CARLAT PUBLISHING The Carlat Report https://www.thecarlatreport.com/rss/articles Everything You Wanted To Know About Lithium But Hadn't Heard On The Podcast Yet Dr. Chris Aiken and Kellie Newsome, PMHNP have covered lithium quite a bit on The Carlat Psychiatry Podcast. Are you up to date on this cornerstone of psychiatry? Here's a clearinghouse of lithium episodes to catch you up. Dr. Chris Aiken and Kellie Newsome, PMHNP have covered lithium quite a bit on The Carlat Psychiatry Podcast. Are you up to date on this cornerstone of psychiatry? Here's a clearinghouse of lithium episodes to catch you up.        

]]> Mon, 22 Jun 2026 11:51:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6339-everything-you-wanted-to-know-about-lithium-but-hadnt-heard-on-the-podcast-yet http://www.thecarlatreport.com/blogs/1/post/6339 14 Reasons Why Psychopharmacology Differs in Women, Part 1 Women and men respond to psychiatric medications differently. In this first of a four-part series, Chris Aiken and Kellie Newsome walk through why valproate is risky for women, and when it’s worth using; why the FDA cut the zolpidem dose in half for female patients, and why SSRIs outperform tricyclics in women with depression. Plus: a sneak preview of DSM-6. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Women and men respond to psychiatric medications differently. In this first of a four-part series, Chris Aiken and Kellie Newsome walk through why valproate is risky for women, and when it’s worth using; why the FDA cut the zolpidem dose in half for female patients, and why SSRIs outperform tricyclics in women with depression. Plus: a sneak preview of DSM-6.

]]> Mon, 22 Jun 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6338-14-reasons-why-psychopharmacology-differs-in-women-part-1 http://www.thecarlatreport.com/blogs/2/post/6338 Psilocybin: What You Need to Know Psilocybin is going mainstream: Trump has signed an executive order opening psychedelics to patients with severe mental illness, and one in eight American adults has already tried it. But as we dig into the research, a more complicated picture emerges, one that separates the profound personal experience from the clinical evidence. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Psilocybin is going mainstream: Trump has signed an executive order opening psychedelics to patients with severe mental illness, and one in eight American adults has already tried it. But as we dig into the research, a more complicated picture emerges, one that separates the profound personal experience from the clinical evidence.
]]> Mon, 15 Jun 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6337-psilocybin-what-you-need-to-know http://www.thecarlatreport.com/blogs/2/post/6337 Rethinking 12-Step Referrals How to make a 12-step referral patients will actually try. How to make a 12-step referral patients will actually try. 

]]> Sat, 13 Jun 2026 16:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6336-rethinking-12-step-referrals http://www.thecarlatreport.com/blogs/1/post/6336 EMDR in Practice: A Clinician's Guide to Trauma Reprocessing with Roger Solomon, PhD Dr. Roger Solomon provides a comprehensive introduction to Eye Movement Desensitization and Reprocessing (EMDR). Dr. Roger Solomon provides a comprehensive introduction to Eye Movement Desensitization and Reprocessing (EMDR).

]]> Mon, 08 Jun 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6308-emdr-in-practice-a-clinicians-guide-to-trauma-reprocessing-with-roger-solomon-phd http://www.thecarlatreport.com/blogs/2/post/6308 The Latest in Child and Adolescent Psychiatry from Dr. Joshua Feder and Mara Goverman, LCSW. Five Free Episodes! Five free episodes on the issues that matter most in child and adolescent psychiatry today — from suicide risk in autistic youth to anxiety, sleep, legal systems, and expanding access to care. Hosted by Dr. Joshua Feder and Mara Goverman, LCSW. Five free episodes on the issues that matter most in child and adolescent psychiatry today — from suicide risk in autistic youth to anxiety, sleep, legal systems, and expanding access to care. Hosted by Dr. Joshua Feder and Mara Goverman, LCSW.

]]> Sat, 06 Jun 2026 20:55:09 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6323-the-latest-in-child-and-adolescent-psychiatry-from-dr-joshua-feder-and-mara-goverman-lcsw-five-free-episodes http://www.thecarlatreport.com/blogs/1/post/6323 3 Examples of AskCarlat AI Making a Difference in Clinical Work For 23 years, Dr. Carlat and his team of clinical experts have developed a mountain of peer-reviewed articles and books covering almost every aspect of psychiatry. Unlike many journals, these resources are straightforward, plain spoken, and actionable for the everyday work clinicians face. This year we took that massive archive and put it to work for you in a brand new interface called AskCarlat AI. For 23 years, Dr. Carlat and his team of clinical experts have developed a mountain of peer-reviewed articles and books covering almost every aspect of psychiatry. Unlike many journals, these resources are straightforward, plain spoken, and actionable for the everyday work clinicians face. This year we took that massive archive and put it to work for you in a brand new interface called AskCarlat AI.

