistant Professor, NYU Langone Medical Center Department of Child and Adolescent Psychiatry. Dr. Charuvastra has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
What is the best approach to effective clinical care with families that are separated or divorced? This article covers the complexities, the legalities, and an expectation of collaboration that can help us to help children to receive good mental health care despite the inevitable differences between parents in these situations.
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CLINICAL UPDATE

How to Use Lamotrigine

January 1, 2021
Chris Aiken, MD.
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Chris Aiken, MD. Editor-in-Chief of TCPR. 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.
Lamotrigine is approved for the prevention of bipolar episodes, but Dr. Aiken explains why it may also treat active bipolar depression. This mood stabilizer is among the most tolerable in its class, and has additional benefits in OCD, borderline personality disorder, and depersonalization disorder.
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CLINICAL UPDATE

Despair, Loneliness, and Substance Use Disorders

October 21, 2020
Rehan Aziz, MD.
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information
Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Loneliness is a readily measurable phenomenon and it predicts worse outcomes in addiction treatment on the individual and population levels. What can we do in the clinic to combat loneliness and promote social cohesion?
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CLINICAL UPDATE

Using an Interpreter in Psychiatric Practice

August 5, 2020
Jess Levy, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Jess Levy, MD. Child and adolescent psychiatrist, Cleveland Clinic Foundation, OH. Dr. Levy has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Many of us work in settings where we do not speak the language of our patients. The law requires that we have help understanding our patients. This is good sense and good care, but there are multiple pitfalls. This article helps you navigate the necessary of using interpreters.
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CLINICAL UPDATE

Learning From the Successes of Physician Health Programs

March 30, 2020
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information
Physician health programs have boasted high rates of treatment retention and abstinence rates, yet have also been the targets of criticism. Here we review what the practicing clinician can learn from these programs and describe current controversies.
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CLINICAL UPDATE

Primer: Physical Examination in Addiction Practice

November 22, 2019
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information
Whether you are referring your patient for a physical or doing an initial one yourself, clinicians should be familiar with the basics of physical examination with a focus on knowing how to look for medical complications of addiction. This article walks you through a basic physical exam and what signs and symptoms to look for in patients with current or past substance use.
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CLINICAL UPDATE

Psychopharmacology in Jails: An Introduction

May 1, 2016
Joe Simpson, PhD, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Joe Simpson, PhD, MD. Supervising psychiatrist at the Los Angeles County DMH Jail Mental Health Services, CA Dr. Simpson has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
There is a high demand for psychiatric care in U.S. correctional facilities. At any given time, about 1% of the adult population is incarcerated, and many of them have a psychiatric disorder of some sort.
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CLINICAL UPDATE

Medication Treatment of Anxiety Disorders in Substance Abusers

May 1, 2016
Daniel Carlat, MD
From The Carlat Addiction Treatment Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Daniel Carlat, MD  

Editor-in-Chief, Publisher, The Carlat Report.

Dr. Carlat has disclosed that he has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.

While benzodiazepines are effective anti-anxiety workhorses for many patients, most guidelines tell us to avoid prescribing them to substance abusers. The concern is that the benzo high will remind patients of their substances of choice, and that benzo withdrawal symptoms will lead to old substance abuse habits.
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CLINICAL UPDATE

Dialectical Behavior Therapy: A Primer

September 24, 2013
Joshua Sonkiss, MD
Half a century ago, a suicidal young woman named Marsha Linehan spent more than two years in a psychiatric hospital. Locked as tightly in her own personal torment as in her seclusion room, she vowed not only that she would get out, but that she would get well and help...
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CLINICAL UPDATE

Dialectical Behavior Therapy: A Primer

March 1, 2012
Josh Sonkiss, MD
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Josh Sonkiss, M.  Co-medical director, Behavioral Health Unit, Fairbanks Memorial Hospital Dr. Sonkiss has disclosed that he has no relevant relationships or financial interests in any commercial companies pertaining to this educational activity.
Marsha Linehan developed DBT to help patients with BPD (Linehan MM, Cognitive Behavioral Treatment of Borderline Personality Disorder. New York, NY: The Guilford Press;1993), and over the past two decades it has received strong empirical support.
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