General Psychiatry https://www.thecarlatreport.com/rss en-us Gender Affirming Care in Exile: The Lawsuits p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

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.
]]> http://www.thecarlatreport.com/blogs/2/post/6262 Mon, 27 Apr 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6262-gender-affirming-care-in-exile-the-lawsuits shutterstock_2772531237.jpg Table: Psychiatric Medications in Pregnancy and Lactation Table: Psychiatric Medications in Pregnancy and Lactation]]> http://www.thecarlatreport.com/articles/6261 Fri, 24 Apr 2026 17:00:36 -0400 https://www.thecarlatreport.com/articles/6261-table-psychiatric-medications-in-pregnancy-and-lactation Use of Psychiatric Medications in Breastfeeding Patients When new mothers are admitted to the inpatient psychiatric unit, they might ask about the safety of taking psychiatric medications while breastfeeding.

]]> http://www.thecarlatreport.com/articles/5320 Fri, 24 Apr 2026 17:00:36 -0400 https://www.thecarlatreport.com/articles/5320-use-of-psychiatric-medications-in-breastfeeding-patients Dissociative Identity Disorder: Diagnosis and Treatment Occasionally you will encounter patients who report having multiple personalities or distinct identities, also called alters. Formerly called “multiple personality disorder,” this condition is now termed dissociative identity disorder (DID). 

]]> http://www.thecarlatreport.com/articles/5225 Fri, 24 Apr 2026 16:38:54 -0400 https://www.thecarlatreport.com/articles/5225-dissociative-identity-disorder-diagnosis-and-treatment Lithium Goes Mainstream p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

In the 1950s, a young Danish psychiatrist named Mogens Schou staked his career — and his family — on a mineral most of his colleagues dismissed as dangerous nonsense. This is the story of how lithium went from fringe curiosity to the gold standard for bipolar disorder, and the bitter scientific battle that nearly derailed it.
]]> http://www.thecarlatreport.com/blogs/2/post/6152 Mon, 20 Apr 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6152-lithium-goes-mainstream shutterstock_2769345501.jpg 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?


]]> http://www.thecarlatreport.com/blogs/1/post/6048 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 1773072497189.jpeg Lithium: From 7UP to Table Salt p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Before lithium became a cornerstone of psychiatry, it was in soda, spa water, and salt shakers. Trace lithium’s journey from Victorian health fad to life-saving mood stabilizer, and discover why the uric acid theory that launched it may be making a comeback.
]]> http://www.thecarlatreport.com/blogs/2/post/5925 Mon, 13 Apr 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5925-lithium-from-7up-to-table-salt shutterstock_2766290053.jpg A Dangerous Myth in Child Psychiatry Autism doesn't protect against suicide. It hides it. 

]]> http://www.thecarlatreport.com/blogs/1/post/5924 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 1773071509084.jpeg When Autism Meets the Legal System: A Clinician’s Guide p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Legal questions come up in clinical care of autistic children and adults more often than many of us expect. A parent asks for a custody letter; a school requests documentation for services; a patient asks about disability benefits or driving. When autistic patients face legal systems, clinicians can help, but only if we stay within our role.
]]> http://www.thecarlatreport.com/blogs/2/post/5904 Mon, 06 Apr 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5904-when-autism-meets-the-legal-system-a-clinicians-guide PodcastImage56978.jpg 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.


]]> http://www.thecarlatreport.com/blogs/1/post/5903 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 1771503682873.jpeg Learning Objectives, PTSD, TCPR, April 2026 After reading these articles, you should be able to…


]]> http://www.thecarlatreport.com/articles/5902 Wed, 01 Apr 2026 01:23:53 -0400 https://www.thecarlatreport.com/articles/5902-copy-of-learning-objectives-adhd-tcpr-march-2026 CME Post-Test, PTSD, TCPR, April 2026 By successfully completing the test you will be awarded a certificate for 1 CME credit.

]]> http://www.thecarlatreport.com/articles/5896 Wed, 01 Apr 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/5896-cme-post-test-ptsd-tcpr-april-2026 Deprescribing Benzodiazepines: A Practical Guide to Tapering A practical, patient-centered guide to safely tapering benzodiazepines, balancing long-term risks, withdrawal challenges, and strategies that improve success.

]]> http://www.thecarlatreport.com/articles/5901 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5901-deprescribing-benzodiazepines-a-practical-guide-to-tapering shutterstock_2425592969.jpg Studio shot photo of benzodiazepines Psychopharmacology for PTSD David Osser, MD, explains why treating sleep first is central to PTSD care—and how to use prazosin effectively despite lingering controversies.

