The Carlat Psychiatry Podcast

Richard Brown, MD, shows us how to use his top five natural therapies for ADHD: Pycnoginol, Rhodiola rosea, Racetams, American Ginseng. CME: Take the CME Post-Test for this Episode Published On: 11/27/2023 Duration: 21 minutes, 07 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Around 50% of people with ADHD suffer from other cognitive problems, and Richard Brown, MD, describes them: 1) Working memory 2) Slow processing speed and 3) Dyslexia. CME: Take the CME Post-Test for this Episode Published On: 11/20/2023 Duration: 13 minutes, 25 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

New research brings clarity to the big ketamine questions. How does it compare to ECT and antipsychotics? How much of it is placebo? Which is more effective – ketamine or esketamine? How do you sustain the benefits? Does it work better with psychotherapy? CME: Take the CME Post-Test for this Episode Published On: 11/13/2023 Duration: 19 minutes, 46 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

New research brings clarity to the big ketamine questions. How does it compare to ECT and antipsychotics? How much of it is placebo? Which is more effective – ketamine or esketamine? How do you sustain the benefits? Does it work better with psychotherapy? CME: Take the CME Post-Test for this Episode Published On: 10/30/2023 Duration: 19 minutes, 14 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Historian Edward Shorter takes us on a 200 year journey from the age of spa treatments to the birth of psychopharmacology CME: Take the CME Post-Test for this Episode Published On: 10/30/2023 Duration: 22 minutes, 23 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

There are many reasons why patients misuse medications. Today, Joseph Pierre shakes us out of our 1990s understanding of addiction and explains a new trend, misuse of uncontrolled medications like Bupropion, Quetiapine and the Gabapentinoids. CME: Take the CME Post-Test for this Episode Published On: 10/23/2023 Duration: 24 minutes, 34 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sexuality is a broad term that encompasses sexual identity, activity, attitude toward sex, intimacy, partnership, and pleasure. In this podcast, we cover the basics of sexual function and the effects of aging, medical comorbidities, and mental health on sexuality. We discuss sexual health in long-term care settings and in older adults with cognitive disorders and suggest an approach to commonly encountered sexual health issues. Transcript: DR JAIN: Sexuality is a broad term that encompasses sexual identity, activity, attitude toward sex, intimacy, partnership, and pleasure. In this podcast, we cover the basics of sexual function and the effects of aging, medical comorbidities, and mental health on sexuality. We discuss sexual health in long-term care settings and in older adults with cognitive disorders and suggest an approach to commonly encountered sexual health issues. Welcome to The Carlat Psychiatry Podcast. This is another episode from the geriatric psychiatry team. I’m Neha Jain, an Associate professor of psychiatry, Medical Director for the Mood and Anxiety Disorders Program and Associate Program Director for the Geriatric Psychiatry Fellowship Program at the University of Connecticut Health Center, in Farmington, CT. In today’s podcast, I am joined by two of my colleagues. DR COLLIER: I’m Stephanie Collier, The Editor-in-Chief of The Carlat Geriatric Psychiatry Report. DR AZIZ: and I’m Dr. Rehan Aziz, an associate professor of psychiatry and neurology at Hackensack-Meridian School of Medicine. I am also the associate program director for geriatric psychiatry and general psychiatry at Jersey Shore University Medical Center, in Neptune, New Jersey. Let's begin our discussion with the topic Dr. Jain started out with. What are your thoughts about how sexual function and sexuality intersect in older adults? DR JAIN: Yes, first it is just important to acknowledge that older adults are sexually active because discussions about sexual issues are often avoided in healthcare settings. You know there is often discomfort on part of the patient or clinician, a lack of knowledge-I mean how much training do you remember in Med School and residency about sexual heath-right? Or a fear of embarrassment, or just plain ageist beliefs. However, a fulfilling sex life is a crucial aspect of quality of life for many seniors. DR COLLIER: It makes a lot of sense, the question is how do we bring this up when we are talking to our patients and assessing their sexual heath in clinical settings? DR JAIN: So, I tend to start first by just asking permission. You know, is it okay if I ask you a few questions about sexual health or sexual activity? Then I ask more open-ended questions, like do you have any concerns or questions do you have in terms of your sexual activity? Or, have you noticed changes in your sexual relationship with your partner over time? Many older adults will not disclose sexual health issues if there are others in the room, so I of try to ensure privacy when screening for sexual dysfunction. I ask about problems with libido, getting/maintaining an erection (for men), dryness or discomfort (for women), and for all genders difficulty achieving orgasm. DR AZIZ: Dr. Jain I had a question for you regarding that, so my experience is I will usually have patients come to the office.. and if they are accompanied by a patron there is no issue about asking about sexual function/activity, but often they are coming with caregivers or their children. And then it can become quite uncomfortable to ask them these questions. How do you handle those situations? DR JAIN: Absolutely, and first of all, I would say don't. You know, so do not ask the question if there is anybody other than the partner, and even sometimes when it is the sexual partner that is present, some people may not feel comfortabl. Usually, I try to sneak in at least some private unites with the patient, and I can just say to whoever is with them, I would like to ask...

