Featured Articles

Tips on the Doubts about Ketamine/Esketamine

By: zdavis | August 19th , 2020 | The Carlat Psychiatry Blog| 0 Comment

Ketamine and esketamine have been shown to provide rapid relief of suicidality, however, many lingering doubts have been raised about these medicines. In a previous article from The Carlat Psychiatry Report, Nolan Williams, M.D., discusses the potential negative consequences of ketamine/esketamine treatment. Here are some of Dr. Williams’s tips: It

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Navigating the World of Mental Health Apps

By: zdavis | August 18th , 2020 | The Carlat Psychiatry Blog| 1 Comment

Many mental health apps can be problematic “because most of the apps that are available are poorly designed and lack research support.” Dr. Torous discusses these apps in an article from The Carlat Psychiatry Report. Here is some of his advise: Assessing Mental Health Apps: Privacy. Determine if the app has a privacy policy. Many apps are no

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How Effective is Esketamine [60 Sec Psych]

By: jives | May 16th , 2020 | Podcast| 1 Comment

It's been a year since esketamine's (Spravato) debut for treatment resistant depression, and the numbers are in: to treat and to harm. A review of Citrome L, DiBernardo A, Singh J. 144 Esketamine Nasal Spray for Management of Treatment-Resistant Depression: Number Needed to Treat, Number Needed to Harm, Likelihood to be Helped/Harmed. CNS Spectr. 2020;2

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What Cocaine Tells Us About Depression [60 Sec Psych]

By: jives | May 13th , 2020 | Podcast| 0 Comment

Depressed patients who've used cocaine in the past might be more likely to develop bipolar disorder. A review of de Azevedo Cardoso T, Jansen K, Mondin TC, et al. Lifetime cocaine use is a potential predictor for conversion from major depressive disorder to bipolar disorder: a prospective study. Psychiatry Clin Neurosci. 2020;10.1111/pcn.13012. [Lin

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Top Lifestyle Tips for Depression and Bipolar

By: jives | March 16th , 2020 | Podcast| 0 Comment

How do you make the most of brief therapy during a medication visit? Chris Aiken, MD, pulls a few of his favorite interventions from his new book, The Depression and Bipolar Workbook. Date Published: 3/16/20 Duration: 20 minutes 24 seconds

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Inflammation and Depression: An Interview with Andrew Miller, MD

By: jives | February 10th , 2020 | Podcast| 0 Comment

30-50% of patients with depression have signs of inflammation, and some of those markers may help predict which medication they'll respond to. Andrew Miller, MD, of Emory University is one of the leading researchers in this field, and in this interview he tells us when to suspect inflammation and how to test for it. Published on: 2/10/20 Duratio

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The Carlat Report Goes to APA Part II

By: jives | July 29th , 2019 | Podcast| 0 Comment

More highlights from the American Psychiatric Association's 2019 meeting in the final installment of this two-part series. Expert interviews with Manpreet Singh on childhood mood disorders and Nikhil Rao on novel medications for sleep. Learn what to do when children get worse on antidepressants, and how to use clonidine for sleep in patients with

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Editor's Choice: An Antidepressant Diet Expert Q&A

By: jives | July 11th , 2019 | The Carlat Psychiatry Blog| 0 Comment

I was a reader of The Carlat Psychiatry Report before I was an editor, and there were two things that led me to subscribe to it: 1) They cover topics that get missed in the psychiatric press, like practical tips and treatments that aren't backed by a promotional budget. 2) They give the big picture and the nitty gritty. Instead of reciting the researc

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How to Use Amantadine

By: jives | June 24th , 2019 | Podcast| 0 Comment

Rarely used but often studied, amantadine is a medicine that doesn't fit neatly into any boxes. It's thought to work in OCD, autism, depression, cognition, ADHD, weight loss, sexual dysfunction, and traumatic brain injury. But how good is that research, and when should you use it? Chris Aiken and Kellie Newsome guide you through in this edition.

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An Antidepressant Diet With Felice Jacka, MD

By: jives | June 3rd , 2019 | Podcast| 0 Comment

A healthy diet is associated with an approximately 30% reduction in the risk for depression and a 40% improvement in cognition. That’s after controlling for education, income, other health behaviors, and body weight. This podcast discusses a recent interview with Felice Jacka, MD, Professor at Deakin University, Geelong, Victoria, Australia. She i

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Lifestyle Interventions for Treatment-Resistant Depression

By: jives | July 6th , 2018 | The Carlat Psychiatry Blog| 0 Comment

Treatment resistant depression (TRD) is not untreatable. The challenge is to keep hope alive and the patient engaged in their recovery, writes Editor-in-chief Chris Aiken in the July/August issue of The Carlat Psychiatry Report. In addition to using antidepressants as part of treatment, Dr. Aiken says you should recommend the following patient lifestyle

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