We always say that single positive studies need replication, and here comes one. In 2012 a randomized trial found that the combination of topiramate and adderall xr worked better than placebo at helping people with frequent cocaine use stay sober. This new study [Link] sought to replicate that, although it...

Dialectical Behavior Therapy ─ DBT ─ has become the gold standard for borderline personality disorder, and other therapies are starting to go head-to-head with DBT in clinical trials. We reviewed one that fared well, Good Psychiatric Management, in our Summer issue and a new one just came out of Australia in a study by...

Are the SSRIs really that different? If a patient doesn't respond to one will they respond to another? We sift through three decades of research to find answers.Published On: 8/3/20Duration: 19 minutes, 13 secondsTranscript: Tony Soprano: “Here we go, here comes the Prozac”Welcome to the Carlat Psychiatry Podcast, keeping psychiatry honest...

Electroconvulsive therapy (ECT) depends on the seizure threshold, so you don’t want to throw that off before starting it. Anticonvulsants and benzodiazepines are concerning, as are antidepressants. Although bupropion has a notorious risk for seizures, a recent meta-analysis of all antidepressants found buproprion’s risk was about average with the newer...

The Substance Abuse and Mental health Services Administration (SAMSHA) has changed their laws around the release of substance use information, and the result applies to more mental health professionals than one might think. Read their press release. Published On: 7/29/20 Duration: 4 minutes, 11 seconds Got Feedback? Take the podcast survey.

We search through the rubble of 1990's marketing to find out what makes the SSRIs different, and encounter along the way our word of the day: Zimelidine.Published On: 7/27/20Duration: 10 minutes, 47 secondsTranscript:From the quest for the holy grail to the meaning of dreams, humankind has always had a thirst for unanswerable questions.

Race-based traumatic stress affects mental health in young people of color. A 2019 paper in American Psychologist puts that racial socialization into a framework some listeners may be familiar with. [Link]Published On: 7/25/20Duration: 5 minutes, 51 secondsTranscript: Dr. Feder: Today on 60 Second Psych: Preventing Trauma with Racial Socialization. Take it away...

What can mental health clinicians do to help our patients who may be dealing with discrimination in their day-to-day lives? Assertiveness is a specific skill that we can model and teach our patients. A paper by Bhardwaj and Vishwas in the International Journal of Advanced Scientific Research underlines the importance...

Patricia Eaves reveals common pitfalls and shares her top tips for communicating with patients with autism. Read more in the recommended text, "The TEACCH Approach to Autism Spectrum Disorders" by Gary B. Mesibov et al. Plus the word of the day: Effect Size.Published On: 7/20/20Duration: 18 minutes, 12 secondsGot feedback? Take the...

What practical role do we have as mental health professionals in creating a more fair and just society? Doctors Javeed Sukhera and Chris Watling published a framework for integrating implicit bias recognition in medical education that makes a lot of sense. Here’s their six point framework. Sukhera J, Watling C. A...