psychosomatics - Page 1 | CARLAT PUBLISHING

Expert Q&A

Fundamentals of Functional Neurological Disorder

January 1, 2025

Gabriela S. Gilmour, MD, FRCPC

Clinical Assistant Professor of Neurology, University of Calgary, Alberta, Canada.

Dr. Gilmour has no financial relationships with companies related to this material.

Dr. Gabriela Gilmour offers practical insights into diagnosing and managing functional neurologic disorder (FND) and recommends retiring the term "conversion disorder." She emphasizes that FND is no longer a diagnosis of exclusion, thanks to improved diagnostic tools, and stresses that accurate identification is essential to avoid unnecessary treatments.

Clinical Update

Medical Conditions That Mimic Psychiatric Illnesses

January 1, 2025

Manjit K. Bhandal, MD and Michael Donath, MD

Manjit K. Bhandal, MD. Psychiatrist, Kaiser Permanente, North Valley, CA.

Michael Donath, MD. Psychiatrist, Venice Family Clinic, Los Angeles, CA.

Drs. Bhandal and Donath have no financial relationships with companies related to this material.

This review covers six medical conditions—acute intermittent porphyria, anti-NMDA receptor encephalitis, lupus, Lyme disease, neuroendocrine tumors, and syphilis—that can masquerade as psychiatric disorders. These illnesses often show up with psychiatric symptoms like anxiety, psychosis, or mood changes, mixed with physical signs such as rashes, abdominal pain, or heart irregularities. Getting the right diagnosis is essential since many cases improve with medical treatment, though you may still need to provide psychiatric care for lingering symptoms. It’s a reminder to stay curious when symptoms don’t quite fit the usual psychiatric picture.

Expert Q&A

Migraine in the Psychiatric Patient

November 9, 2023

Lex Denysenko, MD.

Lex Denysenko, MD.

Assistant Professor of Psychiatry, Thomas Jefferson University Hospitals; Director, Behavioral Headache Medicine, Jefferson Headache Center.

Dr. Denysenko has no financial relationships with companies related to this material.

Lex Denysenko shows us how to personalize psychiatric medications for patients with migraines. Learn which antidepressants are best, where propranolol fits, and why valproate (Depakote) is not always preferred.

Clinical Update

Psychiatric Consultation to Children and Adolescents on Pediatric Units: A Primer

August 1, 2023

Jessica E. Becker, MD, MPH. and Joshua Smith, MD.

Jessica E. Becker, MD, MPH. Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, NYU Langone Health, New York, NY.

Joshua Smith, MD. Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN.

Dr. Becker is an awardee of the American Academy of Child and Adolescent Psychiatry (AACAP) Junior Investigator Award, which is funded by AACAP and industry sponsors. Relevant financial relationships listed for the author have been mitigated.

Dr. Smith has no financial relationships with companies related to this material.

Pediatric consultation-liaison (C-L) psychiatry is a field that combines psychiatry, pediatrics, and child development. We’ll give you pointers on how to manage pediatric C-L psychiatry consults, with specific recommendations for different age groups.

Clinical Update

Music for Sleep

April 14, 2023

Jesse Koskey, MD.

Jesse Koskey, MD. Associate Clinical Professor, Department of Psychiatry and Behavioral Sciences, UC Davis Health, Sacramento, CA.

Dr. Koskey has no financial relationships with companies related to this material.

An alternative to hypnotics with a surprising effect size.

Expert Q&A

Cardiovascular Psychiatry: Part 1

April 14, 2023

Margo C. Funk, MD, MA, FACLP

Margo C. Funk, MD, MA, FACLP.

Director of Cardiovascular Psychiatry, Vice Chair for Education, Residency Program Director, Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA.

Dr. Funk has disclosed that in 2021, she received fees as a consultant for Acadia Pharmaceuticals. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Most psychiatric meds have cardiac risks. Dr. Funk tells us when to put the brakes on.

Clinical Update

Anorexia: An Update for the Psychopharmacologist

January 31, 2023

Chris Aiken, MD and Garrett Rossi, MD.

Chris Aiken, MD. Editor-in-Chief of The Carlat Psychiatry Report. Assistant Professor, NYU Langone Department of Psychiatry. Practicing psychiatrist, Winston-Salem, NC.
Garrett Rossi, MD. Adult psychiatrist, AtlantiCare Regional Medical Center, Pomona, NJ.

Dr. Aiken and Dr. Rossi have no financial relationships with companies related to this material.

A half-dozen reviews have concluded that no medication is effective for anorexia. We agree, but they may have overlooked a common supplement with evidence to help: Zinc.

EXPERT Q&A

Psychiatric Issues in Organ Transplantation

January 2, 2023

Paula C. Zimbrean, MD, FAPA, FACLP

Paula C. Zimbrean, MD, FAPA, FACLP

Associate professor of psychiatry and surgery (transplant), Yale University School of Medicine; Chair, Transplant Psychiatry Special Interest Group, Academy of Consultation Psychiatry. New Haven, CT.

Dr. Zimbrean has consulted for Ultragenyx and Vivet Therapeutics, and has consulted and advised for Alexion. Relevant financial relationships listed for the author have been mitigated.

Growing numbers of patients receive organ transplants every year. This Q&A reviews the unique considerations that arise when these patients require psychiatric care.

RESEARCH UPDATE

Office-Based Opioid Treatment

October 31, 2022

Joshua Blum MD

Joshua Blum, MD. Dr. Blum, author of this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Some providers may be reluctant to treat patients with opioid use disorders with MOUD, especially in a busy primary care setting, fearing that these patients are “too complex.” In this observational study, investigators found that patients on MOUD are not all that different from everyone else.