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The Carlat Psychiatry Report

Substance Abuse (May) | 2010

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Suboxone Treatment Agreement

May 1, 2010

Download and print this contract for your patients on Suboxone. Read More

Opioid drugs represent one of the great triumphs of medicine, because they are extremely effective at relieving pain. Since the 1960s, multiple forms of synthetic opioids have been introduced, including such wellknown drugs as hydrocodone (Vicodin) and oxycodone (Percocet, Oxycontin). Read More

A Primer on Drug Testing

May 1, 2010

If you are a typical psychiatrist practicing in a setting other than a substance abuse clinic, chances are good that you rarely order drug testing on most of your patients. But should you be doing this more? Read More

Motivational Interviewing

May 1, 2010

Motivational interviewing is really a way of talking to people that calls forth their own motivations for change. Instead of telling them that they need to change, it’s a way of encouraging them to want to change. Read More

Seroquel For Bipolar Depression: The BOLDest and Best?

May 1, 2010

In 2005 and 2006, two trials showed a substantial advantage for quetiapine (Seroquel) over placebo for bipolar depression. Based on these trials, which were known by the acronym BOLDER I and II, quetiapine received an FDA indication for the condition. Read More

Accurate Prediction of Psychosis? Maybe

May 1, 2010

The early detection of schizophrenia is a hot topic in psychiatry. If we could detect schizophrenia during the “prodromal” phase, before overtly psychotic symptoms became problematic, perhaps early intervention could prevent or delay the onset of full-blown schizophrenia. Read More

CBT Plus MAOI More Effective for Social Anxiety than Either Alone

May 1, 2010

SSRIs are the mainstay of medication treatment for social anxiety disorder (SAD), while cognitive behavior therapy (CBT) is at least as effective. Oddly, combined SSRI and CBT treatment has not clearly outperformed each treatment alone in controlled trials. But a new study implies that MAOIs combined with CBT may be particularly effective. Read More