Coverage for working in inpatient units, emergency rooms, and consult liaison work https://www.thecarlatreport.com/rss en-us Although DSM-5-TR cautions against diagnosing catatonia and delirium at the same time, real-world patients do not always fit neatly into one category. A prospective quality-improvement study of more than 700 medical inpatients found substantial overlap between the two syndromes, with implications for screening and treatment. Although DSM-5-TR cautions against diagnosing catatonia and delirium at the same time, real-world patients do not always fit neatly into one category. A prospective quality-improvement study of more than 700 medical inpatients found substantial overlap between the two syndromes, with implications for screening and treatment.

]]> http://www.thecarlatreport.com/articles/6347 Tue, 07 Jul 2026 06:15:02 -0400 https://www.thecarlatreport.com/articles/6347-catatonia-and-delirium-can-coexistand-lorazepam-may-help After reading these articles, you should be able to… After reading these articles, you should be able to…

]]> http://www.thecarlatreport.com/articles/6354 Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6354-learning-objectives-psychiatry-in-palliative-care-chpr-july-august-september-2026 By successfully completing the test you will be awarded a certificate for 2 CME credit. By successfully completing the test you will be awarded a certificate for 2 CME credit.

]]> http://www.thecarlatreport.com/articles/6345 Wed, 01 Jul 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/6345-cme-post-test-psychiatry-in-palliative-care-chpr-july-august-september-2026 When an older inpatient develops altered mental status, the answer is not always delirium or dementia—it is often both. In this review we discuss how to distinguish acute from chronic cognitive change, avoid missing hypoactive delirium, use medications judiciously, and set realistic expectations for patients and families. When an older inpatient develops altered mental status, the answer is not always delirium or dementia—it is often both. In this review we discuss how to distinguish acute from chronic cognitive change, avoid missing hypoactive delirium, use medications judiciously, and set realistic expectations for patients and families.

]]> http://www.thecarlatreport.com/articles/6353 Wed, 01 Jul 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6353-delirium-versus-dementia-in-the-medical-inpatient-setting Palliative care psychiatry often requires a shift in how we think about symptoms, medications, and time. Dr. Shalev discusses distinguishing demoralization from depression and grief, choosing treatments when patients may not have weeks to wait, deprescribing thoughtfully, and supporting patients and families through serious illness. Palliative care psychiatry often requires a shift in how we think about symptoms, medications, and time. Dr. Shalev discusses distinguishing demoralization from depression and grief, choosing treatments when patients may not have weeks to wait, deprescribing thoughtfully, and supporting patients and families through serious illness.

]]> http://www.thecarlatreport.com/articles/6352 Wed, 01 Jul 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6352-the-role-of-psychiatry-in-palliative-care CHPR_QA1 Daniel Shalev_photo_sm.png People with psychiatric disorders may face elevated dementia risk—but what’s driving that connection, and what can clinicians do about it? Dr. Hedges reviews the epidemiological evidence across depression, bipolar disorder, schizophrenia, ADHD, and PTSD, and offers practical steps for supporting long-term cognitive health in everyday psychiatric practice. People with psychiatric disorders may face elevated dementia risk—but what’s driving that connection, and what can clinicians do about it? Dr. Hedges reviews the epidemiological evidence across depression, bipolar disorder, schizophrenia, ADHD, and PTSD, and offers practical steps for supporting long-term cognitive health in everyday psychiatric practice.

]]> http://www.thecarlatreport.com/articles/6351 Wed, 01 Jul 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6351-psychiatric-illness-as-a-potential-risk-factor-for-dementia DawsonHedgesMD_sm.jpeg We’ve long worried about respiratory depression when injectable olanzapine is combined with benzodiazepines. But in a retrospective cohort of nearly 700 ED cases, the combination did not appear to raise major safety concerns, offering some reassurance for severe agitation management. We’ve long worried about respiratory depression when injectable olanzapine is combined with benzodiazepines. But in a retrospective cohort of nearly 700 ED cases, the combination did not appear to raise major safety concerns, offering some reassurance for severe agitation management.

]]> http://www.thecarlatreport.com/articles/6350 Wed, 01 Jul 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6350-parenteral-olanzapine-and-benzos-together-safer-than-we-thought Metformin is already used to limit antipsychotic-related weight gain in schizophrenia. But two related trials from the same research group suggest it might also modestly improve working memory and verbal learning, raising the question of whether a common metabolic agent could double as a cognitive one. Metformin is already used to limit antipsychotic-related weight gain in schizophrenia. But two related trials from the same research group suggest it might also modestly improve working memory and verbal learning, raising the question of whether a common metabolic agent could double as a cognitive one.

