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The Carlat Psychiatry Report

Sleep (April) | 2019

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CME Post-Test - Sleep, TCPR, April 2019

April 10, 2019

The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 1 CME credit. Read More

Moderate Alcohol Use Associated With Reduced Risk of Dementia

April 10, 2019

Michael Posternak, MD

Excessive alcohol use is neurotoxic, but some studies have found that moderate alcohol intake might actually reduce the risk of dementia. Most of these studies, however, have focused on geriatric patients. Read More

Insomnia and Substance Use Disorders

April 10, 2019

Nicholas Rosenlicht, MD

Sleep problems are common in recovery, and they have many causes such as withdrawal states, circadian rhythm disruptions, and a host of psychiatric and medical comorbidities. It’s a two-way street: Insomnia raises the risk of substance misuse, and addiction can cause or worsen sleep problems. Read More

Ask the Editor - Jet Lag and Psychiatric Disorders: Plan for Prevention

April 10, 2019

Chris Aiken, MD.

Jet lag happens when people fly across multiple time zones. The body’s internal clock gets out of sync with the outside signals of sunrise and sunset. The result is insomnia, poor concentration, fatigue, and gastrointestinal symptoms. Read More

Sleep and PTSD

April 10, 2019

Michael McCarthy, MD

Insomnia is different in PTSD. Some of that is explained by the symptoms of PTSD, such as nightmares, hyperarousal, anxiety, and physical restlessness. But there’s another thing we’re seeing that isn’t as obvious: sleep apnea. Read More

The Aging Brain: Preventing Cognitive Decline

April 10, 2019

We’ve all been there. A 63-year-old patient comes to you with a chief complaint of memory loss. She tells you that she has a hard time remembering people’s names and forgets where she puts her keys. She lives and drives on her own without a problem, but asks, “Isn’t there some memory pill I can take?” What advice can we give her? Read More

Screening Tests for Cognitive Decline

April 10, 2019

Screening tests can also help distinguish normal aging from a Neurocognitive Disorder. The popular Mini Mental Status Exam is being replaced by more sensitive tests like the Montreal Cognitive Assessment (MOCA) and the Saint Louis University Mental Status Examination (SLUMS). Both of these can be completed in 10 minutes and are normed for Mild and Major Neurocognitive Disorders. An abbreviated form of the SLUMS, the Rapid Cognitive Screen, can be administered in 5 minutes. Read More