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Home » Newsletters » The Carlat Psychiatry Report
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The Carlat Psychiatry Report

Stopping Psych Meds Part 1 (February) | 2021

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Learning Objectives, Stopping Psych Meds Part 1, TCPR, February 2021

February 3, 2021
After reading these articles, you should be able to… Read More

How to Come Off a Psych Med Part 1: Antipsychotics

February 3, 2021
Swapnil Gupta, MD
How do you taper off an antipsychotic? Swapnil Gupta gives a practical approach, and discusses dopamine hypersensitivity, a controversial theory that suggests antipsychotic withdrawal can cause dyskinesias, prolactinemia, and rebound psychosis. Read More

Stimulants and Creativity

February 3, 2021
Sean Ransom, PhD.
Does ADHD bring creative strengths? Can stimulants dampen creative thought? New research suggests they can, but the effect varies by patient. Read More

Does Abilify cause more weight gain than Seroquel?

February 3, 2021
Last October, we published a table on mood stabilizer side effects that raised an understandable alarm among astute readers. The table, which was based on a 2020 meta-analysis, suggested that aripiprazole (Abilify) has a greater chance of causing weight gain than quetiapine (Seroquel). What the table failed to specify was that the figures were based on long-term maintenance studies. Read More

Are SSRIs Associated With Increased Rates of Violence?

February 3, 2021
Michael Posternak, MD.
SSRIs are often used to reduce irritability, but questions about they can cause violence have loomed over these antidepressants since the early 1990’s. This new study, with 700,000 patients followed over 7 years, suggests they can. Read More

How to Switch Antipsychotics

February 3, 2021
Peter Smith, PsyD.
Should you stop the old antipsychotic and start the new? Or gradually cross-taper them? This new meta-analysis compared three titration strategies to find the best way to switch from one antipsychotic to another in schizophrenia. Read More

Roundup

February 3, 2021
CBT for Benzo Withdrawal. Medications have largely proven unsuccessful for benzodiazepine withdrawal, but CBT looked promising in this meta-analysis of three randomized controlled trials. Compared to gradual tapering without CBT, the addition of this psychotherapy allowed an extra 1 in 3 patients to successfully come off their benzodiazepine. A therapist... Read More

Buspirone: Still Effective After All These Years?

February 3, 2021
Eugene Rubin, MD.
Buspirone (Buspar) is approved for generalized anxiety disorder, but its efficacy there is often questioned. Here we find out how it stacks up against the benzos and SSRIs, and explore its off-label potential in depression, sexual dysfunction, alcoholism, traumatic brain injury, and premenstrual dysphoric disorder. Read More

CME Post-Test - Stopping Psych Meds Part 1, TCPR, February 2021

February 3, 2021
By successfully completing the test you will be awarded a certificate for 1 CME credit. Read More
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Editor-in-Chief
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Chris Aiken, MD
Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.

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