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Home » Blogs » The Carlat Psychiatry Blog

The Carlat Psychiatry Blog
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“Where’s My Boat?” — Treating Agitation in Dementia

September 1, 2025
Daniel Carlat, MD

We’re often told antipsychotics are a last resort for agitation in dementia. And that’s true—they are. But when you do reach that last resort, you need to know how to use it—and how to talk about it with families.




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How to Talk to Patients About Porn Use

August 29, 2025
Daniel Carlat, MD

We ask about alcohol.

We ask about weed.

Sometimes we even ask about TikTok.

But porn?




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He Wasn’t Psychotic. He Was Terrified. (Part #3)

August 28, 2025
Daniel Carlat, MD

What happens when the patient doesn’t want therapy?



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Cannabis for Anxiety? What the Data Really Says

August 26, 2025
Daniel Carlat, MD

How do you approach patients who ask about cannabis for anxiety?



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When ADHD Isn’t ADHD: A Cautionary Case

August 22, 2025
Daniel Carlat, MD

A reminder that focus problems don’t always mean ADHD. That suffering doesn’t always need a label. And that quick relief can sometimes do lasting harm.



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He Wasn’t Psychotic. He Was Terrified. (Part #2)

August 20, 2025
Daniel Carlat, MD

Yesterday I wrote about what it feels like to live with social anxiety.

Today I want to talk about how we ask about it.


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He Wasn’t Psychotic. He Was Terrified. (Part#1)

August 19, 2025
Daniel Carlat, MD

We talk about social anxiety like it’s just shyness with a clinical name. But for some patients, it’s life-halting.


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How to Ask About Abuse: What Every Clinician Should Know

August 14, 2025
Daniel Carlat, MD

Your patient has a new partner. But she doesn’t seem happy.


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Mood Disorders in Pregnancy, Postpartum, and Breastfeeding

August 13, 2025
Daniel Carlat, MD

What do you say when a pregnant patient asks if her medication will hurt the baby?

You have 15 minutes. And you’re not entirely sure.


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Pregnancy Doesn’t Protect Against Depression

August 12, 2025
Daniel Carlat, MD

Pregnancy is wonderful. But don't buy the myth that it protects against depression.


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    Geriatric Psychiatry Fact Book, First Edition (2025)

    Everything you need to help your older adult patients from the unbiased clinical experts who...
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