General Psychiatry Unbiased coverage of all things psychiatric https://www.thecarlatreport.com/rss en-us Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) This page has links and instructions for taking the 8 CME post-test for the Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) and download links PDF/eBook access. This page has links and instructions for taking the 8 CME post-test for the Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) and download links PDF/eBook access.

]]> http://www.thecarlatreport.com/articles/6422 Wed, 14 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6422-complementary-and-alternative-medicine-in-psychiatry-a-fact-book-2026 CAM1e_3DCover_Digital.png Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) This page has links and instructions for taking the 8 CME post-test for the Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) and download links PDF/eBook access. This page has links and instructions for taking the 8 CME post-test for the Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) and download links PDF/eBook access.

]]> http://www.thecarlatreport.com/articles/6421 Wed, 14 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6421-complementary-and-alternative-medicine-in-psychiatry-a-fact-book-2026 Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) his page has links and instructions for taking the 8 CME post-test for the Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) and download links PDF/eBook access. his page has links and instructions for taking the 8 CME post-test for the Complementary and Alternative Medicine in Psychiatry: A Fact Book (2026) and download links PDF/eBook access.

]]> http://www.thecarlatreport.com/articles/6420 Wed, 14 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6420-complementary-and-alternative-medicine-in-psychiatry-a-fact-book-2026 How Much Do SSRIs Really Help Kids with OCD? Parents often come into treatment hoping an SSRI will make their child's OCDdisappear. But how much relief do these medications actually provide? Today, we look at a large meta-analysis that gives us a more realistic picture of what SSRIs can and can't do for pediatric OCD. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Parents often come into treatment hoping an SSRI will make their child's OCD
disappear. But how much relief do these medications actually provide? Today, we look at a large meta-analysis that gives us a more realistic picture of what SSRIs can and can't do for pediatric OCD.

]]> http://www.thecarlatreport.com/blogs/2/post/6412 Mon, 12 Oct 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6412-how-much-do-ssris-really-help-kids-with-ocd shutterstock_2258560457-2.jpg Learning Objectives, Ketamine, TCPR, October 2026 After reading these articles, you should be able to… After reading these articles, you should be able to…


]]> http://www.thecarlatreport.com/articles/6419 Thu, 01 Oct 2026 00:00:53 -0400 https://www.thecarlatreport.com/articles/6419-copy-of-learning-objectives-light-therapy-tcpr-september-2026 Top 10 Prescribing Tips for Working with Teens and Kids Most psychotropic prescribing for children falls to non-specialists—a child psychiatrist shares hard-won pearls on dosing, consent, and family dynamics. Most psychotropic prescribing for children falls to non-specialists—a child psychiatrist shares hard-won pearls on dosing, consent, and family dynamics.

]]> http://www.thecarlatreport.com/articles/6418 Thu, 01 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6418-top-10-prescribing-tips-for-working-with-teens-and-kids An Update on Ketamine Dr. Brody tackles maintenance dosing, withdrawal risks, borderline personality response, and a controversial negative trial making waves in psychiatry. Dr. Brody tackles maintenance dosing, withdrawal risks, borderline personality response, and a controversial negative trial making waves in psychiatry.

]]> http://www.thecarlatreport.com/articles/6417 Thu, 01 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6417-an-update-on-ketamine shutterstock_2669706505.jpg A close-up of a vial labeled ...Ketamine... with a syringe beside it (neutral, clinical, and relevant to FDA approval). Bupropion for Anxious Depression: Not as Activating as You Think Clinicians often avoid this antidepressant in anxious patients, fearing it revs them up—new research finally tests whether that worry holds up. Clinicians often avoid this antidepressant in anxious patients, fearing it revs them up—new research finally tests whether that worry holds up.

]]> http://www.thecarlatreport.com/articles/6416 Thu, 01 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6416-bupropion-for-anxious-depression-not-as-activating-as-you-think Clozapine Shows Best Persistence in Real-World Oral Antipsychotic Use A large 20-year pharmacy study reveals which antipsychotic patients stick with the longest. A large 20-year pharmacy study reveals which antipsychotic patients stick with the longest.

]]> http://www.thecarlatreport.com/articles/6415 Thu, 01 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6415-clozapine-shows-best-persistence-in-real-world-oral-antipsychotic-use OxMIS: A Free Online Suicide Assessment Tool Researchers evaluate an online calculator estimating suicide risk for patients with bipolar disorder or schizophrenia spectrum conditions, examining its predictive validity. Researchers evaluate an online calculator estimating suicide risk for patients with bipolar disorder or schizophrenia spectrum conditions, examining its predictive validity.

]]> http://www.thecarlatreport.com/articles/6414 Thu, 01 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6414-oxmis-a-free-online-suicide-assessment-tool CME Post-Test, Ketamine, TCPR, 2026 By successfully completing the test, you will be awarded a certificate for 1 CME credit. By successfully completing the test, you will be awarded a certificate for 1 CME credit.

