Buprenorphine and methadone, the cornerstones of treatment for opioid use disorder (OUD), are subject to more restrictions than other medications due to their inherent risks and concerns for diversion. These restrictions obligate that people receiving medications for OUD present to the clinic or opioid treatment program (OTP) frequently for refills...

The Massachusetts Department of Mental Health issued an emergency expansion of what psychiatric nurse practitioners are allowed to do on psychiatric inpatient units.

My COVID news feed is filled with articles about how CDC is considering recommending that everybody wear face masks. It’s about time.

Social distancing is very difficult on our typically crowded and small inpatient units. The ultimate social distancing technique is to avoid setting foot in the unit, which is where telehealth comes in. 

Social distancing on a psychiatric inpatient unit is not easy but it must be done. Here are some tips. It’s helpful to break these strategies out into four categories: visitors, patient/patient, staff/staff, and staff/patient.

Seven ways that psychotic depression differs from major depression, from physical signs to neurobiology. The treatment of psychotic depression differs as well, and the answer is not always an antipsychotic-antidepressant combination. A different kind of therapy can bring their remission rates to over 90%.Published On: 2/24/20Duration: 21 minutes, 9 secondsArticle Referenced: "An Answer...

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...

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...

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...

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...