CARLAT PUBLISHING The Carlat Report https://www.thecarlatreport.com/rss/articles CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 1 of 2) Dr. Donn Posner is a leading expert in cognitive behavioral therapy for insomnia (CBT-I) and one of the field's most active educators.  Dr. Donn Posner is a leading expert in cognitive behavioral therapy for insomnia (CBT-I) and one of the field's most active educators.


]]> Sun, 23 Aug 2026 20:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6396-cbt-i-the-first-line-treatment-for-chronic-insomnia-dr-donn-posner-part-1-of-2 http://www.thecarlatreport.com/blogs/2/post/6396 Adult ADHD 4: Other Causes How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering.

]]> Mon, 17 Aug 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6395-adult-adhd-4-other-causes http://www.thecarlatreport.com/blogs/2/post/6395 Adult ADHD 3: The Missing Page in DSM The modern DSM began as a short list of 12 well-validated diagnoses. But the list expanded as the authors changed the goals from validity to reliability. Lost in this history is a missing page that helps separate adult ADHD from its mimics. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

The modern DSM began as a short list of 12 well-validated diagnoses. But the list expanded as the authors changed the goals from validity to reliability. Lost in this history is a missing page that helps separate adult ADHD from its mimics.

]]> Mon, 10 Aug 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6394-adult-adhd-3-the-missing-page-in-dsm http://www.thecarlatreport.com/blogs/2/post/6394 Adult ADHD 2: The Late-Onset Controversy Nine studies have tried to find out whether ADHD can start in adulthood, we dig into the data and find some answers to the controversy. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Nine studies have tried to find out whether ADHD can start in adulthood, we dig into the data and find some answers to the controversy.

]]> Mon, 03 Aug 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6387-adult-adhd-2-the-late-onset-controversy http://www.thecarlatreport.com/blogs/2/post/6387 Mental Fitness in Psychiatric Practice: A Carlat Clinical Fact Sheet Mental fitness promotes mental health through lifestyle change. Mental fitness promotes mental health through lifestyle change.



]]> Sat, 01 Aug 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6389-mental-fitness-in-psychiatric-practice-a-carlat-clinical-fact-sheet http://www.thecarlatreport.com/articles/6389 Cannabis Use Disorder Treatment Fact Sheet There’s no FDA-approved pharmacotherapy for cannabis use disorder (CUD), but that doesn’t mean we’re powerless. There’s no FDA-approved pharmacotherapy for cannabis use disorder (CUD), but that doesn’t mean we’re powerless. 



]]> Sat, 01 Aug 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6388-cannabis-use-disorder-treatment-fact-sheet http://www.thecarlatreport.com/articles/6388 The Psychiatric Review of Symptoms The psychiatric review of symptoms (PROS) is an important though often neglected part of the initial psychiatric evaluation The psychiatric review of symptoms (PROS) is an important though often neglected part of the initial psychiatric evaluation



]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6393-the-psychiatric-review-of-symptoms http://www.thecarlatreport.com/articles/6393 Telepsychiatry in Hospital Psychiatry Telepsychiatry has become a standard part of emergency and inpatient hospital care, driven by workforce shortages, after-hours coverage needs, and lasting changes from the COVID-19 pandemic. Telepsychiatry has become a standard part of emergency and inpatient hospital care, driven by workforce shortages, after-hours coverage needs, and lasting changes from the COVID-19 pandemic.



]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6392-telepsychiatry-in-hospital-psychiatry http://www.thecarlatreport.com/articles/6392 IV Ketamine Treatment on the Inpatient Unit IV ketamine's rapid antidepressant and anti-suicidal effects make it well suited to the inpatient timeline, where the 6–8-week lag of standard antidepressants is often untenable. IV ketamine's rapid antidepressant and anti-suicidal effects make it well suited to the inpatient timeline, where the 6–8-week lag of standard antidepressants is often untenable.



]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6391-iv-ketamine-treatment-on-the-inpatient-unit http://www.thecarlatreport.com/articles/6391 Advance Directives: Guiding Patients Toward Dignity and Autonomy Liver function tests (LFTs) are critical in psychiatry because the liver metabolizes most psychotropic medications, and because heavy alcohol or substance use may impair hepatic function. Liver function tests (LFTs) are critical in psychiatry because the liver metabolizes most psychotropic medications, and because heavy alcohol or substance use may impair hepatic function.



]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6390-advance-directives-guiding-patients-toward-dignity-and-autonomy http://www.thecarlatreport.com/articles/6390 Pharmacological Treatments for Autism No drug targets autism's core symptoms, but medications from antipsychotics to leucovorin can address irritability, sleep, attention, and other co-occurring challenges. No drug targets autism's core symptoms, but medications from antipsychotics to leucovorin can address irritability, sleep, attention, and other co-occurring challenges.


