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The Carlat Psychiatry Report

Personality Disorders (March) | 2012

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Does Counseling Add to Suboxone’s Efficacy?

March 1, 2012

The combination of buprenorphine and naloxone (Suboxone) has become a popular replacement therapy for heroin dependence. However, it’s not yet clear how effective it is for prescription opioid dependence, or whether adjunctive counseling provides any additional benefit over the drug alone. Read More

Helping the Severely Mentally Ill to Help Themselves

March 1, 2012

Glen Spielmans, PhD

“Self-management” is a newly popular buzzword among clinicians treating the seriously mentally ill. Read More

Dialectical Behavior Therapy: A Primer

March 1, 2012

Josh Sonkiss, MD

Marsha Linehan developed DBT to help patients with BPD (Linehan MM, Cognitive Behavioral Treatment of Borderline Personality Disorder. New York, NY: The Guilford Press;1993), and over the past two decades it has received strong empirical support. Read More

Differentiating Borderline Personality Disorder from Bipolar Disorder

March 1, 2012

Bernadette Grosjean, MD

Borderline personality disorder (BPD) and bipolar disorder frequently co-occur (numbers range from 8% to 18%), although they are distinct clinical entities (Paris J et al, Compr Psychiatry 2007;48(2):145–154). A proper diagnosis guides the most effective treatment, but you’ve probably faced the difficult challenge of diagnosing these conditions, which share several clinical features. Read More

Diagnosing Personality Disorders: The Latest Trends

March 1, 2012

Mark Zimmerman, MD

In 2013, the American Psychiatric Association (APA) plans to release the fifth edition of the DSM. We are all aware that there may be some significant changes in personality disorder criteria in the DSM-5, which has created some controversy. Read More