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Home » Topics » Clinical Update

Clinical Update
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Clinical Update

Off-Label Strategies for Common Psychiatric Conditions

June 1, 2024
Chris Aiken, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Chris Aiken, MD. Editor-in-Chief of 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. 

Five disorders where going off-label has advantages over the FDA-approved route.


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Clinical Update

Lecanemab Breaks Thin Ground in Dementia

May 1, 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.

Concerns arise regarding lecanemab’s efficacy, high cost, and a notable risk of cerebral edema.


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CLINICAL UPDATE

How You Can Use Positive Psychology in Your Practice

April 30, 2024
Daniel Carlat, MD
From The Carlat Psychotherapy Report
Issue Links: Editorial Information

Daniel Carlat, MD. Vice Chair, Community and Public Sector Psychiatry, Tufts University School of Medicine. Publisher, Carlat Publishing. 

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

Explore practical applications of positive psychology in psychotherapy, gaining insights to foster resilience, happiness, and a sense of purpose in your client.


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CLINICAL UPDATE

What Is Neuroscience-Based Nomenclature?

April 1, 2024
Heidi Moawad, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Heidi Moawad, MD. Clinical assistant professor, Case Western Reserve School of Medicine, Cleveland, OH.

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

Tired of patients and families who react to categories of medications with confusion and fear? We use ‘antidepressants’ for OCD, and ‘antipsychotics’ for irritability. These are not accurate descriptions. Our clinical update on Neurocience-Based Nomenclature will help you use NbN to clarify your treatment plans and reduce stigma for patients and families.


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Clinical Update

Failure to Thrive in Older Adults

April 1, 2024
Julia Cromwell, MD and Diana S. Kim, 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.

Diana S. Kim, MD Candidate 2024. Tufts University School of Medicine, Boston, MA.

Dr. Cromwell and Ms. Kim have no financial relationships with companies related to this material.

Many older adults labeled with FTT eventually receive a medical diagnosis. Beyond addressing depression and treating the underlying medical illnesses, we suggest additional interventions to improve a patient’s functioning.


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ethics
Clinical Update

Navigating Ethical Challenges in Geriatric Psychiatry

April 1, 2024
Meera Balasubramaniam, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Meera Balasubramaniam, MD. Associate Medical Director, Penn Medicine Princeton House Behavioral Health, Hamilton, NJ.

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

Treatment of older adults comes with specific ethical challenges. Here we show you how to evaluate an older adult’s capacity to live independently, manage their finances, and drive safely. We also discuss advance healthcare planning and how to spot elder abuse.


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CLINICAL UPDATE

How to Refer Patients to Other Providers

April 1, 2024
Charmi Patel Rao, MD, DFAACAP
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Charmi Patel Rao, MD, DFAACAP. Medical Director, Vista Hill Foundation Health Sciences. Assistant Clinical Professor for UCSD Department of Psychiatry, San Diego, CA.

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

Many child psychiatrists are flooded with referrals. There aren’t enough of us to care for everyone who calls. How to control the flow while protecting the joy of practice? Our clinical update on referring patients out can help you manage this ongoing crisis while we work to increase our ranks.


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Clinical Update

Three Buprenorphine Dosing Strategies When Transitioning From Other Opioids

April 1, 2024
Monthe Kofos, DO and Noah Capurso, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Monthe Kofos, DO. Addiction Psychiatry Fellow, Yale University, New Haven, CT.

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

Dr. Kofos and Dr. Capurso have no financial relationships with companies related to this material.

The process of starting a patient on buprenorphine, called an induction, can be a bit tricky and puts a patient at risk of a precipitated opioid withdrawal. In this article, we discuss the three most common buprenorphine induction approaches, review the pros and cons of each, and include straightforward guidance that will help you perform a successful buprenorphine induction for your patients.



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Clinical Update

Treating Opioid Use Disorder During Pregnancy

April 1, 2024
Ariadna Forray, MD and Noah Capurso, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Ariadna Forray, MD. Associate Professor of Psychiatry; Chief of Psychological Medicine Section, Psychiatry; Director, Center for Wellbeing of Women and Mothers; Yale Medical Director, ACCESS Mental Health for Moms, New Haven, CT. 

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

Dr. Forray and Dr. Capurso have no financial relationships with companies related to this material.

As the overall prevalence of opioid use disorder has increased, so to has the prevalence of opioid use during pregnancy. Opioid use during pregnancy can put both your patient and the baby at risk, making proper treatment with MOUD essential. In this article, we outline the special considerations for the treatment of OUD during pregnancy and discuss how to prescribe MOUD safely. 


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Clinical Update

Clozapine: Monitoring With Skill

April 1, 2024
Nicole Turnier, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Nicole Turnier, MD. Psychiatrist, Rochester Center for Behavioral Medicine, Rochester Hills, MI. 

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

Few medications are as complex to use as clozapine. This guide will equip you with the necessary knowledge and insights to prescribe it, monitor for side effects, and recognize key risks.


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