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The Carlat Psychiatry Report

Emergency Psychiatry (September) | 2018

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CME Post-Test - Emergency Psychiatry, TCPR, September 2018

September 1, 2018

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

Ask the Editor

September 1, 2018

Chris Aiken, MD

Dear Dr. Aiken: Can you tell us more about hyponatremia? Which medications can cause hyponatremia, who’s at risk, and how we should manage this condition? Read More

Serotonin Syndrome Risks With Co-Prescription of Triptan Drugs and SSRIs or SNRIs

September 1, 2018

Adam Strassberg, MD.

In 2006, the FDA issued a warning that patients using either selective serotonin reuptake inhibitors or selective norepinephrine reuptake inhibitors (SSRIs or SNRIs) together with triptan antimigraine drugs might be at a heightened risk for serotonin syndrome. Read More

Mindfulness Therapy for Adult ADHD

September 1, 2018

Jessica Goren, PharmD.

Medications are the first-line treatment for adult ADHD, and the efficacy of psychosocial therapies is less well-defined. Mindfulness-based therapy showed promise for adult ADHD in a recent meta-analysis, but there were flaws and significant differences between the included studies. Read More

Benzodiazepines: New Risks for an Old Drug

September 1, 2018

Chris Aiken, MD

In the May 2018 issue of TCPR, we wrote about using benzodiazepines for anxiety and other disorders, and we got some reader feedback that we did not provide a thorough enough review of medication risks. So, in a follow-up article this month, I will focus on two groups where benzos pose the greatest risks: opioid users and the elderly. Read More

Calming Agitated Patients in an Emergency

September 1, 2018

Avrim Fishkind, MD

When I work with an agitated patient, I start by saying, “Hi, I’m Dr. Fishkind. My job is to keep you safe today.” Your first job should be to take away any possibility that the person thinks you’re dangerous or that you’re there to cause harm. So, start by identifying who you are, what you do, and that you are there to help. Read More