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Home » Topics » Expert Q&A

Expert Q&A
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Expert Q&A

Deprescribing Benzos: A How-To Guide

October 31, 2023
Audrey Abelleira, PharmD, BCPP
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

QA_Addiction--Prescriptions_Abelleira.jpgAudrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, 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.


Benzodiazepines are widely prescribed but carry significant risks. The best course of action for many patients is to have their benzodiazepine prescription discontinued, but physiologic dependence can make stopping benzodiazepines a big challenge. Dr. Abeillera teaches us how to identify those who might benefit from a taper and covers all the details on how to do it as safely and effectively as possible. 


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Expert Q&A

Management of Depression During Pregnancy and Breastfeeding

October 3, 2023
Karen Horst, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_Depression in Pregnancy_Karen Horst photo-thumb.jpgKaren Horst, MD. 

Assistant Professor, Department of OB/GYN, Baylor College of Medicine; Medical Director, The Women’s Place, Pavilion for Women at Texas Children’s Hospital, Houston, TX.

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

You might worry about prescribing antidepressants during pregnancy, but data on their safety is increasingly reassuring. We provide an in-depth review on how to treat depression in pregnancy and breastfeeding.


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Expert Q&A

Treating Bipolar Disorder During Pregnancy

October 3, 2023
Lauren Osborne, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA1_BD in Pregnancy_LaurenOSBORNE-thumb.jpgLauren Osborne, MD.

Vice Chair of Clinical Research, Department of Obstetrics & Gynecology, Weill Cornell Medicine, New York, NY.

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

The management of bipolar disorder during pregnancy can be tricky. Some medications can be harmful to the fetus, and others need to be adjusted carefully due to changes in kidney and liver function. We walk you through the important considerations to keep in mind when working with these patients.


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Expert Q&A

Sleep Apnea in Psychiatry

October 3, 2023
Barry Krakow, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_Krakow headshot.jpgBarry Krakow, MD.

Board-certified sleep medicine specialist practicing in Savannah, Georgia, following a 30-year clinical and research career, spearheading the movement to address sleep disorders in psychiatric patients. He is the author of several books, most recently Life Saving Sleep: New Horizons in Mental Health Treatment (Savannah, GA: The New Sleep Times; 2023).

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

From an alarming overlap with PTSD to new devices that ease the treatment, Dr. Krakow brings the sleep apnea updates that psychiatrists need to know.


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EXPERT Q&A

A Psychiatrist Reflects on Psychotherapy: An Interview with Allen Frances

September 12, 2023
Allen Frances, MD
From The Carlat Psychotherapy Report
Issue Links: Editorial Information

Allen Frances, MD. Chair of the DSM-IV Task Force; Professor and Chairman Emeritus of the Duke University Department of Psychiatry; founding editor of the Journal of Personality Disorders and the Journal of Psychiatric Practice; and co-host of the podcast Talking Therapy.

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

Dr. Frances explains the rationale for tailored psychotherapy techniques for a strong patient-therapist relationship.


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Expert Q&A

A Disease-Modifying Approach to Mood Conditions

September 1, 2023
Nassir Ghaemi, M.D.
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_NassirGhaemiHeadshot.pngS. Nassir Ghaemi, MD, MPH.

Professor of Psychiatry and Director of the Psychopharmacology Consultation Clinic at Tufts Medical Center.

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

Nassir Ghaemi looks for medications that treat the underlying disease, not just reduce the symptoms. He may have found one. 


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Expert Q&A

Autism in Adults

August 7, 2023
Joshua D. Feder, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_Aug2023_QA_Feder_thumb.jpgJoshua D. Feder, MD. 

Editor-in-Chief, The Carlat Child Psychiatry Report.

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

How to diagnose autism, the role of pharmacotherapy, and how to guide patients toward independence in adulthood.


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Expert Q&A

Dissociative Identity Disorder vs Plural Identity in Teens and Young Adults

August 1, 2023
Paroma Mitra, MD.
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CCPR_QA2_Headshot_PM.jpgParoma Mitra, MD. 

Attending psychiatrist, Assertive Community Treatment Team, Bellevue Hospital; clinical assistant professor, New York University Grossman School of Medicine, New York, NY. 

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

Dr. Mitra discusses the complexities of plural identity disorder.


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Expert Q&A

Talking With the Family About Gender Dysphoria

August 1, 2023
Peter T. Daniolos, MD, DFAACAP.
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CCPR_QA1_peter-daniolo.jpgPeter T. Daniolos, MD, DFAACAP. 

Faculty member, Harvard Medical School; child and adolescent psychiatrist, Cambridge Health Alliance/Cambridge Hospital, Cambridge, MA; clinical professor, University of Iowa Carver College of Medicine, Iowa City, IA.

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

How can we support families of kids and teens with gender dysphoria? Dr. Peter Daniolos at Harvard Medical School offers practical examples of the lived experiences of gender diverse kids and teens and then helps us know how to talk with family members to help them understand and support their children. 


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Expert Q&A

Crisis in Pediatric Mental Health: The Kids Aren’t Alright

August 1, 2023
Warren Y.K. Ng, MD.
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Warren Y.K. Ng, MD.

Child and adolescent psychiatrist; Medical Director of Clinical Services, Division of Child and Adolescent Psychiatry, Columbia University Medical Center and New York Presbyterian/Morgan Stanley Children’s Hospital; President, American Academy of Child and Adolescent Psychiatry, New York, NY.

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

As the head of the American Academy of Child & Adolescent Psychiatry, Dr. Ng is deeply familiar with the serious issues facing pediatric mental health. He outlines methods to protect children, such as partnering with pediatricians and making use of school-based programs. Additionally, he lists resources for healthcare providers, patients, and their families.
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