]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6385-pharmacological-treatments-for-autism http://www.thecarlatreport.com/articles/6385 When Patients Don’t Know They Are Ill Xavier Amador explains how the LEAP communication strategy helps clinicians build trust with patients whose anosognosia makes them unable to recognize their own illness. Xavier Amador explains how the LEAP communication strategy helps clinicians build trust with patients whose anosognosia makes them unable to recognize their own illness.


]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6384-when-patients-dont-know-they-are-ill http://www.thecarlatreport.com/articles/6384 Mirtazapine Helps Older Adults Sleep, but Side Effects Limit Staying Power A placebo-controlled trial finds mirtazapine modestly improves sleep in older adults, but daytime drowsiness and confusion caused dropout in a notable minority of patients. A placebo-controlled trial finds mirtazapine modestly improves sleep in older adults, but daytime drowsiness and confusion caused dropout in a notable minority of patients.


]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6383-mirtazapine-helps-older-adults-sleep-but-side-effects-limit-staying-power http://www.thecarlatreport.com/articles/6383 Dextromethorphan as Early Augmentation for Mild to Moderate Depression How long should you wait before concluding that antipsychotic-related sedation isn't going to resolve on its own? A new meta-analysis finally puts a number on it. How long should you wait before concluding that antipsychotic-related sedation isn't going to resolve on its own? A new meta-analysis finally puts a number on it.



]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6382-dextromethorphan-as-early-augmentation-for-mild-to-moderate-depression http://www.thecarlatreport.com/articles/6382 Exercise Doesn’t Always Work A meta-analysis underscores the importance of choosing metabolically safer medications. A meta-analysis underscores the importance of choosing metabolically safer medications.


]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6381-exercise-doesnt-always-work http://www.thecarlatreport.com/articles/6381 Sedation Trajectories With Antipsychotics: Practical Insights From a Meta-Analysis Patients on antipsychotics often assume sedation will fade as tolerance develops—but does it, and how quickly? A large pooled analysis tracks the sedation timeline across medications, revealing notable differences by agent. Patients on antipsychotics often assume sedation will fade as tolerance develops—but does it, and how quickly? A large pooled analysis tracks the sedation timeline across medications, revealing notable differences by agent.


]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6380-sedation-trajectories-with-antipsychotics-practical-insights-from-a-meta-analysis http://www.thecarlatreport.com/articles/6380 CME Post-Test, Insight, TCPR, August 2026 By successfully completing the test, you will be awarded a certificate for 1 CME credit. By successfully completing the test, you will be awarded a certificate for 1 CME credit.

]]> Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6379-cme-post-test-insight-tcpr-august-2026 http://www.thecarlatreport.com/articles/6379 Adult ADHD 1: The Child Grows Up DSM-5 loosened the criteria for adult ADHD, but did it get too lose? We look at what recent prosecutions of telehealth companies mean for those trying to diagnose this disorder on the front-lines. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

DSM-5 loosened the criteria for adult ADHD, but did it get too lose? We look at what recent prosecutions of telehealth companies mean for those trying to diagnose this disorder on the front-lines.

]]> Mon, 27 Jul 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6367-adult-adhd-1-the-child-grows-up http://www.thecarlatreport.com/blogs/2/post/6367 BPD Series, Episode 3: Dialectical Behavior Therapy — Balancing Acceptance and Change Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder. Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder.

]]> Mon, 20 Jul 2026 02:00:00 -0400 https://www.thecarlatreport.com/articles/6366-bpd-series-episode-3-dialectical-behavior-therapy-balancing-acceptance-and-change http://www.thecarlatreport.com/articles/6366 BPD Series, Episode 3: Dialectical Behavior Therapy — Balancing Acceptance and Change Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder. Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder.

]]> Mon, 20 Jul 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6365-bpd-series-episode-3-dialectical-behavior-therapy-balancing-acceptance-and-change http://www.thecarlatreport.com/blogs/2/post/6365 Harm Reduction Vending Machines Vending machines stocked with naloxone, syringes, and HIV tests are spreading across communities. But do they reach the people who need them most, and what does the evidence say about their impact? Vending machines stocked with naloxone, syringes, and HIV tests are spreading across communities. But do they reach the people who need them most, and what does the evidence say about their impact?

