methylphenidate | CARLAT PUBLISHING

Clinical Update

The Antipsychotic-Stimulant Combo

September 1, 2023

Avneet Soin, MD. Psychiatry resident, NYU Grossman School of Medicine. Deepti Anbarasan, MD. Associate Professor, Psychiatry & Neurology, New York University, New York.

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report; Assistant Professor, NYU Langone Department of Psychiatry; practicing psychiatrist, Winston-Salem, NC.

Dr. Soin, Dr. Anbarasan, and Dr. Aiken have no financial relationships with companies related to this material.

As antipsychotic indications have spread, more patients are taking them in combination with their opposite: a stimulant. We look at the risks, search for scenarios where it might make sense, and come up with an action plan for this paradoxical pairing.

Clinical Update

Stimulant Dosing Limits

August 7, 2023

Chris Aiken, MD and Kelvin Quiñones-Laracuente, MD, PhD.

Chris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC.

Kelvin Quiñones-Laracuente, MD, PhD. Psychiatry resident, NYU Langone Medical Center.

Drs. Aiken and Quiñones-Laracuente have no financial relationships with companies related to this material.

Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing.

Research Update

Does Treatment of ADHD Help Caregiver Stress?

April 1, 2023

Muruga Loganathan, MD

Muruga Loganathan, MD. Dr. Loganathan has no financial relationships with companies related to this material.

Parents suffer significant stress, doing their best to support and care for their ADHD kids. Does that stress dissipate at all when the ADHD is alleviated? This controlled trial looked at stress levels of parents whose kids were taking delayed release/extended release methylphenidate versus those taking placebo.

Methylphenidate Improves Mood and Boredom in Children with ADHD

March 24, 2022

Pavan Madan, MD.

Pavan Madan, MD. Dr. Madan has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Kids with ADHD often complain that they are bored. But what does that really mean? And many are also depressed. Does treating the ADHD help these symptoms? We looked a study that tries to break this down and give us a way forward, while offering some new insights on the relationships between ADHD, mood and boredom - important and useful symptoms to track.

How to Treat ADHD in Bipolar Disorder

November 5, 2021

Chris Aiken, MD.

Chris Aiken, MD. Editor-in-Chief of TCPR. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Are stimulants risky in bipolar disorder? And which is safer – methylphenidate or amphetamine? Chris Aiken, MD, lays out a practical approach to the overlap of bipolar disorder and ADHD.

Stimulants and Creativity

February 3, 2021

Sean Ransom, PhD.

Sean Ransom, PhD. Assistant Clinical Professor, Department of Psychiatry at the LSU Health Sciences Center - New Orleans, and Clinical Director, Cognitive Behavioral Therapy Center of New Orleans. Dr. Ransom has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Does ADHD bring creative strengths? Can stimulants dampen creative thought? New research suggests they can, but the effect varies by patient.

What Do We Do About Dyslexia?

October 30, 2020

Fagie Mandel, M.Ed.

Fagie Mandel, M.Ed. Adjunct Professor, Kean University Graduate School of Education. IDA certified Structured Literacy and Dyslexia Specialist, NJ. Ms. Mandel has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Many of us have had very little training about the specifics of reading disorders ie dyslexia. Learn what it is and what to do about this problem, which typically lies underneath the surface of the secondary psychiatric impact that obscures our ability to recognize and address it. Bet you didn’t know that there are actually medication studies on treating dyslexia too.

EXPERT Q&A

Reduced Life Expectancy in ADHD

February 11, 2020

Russell Barkley, PhD

Russell Barkley, PhD
Clinical Professor of Psychiatry at The Virginia Commonwealth University Medical Center, Department of Psychiatry and the Virginia Treatment Center for Children Dr. Barkley has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Russell Barkley, PhD, discusses the enormity of the health consequences and early mortality associated with ADHD. The range and likely mechanism of long-term effects of ADHD are discussed, and we examine the role of assertive treatment in childhood and adolescence.

Methylphenidate Max Dosing

February 11, 2020

Thomas Jordan, MD.

Thomas Jordan, MD. Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We examine current methylphenidate dosing and unpack what the research tells us about prescribing beyond conventional limits when clinically indicated for children and adolescents.

Crocus Sativus vs Methylphenidate for ADHD

November 21, 2019

Jess Levy, MD

Jess Levy, MD Dr. Levy has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

There are so many alleged herbal remedies touted to treat psychiatric disorders. See our take on this head to head study of Crocus Sativus aka. Saffron versus methylphenidate in ADHD.