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Home » Topics » Clinical Update

Clinical Update
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Clinical Update

Listen to Your Levels: Effective and Safe Prescribing of Lithium

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

Brian Holoyda, MD, MPH, MBA. Chief Psychiatrist, Contra Costa County Detention Health Services, Martinez, CA.

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

Here we focus on the safe administration of lithium, discussing how to manage both common and lesser- known side effects so that you can ensure a comprehensive approach to your patients’ care.


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Clinical Update

A Personalized Approach to Antidepressant Augmentation

April 1, 2024
Deepti Anbarasan, MD and David Liebers, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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

David Liebers, MD. Psychiatry resident at NYU Langone Department of Psychiatry. 

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

The best augmentation strategy varies by patient. Learn which features help personalize the plan.


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CLINICAL UPDATE

Cognitive Behavioral Therapy for Psychosis: A Brief Review

March 8, 2024
Grace Eun Lee, PhD and Kate Hardy, Clin PsychD
From The Carlat Psychotherapy Report
Issue Links: Editorial Information

Grace Eun Lee, PhD. Clinical Assistant Professor, Stanford University School of Medicine, Psychiatry and Behavioral Sciences.  Dr. Lee has no financial relationships with companies related to this material. Kate Hardy, Clin PsychD. Clinical Professor at Stanford University School of Medicine, Psychiatry and Behavioral Sciences. Dr. Hardy is a subject matter expert for Boehringer Ingleheim and Click Therapeutics. Dr. Ruffalo has reviewed this educational activity and determined that there is no commercial bias as a result of this financial relationship.

Explore the effectiveness of Cognitive Behavioral Therapy for psychosis, including trauma-informed approaches, in this concise review.


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Clinical Update

Special Report: Refractory Anxiety Disorders Part 2: When First Lines Fail

March 1, 2024
Sarah Rivelli, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Sarah K. Rivelli, MD, FACP, FAPA. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. 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.

In Part 2 of our special report, we explain how you can treat various types of treatment-resistant anxiety—specifically, generalized anxiety disorder, panic disorder, and social anxiety disorder.


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Clinical Update

Special Report: Refractory Anxiety Disorders Part 1: First-Line Treatments

March 1, 2024
Sarah Rivelli, MD.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Sarah K. Rivelli, MD, FACP, FAPA. System Director, Consult Liaison, Department of Psychiatry and Behavioral Medicine, Carilion Clinic. 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.

When it comes to anxiety disorders, first-line options are more or less the same: SSRIs, SNRIs, and psychotherapy. But when those don’t work, a broader array of options opens up, and the choice is different for each disorder.


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Clinical Update

A Spotlight on Two Emerging Nootropics

February 10, 2024
Jeremy Weleff, DO., Akhil Anand, MD., and Julian J. Raffoul, MD, PhD.
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Jeremy Weleff, DO. Yale School of Medicine, New Haven, CT; Cleveland Clinic, Cleveland, OH. Akhil Anand, MD. Cleveland Clinic, Cleveland, OH. Julian J. Raffoul, MD, PhD. Vanderbilt University Medical Center, Nashville, TN.

Dr. Weleff, Dr. Anand, and Dr. Raffoul have no financial relationships with companies related to this material.

Nootropics are a broad class of medications encompassing many different mechanisms of action that are marketed as cognitive enhancers. Not only do most nootropics lack evidence of efficacy, but some can have dangerous side effects and addictive potential. Here, we discuss some of the most concerning nootropics being widely used today.


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Clinical Update

Food Addiction and Related Disorders

February 1, 2024
Heidi Moawad, MD and Noah Capurso, MD, MHS
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

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

Noah Capurso, MD, MHS. Assistant professor of psychiatry, Yale University, New Haven, CT; Editor-in-Chief, The Carlat Addiction Treatment Report.

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

Often lumped in with binge-eating disorder, food addiction is an emerging concept in the field of behavioral addictions.


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Clinical Update

New Medications for Insomnia

February 1, 2024
Garrett Rossi, MD.
From The Carlat 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.

The orexin antagonist—daridorexant, lemborexant, and suvorexant—may be safer than traditional hypnotics, but how well do they work?


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Clinical Update

Six Recent Disappointments in Psychiatric Research

February 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.

Find out where standard therapies like cariprazine and esketamine have failed in recent trials, along with novel medications like minocycline, zuranolone, pimavanserin, and NAC.


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Clinical Update

Wernicke’s Encephalopathy and Korsakoff’s Syndrome

February 1, 2024
David C. Fipps, DO and Shirshendu Sinha, MBBS, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

David C. Fipps, DO. Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN. Shirshendu Sinha, MBBS, MD. Department of Psychiatry and Psychology, Mayo Clinic, Scottsdale, AZ.

Dr. Fipps and Dr. Sinha have no financial relationships with companies related to this material.

Wernicke’s encephalopathy arises from thiamine (vitamin B1) deficiency and can evolve into Korsakoff's syndrome, marked by memory deficits and confabulation. Timely detection is key to halting the progression of symptoms. Here: A guide to what signs to watch for and how to treat this disorder.


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