CARLAT PUBLISHING The Carlat Report https://www.thecarlatreport.com/rss/articles 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?


]]> 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. 

]]> 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.


]]> 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. 

]]> 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?

]]> 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.



]]> 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. 



]]> 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?



]]> 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.



]]> 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 Treating Borderline Personality Disorder You’ve just given a preliminary diagnosis of borderline personality disorder. Now what?



]]> Thu, 15 Jan 2026 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5825-treating-borderline-personality-disorder http://www.thecarlatreport.com/blogs/1/post/5825 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.



]]> 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.



]]> 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 Top 10 Carlat Psychiatry Articles of 2025 (All Newsletters) Here are the articles your colleagues read the most in 2025.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5795-top-10-carlat-psychiatry-articles-of-2025 http://www.thecarlatreport.com/blogs/1/post/5795 Top 10 Carlat Psychiatry Articles of 2025 (The Carlat Psychiatry Report) Here are the articles your colleagues read the most in 2025 in The Carat Psychiatry Report.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5796-top-10-carlat-psychiatry-articles-of-2025-the-carlat-psychiatry-report http://www.thecarlatreport.com/blogs/1/post/5796 Top 10 Carlat Psychiatry Articles of 2025 (The Carlat Child Psychiatry Report) Here are the articles your colleagues read the most in 2025 in The Carat Child Psychiatry Report.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5797-top-10-carlat-psychiatry-articles-of-2025-the-carlat-child-psychiatry-report http://www.thecarlatreport.com/blogs/1/post/5797 Top 10 Carlat Psychiatry Articles of 2025 (The Carlat Addiction Treatment Report) Browse the articles your colleagues read the most in 2025 in The Carlat Addiction Treatment Report.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5798-top-10-carlat-psychiatry-articles-of-2025-the-carlat-addiction-treatment-report http://www.thecarlatreport.com/blogs/1/post/5798 Top 10 Carlat Psychiatry Articles of 2025 (The Carlat Hospital Psychiatry Report) Here are the articles your colleagues read the most in 2025 in The Carat Hospital Psychiatry Report.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5799-top-10-carlat-psychiatry-articles-of-2025-the-carlat-hospital-psychiatry-report http://www.thecarlatreport.com/blogs/1/post/5799 Top 7 Carlat Psychiatry Articles of 2025 (The Carlat Geriatric Psychiatry Report) Here are the articles your colleagues read the most in 2025 in The Carat Geriatric Psychiatry Report.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5800-top-10-carlat-psychiatry-articles-of-2025-the-carlat-geriatric-psychiatry-report http://www.thecarlatreport.com/blogs/1/post/5800 Top 10 Clinical Topics of 2025 (All Newsletters) Here are the 10 most visited clinical topics across all Carlat Report newsletters in 2025 with links to relevant articles.]]> Thu, 18 Dec 2025 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5801-top-10-clinical-topics-of-2025-all-newsletters http://www.thecarlatreport.com/blogs/1/post/5801 Same patient. Same pattern. Same result. Same patient. Same cycle. Same result.

At what point does “doing something” stop being “doing good”?




]]> Thu, 11 Dec 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5793-same-patient-same-pattern-same-result http://www.thecarlatreport.com/blogs/1/post/5793 How to Get Off Benzos Safely Today: how to switch when something isn’t working—or is no longer the right fit. 



]]> Sun, 30 Nov 2025 10:56:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5772-how-to-get-off-benzos-safely http://www.thecarlatreport.com/blogs/1/post/5772 Can I get something to take the edge off? “Can I get something to take the edge off?”

You’ve heard it. Maybe this morning. Maybe just after you explained the SSRI will take two weeks to work.

And then, the quiet pause.

You both know that they’re asking for a benzo.



]]> Fri, 28 Nov 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5771-copy-of-how-to-switch-adhd-meds-safely http://www.thecarlatreport.com/blogs/1/post/5771 Deprescribing Antipsychotics: Why Stopping Can Be Harder Than Starting (Med Fact Book Mini-Series) Deprescribing antipsychotics is its own beast.

And it often takes more work than starting them.

This is a bonus post in my A-to-Z series from the upcoming 8th edition of the Med Fact Book.



]]> Mon, 17 Nov 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5651-copy-of-switching-antipsychotics-med-fact-book-mini-series-part-3 http://www.thecarlatreport.com/blogs/1/post/5651 Switching Antipsychotics (Med Fact Book Mini-Series, Part 3) Switching antipsychotics?

Sometimes, slower isn’t safer.

This is Part 3 in my A-to-Z series from the upcoming 8th edition of the Med Fact Book.

Today: Antipsychotics.



]]> Wed, 12 Nov 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5630-switching-antipsychotics-med-fact-book-mini-series-part-3 http://www.thecarlatreport.com/blogs/1/post/5630 Switching Antidepressants: Direct Switch vs. Cross Taper (Med Fact Book Mini-Series, Part 2) Switching antidepressants isn’t hard.

Unless you rush it—or forget the exceptions.

Part 2: Med Fact Book Mini-Series



]]> Tue, 04 Nov 2025 23:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5623-switching-antidepressants-direct-switch-vs-cross-taper-med-fact-book-mini-series-part-2 http://www.thecarlatreport.com/blogs/1/post/5623 How to Switch ADHD Meds Safely Most patients don’t stay on the first stimulant we try. Here’s how to switch safely, without the confusion.

Part 1: Med Fact Book Mini-Series



]]> Wed, 29 Oct 2025 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5579-how-to-switch-adhd-meds-safely http://www.thecarlatreport.com/blogs/1/post/5579 How to Talk About Psychiatric Diagnoses Now That Patients Read the Notes Tips from Dr. Dana Dieringer on how to document and deliver psychiatric diagnoses with care. 



]]> Thu, 23 Oct 2025 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5577-how-to-talk-about-psychiatric-diagnoses-now-that-patients-read-the-notes http://www.thecarlatreport.com/blogs/1/post/5577 When Doctors Get Addicted: Why the System Fails Them Dr. Peter Grinspoon’s story is a call to fix how we treat physician addiction.



]]> Sun, 19 Oct 2025 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5574-when-doctors-get-addicted-why-the-system-fails-them http://www.thecarlatreport.com/blogs/1/post/5574 You’re Doing Therapy, Bill for It 16+ minutes of psychotherapy during a med visit? That’s billable. Just document it clearly. CBT, MI, supportive therapy, it counts.



]]> Thu, 16 Oct 2025 00:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5572-youre-doing-therapy-bill-for-it http://www.thecarlatreport.com/blogs/1/post/5572 Mental Fitness
Sometimes it's not time to raise the dose.
It's time to raise the conversation. 


]]> Mon, 13 Oct 2025 10:00:00 -0400 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5563-copy-of-i-just-click-through-the-warnings-when-ehr-alerts-become-a-liability http://www.thecarlatreport.com/blogs/1/post/5563