Anxiety

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Does Trintellix Treat Generalized Anxiety?

By: jives | November 11th , 2019 | The Carlat Psychiatry Blog| 20 Comment

Trintellix looks like a natural fit for anxiety disorders, with a serotonergic mechanism that overlaps with buspirone (5HT1a agonism). But things are not always as they seem in psychiatry. In this second installment of our anxiety series we delve into the failure of Trintellix in generalized anxiety disorder, and uncover two other myths about this a

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A Scandalous History of Anxiety

By: jives | November 4th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Is Generalized Anxiety Disorder (GAD) an anxious temperament, a symptom of another disorder, or a valid disorder on its own? In Part One of our November series on anxiety, we trace the history of GAD from Sigmund Freud to DSM-5.  With over two dozen choices, it isn't easy to pick a medication for GAD. The forthcoming issue of The Carlat Psychiatry

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Should we trust the experts?

By: jives | September 16th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Why does the top-selling psychiatric textbook base its recommendations on the lowest grade of medical evidence? Psychiatric practice is often mislead by expert opinion, practice trends, and neurotransmitter theories. In the case of paroxetine (Paxil), venlafaxine (Effexor), and mirtazapine (Remeron), this misinformation has created some popular myth

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Safe Use of Gabapentin with Patients

By: jives | June 19th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Although there’s been a lot of discussion about gabapentin’s abuse potential, gabapentin substance use disorders are pretty rare, with one study finding that only 2% of 44,148 patients using gabapentin alone met criteria for sustained overuse (Peckham et al, Pharmacotherapy, in press). The one area where you should show caution, however, is when pat

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Helping Children To Tell Us About Their Experience

By: jives | June 22nd , 2019 | The Carlat Psychiatry Blog| 0 Comment

There are some ways to help you assess the type of anxiety that leads to inattention. Consider the following tips, which we’ve excerpted from an article from The Carlat Child Psychiatry Report newsletter: Catalog. Work with the child to develop a list of activities in which the child is calm and or alert and does well, and another list of things th

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