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Home » Blogs » The Carlat Psychiatry Podcast

The Carlat Psychiatry Podcast
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Clear, engaging, and practical updates on clinical psychiatry.
Earn CME for listening to the podcast with a Podcast CME Subscription.
Listen for free here or using Apple Podcasts and Spotify.

Mood, Metabolism, and Cognition: An Interview with Rodrigo Mansur

April 12, 2021
We look at three ways that the body influences psychiatric disorders in the brain – through neurohormones, inflammation, and metabolic health. Dr. Rodrigo Mansur delves into that last one in our expert interview, and we end with a new app – Thinc-IT - that measures cognition in patients. It’s here.Published On:...
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Do Benzos Treat Depression?

April 5, 2021
Around 50 controlled trials have tested benzodiazepines in depression, and the results are surprising. They seem to work. In this episode we look at the controversies surrounding this research and what it means for practice.Published On: 4/5/2021Duration: 25 minutes, 41 secondsTranscript:Benzos and sleep meds rarely earn a mention in textbooks...
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COVID, Benzos, and Opioids

March 29, 2021
Overdose deaths have been rising during COVID, but simply stopping the drug causes problems of its own. In this episde, Ashwin Patkar and Richard Weisler discuss how to reduce the risk of opioid deaths in psychiatric patients. Their Current Psychiatry article on the subject is here.Published On: 3/28/21Duration: 26 minutes, 50...
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How to Stop Benzos and Stimulants

March 22, 2021
Swapnil Gupta, author of Deprescribing in Psychiatry, shares tips on how to help patients taper off benzodiazepines and psychostimulants. She adds a special therapeutic ingredient, but it’s not a medication. Then we digress into one of the oldest medications known to humankind: Opium. Published On: 3/21/2021 Duration: 21 minutes, 34...
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In Memoriam: Hagop Akiskal and the Bipolar Spectrum

March 15, 2021
DSM-5 has adopted many of the concepts from Hagop Akiskal’s Bipolar Spectrum, but not in the way he had planned. Here we trace his thinking back to the early 1970’s, when Dr. Akiskal reshaped the way we think about depression by blurring the boundary between stress-induced and biological depression.Published On: 3/15/2021Duration: 26...
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What Works Best in Treatment Resistant Depression Pt. 1

March 8, 2021
What works best when the first antidepressant fails? And the second? Today, we bring you part 1 in our special series on treatment resistant depression.Published On: 3/7/21Duration: 16 minutes, 1 secondPublished On: 3/7/21Duration: 16 minutes, 1 secondTranscript:Kellie Newsome: What works best when the first antidepressant fails? And the second? Today, we bring you...
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Duty to Warn: Antidepressants in Children and Adolescents

March 1, 2021
For nearly 17 years, since the FDA black box warning about suicidality with antidepressants, our community has been quoting data that downplays this concern. We were wrong. We were deceived. Antidepressants can be lifesaving, but there really is a duty to warn. In this episode, Doctors Martha Ignaszewski and Glen Spielmans...
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How Buspirone Mixed with Melatonin to Make an Antidepressant

February 22, 2021
Chris Aiken, MD and Kellie Newsome, PMHNP
In 2012, psychiatrists at Harvard’s Massachusetts General Hospital discovered a novel antidepressant. It seemed to improve depression and cognition without causing any significant side effects. There was only one problem. The ingredients were practically free, and there was no way that was going to sell.
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When Depression Gets Worse on an Antidepressant

February 14, 2021
Bupropion and restless legs syndrome: a randomized controlled trialWhen a patient complains that their mood got worse on an antidepressant, it doesn’t necessarily mean they are sensitive to medications. In this episode, we detail 6 other reasons why depression can get worse on an antidepressant.Published On: 2/15/21Duration: 22 minutes, 42 secondsArticle Referenced: "Are...
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Deprescribing Part 1

February 8, 2021
An interview with Swapnil Gupta on when and how to come off psychiatric medications. Plus, tips on cross-tapering antidepressants, and the word of the day: Ephedra.Published On: 2/8/2021Duration: 17 minutes, 1 secondTranscript:Today, an interview with Swapnil Gupta on when and how to come off psychiatric medications.Welcome to the Carlat Psychiatry Podcast, keeping...
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