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How to use Lithium in the Elderly

By: jives | July 15th , 2019 | The Carlat Psychiatry Blog| 13 Comment

A new study suggests that lithium might work better in geriatric depression, but prescribing it safely in older patients takes skill. To start with, they require different blood levels. In this episode you'll learn how to manage lithium's risks in the elderly, as well as some newly discovered medical benefits that it carries in this population. Pu

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Podcast Episode #8: SSRI Withdrawal

By: jives | July 1st , 2019 | The Carlat Psychiatry Blog| 0 Comment

Withdrawal problems rank among patients’ top concerns with antidepressants. They include insomnia, flu-like symptoms, irritability, distractibility, and unusual sensory experiences such as “brain zaps.” Earlier this year, a study examined clinical and biological research on tapers of serotonergic antidepressants. In this episode we discuss wha

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Podcast Episode #7: How to Use Amantadine

By: jives | June 24th , 2019 | The Carlat Psychiatry Blog| 1 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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Podcast Episode #6: The Carlat Report Goes to the APA Part I

By: jives | June 17th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Follow our editor-in-chief Chris Aiken as he brings you practice-changing highlights from the American Psychiatric Association's 2019 meeting. Featuring an interview with Mark Rappaport on inflammation and depression. Learn about a biomarker that predicts antidepressant response, pharmacologic approaches cannabis and opioid abuse, and safe prescribi

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Podcast Episode #5: Ginger Ale and Normal Hallucinations

By: jives | June 10th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Does ginger ale really help nausea? Are hallucinations ever normal? Some of the answers may surprise as we bring you highlights from the June/July double issue of the Carlat Report. Included are practical tips on how to assess spectrum symptoms of mental illnesses, how to intervene in patients at risk for schizophrenia, and dosage and product recomm

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Podcast Episode #4: An Antidepressant Diet

By: jives | June 3rd , 2019 | The Carlat Psychiatry Blog| 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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Podcast Episode #3: Do Antipsychotics Improve Cognition?

By: jives | May 27th , 2019 | The Carlat Psychiatry Blog| 2 Comment

Unlike the typical antipsychotics, atypicals improve both cognitive and psychotic symptoms of schizophrenia, so they must have procognitive effects of their own that can be harnessed in mood disorders, ADHD, and even dementia. The problem is that the data show the opposite. Publication Date: 5/27/19 Runtime: 8 mins, 35 seconds Article Reference

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Podcast Episode #2: Cash, Guns, and a Lap Dancing Drug Rep

By: jives | May 20th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Earlier this month, five Insys Therapeutics pharmaceutical executives were found guilty of racketeering for their attempts to bribe doctors to prescribe the company's Subsys fentanyl spray, which was approved as a pain reliever for cancer patients, to people who didn't even need it. Their scheme included strippers, guns, cash, and even a rap video i

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Podcast Episode #1: Sexual Side Effects of Psychiatric Medications

By: jives | May 13th , 2019 | The Carlat Psychiatry Blog| 1 Comment

Sexual side effects on SSRIs are so common that psychiatrist David Healy once argued these drugs more reliably lower libido than treat depression. Yet the problem isn’t limited to SSRIs, and it’s not unmanageable. In this episode Chris Aiken, MD, and Kellie Newsome, RN, discuss some useful strategies to manage sexual dysfunction on antidepressan

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