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The Carlat Psychiatry Report

Topics in Neuropsychiatry (September) | 2009

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Thinking like a Neurologist

September 1, 2009

Dr. Price, for most of your career, you’ve worked closely with psychiatrists in treating patients with neuropsychiatric disease. I thought we might start by discussing how psychiatrists might bring more neurological thinking into their evaluations. When should psychiatrists start thinking neurologically? Read More

Restricting Drug Samples May Reduce Costs

September 1, 2009

Drug samples are a staple of pharmaceutical marketing. The drug industry argues, quite logically, that samples are useful to treat patients who lack the funds to purchase medications. Yet some reformers have called for drug samples to be banned, an idea that has received a decidedly mixed reception. Read More

N-Acetylcysteine Effective For Trichotillomania

September 1, 2009

Trichotillomania (TTM) is an impulse control disorder in which patients feel that they can relieve tension by pulling out hair from different parts of their bodies. While sharing some features with obsessive compulsive disorder, DSM-IV-TR does not officially classify it as a type of OCD. Read More

Treating Headaches in Psychiatry

September 1, 2009

We know that headaches are common in the general population, but they are particularly common among patients with psychiatric problems. According to one review, (Pompili M et al., J Headache Pain 2009; 10(4):283-290) patients with depression have a 46% lifetime prevalence of migraine, while bipolar patients have a 51% prevalence. Patients with migraines have triple the risk of developing depression than patients without migraines. Read More