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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.

Integrative Approach to Assessing ADHD

July 3, 2019
Using Vitamins, specific diets, and herbal remedies, Integrative Medicine (IM) focuses on supporting the innate healing powers of the body.IM is not without its disadvantages. Firstly, and chiefly, the evidence base for efficacy is deficient by the standards of conventional medicine. In part, this is due to a lack of...
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Helping Patients Maintain Recovery

July 2, 2019
Excerpted from a past issue of The Carlat Addiction Treatment Report, Matthew Goldenberg, DO, Founder of Professionals Health Solutions and assistant professor of psychiatry at Cedars-Sinai Medical Center, offers the following advice:Enhance your patients’ courage. Many people with SUDs may not think of themselves as brave, but it takes guts...
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Off-Label Use of Medications for PTSD

June 30, 2019
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...
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Possible Uses for EEG

June 29, 2019
First developed in the 1920s, EEG entails applying electrodes to the scalp’s surface to measure electricity generated by neural activity. The brain works primarily via action potentials that lead to the release of neurotransmitters into synaptic clefts. Although EEG can’t detect the tiny amount of electricity produced by the individual...
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Tips for Good Medication Practice

June 28, 2019
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...
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Tips for Better Motivational Interviewing

June 27, 2019
In The Carlat Addiction Treatment Report, David Rosengren, PhD, President of the Prevention Research Institute, gives the following tips on how to conduct motivational interviewing:Be curious, not an expert.Training and expertise can get in the way of our really hearing the client’s story. For example, a client says, “I don’t...
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Helping Children To Tell Us About Their Experience

June 22, 2019
There are some ways to help you assess the type of anxiety that leads to inattention. Consider the following tips, which we’ve excerpted from an article from The Carlat Child Psychiatry Report newsletter:Catalog. Work with the child to develop a list of activities in which the child is calm and...
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Strategies for Getting Patients to Quit Smoking

June 21, 2019
For patients who smoke intermittently, you should start with nicotine replacement therapies, such as nicotine lozenges or gum, which can be used on a PRN basis.Patients who smoke more frequently, such as several times per day, will need consistent nicotine replacement from a patch to prevent the peaks and troughs...
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Managing Medications with Adolescents

June 20, 2019
Just getting adolescents to even find their medicine or remember to take it is a big challenge, says Jess Shatkin, MD, Professor of Adolescent Psychiatry and Pediatrics at the New York University School of Medicine, and author of “Born to be Wild: Why Teens Take Risks, and How We Can...
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Safe Use of Gabapentin with Patients

June 19, 2019
Although there’s been a lot of discussion about gabapentin’s abuse potential, gabapentin substance use disorders are pretty rare, with one study finding that only 2% of 44,148 patients using gabapentin alone met criteria for sustained overuse (Peckham et al, Pharmacotherapy, in press). The one area where you should show caution,...
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