Awe quiets the brain’s default mode network, the same loop behind depression and rumination. 

This month in The Carlat Psychiatry Report, Jason Mallo, DO, breaks down the drug interactions that actually matter—the ones that carry real clinical consequences, and the ones that are often missed.

The rise in autism is real.

But the reasons are more structural than sinister.

And more hopeful than we often assume—because they reflect progress, not collapse.

For LGBTQIA+ older adults, that line is crossed more often than we think.

Sometimes it looks like concern.

Sometimes it’s framed as protection.

But the impact is the same: autonomy is eroded, piece by piece.

Your patients are already using these treatments.The question is—should we be recommending them?

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.

We ask about alcohol.

We ask about weed.

Sometimes we even ask about TikTok.

But porn?