]]> http://www.thecarlatreport.com/articles/5900 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5900-psychopharmacology-for-ptsd Lumateperone Eases Depression With Mixed Features A new placebo-controlled trial suggests lumateperone rapidly improves depressive and manic symptoms in mixed features—with minimal metabolic or EPS burden.

]]> http://www.thecarlatreport.com/articles/5899 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5899-lumateperone-eases-depression-with-mixed-features Exercise for Major Depressive Disorder Which types and doses of exercise work best for depression? A large meta-analysis offers practical targets while reinforcing flexibility in real-world care.

]]> http://www.thecarlatreport.com/articles/5898 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5898-exercise-for-major-depressive-disorder Digital Interventions for Adults Seeking Psychiatric Services A large trial finds small but meaningful benefits for depression and anxiety.

]]> http://www.thecarlatreport.com/articles/5897 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5897-digital-interventions-for-adults-seeking-psychiatric-services Jeffrey Epstein on the Couch: Part IV p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits.
]]> http://www.thecarlatreport.com/blogs/2/post/5895 Mon, 30 Mar 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5895-jeffrey-epstein-on-the-couch-part-iv shutterstock_2760429489.jpg 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. 

]]> http://www.thecarlatreport.com/blogs/1/post/5894 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 1770819589032.jpeg Jeffrey Epstein on the Couch: Part III p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits.

]]> http://www.thecarlatreport.com/blogs/2/post/5893 Mon, 23 Mar 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5893-jeffrey-epstein-on-the-couch-part-iii shutterstock_2757497113.jpg Jeffery Epstein on the Couch: Part II p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Does money lead to happiness? What kind of stress causes depression? Why the FDA change their requirements for new drug approvals? And what happened between Jeffrey Epstein and Ghislaine Maxwell that launched an enterprise of abuse?

]]> http://www.thecarlatreport.com/blogs/2/post/5892 Mon, 16 Mar 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5892-jeffery-epstein-on-the-couch-part-ii shutterstock_2754810389.jpg Jeffrey Epstein on the Couch: Part I p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Narcissism, antisocial, pedophilia… We examine the diagnoses people invoke to explain Jeffrey Epstein and determine if any fit.

]]> http://www.thecarlatreport.com/blogs/2/post/5891 Sun, 08 Mar 2026 03:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5891-jeffery-epstein-on-the-couch-part-1 shutterstock_2750742165.jpg 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?

]]> http://www.thecarlatreport.com/blogs/1/post/5890 Sat, 07 Mar 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5890-depression-rarely-travels-alone 1767700190109.jpeg Hidden Gems: Pramipexole Part II p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Pramipexole has moved up the in our algorithm for treatment resistant depression. Today, learn how to use this dopamine agonist.


]]> http://www.thecarlatreport.com/blogs/2/post/5889 Mon, 02 Mar 2026 02:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5889-hidden-gems-pramipexole-part-ii shutterstock_2745130545.jpg 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.



]]> http://www.thecarlatreport.com/blogs/1/post/5888 Sat, 28 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5888-rapid-acting-medications 1768165186245.jpeg Learning Objectives, ADHD, TCPR, March 2026 After reading these articles, you should be able to…


]]> http://www.thecarlatreport.com/articles/5885 Tue, 24 Feb 2026 00:23:53 -0500 https://www.thecarlatreport.com/articles/5885-learning-objectives-womens-mental-health-tcpr-february-2026 Non-Medication Strategies for Mild Anxiety Practical, evidence-based lifestyle and behavioral techniques that ease mild anxiety without medication.

]]> http://www.thecarlatreport.com/articles/5884 Tue, 24 Feb 2026 00:10:46 -0500 https://www.thecarlatreport.com/articles/5884-non-medication-strategies-for-mild-anxiety TCPR_March2026_ADHD_2.jpg ADHD Coaching Dr. Giordano helps clients harness strengths, build structure, and transform procrastination and distraction into momentum.

]]> http://www.thecarlatreport.com/articles/5883 Tue, 24 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5883-adhd-coaching TCPR QA headshot Giordano.jpg Adjunctive NSAIDs for OCD Inflammation is increasingly implicated in OCD. A new randomized trial explores whether a common anti-inflammatory added to standard treatment can meaningfully improve outcomes persistent symptoms.

]]> http://www.thecarlatreport.com/articles/5882 Tue, 24 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5882-adjunctive-nsaids-for-ocd Best Evidence-Based Pharmacotherapy Options for Sleep in PTSD A sweeping review of 99 RCTs identifies which medications actually improve sleep, nightmares, and sleep quality in PTSD

]]> http://www.thecarlatreport.com/articles/5881 Tue, 24 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5881-best-evidence-based-pharmacotherapy-options-for-sleep-in-ptsd