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Home » Newsletters » The Carlat Psychiatry Report
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The Carlat Psychiatry Report

Insomnia (November) | 2011

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Sleeping Pills: Which Ones for Which Patients?

November 1, 2011
Insomnia is one of the most common comorbidities you’ll see in your depressed and anxious patients. But it is often misunderstood. While the common view is that insomnia is caused by a primary psychiatric or medical condition, it is more accurate to simply say that patients have insomnia and depression at the same time. Insomnia is almost never an isolated problem. Read More

The Carlat Guide to Medications Used for Insomnia

November 1, 2011
This handy table lists the medications most often used to treat insomnia. Read More

Cognitive Behavioral Therapy for Insomnia (CBT-I)

November 1, 2011
In our study of CBT-I, we assigned participants with chronic and primary insomnia to either CBT-I, temazepam, a combination of the two, or placebo. We found that combination therapy was more effective than either treatment alone—in our study, the percentage reduction of time awake after sleep onset was highest for the combined condition (63.5%), followed by CBT (55%), temazepam (46.5%), and placebo (16.9%). Read More

Switching Antipsychotics Reduces Cardiovascular Risk Factors

November 1, 2011
If patients are stable on olanzapine (Zyprexa), quetiapine (Seroquel), or risperidone (Risperdal) but are experiencing adverse metabolic effects, it might make sense to switch to a medication that has a lower risk of causing such effects. But would such a switch reduce obesity and cholesterol at the risk of a relapse? Read More

FDA Warning: High Doses of Citalopram May Be Dangerous for the Heart

November 1, 2011
The editors at TCPR, as well as many of you, received a notice issued by the FDA on August 24, 2011 warning us that citalopram (Celexa) at doses higher than 40 mg may cause dangerous prolongation of the QT interval, which can increase the risk of cardiac arrhythmias (including the potentially fatal torsade de pointes). Read More

Learning Objectives, Insomnia, TCPR, November 2011

November 1, 2011
After reading these articles, you should be able to… Read More
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Editor-in-Chief
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Chris Aiken, MD
Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where 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.

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