https://www.thecarlatreport.com/rss en-us Dr. Kenneth Levy provides an overview of the major evidence-based treatments for Borderline Personality Disorder and explains why clinicians shouldn’t limit themselves to just one model. Despite their different styles, these treatments share core elements and similar effectiveness, and Dr. Levy makes the case that therapists best serve patients when they understand multiple approaches and remain flexible in how they use them.

]]> http://www.thecarlatreport.com/articles/5631 Thu, 13 Nov 2025 00:00:00 -0500 https://www.thecarlatreport.com/articles/5631-crossing-the-alphabet-divide-an-integrative-overview-of-bpd-treatments-with-dr-kenneth-levy BPD_Image.jpg Malingering, deceptive, or disruptive patients: what do you do when you encounter a patient who is resistant to discharge yet does not exhibit a clinical need for continued inpatient care? In this article, we review the key steps of the administrative discharge process.

]]> http://www.thecarlatreport.com/articles/4835 Tue, 01 Oct 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4835-exit-strategy-discharging-patients-who-resist-leaving Each psychiatric hospital setting offers its own unique challenges and rewards. You might appreciate the clinical autonomy and resources available in private hospitals, tackle complex cases in state hospitals, or balance research and teaching in academic environments. Non-profits focus on underserved populations, VA hospitals specialize in veteran care, and forensic hospitals blend psychiatry with legal work. The right choice for you depends on your interests and the challenges you're prepared to take on.

]]> http://www.thecarlatreport.com/articles/4834 Tue, 01 Oct 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4834-pondering-a-career-move-insights-into-psychiatric-hospital-settings We delve into the quality measures that psychiatric hospitals must follow, including IPFQR and HBIPS standards, to ensure compliance with CMS and Joint Commission requirements. You’ll learn why these measures matter and how they impact your daily work

]]> http://www.thecarlatreport.com/articles/4832 Tue, 01 Oct 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4832-quality-measures-in-inpatient-units-a-primer-for-the-frustrated Patient advocacy groups are adamant that it exists. European regulators have given it the stamp of approval. Here, we look at the evidence that sexual dysfunction can persist long after stopping an SSRI.

]]> http://www.thecarlatreport.com/articles/4824 Thu, 26 Sep 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4824-unraveling-post-ssri-sexual-dysfunction A buprenorphine boot camp for all who need to know how to use it in the post-X-waiver age.

]]> http://www.thecarlatreport.com/articles/4823 Thu, 26 Sep 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4823-a-new-era-for-buprenorphine TCPR-Oct2024_QA_NCapurso headshot.png All clinicians need to know how to use buprenorphine under the DEAs new regulations. Meanwhile, the fentanyl crisis is changing how we use it. Noah Capurso shows us how to navigate these waters.

]]> http://www.thecarlatreport.com/articles/4821 Thu, 26 Sep 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4821-post-x-waiver-buprenorphine-prescribing NbN helps to address stigma by emphasizing the pharmacological properties of medications rather than terms that may lead to misunderstandings among patients and their families
]]> http://www.thecarlatreport.com/articles/4810 Tue, 03 Sep 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4810-neuroscience-based-nomenclature-significance-to-psychiatrists Learn about the risks and efficacy of gepirone (Exxua) for treating MDD.

]]> http://www.thecarlatreport.com/articles/4808 Tue, 03 Sep 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4808-gepirone-a-first-look An overview of current pharmacotherapy for panic disorder, including the use of antidepressants, benzodiazepines, and emerging treatments like pregabalin, as well as the importance of combining medication with psychotherapy and guidance for therapists when discussing medication concerns with their clients.

]]> http://www.thecarlatreport.com/articles/4430 Tue, 06 Aug 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4430-pharmacotherapy-for-panic-disorder-what-therapists-need-to-know PeopleImages.com - Yuri A_shutterstock_2312325595-1.png Your patients may be using it at home (even if they’re not telling you). We look at whether transcranial direct current stimulation (tDCS) works and how it differs from transcranial magnetic stimulation (TMS).

]]> http://www.thecarlatreport.com/articles/4782 Thu, 01 Aug 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4782-transcranial-direct-current-stimulation What do you do when SSRIs fail in OCD? 

]]> http://www.thecarlatreport.com/articles/4780 Thu, 01 Aug 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4780-novel-treatment-options-for-ocd The characteristics, differential diagnosis, theoretical considerations, and treatment approaches for avoidant personality disorder (AvPD), including insights into its prevalence and cultural considerations.

]]> http://www.thecarlatreport.com/articles/4755 Thu, 11 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4755-the-psychotherapy-of-avoidant-personalities-a-basic-overview therapy_AlexandrMusus_shutterstock_2444177585.jpg Can kids and teens "catch" mental illness from the internet? This clinical update covers how to assess the degree of media influence on symptoms that children and adolescents report and how to talk with kids and teens about self-diagnoses in a way that builds a collaborative exploratory treatment relationship.

]]> http://www.thecarlatreport.com/articles/4800 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4800-managing-a-dilemma-social-contagion-self-diagnosis-in-adolescents-and-young-adults Is the older teen you are treating ready to go off to college? Will they take their medication or do their own laundry? This clinical update helps you guide your teenage patients, and their families, as they prepare for leaving home and taking care of their own medications, schedules, schoolwork, and social life.

