The Carlat Psychiatry Podcast-logo

The Carlat Psychiatry Podcast

Medical

Clear, engaging, and practical updates on clinical psychiatry. Hosted by Chris Aiken, MD, and Kellie Newsome, PMHNP. Earn CME for listening at www.thecarlatreport.com/podcastcme

Location:

United States

Description:

Clear, engaging, and practical updates on clinical psychiatry. Hosted by Chris Aiken, MD, and Kellie Newsome, PMHNP. Earn CME for listening at www.thecarlatreport.com/podcastcme

Language:

English


Episodes

Stimulant Dosing

2/19/2024
Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing. CME: Take the CME Post-Test for this Episode Published On: 02/19/2024 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.

Duration:00:22:25

Throwback Benzos

2/15/2024
The release of the fast-acting antidepressant Auvelity got us thinking about an older strategy to speed up antidepressants, benzodiazepines. So we're bringing you this Thursday throwback, do benzodiazepines treat depression? Benzos and sleep meds rarely earn a mention in textbooks on depression these days, but that has not always been the case. Today, in part one of a two-part series, we'll open up a forgotten repository of psychiatric research, where a stack of about 50 controlled trials has been archived away, suggesting that the GABAergic benzos might actually treat depression. CME: Take the CME Post-Test for this Episode Published On: 02/15/2024 Duration: 27 minutes, 43 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.

Duration:00:27:43

Auvelity: 4 Controversies

2/12/2024
Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at its side effects, addictive potential, and whether you can just use the generic components. CME: Take the CME Post-Test for this Episode Published On: 02/12/2024 Duration: 16 minutes, 44 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.

Duration:00:16:44

Auvelity A Fast Acting Antidepressant

2/5/2024
Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at how it works and the clinical trials, including new data in treatment resistant depression CME: Take the CME Post-Test for this Episode Published On: 02/05/2024 Duration: 14 minutes, 02 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.

Duration:00:16:44

Mood Stabilizers in Older Adults

1/29/2024
How to choose a mood stabilizer in older adults. CME: Take the CME Post-Test for this Episode Published On: 01/29/2024 Duration: 17 minutes, 40 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.

Duration:00:17:41

Bipolar in Older Adults

1/22/2024
Bipolar disorder is different in the elderly. Today we look at the medical causes to watch out for. CME: Take the CME Post-Test for this Episode Published On: 01/22/2024 Duration: 12 minutes, 19 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.

Duration:00:12:20

Efficacy of Deep Brain Stimulation for OCD

1/15/2024
Have you ever wondered about using Deep Brain Stimulation, DBS, for kids dealing with Obsessive Compulsive Disorder, OCD? It's a hot topic among parents, but do we have enough evidence to back up this rather intense treatment? Let's dive in and take a closer look at deep brain stimulation. Published On: 01/14/2024 Duration: 11minutes, 49 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.

Duration:00:11:49

A New Form of Lithium

1/8/2024
We interview Stephan Jackman, whose company is developing a new formulation of lithium, and bring updates on lithium in younger, older, and peripartum patients. CME: Take the CME Post-Test for this Episode Published On: 01/08/2024 Duration: 16 minutes, 44 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.

Duration:00:16:49

Lithium: 12 Updates from 2023

1/1/2024
A year of research on lithium, including updates on its efficacy, renal risks, tremor, and a controlled trial of instant vs. extended release CME: Take the CME Post-Test for this Episode Published On: 01/01/2024 Duration: 22 minutes, 06 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.

Duration:00:22:06

Evidence for Psychodynamic Psychotherapy

12/25/2023
In today’s podcast, we explore background knowledge, experiences, and misconceptions surrounding psychodynamic therapy and discuss how we define evidence for it with our guest, Dr. Jonathan Shedler. Published On: 12/25/2023 Duration: 52 minutes, 47 seconds Mark L. Ruffalo, MSW, DPsa, Jonathan Shedler, PhD, and Geneva Valeska, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Duration:00:52:47

Understanding Callous and Unemotional Behaviors in Children and Adolescents

12/18/2023
Callous unemotional behaviors can be challenging to understand. One community study of 1136 children (from 3rd-7th grade) found that 10%–32% of those with conduct disorder and 2%–7% of those without conduct disorder met the callous emotional specifier threshold in the DSM-5. In this episode, we will discuss what callous unemotional behaviors are, how they look like, how to assess these behaviors, types of interventions, and more. Dr. Meghan Rose Donohue joins us today to help us unpack this topic. She is an instructor in psychiatry and works in the division of child and adolescent psychiatry at Washington University School of Medicine. Published On: 12/18/2023 Duration: 24 minutes, 33 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.

Duration:00:24:35

The Other Freud 2

12/11/2023
Sigmund Freud’s theories are challenged by his granddaughter, Sophie Freud. CME: Take the CME Post-Test for this Episode Published On: 12/11/2023 Duration: 17 minutes, 53 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.

Duration:00:17:53

The Other Freud 1

12/4/2023
Sigmund Freud’s theories are challenged by his granddaughter, Sophie Freud. CME: Take the CME Post-Test for this Episode Published On: 12/04/2023 Duration: 13 minutes, 40 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.

Duration:00:13:40

Four Natural Therapies for ADHD (with Richard Brown)

11/27/2023
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.

Duration:00:21:07

ADHD: 3 Associated Syndromes

11/20/2023
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.

Duration:00:13:25

Ketamine: Six New Findings Part 2

11/13/2023
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.

Duration:00:19:47

Ketamine: Six New Findings Part 1

11/6/2023
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.

Duration:00:19:14

History of Psychiatry

10/30/2023
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.

Duration:00:22:24

Uncontrolled Misuse

10/23/2023
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.

Duration:00:24:34

Sexual Heath in Older Adults: A Primer

10/16/2023
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...

Duration:00:27:42