]]> Tue, 14 Jul 2026 12:55:00 -0400 https://www.thecarlatreport.com/articles/6356-harm-reduction-vending-machines http://www.thecarlatreport.com/articles/6356 14 Reasons Why Psychopharmacology Differs in Women, Part 4 Women clear some psychiatric medications more slowly, lose bone density at higher rates, and face greater medical consequences from alcohol and smoking than men. This final episode in a four-part series covers side effects, drug metabolism, drugs of abuse, urine incontinence, and what we do — and don't — know about prescribing for transgender patients. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Women clear some psychiatric medications more slowly, lose bone density at higher rates, and face greater medical consequences from alcohol and smoking than men. This final episode in a four-part series covers side effects, drug metabolism, drugs of abuse, urine incontinence, and what we do — and don't — know about prescribing for transgender patients.

]]> Mon, 13 Jul 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6348-14-reasons-why-psychopharmacology-differs-in-women-part-4 http://www.thecarlatreport.com/blogs/2/post/6348 Catatonia and Delirium Can Coexist—and Lorazepam May Help Although DSM-5-TR cautions against diagnosing catatonia and delirium at the same time, real-world patients do not always fit neatly into one category. A prospective quality-improvement study of more than 700 medical inpatients found substantial overlap between the two syndromes, with implications for screening and treatment. Although DSM-5-TR cautions against diagnosing catatonia and delirium at the same time, real-world patients do not always fit neatly into one category. A prospective quality-improvement study of more than 700 medical inpatients found substantial overlap between the two syndromes, with implications for screening and treatment.

]]> Tue, 07 Jul 2026 06:15:02 -0400 https://www.thecarlatreport.com/articles/6347-catatonia-and-delirium-can-coexistand-lorazepam-may-help http://www.thecarlatreport.com/articles/6347 14 Reasons Why Psychopharmacology Differs in Women, Part 3 Estrogen shapes nearly every neurotransmitter system in the brain, and when it starts to fall, psychiatric disorders often follow. This episode walks through what psychiatrists need to know about the perimenopause: which conditions worsen, which treatments help, and when to call the OB-GYN about hormone replacement therapy. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Estrogen shapes nearly every neurotransmitter system in the brain, and when it starts to fall, psychiatric disorders often follow. This episode walks through what psychiatrists need to know about the perimenopause: which conditions worsen, which treatments help, and when to call the OB-GYN about hormone replacement therapy.

]]> Mon, 06 Jul 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6344-14-reasons-why-psychopharmacology-differs-in-women-part-3 http://www.thecarlatreport.com/blogs/2/post/6344 Stigma, Shame, and Recovery in Physician Health Programs Physicians seek help for addiction and mental health issues later and with greater shame than most patients, yet their outcomes are among the best. Dr. Chris Bundy explains why this is and covers how clinicians can reduce stigma, navigate mandatory reporting, and support colleagues in crisis. Physicians seek help for addiction and mental health issues later and with greater shame than most patients, yet their outcomes are among the best. Dr. Chris Bundy explains why this is and covers how clinicians can reduce stigma, navigate mandatory reporting, and support colleagues in crisis.

]]> Wed, 01 Jul 2026 13:48:24 -0400 https://www.thecarlatreport.com/articles/6361-stigma-shame-and-recovery-in-physician-health-programs http://www.thecarlatreport.com/articles/6361 CME Post-Test, Young Adult Mental Health, CCPR, July/August/September 2026 By successfully completing the test you will be awarded a certificate for 2 CME credits. By successfully completing the test you will be awarded a certificate for 2 CME credits.

]]> Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6368-cme-post-test-young-adult-mental-health-ccpr-july-august-september-2026 http://www.thecarlatreport.com/articles/6368 Learning Objectives, The Carlat Addiction Treatment Report, CATR, July/August/September 2026 After reading these articles, you should be able to… After reading these articles, you should be able to…

]]> Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6364-learning-objectives-the-carlat-addiction-treatment-report-catr-july-august-september-2026 http://www.thecarlatreport.com/articles/6364 CME Post-Test, Medical Workers and Addiction, CATR, July/August/September 2026 By successfully completing the test you will be awarded a certificate for 2 CME credits. By successfully completing the test you will be awarded a certificate for 2 CME credits.

]]> Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6355-cme-post-test-medical-workers-and-addiction-catr-july-august-september-2026 http://www.thecarlatreport.com/articles/6355 Learning Objectives, Psychiatry in Palliative Care, CHPR, July/August/September 2026 After reading these articles, you should be able to… After reading these articles, you should be able to…

]]> Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6354-learning-objectives-psychiatry-in-palliative-care-chpr-july-august-september-2026 http://www.thecarlatreport.com/articles/6354 CME Post-Test, Psychiatry in Palliative Care, CHPR, July/August/September 2026 By successfully completing the test you will be awarded a certificate for 2 CME credit. By successfully completing the test you will be awarded a certificate for 2 CME credit.

]]> Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6345-cme-post-test-psychiatry-in-palliative-care-chpr-july-august-september-2026 http://www.thecarlatreport.com/articles/6345