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Home » Topics » Expert Q&A

Expert Q&A
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Expert Q&A

Managing Substance Use in Older Adults

May 9, 2023
Louis Trevisan, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Louis Trevisan, MD. 

Clinical professor of psychiatry, Creighton University School of Medicine, Omaha, NE; associate professor of psychiatry, adjunct, Yale School of Medicine, New Haven, CT.

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

How do we best approach screening for substance use disorders in older adults? Dr. Trevisan walks us through his approach to choosing the right screening tools and speaking with patients.


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Expert Q&A

Cardiovascular Psychiatry: Part 2

April 14, 2023
Margo C. Funk, MD, MA, FACLP
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_Funk_headshot_thumb.jpgMargo C. Funk, MD, MA, FACLP.

Director of Cardiovascular Psychiatry, Vice Chair for Education, Residency Program Director, Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA.

Dr. Funk has disclosed that in 2021, she received fees as a consultant for Acadia Pharmaceuticals. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

“About half of older adults with depression have evidence of a vascular contribution [to the mood disorder] on MRI, and the rate goes up with age.”

How to identify and treat vascular depression.


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Expert Q&A

Cardiovascular Psychiatry: Part 1

April 14, 2023
Margo C. Funk, MD, MA, FACLP
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_Funk_headshot_thumb.jpgMargo C. Funk, MD, MA, FACLP.

Director of Cardiovascular Psychiatry, Vice Chair for Education, Residency Program Director, Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA.

Dr. Funk has disclosed that in 2021, she received fees as a consultant for Acadia Pharmaceuticals. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Most psychiatric meds have cardiac risks. Dr. Funk tells us when to put the brakes on.


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Expert Q&A

Recognizing and Treating Psychosis in Autism

April 1, 2023
Kristin Cadenhead, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_Cadenhead-Kristen-MD-full-gry.jpgKristin Cadenhead, MD. 

Professor of psychiatry. Director, Cognitive Assessment and Risk Evaluation (CARE) Early Psychosis Treatment and Research Program, University of California, San Diego.

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

Is it autism or psychosis or both? Autistic traits and psychotic symptoms can look a lot alike. How common is psychosis in autism? And how can we differentiate co-occurring autistic traits from psychotic symptoms? Dr. Kristin Cadenhead gives us an approach for sorting through the history and addressing these problems separately.


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Expert Q&A

Addressing Suicidality in Autistic Children and Teens

April 1, 2023
Paul Lipkin, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA1_Lipkin_headshot_gry.jpgPaul Lipkin, MD.

Neurodevelopmental and developmental behavioral pediatrician. Director, Medical Outpatient Services, Kennedy Krieger Institute, Baltimore, MD.

Dr. Lipkin has served as an advisor for EarliTec and Sarepta Diagnostics. Relevant financial relationships listed for the author have been mitigated.

Autistic kids and teens can become despondent or suicidal. When this happens, we need to take it as seriously as with anyone else. We interviewed Dr. Paul Lipkin who has truly useful tips to help us modify our assessment to communicate effectively back and forth to address the problem.


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Expert Q&A

Management of Chronic Pain

April 1, 2023
Lewei (Allison) Lin, MD, MS
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_PainMgmt_Lin_headshot_gry_headshot.jpgLewei (Allison) Lin, MD, MS. Associate professor, Department of Psychiatry, University of Michigan Medical School; research scientist, Center for Clinical Management Research, VA Ann Arbor Healthcare System. Ann Arbor, MA.

Dr. Lin has served as a consultant for the National Committee for Quality Assurance via a grant from Alkermes. Relevant financial relationships listed for the author have been mitigated.

Patients with psychiatric conditions are more likely than other patients to experience chronic pain and to receive opioid prescriptions. Dr. Lin shares her holistic approaches to pain management that incorporate psychosocial, psychotherapeutic, and psychopharmacologic treatments.


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Expert Q&A

Interpreting Urine Drug Tests

April 1, 2023
Karen Moeller, PharmD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA1_UrineDrugScreens_Moeller_headshot.jpgKaren Moeller, PharmD. Clinical professor, Department of Pharmacy Practice, University of Kansas School of Pharmacy. Lawrence, KS. Board-certified psychiatric pharmacist, inpatient psychiatry unit, University of Kansas Health Systems. Kansas City, KS.

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

Drug screen accuracy depends on several factors, including the type of lab test, the number of hours since the patient’s use of the drug, and more.. Dr. Moeller reviews key points.


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Expert Q&A

Substance-Induced Depression: Diagnosis and Treatment

April 1, 2023
Bryan K. Tolliver, MD, PhD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

CATR_QA2_Headshot_Tolli.jpgBryan K. Tolliver, MD, PhD

Associate professor, Addiction Sciences Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina. Charleston, SC.

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

“When tailoring medication choice, a careful history can guide you. If I’m treating a patient who drinks excessively at night to sleep or who struggles with insomnia when they try to stop drinking, I’ll start with a sedating antidepressant like mirtazapine. That’s not an evidence-based decision, it’s a clinical decision that I think can be helpful.”

Dr. Tolliver gives us a framework to understand the relation between depression, substance use, and substance-induced mood disorders.


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Expert Q&A

Recognizing and Treating Substance-Induced Psychosis

April 1, 2023
David Beckmann, MD, MPH
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

CATR_QA1_Beckmann headshot_color.jpgDavid Beckmann, MD, MPH. 

Assistant professor of psychiatry and human behavior, Sidney Kimmel Medical College, Thomas Jefferson University. Philadelphia, PA.

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

Clinical pearls on how to assess and treat substance-induced psychosis when you come across them in your clinic.


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Expert Q&A

Herbal Therapies for Depression

March 8, 2023
Scott Mendelson, MD, PhD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_QA_Mendelson_headshot.jpgScott Mendelson, MD, PhD.

Recently retired after 25 years of practicing inpatient and outpatient psychiatry in community and VA hospitals. He is the author of several psychiatric textbooks including Herbal Treatment of Major Depression (CRC Press, 2019) and Herbal Treatment of Anxiety (CRC Press, 2022).

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

Scott Mendelson shows us how to use the top 3 herbal therapies for depression--namely, St. John’s wort, curcumin, and saffron.


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