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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.

Options for Calming a Highly Agitated Child

May 5, 2019
An 11-year-old boy, who was admitted for suicidal ideation, is angry and wants to go home. He is marching up and down the hallways, screaming and flailing his arms in a menacing manner. You realize that medication to sedate him might be necessary, but you’re also considering a behavioral intervention.How...
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Parents Can Help With Risky Adolescent Behavior

May 4, 2019
Because of several factors, including high levels of dopamine, adolescents are prone to risky behavior. Controlling that risk and keeping kids safe isn’t something we as child psychiatrists can do on our own. It also takes support and help from parents, says Jess Shatkin, MD, an expert on adolescent behavior,...
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Prescribing Newer Antidepressants

May 3, 2019
Michael Gitlin, MD, director of the Outpatient Mood Disorder Program at UCLA gave The Carlat Psychiatry Report his view on newer antidepressants. He emphasized that these newer medications are no more effective than our standard antidepressants, but that it’s always good to have more options available for patients who may...
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Evaluating Memory Loss in Patients

May 1, 2019
The old rule of thumb used to be that “you don’t need to worry about the person who’s worried about their memory; you need to worry about people who aren’t worried.” Although that might still be true for people already with dementia, it’s important that you pick up on memory...
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Evaluating Psychosis in Children

April 24, 2019
Psychosis in children is difficult to determine, especially in younger kids who might not understand the concept of psychotic behavior. In more obvious cases, children will come into your office saying that they are hearing voices, or that someone is chasing them. But how do you evaluate a child for...
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Medication treatment for ADHD

March 28, 2019
Choosing and prescribing the right medications for treating ADHD can be challenging. The Carlat Child Psychiatry Report spoke with Anne Buchanan, DO, Child psychiatrist at Maimonides Medical Center in Brooklyn, NY, about her approach. She offers the following tips.When choosing meds, Dr. Buchanan recommends that you: Consider stimulants first line.
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Quick Tips: First Episode Psychosis

March 25, 2019
When we see patients with a first episode of psychosis, it can be difficult to know what the diagnosis is, and how to proceed with treatment. The Carlat Psychiatry Report spoke with Ann Shinn, MD, Director of Clinical Research, Schizophrenia and Bipolar Disorder Research Program, McLean Hospital, for some tips...
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Tips on Vitamins in Psychiatry

March 22, 2019
In The Carlat Psychiatry Report's 2016 update on Complementary Alternative Medicine, Dr. Lila Massoumi, an expert in integrative psychiatry, gives provides a timely and practical overview of the vitamins, supplements, and herbal adaptogens that you should consider prescribing. As a preview. Here are some tips from the first part of...
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How to help your patients quiet their hallucinations

March 21, 2019
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...
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Tips on Marijuana Use Disorder

March 20, 2019
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...
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