]]> http://www.thecarlatreport.com/articles/4794 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4794-navigating-the-transition-to-college The Surgeon General has put out a call to address loneliness and social isolation. But what do we do about it? This clinical update will help you define loneliness and social isolation, assess for them, and help lonely or isolated kids and teens.  

]]> http://www.thecarlatreport.com/articles/4793 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4793-addressing-social-isolation-and-loneliness-in-children-and-teens shutterstock_2412705601.jpg Late-life psychosis has many causes—we’ll walk you through this important differential.

]]> http://www.thecarlatreport.com/articles/4769 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4769-causes-of-psychosis-in-older-adults older woman_Kristo-Gothard Hunor_shutterstock_390085417.jpg Urine drug screens are frequently ordered for patients receiving addiction treatment. However, the results of these everyday tests can have outsized consequences for patients involved in the legal system. Here, we provide an overview of how drug testing is used in the legal system and how you can be an advocate for your patient.

]]> http://www.thecarlatreport.com/articles/4763 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4763-drug-testing-and-the-legal-system Many of your patients with substance use disorders will become involved with the legal system over the course of their work with you, and one of the most common avenues is through the drug
court system. Here, we provide the basics of how drug courts function and review how best to work with these courts when they request information.

]]> http://www.thecarlatreport.com/articles/4759 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4759-a-clinicians-guide-to-drug-courts Token economies utilize a system where positive behaviors are rewarded with tokens that can be exchanged for desired items or privileges, fostering increased patient engagement and autonomy. We outline the essential steps for initiating and overseeing a token economy within a psychiatric unit.

]]> http://www.thecarlatreport.com/articles/4746 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4746-establishing-a-token-economy-in-a-psychiatric-unit-guidelines-and-benefits We highlight the profound difference early intervention makes in the trajectory of psychotic disorders, reducing symptom severity, suicide risk, and functional impairment.

]]> http://www.thecarlatreport.com/articles/4744 Mon, 01 Jul 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4744-dont-delay-interventions-in-early-psychosis Five disorders where going off-label has advantages over the FDA-approved route.

]]> http://www.thecarlatreport.com/articles/4730 Sat, 01 Jun 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4730-off-label-strategies-for-common-psychiatric-conditions Concerns arise regarding lecanemab’s efficacy, high cost, and a notable risk of cerebral edema.

]]> http://www.thecarlatreport.com/articles/4696 Wed, 01 May 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4696-lecanemab-breaks-thin-ground-in-dementia Explore practical applications of positive psychology in psychotherapy, gaining insights to foster resilience, happiness, and a sense of purpose in your client.

]]> http://www.thecarlatreport.com/articles/4687 Tue, 30 Apr 2024 11:36:39 -0400 https://www.thecarlatreport.com/articles/4687-how-you-can-use-positive-psychology-in-your-practice happy therapist_shutterstock_454811005(2).png Tired of patients and families who react to categories of medications with confusion and fear? We use ‘antidepressants’ for OCD, and ‘antipsychotics’ for irritability. These are not accurate descriptions. Our clinical update on Neurocience-Based Nomenclature will help you use NbN to clarify your treatment plans and reduce stigma for patients and families.

]]> http://www.thecarlatreport.com/articles/4711 Mon, 01 Apr 2024 16:48:11 -0400 https://www.thecarlatreport.com/articles/4711-what-is-neuroscience-based-nomenclature Many older adults labeled with FTT eventually receive a medical diagnosis. Beyond addressing depression and treating the underlying medical illnesses, we suggest additional interventions to improve a patient’s functioning.

]]> http://www.thecarlatreport.com/articles/4724 Mon, 01 Apr 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4724-failure-to-thrive-in-older-adults Treatment of older adults comes with specific ethical challenges. Here we show you how to evaluate an older adult’s capacity to live independently, manage their finances, and drive safely. We also discuss advance healthcare planning and how to spot elder abuse.

]]> http://www.thecarlatreport.com/articles/4720 Mon, 01 Apr 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4720-navigating-ethical-challenges-in-geriatric-psychiatry LjupcoSmokovski_shutterstock_2318210331.png Many child psychiatrists are flooded with referrals. There aren’t enough of us to care for everyone who calls. How to control the flow while protecting the joy of practice? Our clinical update on referring patients out can help you manage this ongoing crisis while we work to increase our ranks.

]]> http://www.thecarlatreport.com/articles/4714 Mon, 01 Apr 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4714-how-to-refer-patients-to-other-providers The process of starting a patient on buprenorphine, called an induction, can be a bit tricky and puts a patient at risk of a precipitated opioid withdrawal. In this article, we discuss the three most common buprenorphine induction approaches, review the pros and cons of each, and include straightforward guidance that will help you perform a successful buprenorphine induction for your patients.

]]> http://www.thecarlatreport.com/articles/4690 Mon, 01 Apr 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4690-three-buprenorphine-dosing-strategies-when-transitioning-from-other-opioids As the overall prevalence of opioid use disorder has increased, so to has the prevalence of opioid use during pregnancy. Opioid use during pregnancy can put both your patient and the baby at risk, making proper treatment with MOUD essential. In this article, we outline the special considerations for the treatment of OUD during pregnancy and discuss how to prescribe MOUD safely. 

]]> http://www.thecarlatreport.com/articles/4686 Mon, 01 Apr 2024 00:00:00 -0400 https://www.thecarlatreport.com/articles/4686-treating-opioid-use-disorder-during-pregnancy