Both common, yet elusive, symptoms of depression, dementia, and delirium may overlap in older adults, which provides a diagnostic challenge. Even more confounding, these three disorders, the three Ds of geriatric psychiatry, frequently present simutaneously. In this episode, we will review key features to help distinguish between these disorders and provide some tips on their management. CME: Take the CME Post-Test for this episode Published On: 10/09/23 Duration: 16 minutes, 24 seconds Stephanie Collier, MD, and Neha Jain, MD have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Social Rhythm Therapy helps patients regulate their circadian rhythm. It treats bipolar disorder, and here we show how to weave it in with medication therapy. CME: Take the CME Post-Test for this Episode Published On: 10/02/2023 Duration: 20 minutes, 58 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Autistic kids and teens can become despondent or suicidal. When this happens, we need to take it as seriously as with anyone else. In today's podcast, Mara and I will explore the distinction between self-injurious behavior and suicidality in autistic children, communication patterns related to suicide, the screening process for identifying suicidality, and the different levels of care required to effectively address this issue. CME: Take the CME Post-Test for this Episode Published On: 09/25/2023 Duration: 21 minutes, 07 seconds Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

When a child grows up with untreated mental illness, there's a good chance it'll affect their identity. We'll look at how to work with that in the psychotherapy of ADHD. CME: Take the CME Post-Test for this Episode Published On: 09/14/2023 Duration: 13 minutes, 07 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Child and adolescent psychiatrists are seeing increasing numbers of transgender and gender-diverse children and teens. This podcast will help clinicians understand the basics of gender-affirming care (GAC) as they work with families around issues of gender dysphoria.

You started a stimulant medication for a young woman with ADHD. When she returns her symptoms are 70% better, but what can we do about the rest? Today a conversation with psychiatrist Scott Shapiro about behavioral interventions for adult ADHD. CME: Take the CME Post-Test for this Episode Published On: 09/14/2023 Duration: 12 minutes, 1 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Updates on dark therapy for mania from the 2023 International Bipolar Conference. CME: Take the CME Post-Test for this Episode Published On: 09/11/2023 Duration: 15 minutes, 21 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

"I think that anxiety is the fever of psychiatry, not a disease, it's not a diagnosis, it's not an illness. It's just a symptom, usually of other illnesses or condition." - Nassir Ghaemi CME: Take the CME Post-Test for this Episode Published On: 09/07/2023 Duration: 21 minutes, 46 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

New research on light therapy in bipolar disorder from the 2023 International Bipolar Conference. CME: Take the CME Post-Test for this Episode Published On: 09/04/2023 Duration: 10 minutes, 55 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

What is generalized anxiety disorder? Is it an anxious temperament, or is it a symptom of another mental illness such as depression, or is it a valid disorder on its own? CME: Take the CME Post-Test for this Episode Published On: 08/31/2023 Duration: 19 minutes, 23 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Updates from the 2023 International Bipolar Conference: Avoid valproate (Depakote) in women of childbearing age; who to blame when patients are noncompliant; and functioning trumps symptom reduction. CME: Take the CME Post-Test for this Episode Published On: 08/28/2023 Duration: 12 minutes, 20 seconds Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Is it autism or psychosis or both? Autistic traits and psychotic symptoms can look a lot alike. How common is psychosis in autism? And how can we differentiate co-occurring autistic traits from psychotic symptoms? Dr. Kristin Cadenhead gives us an approach for sorting through the history and addressing these problems separately. CME: Take the CME Post-Test for this Episode Published On: 08/21/2023 Duration: 16 minutes, 04 seconds Joshua Feder, MD, and Mara Governman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Zuranolone (Zurzuvae) is newly approved for postpartum depression, but does it work in regular depression? And why did they put so many “Zs” in the name? CME: Take the CME Post-Test for this Episode Published On: 08/14/2023 Duration: 22 minutes, 54 seconds Chris Aiken, MD has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.