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The Carlat Psychiatry Report

Pain Management (September) | 2016

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Treating Complicated Grief: Grief-Focused Psychotherapy Is More Effective Than Citalopram

September 1, 2016

While there is some overlap with major depression, complicated grief has core symptoms of yearning and sorrow and great difficulty accepting the reality of death. It’s one of the more controversial proposed DSM disorders, with critics seeing it as medicalizing a normal human experience. Read More

Take The CME Post-Test for Pain Management, TCPR, September 2016

September 1, 2016

Link to the CME post-test for this issue. Read More

Managing Pain: A Cognitive Behavioral Therapist’s Approach

September 1, 2016

John D. Otis, PhD

Patients with both chronic pain and psychiatric issues often see a psychiatrist and a therapist, and are taking both psychotropic and pain medications. This article describes how psychologists conceptualize the treatment of chronic pain and provide some tips for how you, as a busy prescriber, can leverage some successful techniques. Read More

Evaluating and Treating Pain in Psychiatric Patients

September 1, 2016

Michael Robert Clark, MD

Many chronic pain patients are dealing with psychiatric problems. Pain patients have tremendously high rates of major depressive disorder which is undertreated and underdiagnosed. It's easy to assume that the depression is a reaction to living with chronic pain, but in fact it’s often the other way around. Dr. Michael Robert Clark describes evaluations and treatment methods clinicians can use to address pain management with their patients. Read More

Tales from the History of Psychiatry: Opium, an Ancient Psychotropic

September 1, 2016

Marcia Zuckerman, MD

These days, opiates are primarily prescribed to treat pain. But there is a long history of using opiates to treat depression and other mental illness. Read More