Patients are arriving with scripts from TikTok and Reddit coaching them to obtain controlled substances. Structured assessments and firm but compassionate boundaries are your best defense.
OC traits are common and easily mistaken for ADHD, mood disorders, or oppositional behavior in children. Recognizing them can prevent misdiagnosis and inappropriate stimulant prescribing.
SSRIs have been linked to bone thinning and fractures, which matters most for postmenopausal women already at risk. Whether SNRIs carry the same concern has been unclear.
Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of Psych Partners. He maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.