]]> http://www.thecarlatreport.com/articles/6349 Wed, 01 Jul 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6349-metformin-shows-cognitive-promise-beyond-metabolic-benefits Soft drinks are implicated in obesity and diabetes. But could they also influence depression—and if so, through what mechanism? A German cohort study of 932 adults points to an unexpected variable in the relationship between dietary habits and mood. Soft drinks are implicated in obesity and diabetes. But could they also influence depression—and if so, through what mechanism? A German cohort study of 932 adults points to an unexpected variable in the relationship between dietary habits and mood.

]]> http://www.thecarlatreport.com/articles/6346 Wed, 01 Jul 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/6346-soft-drink-intake-linked-to-depression-gut-microbiome-may-be-the-missing-link 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.

   

]]> http://www.thecarlatreport.com/blogs/1/post/6321 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 WMH_Course_Graphic.png 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. 

]]> http://www.thecarlatreport.com/blogs/1/post/6319 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 HFB1e_Cover3D.png AI scribes automatically generate structured clinical notes from recorded patient interviews, saving psychiatrists significant documentation time and reducing after-hours charting. AI scribes automatically generate structured clinical notes from recorded patient interviews, saving psychiatrists significant documentation time and reducing after-hours charting.

]]> http://www.thecarlatreport.com/articles/6343 Fri, 24 Apr 2026 17:00:36 -0400 https://www.thecarlatreport.com/articles/6343-how-to-use-ai-scribes-in-psychiatry Many genetic neurodevelopmental disorders are diagnosed in childhood—but some patients reach adulthood undiagnosed, particularly if earlier evaluations were limited or never pursued. Many genetic neurodevelopmental disorders are diagnosed in childhood—but some patients reach adulthood undiagnosed, particularly if earlier evaluations were limited or never pursued.

]]> http://www.thecarlatreport.com/articles/6341 Fri, 24 Apr 2026 17:00:36 -0400 https://www.thecarlatreport.com/articles/6341-genetic-conditions-with-psychiatric-manifestations 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 When new mothers are admitted to the inpatient psychiatric unit, they might ask about the safety of taking psychiatric medications while breastfeeding. 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 Prenatal depression is common, affecting 10%–15% of pregnant patients. Prenatal depression is common, affecting 10%–15% of pregnant patients.

]]> http://www.thecarlatreport.com/articles/6257 Fri, 24 Apr 2026 16:38:54 -0400 https://www.thecarlatreport.com/articles/6257-depression-in-pregnancy-diagnosis-and-treatment Many of your patients will most likely have been exposed to significant trauma, such as adverse childhood experiences, domestic or sexual violence, and the hardships associated with homelessness or substance use. Many of your patients will most likely have been exposed to significant trauma, such as adverse childhood experiences, domestic or sexual violence, and the hardships associated with homelessness or substance use.

]]> http://www.thecarlatreport.com/articles/6256 Fri, 24 Apr 2026 16:38:54 -0400 https://www.thecarlatreport.com/articles/6256-ptsd-diagnosis-and-treatment Generally, when pressed for time, most clinicians will use one of the following online drug interaction checkers. Generally, when pressed for time, most clinicians will use one of the following online drug interaction checkers.

]]> http://www.thecarlatreport.com/articles/5280 Sun, 19 Apr 2026 15:43:40 -0400 https://www.thecarlatreport.com/articles/5280-clinically-significant-drug-interactions Atomoxetine treats attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults. Atomoxetine treats attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults.

]]> http://www.thecarlatreport.com/articles/6037 Fri, 17 Apr 2026 16:35:47 -0400 https://www.thecarlatreport.com/articles/6037-atomoxetine-strattera-fact-sheet-for-patients Patients with autism spectrum disorder (ASD) may be admitted to inpatient units for a variety of reasons. Patients with autism spectrum disorder (ASD) may be admitted to inpatient units for a variety of reasons.

]]> http://www.thecarlatreport.com/articles/5195 Fri, 17 Apr 2026 16:35:47 -0400 https://www.thecarlatreport.com/articles/5195-autism-spectrum-disorder Patients with borderline personality disorder (BPD) account for about 20% of psychiatric inpatients and can often present challenges on the unit. In this fact sheet, we describe a systematic approach to diagnosis. Patients with borderline personality disorder (BPD) account for about 20% of psychiatric inpatients and can often present challenges on the unit. In this fact sheet, we describe a systematic approach to diagnosis.

