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Home » Topics » Clinical Update

Clinical Update
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Clinical Update

Novel Treatment Options for OCD

August 1, 2024
Edmund S. Higgins, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Edmund S. Higgins, MD. Clinical Associate Professor, Psychiatry and Behavioral Sciences, Medical University of South Carolina.

Dr. Higgins reports stock ownership in Bristol-Myers-Squibb and Johnson & Johnson. Dr. Aiken has reviewed this educational activity and determined that there is no commercial bias as a result of this financial relationship.

What do you do when SSRIs fail in OCD? 


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CLINICAL UPDATE

The Psychotherapy of Avoidant Personalities: A Basic Overview

July 11, 2024
Mark L. Ruffalo, MSW, DPsa
From The Carlat Psychotherapy Report
Issue Links: Editorial Information

Mark L. Ruffalo, MSW, DPsa. Editor in Chief, The Carlat Psychotherapy Report, psychotherapist in private practice in Tampa, Florida, and Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Instructor of Psychiatry at Tufts University School of Medicine. He has broad clinical experience in the psychoanalytic treatment of mood, personality, and psychosomatic disorders, and has particular interest in the psychotherapy of schizophrenia and borderline personality disorder.

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

The characteristics, differential diagnosis, theoretical considerations, and treatment approaches for avoidant personality disorder (AvPD), including insights into its prevalence and cultural considerations.


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Clinical Update

Managing a Dilemma: Social Contagion Self-Diagnosis in Adolescents and Young Adults

July 1, 2024
Circe Cooke, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Circe Cooke, MD. Child and adolescent psychiatrist, Presbyterian Healthcare Services, Albuquerque, NM.

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

Can kids and teens "catch" mental illness from the internet? This clinical update covers how to assess the degree of media influence on symptoms that children and adolescents report and how to talk with kids and teens about self-diagnoses in a way that builds a collaborative exploratory treatment relationship.


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Clinical Update

Navigating the Transition to College

July 1, 2024
Alexander El Sehamy, MD and Alan Schlechter, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Alexander El Sehamy, MD. Attending psychiatrist, Pediatric Emergency Behavioral Health Services, Cohen Children’s Medical Center, Northwell Health, Queens, NY.

Alan Schlechter, MD. Clinical associate professor, Department of Child and Adolescent Psychiatry, NYU Langone Health, New York, NY.

Dr. El Sehamy and Dr. Schlechter have no financial relationships with companies related to this material.

Is the older teen you are treating ready to go off to college? Will they take their medication or do their own laundry? This clinical update helps you guide your teenage patients, and their families, as they prepare for leaving home and taking care of their own medications, schedules, schoolwork, and social life.


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Clinical Update

Addressing Social Isolation and Loneliness in Children and Teens

July 1, 2024
Aydar Shaildayev, MD and Eric Whitney, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Aydar Shaildayev, MD. Psychiatry resident, NYU Langone, New York, NY.

Eric Whitney, MD. Clinical assistant professor, Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY.

Drs. Shaildayev and Whitney have no financial relationships with companies related to this material.

The Surgeon General has put out a call to address loneliness and social isolation. But what do we do about it? This clinical update will help you define loneliness and social isolation, assess for them, and help lonely or isolated kids and teens.  


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Clinical Update

Causes of Psychosis in Older Adults

July 1, 2024
Julia Cromwell, MD and Christianne Gonzalez Davidson, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Christianne Gonzalez Davidson, MD candidate 2024. Tufts University School of Medicine, Boston, MA.

Late-life psychosis has many causes—we’ll walk you through this important differential.


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Clinical Update

Drug Testing and the Legal System

July 1, 2024
Paul A. Bryant, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Paul A. Bryant, MD, Assistant Professor of Psychiatry; Stephanie Eng, MD, Fellow in Forensic Psychiatry; Melissa Lavoie, MD, Fellow in Forensic Psychiatry. Yale University, New Haven, CT.

Drs. Bryant, Eng, and Lavoie have no financial relationships with companies related to this material.

Urine drug screens are frequently ordered for patients receiving addiction treatment. However, the results of these everyday tests can have outsized consequences for patients involved in the legal system. Here, we provide an overview of how drug testing is used in the legal system and how you can be an advocate for your patient.



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Clinical Update

A Clinician’s Guide to Drug Courts

July 1, 2024
Stephen Wemakor, MD and Noah Capurso, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

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

Drs. Wemakor and Capurso have no financial relationships with companies related to this material.

Many of your patients with substance use disorders will become involved with the legal system over the course of their work with you, and one of the most common avenues is through the drug
court system. Here, we provide the basics of how drug courts function and review how best to work with these courts when they request information.


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Clinical Update

Establishing a Token Economy in a Psychiatric Unit: Guidelines and Benefits

July 1, 2024
J. Brandon Birath, PhD and Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

J. Brandon Birath, PhD. Director of Psychology Training, Olive View-UCLA Medical Center, Los Angeles, CA.

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

Dr. Birath and Dr. Hendrick have no financial relationships with companies related to this material.

Token economies utilize a system where positive behaviors are rewarded with tokens that can be exchanged for desired items or privileges, fostering increased patient engagement and autonomy. We outline the essential steps for initiating and overseeing a token economy within a psychiatric unit.


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Clinical Update

Don’t Delay: Interventions in Early Psychosis

July 1, 2024
Brian Holoyda, MD, MPH, MBA
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Brian Holoyda, MD. Chief Psychiatrist, Contra Costa County Detention Health Services, Martinez, CA. Dr. Holoyda has no financial relationships with companies related to this material.

We highlight the profound difference early intervention makes in the trajectory of psychotic disorders, reducing symptom severity, suicide risk, and functional impairment.


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