We interview Rita Nunacs on perimenopausal depression, and our word of the day – processomania – brings us into the crosshairs of politics and psychiatry. Published On: 10/18/20 Duration: 24 minutes, 42 seconds Article Referenced: "Mood and Menopause," The Carlat Psychiatry Podcast, October 2020 Rough Transcript: Dr. Aiken: Women have tw

Trintellix claims to improve cognition in depression, but what does this effect look like in patient’s lives? We speak with Tom Gualtieri about the cognitive side of antidepressants, and show you how to use a 3 minute cognitive test that reveals a lot about how your patients are functioning. Published On: 10/12/20 Duration: 23 minutes, 30 se

This month the first systemic meta-analysis of epidemiologic studies of ultra processed foods has come out, and we have a clearer picture of what poor dietary habits do to 300,000 people. [Link] Published On: 10/3/2020 Duration: 5 minutes, 34 seconds Got feedback? Take the podcast survey.

In 2004 Morgan Spurlock decided to see what would happen when he ate a typical McDonald’s meal for breakfast, lunch, and dinner. Over the next 30 days, we watched as he gained 24 pounds and developed high cholesterol, fatty liver, and signs of depression in the now classic documentary Supersize Me. Published On: 10/7/2020 Duration: 3 minute

A special edition for patients. Lithium is one of the most effective medications for bipolar and depression, but many of its marvels have remained obscure. Lithium has never benefited from a pharmaceutical ad (because it’s a mineral, not a medicine), so we’ve stepped in to fill that gap. Published On: 10/5/20 Duration: 23 minutes, 53 seconds Ro

When it comes to PTSD, pharmacotherapy is second-line and psychotherapy has the more robust evidence. The effect size for therapy is in the large range, while medications are in the small, with one exception…. In studies where patients are allowed to choose their preferred mode of treatment, those who prefer medications tend to do better with them t

How did the rate of depression triple over a single month in 2020? In this episode you’ll learn how to distinguish clinical depression from normal stress, so you’re better prepared to take care of the 1 in 3 U.S. adults who are currently endorsing the DSM criteria. [Study Link] Published On: 9/28/2020 Duration: 22 minutes, 7 seconds Rough Trans

In September 2020 the APA updated their schizophrenia practice guidelines. Here’s how things have changed since the 2004 edition. [Link] Date Published: 9/26/2020 Duration: 4 minutes, 27 seconds Transcript:  In September 2020 the APA updated their schizophrenia practice guidelines. Here’s how things have changed since the 2004 edition. C

When it comes to weight gain on antipsychotics, most of what we know is from industry sponsored trials, and most of them were done on Caucasian patients. Few of those studies compare the antipsychotics side by side, which leaves us guessing as to how they compare across side effects. This study changes that. [Link] Published On: 9/23/2020 Duration:

Half a dozen research papers suggest that lithium’s anti-viral properties may extend to the coronavirus. But the idea is far from tested, and patients with coronavirus are also at higher risk for lithium toxicity. We also touch on a safer and simpler way to prevent COVID-19: Vitamin D. How to order vitamin D: Vitamin D, 25-Hydroxy (Diagnostic code=E