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The Carlat Psychiatry Report

Personality Disorders (June) | 2017

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Take the CME Post-Test for Personality Disorders, TCPR, June 2017

June 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. Read More

Which Are the Most Dangerous Antidepressants?

June 1, 2017

Daniel Carlat, MD

We often prescribe antidepressants to patients who are suicidal, and unfortunately, some people use these very medications to try to kill themselves. It’s been known for some time that tricyclic antidepressants are among the most toxic in overdose, so we embraced the SSRIs and later medications in part because they are considered to be safer. But how safe are they? Read More

FDA Approves First Drug to Treat Tardive Dyskinesia

June 1, 2017

Talia Puzantian

The U.S. Food and Drug Administration approved Ingrezza (valbenazine) for the treatment of tardive dyskinesia (TD), a disabling movement disorder that afflicts 10%–20% of people on chronic antipsychotic medication. Read More

Diagnosing and Treating Narcissism

June 1, 2017

Craig Malkin, PhD

Pathological narcissism is a desperate need to feel special—in fact, you can call it an addiction to feeling special. We tend to focus on one presentation, which is the loud, arrogant, conceited narcissist, but there are plenty of introverted narcissists (often called vulnerable or covert in the research), and these are the patients who often show up in our office. In this Expert Q&A Dr. Malkin shares his insight on helping narcissism patients. Read More

Diagnosing and Treating Borderline Personality Disorder

June 1, 2017

Joel Paris, MD and Daniel Carlat, MD

By and large, psychiatrists aren’t terribly comfortable when it comes to diagnosing and treating borderline personality disorder (BPD). Fortunately, diagnosing BPD is relatively easy and can often be done in 20–30 minutes. The key is to have a systematic approach, to ask high-yield questions, and to know how to efficiently follow up on responses. Read More