]]> Sat, 06 Jun 2026 20:55:09 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6322-3-examples-of-askcarlat-ai-making-a-difference-in-clinical-work http://www.thecarlatreport.com/blogs/1/post/6322 Free Podcast Series: Gender Affirming Care in Exile Two malpractice cases — one worth $2 million — are reshaping the standards of gender-affirming care. This episode traces what went wrong, what held up in court, and what every clinician needs to know when referring patients for gender affirming procedures. Two malpractice cases — one worth $2 million — are reshaping the standards of gender-affirming care. This episode traces what went wrong, what held up in court, and what every clinician needs to know when referring patients for gender affirming procedures.



]]> Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6324-free-podcast-series-gender-affirming-care-in-exile http://www.thecarlatreport.com/blogs/1/post/6324 Stimulant Medications for ADHD: Choosing the Right Approach for Adults Free Quick Reference Guide A treament overview of Methylphenidate and Amphetamine medicatoins for ADHD. A treament overview of Methylphenidate and Amphetamine medicatoins for ADHD.


]]> Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6320-stimulant-medications-for-adhd-choosing-the-right-approach-for-adults-free-quick-reference-guide http://www.thecarlatreport.com/blogs/1/post/6320 Treatment of Bipolar Disorder in Pregnant and Postpartum Women: A Free Review Sheet Begin preparation at least six months before conception to ensure stability, switch to safer medications, and manage psychosocial stressors. Begin preparation at least six months before conception to ensure stability, switch to safer medications, and manage psychosocial stressors.

       


    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6321-treatment-of-bipolar-disorder-in-pregnant-and-postpartum-women-a-free-review-sheet http://www.thecarlatreport.com/blogs/1/post/6321     Free Sample Resource - Most Common Clinically Significant Drug Interactions in Psychiatry Drug-drug interactions are critical to monitor in older adults due to the high prevalence of polypharmacy in this population. Drug-drug interactions are critical to monitor in older adults due to the high prevalence of polypharmacy in this population. 



    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6319-free-sample-resource-most-common-clinically-significant-drug-interactions-in-psychiatry http://www.thecarlatreport.com/blogs/1/post/6319     Free Sample Section: Important Drug-Drug Interactions in Older Adults Drug-drug interactions are critical to monitor in older adults due to the high prevalence of polypharmacy in this population. Drug-drug interactions are critical to monitor in older adults due to the high prevalence of polypharmacy in this population. 



    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6318-free-sample-section-important-drug-drug-interactions-in-older-adults http://www.thecarlatreport.com/blogs/1/post/6318     Free Sample Table: Hyperbolic Taper for SSRIs If a patient is tapering off SSRIs completely — rather than switching to another antidepressant — a hyperbolic taper minimizes the risk of withdrawal. If a patient is tapering off SSRIs completely — rather than switching to another antidepressant — a hyperbolic taper minimizes the risk of withdrawal.



    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6317-free-sample-table-hyperbolic-taper-for-ssris http://www.thecarlatreport.com/blogs/1/post/6317     Free Research Summary: Which Meds Are Best for Panic Disorder (Anxiety and Compulsive Disorder) There are many effective medications for panic disorder, including tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and monoamine oxidase inhibitors (MAOIs). There are many effective medications for panic disorder, including tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and monoamine oxidase inhibitors (MAOIs). 


    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6316-free-research-summary-which-meds-are-best-for-panic-disorder-anxiety-and-compulsive-disorder http://www.thecarlatreport.com/blogs/1/post/6316     Free Research Summary: Cannabis Use Frequency and Cannabis Use Disorder (Addiction Psychiatry) Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6315-free-research-summary-cannabis-use-frequency-and-cannabis-use-disorder-addiction-psychiatry http://www.thecarlatreport.com/blogs/1/post/6315 Free Research Summary: Dextromethorphan-Bupropion (Auvelity): A Novel Mechanism for Major Depression It's frustrating for both patients and doctors when depression treatments fall short, and unfortunately, this is a common problem. It's frustrating for both patients and doctors when depression treatments fall short, and unfortunately, this is a common problem. 