]]> http://www.thecarlatreport.com/articles/6092 Fri, 17 Apr 2026 15:35:32 -0400 https://www.thecarlatreport.com/articles/6092-borderline-personality-disorder-diagnosis-and-treatment Personality disorders (PDs) are enduring patterns of behavior, cognition, and emotional regulation that can complicate treatment and disrupt the therapeutic environment of the unit. Personality disorders (PDs) are enduring patterns of behavior, cognition, and emotional regulation that can complicate treatment and disrupt the therapeutic environment of the unit. 

]]> http://www.thecarlatreport.com/articles/6091 Fri, 17 Apr 2026 15:35:32 -0400 https://www.thecarlatreport.com/articles/6091-overview-of-personality-disorders Providing patients with resources as they transition from inpatient psychiatric units to outpatient care is vital for their continued support and recovery. Providing patients with resources as they transition from inpatient psychiatric units to outpatient care is vital for their continued support and recovery. 

]]> http://www.thecarlatreport.com/articles/6019 Fri, 17 Apr 2026 15:35:32 -0400 https://www.thecarlatreport.com/articles/6019-transitioning-to-outpatient-carea-guide-to-national-mental-health-resources Supportive therapy is a psychotherapeutic approach focused on providing emotional and practical support and strengthening a patient's coping mechanisms. Supportive therapy is a psychotherapeutic approach focused on providing emotional and practical support and strengthening a patient's coping mechanisms. 

]]> http://www.thecarlatreport.com/articles/6018 Fri, 17 Apr 2026 15:35:32 -0400 https://www.thecarlatreport.com/articles/6018-supportive-therapy-in-an-inpatient-psychiatric-hospital Coding inpatient psychiatric visits is a way of briefly describing how much work you did and therefore how much money the insurance company should pay for the visit. Coding inpatient psychiatric visits is a way of briefly describing how much work you did and therefore how much money the insurance company should pay for the visit. 

]]> http://www.thecarlatreport.com/articles/5154 Fri, 17 Apr 2026 15:35:32 -0400 https://www.thecarlatreport.com/articles/5154-coding-and-billing-protocols After reading these articles, you should be able to… After reading these articles, you should be able to…

]]> http://www.thecarlatreport.com/articles/5912 Wed, 01 Apr 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/5912-learning-objectives-workplace-violence-prediction-and-prevention-chpr-april-may-june-2026 By successfully completing the test you will be awarded a certificate for 2 CME credit. By successfully completing the test you will be awarded a certificate for 2 CME credit.

]]> http://www.thecarlatreport.com/articles/5905 Wed, 01 Apr 2026 01:00:00 -0400 https://www.thecarlatreport.com/articles/5905-cme-post-test-workplace-violence-prediction-and-prevention-april-may-june-2026 A large national cohort study shows that serious medical illness independently raises suicide risk—even without prior psychiatric diagnosis. Gastrointestinal disease, cancer, and blood disorders stand out. For hospitalized patients with new or disabling medical conditions, suicide screening and safety planning remain essential parts of care. A large national cohort study shows that serious medical illness independently raises suicide risk—even without prior psychiatric diagnosis. Gastrointestinal disease, cancer, and blood disorders stand out. For hospitalized patients with new or disabling medical conditions, suicide screening and safety planning remain essential parts of care.

]]> http://www.thecarlatreport.com/articles/5911 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5911-risk-of-suicide-across-medical-conditions-and-the-role-of-mental-disorder Do antipsychotics during pregnancy increase long-term neurodevelopmental risk? Large US and Nordic registry studies, along with prospective data, provide reassuring findings. After adjusting for maternal illness, prenatal exposure was not meaningfully associated with intellectual, language, or learning disorders—important context for shared decision-making. Do antipsychotics during pregnancy increase long-term neurodevelopmental risk? Large US and Nordic registry studies, along with prospective data, provide reassuring findings. After adjusting for maternal illness, prenatal exposure was not meaningfully associated with intellectual, language, or learning disorders—important context for shared decision-making.

]]> http://www.thecarlatreport.com/articles/5910 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5910-prenatal-antipsychotic-exposure-reassuring-long-term-data When should you suspect a genetic syndrome in an adult psychiatric patient? This review highlights red flags—autism, intellectual disability, dysmorphic features, family patterns—and walks through practical testing strategies. Learn when to order chromosomal microarray and Fragile X testing, and how results can reshape treatment and family counseling. When should you suspect a genetic syndrome in an adult psychiatric patient? This review highlights red flags—autism, intellectual disability, dysmorphic features, family patterns—and walks through practical testing strategies. Learn when to order chromosomal microarray and Fragile X testing, and how results can reshape treatment and family counseling.

]]> http://www.thecarlatreport.com/articles/5909 Wed, 01 Apr 2026 00:00:00 -0400 https://www.thecarlatreport.com/articles/5909-genetic-conditions-with-psychiatric-manifestations