Clear, engaging, and practical updates on clinical psychiatry.

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How to use Guanfacine and Clonidine

October 26, 2020 | Podcasts

We take you through the story of rational drug discovery that lead to the approval of guanfacine and clonidine for ADHD, and share some tips on how to use them. And the word of the day: Dyssymbole. Published On: 10/26/2020 Duration: 19 minutes, 55 seconds Article Referenced: "Guanfacine ER for Adults With ADHD?" The Carlat Psychiatry Report


A Prescription Video Game for ADHD [60 Sec]

October 24, 2020 | Podcasts

The hand eye movements of a prescription video game are thought to exercise circuits involved in attention, and this theory did translate to small but real improvements in attention in 5 clinical trials involving over 600 children with ADHD Published On: 10/24/2020 Duration: 3 minutes, 4 seconds Transcript:  A spaceman rides down an icy


Two Updates on Pimavenserin [60 Sec Psych]

October 21, 2020 | Podcasts

Last April we reported on Pimavenserin – Nuplazid – the novel antipsychotic that’s FDA approved in psychosis related to parkinson’s disease. In that article we mentioned a randomized controlled trial from Mass General – the CLARITY trial - that showed promising augmentation effects when Pimavenserin was added to an antidepressant in major de


Perimenopausal Depression

October 19, 2020 | Podcasts

We interview Rita Nunacs on perimenopausal depression, and our word of the day – processomania – brings us into the crosshairs of politics and psychiatry. Published On: 10/18/20 Duration: 24 minutes, 42 seconds Article Referenced: "Mood and Menopause," The Carlat Psychiatry Podcast, October 2020 Rough Transcript: Dr. Aiken: Women have tw


Time to Talk About Naloxone [60 Sec Psych]

October 17, 2020 | Podcasts

New labeling from the FDA requires physicians to discuss naloxone with patients or caregivers they are prescribing opioids to. The new guideline also recommends that we prescribe naloxone to anyone who is at risk for opioid overdose, even if we aren’t prescribing them an opioid. That would include patients with a history of opioid overdose and those


Quarantining with Benzos [60 Sec Psych]

October 13, 2020 | Podcasts

Benzo prescriptions have risen 34% during COVID-19, particularly in women. People are also getting benzos outside of prescriptions. Drs. Islam and Choudhry discussed the emerging trend in a commentary in Clinical Psychiatry News. Specifically, they are concerned that people will obtain benzos over the internet, and that this casual use can raise the


How to Measure Cognition on Trintellix

October 12, 2020 | Podcasts

Trintellix claims to improve cognition in depression, but what does this effect look like in patient’s lives? We speak with Tom Gualtieri about the cognitive side of antidepressants, and show you how to use a 3 minute cognitive test that reveals a lot about how your patients are functioning. Published On: 10/12/20 Duration: 23 minutes, 30 se


How To Spot An Ultraprocessed Food [60 Sec Psych]

October 7, 2020 | Podcasts

This month the first systemic meta-analysis of epidemiologic studies of ultra processed foods has come out, and we have a clearer picture of what poor dietary habits do to 300,000 people. [Link] Published On: 10/3/2020 Duration: 5 minutes, 34 seconds Got feedback? Take the podcast survey.


Ultraprocessed Foods Raise Depression Risk [60 Sec Psych]

October 7, 2020 | Podcasts

In 2004 Morgan Spurlock decided to see what would happen when he ate a typical McDonald’s meal for breakfast, lunch, and dinner. Over the next 30 days, we watched as he gained 24 pounds and developed high cholesterol, fatty liver, and signs of depression in the now classic documentary Supersize Me. Published On: 10/7/2020 Duration: 3 minute


Living Well with Lithium

October 5, 2020 | Podcasts

A special edition for patients. Lithium is one of the most effective medications for bipolar and depression, but many of its marvels have remained obscure. Lithium has never benefited from a pharmaceutical ad (because it’s a mineral, not a medicine), so we’ve stepped in to fill that gap. Published On: 10/5/20 Duration: 23 minutes, 53 seconds Ro