    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6314-free-research-summary-dextromethorphan-bupropion-auvelity-a-novel-mechanism-for-major-depression http://www.thecarlatreport.com/blogs/1/post/6314     Hidden Gems Podcast Series When Dr. Chris Aiken opened a psychotherapy practice in Western North Carolina, treatment-resistant depression wasn’t a specialty he planned for — it was what walked through the door. Most patients arrived having already failed one or more SSRIs prescribed in primary care. The standard next steps — raising the dose, switching classes, adding bupropion, buspirone, or a stimulant — often weren’t enough. When Dr. Chris Aiken opened a psychotherapy practice in Western North Carolina, treatment-resistant depression wasn’t a specialty he planned for — it was what walked through the door. Most patients arrived having already failed one or more SSRIs prescribed in primary care. The standard next steps — raising the dose, switching classes, adding bupropion, buspirone, or a stimulant — often weren’t enough.



    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6313-hidden-gems-podcast-series http://www.thecarlatreport.com/blogs/1/post/6313     PTSD 101 Podcast Series In August 2024, the American Journal of Psychiatry published a landmark update on PTSD by Arieh Shalev, MD, and colleagues at NYU — a comprehensive look at the diagnosis, neuroscience, and treatment of one of psychiatry’s most complex conditions. Dr. Chris Aiken, Editor-in-Chief of The Carlat Psychiatry Report, and his co-host Kellie Newsome, PMHNP took a deep dive into that article in this five-part podcast series. In August 2024, the American Journal of Psychiatry published a landmark update on PTSD by Arieh Shalev, MD, and colleagues at NYU — a comprehensive look at the diagnosis, neuroscience, and treatment of one of psychiatry’s most complex conditions. Dr. Chris Aiken, Editor-in-Chief of The Carlat Psychiatry Report, and his co-host Kellie Newsome, PMHNP took a deep dive into that article in this five-part podcast series.


    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6312-ptsd-101-podcast-series http://www.thecarlatreport.com/blogs/1/post/6312     Podcast Series: Psychopharmacology 10 Commandments Our most-listened-to podcast series is now available in full — all ten episodes, free to stream. Dr. Chris Aiken, Editor-in-Chief of The Carlat Psychiatry Report, and Kellie Newsome, PMHNP distill ten essential principles every prescriber should know about psychopharmacology: the rules that keep patients safe, the pitfalls that catch clinicians off guard, and the evidence that should guide your prescribing every day. Our most-listened-to podcast series is now available in full — all ten episodes, free to stream. Dr. Chris Aiken, Editor-in-Chief of The Carlat Psychiatry Report, and Kellie Newsome, PMHNP distill ten essential principles every prescriber should know about psychopharmacology: the rules that keep patients safe, the pitfalls that catch clinicians off guard, and the evidence that should guide your prescribing every day.


    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6311-podcast-series-psychopharmacology-10-commandments http://www.thecarlatreport.com/blogs/1/post/6311     Podcast Series: How to Start a Psych Medication One of our most popular 2025 podcast series is now available in full. Dr. Chris Aiken, Editor-in-Chief of The Carlat Psychiatry Report, and Kellie Newsome, PMHNP share expert tips on drug titration — including psych meds that are better tolerated when started faster, and one that must be launched at a high dose and then tapered down to a low maintenance dose. (Spoiler: it’s not buprenorphine.) One of our most popular 2025 podcast series is now available in full. Dr. Chris Aiken, Editor-in-Chief of The Carlat Psychiatry Report, and Kellie Newsome, PMHNP share expert tips on drug titration — including psych meds that are better tolerated when started faster, and one that must be launched at a high dose and then tapered down to a low maintenance dose. (Spoiler: it’s not buprenorphine.)

    ]]>     Sat, 06 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6310-podcast-series-how-to-start-a-psych-medication http://www.thecarlatreport.com/blogs/1/post/6310     EMDR in Practice: A Clinician's Guide to Trauma Reprocessing with Roger Solomon, PhD Dr. Roger Solomon provides a comprehensive introduction to Eye Movement Desensitization and Reprocessing (EMDR). Dr. Roger Solomon provides a comprehensive introduction to Eye Movement Desensitization and Reprocessing (EMDR).

    ]]>     Fri, 05 Jun 2026 02:00:00 -0400 https://www.thecarlatreport.com/articles/6307-emdr-in-practice-a-clinicians-guide-to-trauma-reprocessing-with-roger-solomon-phd http://www.thecarlatreport.com/articles/6307     The Benefits of Exercise in Older Adults We tell patients to exercise. We're usually vague about the dose. A 2025 UK Biobank study (Yu K et al, Am J Geriatr Psychiatry 2025;33(5):512–523 https://lnkd.in/eVAh4Dtq) put real numbers on it — using accelerometers, not self-report. The design: 71,556 adults. Mean age 62. No depression or anxiety at baseline. Followed a median of 8 years. We tell patients to exercise. We're usually vague about the dose. A 2025 UK Biobank study (Yu K et al, Am J Geriatr Psychiatry 2025;33(5):512–523 https://lnkd.in/eVAh4Dtq) put real numbers on it — using accelerometers, not self-report. The design: 71,556 adults. Mean age 62. No depression or anxiety at baseline. Followed a median of 8 years.

