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The Carlat Psychiatry Report

Psychotherapy (October) | 2011

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CBT Outperforms IPT in Social Phobia Trial

October 1, 2011

Cognitive-behavioral therapy (CBT) works better than placebo and as well or better than fluoxetine for social anxiety disorder (SAD). Read More

Is One Antipsychotic Just as Effective as Two?

October 1, 2011

Using combination antipsychotic treatment has become more common over the years, presumably reflecting a common sense theory that in refractory patients, two medications might be more effective than one. But studies thus far of the practice have been small and inconclusive. Read More

The Psychotherapy of Bipolar Disorder and the Moment of Truth

October 1, 2011

If you treat patients with bipolar disorder, then you have reached what I call the moment of truth. Your patient has been doing so well, she’s not even sure she still has a psychiatric problem. This is one of the many opportunities for psychotherapy in bipolar disorder—in this case, helping your patient to come to terms with her illness. Read More

Antidepressants Versus Psychotherapy for Depression

October 1, 2011

Research has generally found that both antidepressants and psychotherapy offer similar efficacy in the short-term, but that after treatment discontinuation, results are better with psychotherapy. Read More

Psychodynamic Therapy

October 1, 2011

I examined results of multiple meta-analyses published in top tier, peer reviewed journals. The findings were clear and consistent: effect sizes for psychodynamic psychotherapy are at least as large as those reported for other therapies that are promoted as “empirically supported” or “evidence based.” Also, the benefits of psychodynamic therapy are lasting. Patients not only improve, but continue to improve even after therapy ends. Read More