CARLAT PUBLISHING The Carlat Report https://www.thecarlatreport.com/rss/articles 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 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 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 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 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 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 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 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 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: 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 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 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 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 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     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     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     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     When Social Withdrawal Becomes Invisible Pathology Have you ever heard of hikikomori? Literally: "pulling inward." First described by Japanese psychiatrist Tamaki Saito in 1998 — and for decades assumed to be a uniquely Japanese problem. It isn't. A 2025 meta-analysis of 19 studies and 58,000+ participants found cases across Europe, North America, and beyond. US estimates put prevalence around 2–3%. Roughly 1 in 40 Americans. Have you ever heard of hikikomori? Literally: "pulling inward."

    First described by Japanese psychiatrist Tamaki Saito in 1998 — and for decades assumed to be a uniquely Japanese problem. 

    It isn't.

    A 2025 meta-analysis of 19 studies and 58,000+ participants found cases across Europe, North America, and beyond. US estimates put prevalence around 2–3%. Roughly 1 in 40 Americans.



    ]]>     Fri, 08 May 2026 18:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6291-when-social-withdrawal-becomes-invisible-pathology http://www.thecarlatreport.com/blogs/1/post/6291     Are We Preparing Autistic Patients for Adulthood? We support autistic children. We abandon autistic adults. In our latest Child Psychiatry Report, Mary Baker-Ericzen, research professor at San Diego State University and clinical psychologist at the Intricate Mind Institute, asks clinicians to consider a different question at every visit: Is this patient building the skills they'll need when the system stops showing up for them? We support autistic children. We abandon autistic adults. 

    In our latest Child Psychiatry Report, Mary Baker-Ericzen, research professor at San Diego State University and clinical psychologist at the Intricate Mind Institute, asks clinicians to consider a different question at every visit: Is this patient building the skills they'll need when the system stops showing up for them?


    ]]>     Fri, 17 Apr 2026 18:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/6048-are-we-preparing-autistic-patients-for-adulthood http://www.thecarlatreport.com/blogs/1/post/6048     A Dangerous Myth in Child Psychiatry Autism doesn't protect against suicide. It hides it. Autism doesn't protect against suicide. It hides it. 

    ]]>     Sat, 11 Apr 2026 17:55:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5924-a-dangerous-myth-in-child-psychiatry http://www.thecarlatreport.com/blogs/1/post/5924     The Side Effects that Quietly Destroy Teeth It's easy to treat xerostomia as a nuisance, low on the priority list when you're managing psychosis or depression. But left unaddressed, it quietly does real damage. It's easy to treat xerostomia as a nuisance, low on the priority list when you're managing psychosis or depression. But left unaddressed, it quietly does real damage.


    ]]>     Fri, 03 Apr 2026 17:55:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5903-the-side-effects-that-quietly-destroy-teeth http://www.thecarlatreport.com/blogs/1/post/5903     The Anxiety Treatment Most U.S. Clinicians Haven’t Heard Of A German medication beat paroxetine for anxiety. Its approved in 20 countries. Most U.S. clinicians have never heard of it. A German medication beat paroxetine for anxiety. Its approved in 20 countries. Most U.S. clinicians have never heard of it. 

    ]]>     Sat, 28 Mar 2026 18:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5894-copy-of-depression-rarely-travels-alone http://www.thecarlatreport.com/blogs/1/post/5894     Depression Rarely Travels Alone We tend to blame the meds.But what if the real reason a patient isn’t improving… is because we’re treating the wrong thing?
    We tend to blame the meds.

    But what if the real reason a patient isn’t improving… is because we’re treating the wrong thing?

    ]]>     Sat, 07 Mar 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5890-depression-rarely-travels-alone http://www.thecarlatreport.com/blogs/1/post/5890     Rapid-acting Medications There are times in treatment when the usual pace just won’t do. That’s when we reach for rapid-acting medications.
    There are times in treatment when the usual pace just won’t do. That’s when we reach for rapid-acting medications.



    ]]>     Sat, 28 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5888-rapid-acting-medications http://www.thecarlatreport.com/blogs/1/post/5888     Difficult-to-Treat Depression Depression distorts memory. Measurement restores it. Depression distorts memory. Measurement restores it. 



    ]]>     Thu, 19 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5843-difficult-to-treat-depression http://www.thecarlatreport.com/blogs/1/post/5843     Flow Device: FDA Approval vs Real-World Effectivenes In December 2025, Flow did in fact receive FDA Approval, based on data from the Empower trial. Before that, it had been marketed under FDA clearance—a lower evidentiary bar. That correction matters—and it sharpens the question many subscribers have been asking me: How much does FDA approval tell us about real‑world effectiveness? In December 2025, Flow did in fact receive FDA Approval, based on data from the Empower trial. Before that, it had been marketed under FDA clearance—a lower evidentiary bar. That correction matters—and it sharpens the question many subscribers have been asking me: How much does FDA approval tell us about real‑world effectiveness?



    ]]>     Mon, 09 Feb 2026 17:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5841-flow-device-fda-approval-vs-real-world-effectivenes http://www.thecarlatreport.com/blogs/1/post/5841     Psychodynamic Therapy Psychodynamic therapy isn’t outdated.It’s evolving. Grounded in evidence. Psychodynamic therapy isn’t outdated.
    It’s evolving. Grounded in evidence.



    ]]>     Thu, 29 Jan 2026 22:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5836-psychodynamic-therapy http://www.thecarlatreport.com/blogs/1/post/5836     ADHD Today In the latest issue of TCPR, we give a lot of real estate to ADHD.And for good reason. It’s a diagnosis that’s everywhere—expanding across age groups, personality types, and practice settings. In the latest issue of TCPR, we give a lot of real estate to ADHD.
    And for good reason. It’s a diagnosis that’s everywhere—expanding across age groups, personality types, and practice settings.



    ]]>     Sun, 04 Jan 2026 17:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5816-adhd-today http://www.thecarlatreport.com/blogs/1/post/5816     Fast Practical Psychiatry For Busy Clinicians Busy clinicians don’t need more noise, they need clarity. That’s the idea behind the new Carlat Fact Sheet Web App: fast, searchable psychiatry you can actually use. Busy clinicians don’t need more noise, they need clarity. That’s the idea behind the new Carlat Fact Sheet Web App: fast, searchable psychiatry you can actually use.



    ]]>     Sat, 20 Dec 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5805-fast-practical-psychiatry-for-busy-clinicians http://www.thecarlatreport.com/blogs/1/post/5805