]]> http://www.thecarlatreport.com/articles/6413 Thu, 01 Oct 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6413-cme-post-test-ketamine-tcpr-2026 ADHD Undone: The Corporate Practice of Medicine Prescribing stimulants outside of ADHD is not illegal, but what Done did sent the clinical leader to jail. We look at what went wrong and what the charges were, and end with a research update that improves access to psychiatric care the honest way. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Prescribing stimulants outside of ADHD is not illegal, but what Done did sent the clinical leader to jail. We look at what went wrong and what the charges were, and end with a research update that improves access to psychiatric care the honest way.

]]> http://www.thecarlatreport.com/blogs/2/post/6409 Mon, 28 Sep 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6409-adhd-undone-the-corporate-practice-of-medicine shutterstock_2850155913.jpg ADHD Undone: The Stimulant Conspiracy A Silicon Valley founder built a telehealth company to make ADHD treatment as easy as ordering takeout, until federal prosecutors traced 37 million pills of Adderall back to the clinic. We follow Done from venture-backed startup to criminal conviction, and ask what the case means for how we diagnose and treats ADHD. Plus: a new FDA approval adds a third option to the ADHD reuptake-inhibitor family. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

A Silicon Valley founder built a telehealth company to make ADHD treatment as easy as ordering takeout, until federal prosecutors traced 37 million pills of Adderall back to the clinic. We follow Done from venture-backed startup to criminal conviction, and ask what the case means for how we diagnose and treats ADHD. Plus: a new FDA approval adds a third option to the ADHD reuptake-inhibitor family.

]]> http://www.thecarlatreport.com/blogs/2/post/6407 Mon, 21 Sep 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6407-adhd-undone-the-stimulant-conspiracy shutterstock_2846599047.jpg ADHD Undone: A Telehealth Tale A Silicon Valley founder built a telehealth company to make ADHD treatment as easy as ordering takeout, until federal prosecutors traced 37 million pills of Adderall back to the clinic. We follow Done from venture-backed startup to criminal conviction, and ask what the case means for how we diagnose and treats ADHD. Plus: a new FDA approval adds a third option to the ADHD reuptake-inhibitor family. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

A Silicon Valley founder built a telehealth company to make ADHD treatment as easy as ordering takeout, until federal prosecutors traced 37 million pills of Adderall back to the clinic. We follow Done from venture-backed startup to criminal conviction, and ask what the case means for how we diagnose and treats ADHD. Plus: a new FDA approval adds a third option to the ADHD reuptake-inhibitor family.

]]> http://www.thecarlatreport.com/blogs/2/post/6406 Mon, 14 Sep 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6406-adhd-undone-a-telehealth-tale shutterstock_2843087365.jpg Learning Objectives, Light Therapy, TCPR, September 2026 After reading these articles, you should be able to… After reading these articles, you should be able to…


]]> http://www.thecarlatreport.com/articles/6405 Tue, 01 Sep 2026 00:00:53 -0400 https://www.thecarlatreport.com/articles/6405-copy-of-learning-objectives-insight-tcpr-august-2026 FDA Approves Bysanti: Patent Extension Gone Wild The FDA just approved a new antipsychotic for schizophrenia and bipolar mania. Here's what you need to know before you prescribe it. The FDA just approved a new antipsychotic for schizophrenia and bipolar mania. Here's what you need to know before you prescribe it.

]]> http://www.thecarlatreport.com/articles/6404 Tue, 01 Sep 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6404-fda-approves-bysanti-patent-extension-gone-wild shutterstock_2680991309.jpg A clinician's hands gently holding or organizing a small number of pills Light Therapy: Beyond Seasonal Depression Light therapy works faster than antidepressants, helps more patients than you think, and costs nothing to prescribe. Here's how to use it. Light therapy works faster than antidepressants, helps more patients than you think, and costs nothing to prescribe. Here's how to use it.

]]> http://www.thecarlatreport.com/articles/6403 Tue, 01 Sep 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6403-light-therapy-beyond-seasonal-depression TCPR_QA_Rosenthal-sm.png GLP1-RAs: A Psychiatric Update GLP-1 receptor agonists are everywhere. The latest RCTs finally clarify what they can — and can't — do for your psychiatric patients. GLP-1 receptor agonists are everywhere. The latest RCTs finally clarify what they can — and can't — do for your psychiatric patients.

]]> http://www.thecarlatreport.com/articles/6402 Tue, 01 Sep 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6402-glp1-ras-a-psychiatric-update Pramipexole Shows Consistent Antidepressant Benefits Across Two RCTs, But Side Effects Limit Use Two new RCTs just gave an old Parkinson's drug a second look. The results for treatment-resistant depression may surprise you. Two new RCTs just gave an old Parkinson's drug a second look. The results for treatment-resistant depression may surprise you.

