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The Carlat Psychiatry Report

Treating Psychosis (February) | 2017

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Take The CME Post-Test for Treating Psychosis, TCPR, February 2017

February 1, 2017

The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.
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Open Dialogue: A Novel Approach to Treating People With Psychotic Disorders

February 1, 2017

Adrienne T. Gerken, MD and Joseph B. Stoklosa, MD

Open Dialogue, developed in the 1990s in Tornio, Finland, is both a way of communicating (while paying attention to one’s vocabulary) and a system of care. All communication about patients occurs in their presence and is based on respectful language that is often derived from the patient’s own words. Learn more about this technique as it applies to treating psychosis in this article. Read More

First-Episode Psychosis

February 1, 2017

Ann Shinn, MD

It’s important to realize that psychosis can result from many different non-psychiatric conditions—for example, substance use, electrolyte imbalances, thyroid abnormalities, systemic infections, nutritional deficiencies, brain tumors, and seizures, among others. By the time we see them, patients have usually already had a basic medical evaluation in an inpatient hospital or emergency room, and most non-psychiatric medical causes have been ruled out. Read More

Anecdotes From the Field: Prescribing Ketamine

February 1, 2017

Michael Posternak, MD

I started prescribing ketamine two years ago. I generally tend to be conservative in trying newer treatments—especially ones not yet approved—but I was very impressed with both its safety and efficacy. Read More