    ]]>     Fri, 05 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6309-the-benefits-of-exercise-in-older-adults http://www.thecarlatreport.com/blogs/1/post/6309     Free 4-Part Podcast Series: Jeffrey Epstein on the Couch Chris Aiken, MD, and Kellie Newsome, PMHNP, have been digging through the Epstein files, and this podcast series brings you updates that shed light on his psychiatric diagnosis. Chris Aiken, MD, and Kellie Newsome, PMHNP, have been digging through the Epstein files, and this podcast series brings you updates that shed light on his psychiatric diagnosis.

    ]]>     Mon, 01 Jun 2026 10:56:14 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6325-free-4-part-podcast-series-jeffrey-epstein-on-the-couch http://www.thecarlatreport.com/blogs/1/post/6325     Why We Miss Suicide Risk in Autistic Youth What if the patients we assume are safest from suicide are actually the ones we miss? Today we're talking about suicide risk in autistic youth, why it's higher than many clinicians expect, how distress shows up differently, and what small changes in our assessment process and treatment can make a real difference. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

    What if the patients we assume are safest from suicide are actually the ones we miss? Today we're talking about suicide risk in autistic youth, why it's higher than many clinicians expect, how distress shows up differently, and what small changes in our assessment process and treatment can make a real difference.
    ]]>     Mon, 01 Jun 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6306-why-we-miss-suicide-risk-in-autistic-youth http://www.thecarlatreport.com/blogs/2/post/6306     CBD for Trauma-Related Anxiety: Does the Hype Add Up? Millions of people experience trauma-related symptoms that fall short of PTSD. Millions of people experience trauma-related symptoms that fall short of PTSD. 

    ]]>     Mon, 01 Jun 2026 00:00:58 -0400 https://www.thecarlatreport.com/articles/6299-cbd-for-trauma-related-anxiety-does-the-hype-add-up http://www.thecarlatreport.com/articles/6299     Learning Objectives, Therapy for Bipolar Disorder, TCPR, June/July 2026 After reading these articles, you should be able to… After reading these articles, you should be able to…


    ]]>     Mon, 01 Jun 2026 00:00:53 -0400 https://www.thecarlatreport.com/articles/6305-learning-objectives-therapy-for-bipolar-disorder-tcpr-june-july-2026 http://www.thecarlatreport.com/articles/6305     Street Smarts in Psychopharm: What Every Clinician Needs to Know Patients are arriving with scripts from TikTok and Reddit coaching them to obtain controlled substances. Structured assessments and firm but compassionate boundaries are your best defense. Patients are arriving with scripts from TikTok and Reddit coaching them to obtain controlled substances. Structured assessments and firm but compassionate boundaries are your best defense.

    ]]>     Mon, 01 Jun 2026 00:00:46 -0400 https://www.thecarlatreport.com/articles/6304-street-smarts-in-psychopharm-what-every-clinician-needs-to-know http://www.thecarlatreport.com/articles/6304     Therapy for Bipolar Disorder Personalized CBT can build rapport and transform how patients with bipolar disorder understand and manage their own episodes. Personalized CBT can build rapport and transform how patients with bipolar disorder understand and manage their own episodes.

    ]]>     Mon, 01 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6303-therapy-for-bipolar-disorder http://www.thecarlatreport.com/articles/6303     Digital Addictions Apps are engineered to hook users. Here’s how to recognize and treat digital addiction in your patients. Apps are engineered to hook users. Here’s how to recognize and treat digital addiction in your patients.

    ]]>     Mon, 01 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6302-digital-addictions http://www.thecarlatreport.com/articles/6302     The Obsessive-Compulsive Disposition OC traits are common and easily mistaken for ADHD, mood disorders, or oppositional behavior in children. Recognizing them can prevent misdiagnosis and inappropriate stimulant prescribing. OC traits are common and easily mistaken for ADHD, mood disorders, or oppositional behavior in children. Recognizing them can prevent misdiagnosis and inappropriate stimulant prescribing.

    ]]>     Mon, 01 Jun 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6301-the-obsessive-compulsive-disposition http://www.thecarlatreport.com/articles/6301