How can we help our psychotic patients cope with hallucinations that are still bothering them, despite adequate doses of antipsychotic medication? Here are some techniques to try (acknowledgments to Dr. Dost Ongur of McLean Hospital, who had discussed these in a past issue of The Carlat Psychiatry Report).Music. This sometimes...

Regardless of where you practice, you'll increasingly hear patients acknowledging regular marijuana (MJ) use, sometimes as a "medical treatment" for conditions ranging from back pain to ADHD. You might want to remind your patients that, whether legal or not, marijuana is still a drug with potential negative consequences. Here are...

I don't specialize in addiction treatment, but occasionally I do have patients who tell me they've been overusing prescription narcotics. For example, I once treated a woman for depression who was dependent on Vicodin that was originally prescribed after surgery by her OB/GYN. Over the years she had tried...

Subscribers can look forward to some great content throughout the year for all three newsletters. Here's what the editors-in-chief have to say about the useful articles they are working on to help you improve patient outcomes.The Carlat Psychiatry ReportThere’s no shortage of information on prescribing medications, but when and how...

Authors Joshua D. Feder, MD, Elizabeth Tien, MD, and Talia Puzantian, PharmD, BCPP have carefully put together this quick-reference guide.The Child Medication Fact Book is a comprehensive reference resource covering all the important facts, from cost to pharmacokinetics, about the most commonly prescribed medications in child and adolescent psychiatry.https://youtu.be/BULqqjIfpccComposed of...

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/BKJW647gggUBecome a subscriber here.

The recent Senate hearings regarding Supreme Court nominee Brett Kavanaugh have brought up the topic of alcohol overuse, and especially the issue of the alcoholic blackout. This post covers what alcohol-induced blackouts are and aren’t, and how to differentiate them from simply passing out from too much alcohol.Alcohol is a...

Adolescents are generally healthy, and they don’t tend to present with pancreatitis or other adult diseases that can be possible clues to a substance use issue. A lot of times adolescents with SUDs don’t hit the surface until they have a legal or a school consequence.The following is some advice...

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...

Treatment resistant depression (TRD) is not untreatable. The challenge is to keep hope alive and the patient engaged in their recovery, writes Editor-in-chief Chris Aiken in the July/August issue of The Carlat Psychiatry Report. In addition to using antidepressants as part of treatment, Dr. Aiken says you should recommend the...