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Home » Topics » Expert Q&A

Expert Q&A
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Expert Q&A

Pharmacological Treatment of Bipolar Disorder in Older Adults

January 31, 2023
John Beyer, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CGPR_JanFebMar 2023_BeyerQA_headshot.jpgJohn Beyer, MD. Professor of psychiatry, Duke University Medical Center. Durham, NC. Dr. Beyer has consulted for Express Scripts. Relevant financial relationships listed for the author have been mitigated.


With numerous treatment options available for bipolar depression and mania, clinicians often struggle to navigate between medication classes in balancing side effects, efficacy, and costs. Dr. Beyer shares his expertise in choosing first-, second-, third-, and fourth-line options based on their evidence in older adults.


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Expert Q&A

New-Onset Bipolar Disorder in Older Adults

January 31, 2023
Susan Lehmann, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CGPR_JanFebMar 2023_LehmanQA_headshot.jpgSusan Lehmann, MD. Patricia B. and William T. Bright Professor in Mental Wellness. Clinical director, Division of Geriatric Psychiatry and Neuropsychiatry; director, geriatric psychiatry clinic, Johns Hopkins Hospital. Associate professor of psychiatry and behavioral sciences, Johns Hopkins University School of Medicine. Baltimore, MD. Dr. Lehmann has no financial relationships with companies related to this material.

If an older adult has a first episode of mania, how do we differentiate bipolar disorder from other causes? Dr. Lehmann provides us with an overview of the course of the illness over a patient’s lifespan with helpful considerations in approaching the differential diagnosis.


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Expert Q&A

Prolonged Grief Disorder

January 30, 2023
M. Katherine Shear, MD
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

TCPR_M Katherine Shear_Headshot.jpgM. Katherine Shear, MD

Marion E. Kenworthy Professor of Psychiatry at Columbia School of Social Work and Vagelos College of Physicians and Surgeons, New York, NY.

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

Prolonged grief disorder is the new edition in DSM-5-TR. Katherine Shear explains how it differs from depression and PTSD and outlines a treatment approach.


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EXPERT Q&A

Buprenorphine and Dental Issues

January 30, 2023
Talia Puzantian, PharmD, BCPP
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

 Abelleira_Headshot_CATR.jpgTalia Puzantian, PharmD, BCPP.

Deputy editor for The Carlat Addiction Treatment Report. Professor, Keck Graduate Institute School of Pharmacy. Claremont, CA.

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

Buprenorphine is a first line treatment for opioid use disorder and has saved countless lives, but new warnings about associations between certain buprenorphine formulations and dental problems have people worried. Here, Dr. Puzantian reviews the data and shows us how to apply this new information to clinical care.


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EXPERT Q&A

Managing Alcohol Withdrawal in the Emergency Department

January 30, 2023
Brian Fuehrlein, MD, PhD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Fuehrlein_Headshot_CATR.jpgBrian Fuehrlein, MD, PhD.

Addiction psychiatrist. Associate professor of psychiatry, Yale University. Director of the psychiatric emergency department at VA Connecticut. West Haven, CT.

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

Alcohol withdrawal is among the most commonly encountered scenarios managed by psychiatrists in the ED. Here, Dr. Fuehrlein discusses the natural history of alcohol withdrawal, how best to assess withdrawal risk, and choose between treatment options.


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EXPERT Q&A

Assessment of Non-Suicidal Self-Injury in Children and Adolescents

January 30, 2023
Hanni Flaherty, LCSWR, PhD, CASAC
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CCPR_JanFebMar_2022_FlahertyQA_headshot.jpgHanni Flaherty, LCSWR, PhD, CASAC

Assistant Professor and Chair of Advanced Clinical Practice, Yeshiva University. President and Clinical Director, Collaborative People Clinical Group. New York, NY.

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

We interviewed Hanni Flaherty to learn how to talk with patients and families about non-suicidal self-injury. Learn how to assess and intervene with NSSI, including ideas for supporting autonomy while addressing the behavior.


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art-ther_child_canstockphoto34678609_thumb.jpg
EXPERT Q&A

Callous Unemotional Traits

January 30, 2023
Meghan Rose Donohue, PhD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CCPR_JanFebMar_2023_DonohueQA_headshot.jpgMeghan Rose Donohue, PhD.

Instructor in Psychiatry, Division of Child and Adolescent Psychiatry, Washington University School of Medicine. St. Louis, MO.

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

Are some kids really born with callous unemotional traits? We spoke with Rose Donohue to find out. Learn about the differences between primary and secondary CU behaviors and the different approaches to treatment.


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EXPERT Q&A

Recognizing Developmental Trauma Disorder in Children and Adolescents

January 30, 2023
Julian Ford, PhD, ABPP
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CCPR_JanFebMar_2023_FordQA_headshot.jpgJulian Ford, PhD, ABPP

Professor, Department of Psychiatry, University of Connecticut. Farmington, CT. Director, The Center for the Treatment of Developmental Trauma Disorders, a part of the National Child Traumatic Stress Network (www.nctsn.org).

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

Whether due to COVID, conflict, climate, or common car crashes, children often lose their caregiver at the same time they experience trauma. Our interview with Julian Ford will help you understand the proposed diagnostic criteria and ideas for intervention for this complex developmental trauma disorder.


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EXPERT Q&A

Understanding Sexuality and Gender

January 2, 2023
Hansel Arroyo, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_Arr.jpg

Hansel Arroyo, MD. Assistant professor of psychiatry, Icahn School of Medicine at Mount Sinai. New York, NY.      

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

Dr Arroyo gives us a comprehensive review of the mental health needs of transgender and gender-nonconforming patients and of gender-affirming treatments.


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EXPERT Q&A

Psychiatric Issues in Organ Transplantation

January 2, 2023
Paula C. Zimbrean, MD, FAPA, FACLP
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_Zim.jpg

Paula C. Zimbrean, MD, FAPA, FACLP 

Associate professor of psychiatry and surgery (transplant), Yale University School of Medicine; Chair, Transplant Psychiatry Special Interest Group, Academy of Consultation Psychiatry. New Haven, CT.

Dr. Zimbrean has consulted for Ultragenyx and Vivet Therapeutics, and has consulted and advised for Alexion. Relevant financial relationships listed for the author have been mitigated.


Growing numbers of patients receive organ transplants every year. This Q&A reviews the unique considerations that arise when these patients require psychiatric care. 


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