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The Carlat Psychiatry Report

Retirement (November) | 2017

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Closing a Practice: Some Practical Suggestions

November 1, 2017

This article offers practical suggestions based on the author’s experiences counseling psychiatrists who are planning for retirement or who have faced unforeseen circumstances causing them to close their practices. Here, we will consider both planned and unplanned retirement scenarios. Read More

Financial Planning for Retirement

November 1, 2017

Colin Wiens, CFP, MBA

Because of the lengthy period of training, doctors begin their first “real” jobs 8–10 years after many of their friends from college. And, depending on specialty, burnout may cause a physician to retire a few years earlier than the average American. Both these factors lead to a compressed retirement saving timeline. Read More

Aripiprazole Augmentation May Improve Remission Rates in MDD

November 1, 2017

Ricardo Arechiga, PharmD candidate (2018)

It seems like an endless debate: When a patient does not respond to the first trial of an antidepressant, what should we do? Switch to something else? Augment with another agent? If the latter, how often should that augmenting agent be an atypical antipsychotic? Read More

Fluoxetine Plus CBT for Somatic Symptom Disorder

November 1, 2017

Shirley Tsai

Somatic symptom disorder (formerly known as hypochondriasis) is pretty common, with a prevalence of 5%–7%, and is much more likely to afflict women than men, with a gender ratio of about 10:1. While both psychotherapy and SSRI treatment are helpful, there is limited evidence about the efficacy of combining therapy with medication. A new study sought to remedy this gap. Read More

CME Post-Test - Retirement, TCPR, November 2017

November 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

Note From the Editor-in-Chief

November 1, 2017

Daniel Carlat, MD

While I appreciate all of my TCPR subscribers, there’s one subscriber whom I value above all the others: my father. A psychiatrist who practices in the Bay Area, my father has been a loyal subscriber since Volume 1, Number 1, in January of 2003. Read More