Psychopharmacology

Featured Articles

Off-Label Use of Medications for PTSD

By: jives | June 30th , 2019 | The Carlat Psychiatry Blog| 0 Comment

In The Carlat Child Psychiatry Report, Elizabeth Tien, MD, a child & adolescent psychiatrist at Maimonides Medical Center in Brooklyn, NY, offers off-label advice on prescribing medications for children with PTSD. Below are some general tips, but to get a handy table on which meds to choose and how to dose, please click here. SSRIs Start with ps

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Tips for Good Medication Practice

By: jives | June 28th , 2019 | The Carlat Psychiatry Blog| 0 Comment

The following are some recommendations on good medication practice from child psychiatrist Mark Chenven, MD, who offered his expertise in The Carlat Child Psychiatry Report: Start low, go slow: Most side effects are dose related, so gradual up-titration is simple common sense. This allows for the body’s homeostatic and regulatory mechanisms to resp

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Using Clozapine Effectively, Safely

By: jives | June 5th , 2019 | The Carlat Psychiatry Blog| 0 Comment

According to most treatment guidelines, you should consider clozapine after inadequate response to at least two antipsychotics. For patients who are extremely aggressive or suicidal, the APA treatment guidelines state that a trial of clozapine may be reasonable as a first or second line antipsychotic. Here are some additional tips for prescribing clozap

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Medication treatment for ADHD

By: jives | March 28th , 2019 | The Carlat Psychiatry Blog| 0 Comment

Choosing and prescribing the right medications for treating ADHD can be challenging. The Carlat Child Psychiatry Report spoke with Anne Buchanan, DO, Child psychiatrist at Maimonides Medical Center in Brooklyn, NY, about her approach. She offers the following tips.When choosing meds, Dr. Buchanan recommends that you: Consider stimulants first

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Quick Take Video - ADHD in Children and Adolescents

By: jives | November 12th , 2018 | The Carlat Psychiatry Blog| 1 Comment

Editor-in-Chief of The Carlat Child Psychiatry Report, Dr. Joshua D. Feder, discusses the latest issue about ADHD in children and adolescents. The issue features an expert interview with Mark Katz, MD. https://youtu.be/BKJW647gggU Become a subscriber here.

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Antipsychotics and Aggressive Children With ADHD

By: jives | July 12th , 2018 | The Carlat Psychiatry Blog| 0 Comment

The TOSCA study focused on children with severe ADHD, who also met criteria for oppositional defiant disorder (ODD) or conduct disorder (CD). These children tend not to do as well with stimulants alone and often end up being prescribed antipsychotics, typically second generation antipsychotics (SGA’s). TOSCA was devised to help clinicians determine wh

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Diagnosing and Treating Borderline Personality Disorder

By: | June 1st , 2017 | The Carlat Psychiatry Report| 0 Comment

By and large, psychiatrists aren’t terribly comfortable when it comes to diagnosing and treating borderline personality disorder (BPD). The clinical picture is challenging, and the stigma attached to the term makes it difficult for patients to hear—in fact, many ­clinicians end up not making the diagnosis at all! But BPD, characterized by DSM-5 as

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Is Topiramate a Silver Bullet for Those Dually Dependent on Alcohol and Nicotine?

By: | May 1st , 2017 | The Carlat Addiction Treatment Report| 0 Comment

Review of: Anthenelli R et al, Alcohol Clin Exp Res 2017;41(1):197–206. Study type: Randomized, double-blind, placebo-controlled trial People with alcohol use disorder are often smokers, and it can be very hard for patients to reduce their drinking and smoking simultaneously. In this study, the researchers hypothesized that topiramate, which has

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