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Clinical Update

Treating Irritability in Autism: Functional and Medication Approaches

April 1, 2023

Joshua D. Feder, MD. Editor-in-Chief, The Carlat Child Psychiatry Report.

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

Antipsychotics can be very effective for irritability in autism, but they are often unnecessary, and the side effects are truly problematic. Don’t be the prescriber who hears irritability in autism and immediate prescribes antipsychotics. There are usually multiple steps to try before using the FDA approved antipsychotic medications.

RESEARCH UPDATE

Thiamine Supplementation in Patients With Alcohol Use Disorder

January 30, 2023

Peter J. Farago, MD.

Peter J. Farago, MD. Dr. Farago has no financial relationships with companies related to this material.

We review an article that examines rates of thiamine supplementation for those with alcohol use disorder in the real world. Researchers wondered, how often is thiamine supplemented properly? The answer they found: not that often.

CLINICAL UPDATE

Alcohol Use Disorder and Thiamine Supplementation

January 30, 2023

Audrey Abelleira, PharmD, BCPP

Audrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, Pain Management and Opioid Safety Program Coordinator, VA Connecticut Healthcare System. Clinical instructor, Yale School of Medicine. New Haven, CT.

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

We all learn that patients with alcohol use disorder should receive thiamine supplementation. But why, and how should it be given? We discuss the pathophysiology that underlies thiamine deficiency in alcohol use disorder and why it is so important. We then go over the latest thiamine supplementation guidelines.

Low Vitamin B 12 Associated with Depression in Older Adults

July 1, 2022

Talya Shahal, MD.

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

Checking vitamin B12 levels in older adults is recommended, as low levels correlate with depression. This study did not show a similar association between folate levels and depression.

How to Prescribe Omega-3 Fatty Acids

March 4, 2022

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.

Omega-3s are effective as augmentation of mood stabilizers in bipolar depression, and in some cases, they improve negative symptoms in early schizophrenia. The research is vast, but we narrow down when and how to use omega-3s in real-world practice.

Pharmacotherapy for Autism Spectrum Disorder

May 20, 2021

Matthew Krause, DO

Matthew Krause, DO

Child psychiatrist with Primary Health Network, Latrobe, PA Dr. Krause has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

What’s new in psychopharmacological treatment for autism? We interviewed Dr. Matthew Krause on his recent review of seven studies covering the rationale for treatment, target symptoms, the use of antipsychotics, over the counter supplements, and some new ideas in pharmacotherapy for ASD.

Tips on Vitamins in Psychiatry

March 22, 2019

In The Carlat Psychiatry Report's 2016 update on Complementary Alternative Medicine, Dr. Lila Massoumi, an expert in integrative psychiatry, gives provides a timely and practical overview of the vitamins, supplements, and herbal adaptogens that you should consider prescribing. As a preview. Here are some tips from the first part of...