The Carlat Psychiatry Report

Avoiding Malpractice in Psychiatry (November) | 2007

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Good Forensic Habits for your Practice

November 1, 2007
When it comes to legal issues, prevention is by far the best medicine. In this article, we will talk about good forensic habits that will protect you from certified letters signed by attorneys. Much of this advice is gleaned from that classic textbook, Clinical Handbook of Psychiatry and the Law (Gutheil and Appelbaum, Lippincott Williams and Wilkins, 3rd ed., 2000). Read More

Topics in Confidentiality and Duty to Warn

November 1, 2007
When HIPAA first came out, the big concern was that it would limit the release of psychiatric information and would place barriers to being able to talk to other members of a patient’s treatment team. But it turns out that HIPAA actually had the opposite effect in many ways. Read More

Varying symptom profiles of depression correlated with specific triggering events

November 1, 2007
We generally think of major depression as a single disorder with various possible symptoms. The only specific profile that we sometimes look for is atypical depression, encompassing reverse neurovegetative symptoms and reactivity of mood. Read More

A new study dampens glutamine enthusiasm

November 1, 2007
Because standard antipsychotics don’t do much for the negative symptoms of schizophrenia (such as affective flattening and paucity of speech), there has been a fair amount of interest in the so-called “hypoglutaminergic hypothesis” of schizophrenia. Read More

Walmart includes more psychiatric meds at $4/month

November 1, 2007
In case you haven’t heard, Walmart has started offering certain generic prescription drugs at $4 per month supply. Read More

Topiramate (Topamax) is somewhat effective for alcohol dependence, but heavy on side effects

November 1, 2007
Medications only work modestly for the treatment of alcohol dependence. In TCPR’s last issue on substance abuse (June 2006) we reviewed the evidence on disulfiram (Antabuse), naltrexone, and acamprosate, and concluded that naltrexone works modestly, acamprosate works less well, and Antabuse has little high quality data but probably works modestly for highly motivated patients. Read More

The Tarasoff case

November 1, 2007
Tatiana Tarasoff was a student at the University of California at Berkely in the late 1960s, and she met Prosenjit Poddar, a graduate student from India, at a folk dancing class. Read More

Learning Objectives, Avoiding Malpractice in Psychiatry, TCPR, November 2007

November 1, 2007
After reading these articles, you should be able to… Read More
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