]]> http://www.thecarlatreport.com/articles/6401 Tue, 01 Sep 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6401-pramipexole-shows-consistent-antidepressant-benefits-across-two-rcts-but-side-effects-limit-use CME Post-Test, Light Therapy, TCPR, August 2026 By successfully completing the test, you will be awarded a certificate for 1 CME credit. By successfully completing the test, you will be awarded a certificate for 1 CME credit.

]]> http://www.thecarlatreport.com/articles/6400 Tue, 01 Sep 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6400-cme-post-test-light-therapy-tcpr-august-2026 Selegiline Patch May Offer Safer Option for Treatment-resistant Depression http://www.thecarlatreport.com/articles/6399 Tue, 01 Sep 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6399-selegiline-patch-may-offer-safer-option-for-treatment-resistant-depression Adult ADHD 4: Other Causes How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering.

]]> http://www.thecarlatreport.com/blogs/2/post/6395 Mon, 17 Aug 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6395-adult-adhd-4-other-causes shutterstock_2829698453.jpg Adult ADHD 3: The Missing Page in DSM The modern DSM began as a short list of 12 well-validated diagnoses. But the list expanded as the authors changed the goals from validity to reliability. Lost in this history is a missing page that helps separate adult ADHD from its mimics. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

The modern DSM began as a short list of 12 well-validated diagnoses. But the list expanded as the authors changed the goals from validity to reliability. Lost in this history is a missing page that helps separate adult ADHD from its mimics.

]]> http://www.thecarlatreport.com/blogs/2/post/6394 Mon, 10 Aug 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6394-adult-adhd-3-the-missing-page-in-dsm shutterstock_2825741539.jpg Adult ADHD 2: The Late-Onset Controversy Nine studies have tried to find out whether ADHD can start in adulthood, we dig into the data and find some answers to the controversy. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; color: #000000}

Nine studies have tried to find out whether ADHD can start in adulthood, we dig into the data and find some answers to the controversy.

]]> http://www.thecarlatreport.com/blogs/2/post/6387 Mon, 03 Aug 2026 02:00:00 -0400 https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/6387-adult-adhd-2-the-late-onset-controversy shutterstock_2821771913.jpg The Psychiatric Review of Symptoms The psychiatric review of symptoms (PROS) is an important though often neglected part of the initial psychiatric evaluation The psychiatric review of symptoms (PROS) is an important though often neglected part of the initial psychiatric evaluation



]]> http://www.thecarlatreport.com/articles/6393 Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6393-the-psychiatric-review-of-symptoms Pharmacological Treatments for Autism No drug targets autism's core symptoms, but medications from antipsychotics to leucovorin can address irritability, sleep, attention, and other co-occurring challenges. No drug targets autism's core symptoms, but medications from antipsychotics to leucovorin can address irritability, sleep, attention, and other co-occurring challenges.


]]> http://www.thecarlatreport.com/articles/6385 Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6385-pharmacological-treatments-for-autism Adult_ADHD_sm.png When Patients Don’t Know They Are Ill Xavier Amador explains how the LEAP communication strategy helps clinicians build trust with patients whose anosognosia makes them unable to recognize their own illness. Xavier Amador explains how the LEAP communication strategy helps clinicians build trust with patients whose anosognosia makes them unable to recognize their own illness.


]]> http://www.thecarlatreport.com/articles/6384 Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6384-when-patients-dont-know-they-are-ill TCPR_QA_Amador-Headshot.jpg Mirtazapine Helps Older Adults Sleep, but Side Effects Limit Staying Power A placebo-controlled trial finds mirtazapine modestly improves sleep in older adults, but daytime drowsiness and confusion caused dropout in a notable minority of patients. A placebo-controlled trial finds mirtazapine modestly improves sleep in older adults, but daytime drowsiness and confusion caused dropout in a notable minority of patients.


]]> http://www.thecarlatreport.com/articles/6383 Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6383-mirtazapine-helps-older-adults-sleep-but-side-effects-limit-staying-power Dextromethorphan as Early Augmentation for Mild to Moderate Depression How long should you wait before concluding that antipsychotic-related sedation isn't going to resolve on its own? A new meta-analysis finally puts a number on it. How long should you wait before concluding that antipsychotic-related sedation isn't going to resolve on its own? A new meta-analysis finally puts a number on it.



]]> http://www.thecarlatreport.com/articles/6382 Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6382-dextromethorphan-as-early-augmentation-for-mild-to-moderate-depression Exercise Doesn’t Always Work A meta-analysis underscores the importance of choosing metabolically safer medications. A meta-analysis underscores the importance of choosing metabolically safer medications.


]]> http://www.thecarlatreport.com/articles/6381 Sat, 01 Aug 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6381-exercise-doesnt-always-work