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Home » Blogs » The Carlat Psychiatry Blog

The Carlat Psychiatry Blog
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Keeping psychiatry honest since 2003.
News and opinions on mental health from Dr. Carlat, the editorial team, and guest contributors.

The Choice: Meds for Tardive Dyskinesia

January 20, 2020
With two medications approved for tardive dyskinesia, how do you choose between them? And how does anyone afford their $80-140,000 a year price tag? We'll walk you through the steps, and show you how to get these VMAT2 inhibitors approved by insurance. Date Published: 1/20/2020Duration: 23 minutes, 51 secondsArticle Referenced: "How...
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Getting Uncomfortable With Esketamine

January 13, 2020
Esketamine (Spravato) was approved in 2019 for treatment resistant depression, but the medicine quickly gathered controversy about its long-term safety. We interview Dr. Nolan Williams from Stanford University about these issues and where esketamine fits in our interventions for treatment resistant depression. Date Published: 1/13/2020 Duration: 12 minutes, 21 secondsTake...
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Behavioral Interventions for ADHD

December 23, 2019
When does everyday inattention cross the line into ADHD? Psychiatrist and psychotherapist Scott Shapiro shares his tips on recognizing the hidden symptoms of ADHD and his top behavioral interventions for the disorder.Date Published: 12/23/2019Duration: 11 minutes, 27 secondsRelated Areticles: "Adult-Onset ADHD " The Carlat Psychiatry Report, November 2019 Links: Take...
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Vaping Deaths: Vitamin E in THC Products

December 5, 2019
The CDC reports 48 deaths related to e-cigarette, or vaping, associated lung injury (EVALI) in the United States, Puerto Rico, and the U.S. Virgin Islands. There are 2,291 total EVALI cases. This data as of December 4, 2019.Vaping deaths have been reported for months, and only recently the CDC has...
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Neuroticism and SSRIs

November 18, 2019
Neuroticism is not in the DSM, but it's a common cause of anxiety and may predict thether a patient respond to an SSRI. We talk with Nassir Ghaemi and bring you practical insights into this personality trait. How to recognize it, how to treat it, and how to avoid over-treating...
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Should We Allow Smartphones on the Psych Unit?

September 25, 2019
It’s a bit of dogma that goes rarely challenged in inpatient psychiatry—patients can’t use smartphones. There are multiple reasons for this, ranging from privacy issues (patients might Instagram other patients), clinical issues (patients might isolate themselves and not go to groups), safety issues (they might break and use the screen...
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A New Way to Talk About Psych Meds

September 9, 2019
Psychiatrist Shawn Christopher Shea shares his top tips on engaging patients in their medication treatment. Dr. Shea has been fine tuning the art of doctor-patient communications for over 30 years through best-selling texts on psychiatric interviewing and suicide assessment. His latest book, The Medication Interest Model, presents a unique model for talking...
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Violence Risk Assessment Tools

August 5, 2019
Dealing with potentially violent patients is daunting, but we can play an effective role in assessing and reducing violence risk. This post from The Carlat Psychiatry Report links to some key resources.Risk Assessment Tools Classification of Violence Risk (COVR): available at www.parinc.com Historical, Clinical, Risk Management (HCR-20): available at www.parinc.com Psychopathy...
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Editor's Choice: Volunteering to Help Youth Refugees Q&A

July 12, 2019
Here's a recent article from The Carlat Child Psychiatry Report I highly recommend.In the March/April 2019 issue Dr. Suzan Song talked to us about helping refugees and asylum seekers in this Expert Q&A. We hear of many children and adolescents who are refugees, most seeking asylum. There are calls for...
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Editor's Choice: An Antidepressant Diet Expert Q&A

July 11, 2019
Chris Aiken, MD
I was a reader of The Carlat Psychiatry Report before I was an editor, and there were two things that led me to subscribe to it:1) They cover topics that get missed in the psychiatric press, like practical tips and treatments that aren't backed by a promotional budget.2) They give...
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