General Psychiatry https://www.thecarlatreport.com/rss en-us 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 How Long Should Antidepressants Be Continued After Response? Investigators examine how long patients should stay on antidepressants after feeling better—and what factors matter when considering discontinuation.

]]> http://www.thecarlatreport.com/articles/5880 Tue, 24 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5880-how-long-should-antidepressants-be-continued-after-response CME Post-Test, ADHD, TCPR, March 2026 By successfully completing the test you will be awarded a certificate for 1 CME credit.

]]> http://www.thecarlatreport.com/articles/5879 Tue, 24 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/articles/5879-cme-post-test-adhd-tcpr-march-2026 Hidden Gems: Pramipexole Part I p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

New research moves pramipexole up in the algorithm for treatment resistant depression.




]]> http://www.thecarlatreport.com/blogs/2/post/5844 Mon, 23 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5844-hidden-gems-pramipexole-part-i shutterstock_2742343087.jpg Difficult-to-Treat Depression Depression distorts memory. Measurement restores it. 



]]> http://www.thecarlatreport.com/blogs/1/post/5843 Thu, 19 Feb 2026 00:00:00 -0500 https://www.thecarlatreport.com/blogs/1-the-carlat-psychiatry-blog/post/5843-difficult-to-treat-depression 1767701223649.jpeg Wounded Healers: Steven Hayes Part II p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

We interview Steve Hayes, originator of Acceptance and Commitment Therapy, on the personal struggles that inspired the treatment.




]]> http://www.thecarlatreport.com/blogs/2/post/5842 Mon, 16 Feb 2026 02:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5842-wounded-healers-steven-hayes-part-ii shutterstock_2739302939.jpg 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?



]]> http://www.thecarlatreport.com/blogs/1/post/5841 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 1767374156178.jpeg Wounded Healers: Steve Hayes, from Panic to ACT p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

An interview with Steve Hayes, originator of Acceptance and Commitment Therapy (ACT), on how his struggle with panic disorder inspired his work.




]]> http://www.thecarlatreport.com/blogs/2/post/5840 Mon, 09 Feb 2026 02:00:00 -0500 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5840-wounded-healers-steve-hayes-from-panic-to-act shutterstock_2736622095.jpg