Featured Articles

Tips on Choosing an Antipsychotic for Schizophrenia

By: zdavis | August 26th , 2020 | The Carlat Psychiatry Blog| 0 Comment

Which antipsychotics should we consider selecting as the first-line and second-line treatments, and what should we base this decision on? Dr. Aziz addresses this in a past article from The Carlat Psychiatry Report. Here’s some of his advice: Process: Tolerability instead of efficacy should be considered when selecting a first-line treatment.

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Research Theme Park: Medland

By: jives | April 20th , 2020 | Podcast| 1 Comment

Lithium takes on the coronavirus. Benzos impair facial recognition. Antipsychotic doses find their maximum, the profile of a lithium responder, and topiramate for compulsive shopping. Published On: 4/21/20 Duration: 13 minutes, 51 seconds Studies Referenced: Garcez H, Fernandes C, Barbosa F, et al. Effects of benzodiazepines administrati

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7 Clozapine Tips

By: jives | April 8th , 2020 | Podcast| 11 Comment

We're supposed to move to clozapine after two failed antipsychotics in schizophrenia, but how many of us are really doing that?  Not enough. Clozapine may be difficult to use, but it is life changing for many patients. Here we bring you 7 tips, from serum plasma levels to little-known side effects like OCD. Published on: 4/6/2020 Duration: 20

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How to Dose an Antidepressant

By: jives | April 3rd , 2020 | Podcast| 1 Comment

Some antidepressants get better as the dose goes higher, while others just fizzle. For older patients, the side effects stack up as the benefits plateau. We review 3 new meta-analyses on antidepressant dosing, and bring you 4 updates on how the coronavirus is changing practice regulation. Date Published: 3/30/2020 Duration: 27 minutes, 2 secon

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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| 1 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| 0 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. 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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