Created with Sketch.
The Carlat Psychiatry Podcast
19 minutes | 3 days ago
How Buspirone Mixed with Melatonin to Make an Antidepressant
In 2012, psychiatrists at Harvard’s Massachusetts General Hospital discovered a novel antidepressant. It seemed to improve depression and cognition without causing any significant side effects. There was only one problem. The ingredients were practically free, and there was no way that was going to sell. Published On: 2/21/2021 Duration: 19 minutes, 49 seconds Article Referenced: "Buspirone: Still Effective After All These Years?" The Carlat Psychiatry Report, February 2021 Got feedback? Take the podcast survey.
23 minutes | 10 days ago
When Depression Gets Worse on an Antidepressant
Bupropion and restless legs syndrome: a randomized controlled trialWhen a patient complains that their mood got worse on an antidepressant, it doesn’t necessarily mean they are sensitive to medications. In this episode, we detail 6 other reasons why depression can get worse on an antidepressant. Published On: 2/15/21 Duration: 22 minutes, 42 seconds Article Referenced: "Are SSRIs Associated With Increased Rates of Violence?" The Carlat Psychiatry Report, February 2021 Got feedback? Take the podcast survey.
17 minutes | 17 days ago
Deprescribing Part 1
An interview with Swapnil Gupta on when and how to come off psychiatric medications. Plus, tips on cross-tapering antidepressants, and the word of the day: Ephedra. Published On: 2/8/2021 Duration: 17 minutes, 1 second
9 minutes | 24 days ago
The Antidepressant Calendar: How to “Just Do It”
Behavioral activation came about in the 1990’s as a challenge to the CBT model of depression. The basic strategy behind this therapy blends well with brief medication visits, and we explain how to use it in this professional guide. Check out the patient companion to this edition in the Pocket Psychiatrist podcast. Published On: 2/01/21 Duration: 9 minutes, 21 seconds Patient Companion: www.pocketpsychpod.com Got feedback? Take the podcast survey.
24 minutes | a month ago
The Birth of Lamotrigine
Richard Weisler tells the tale of science and serendipity that lead to his discovery of lamotrigine for bipolar depression 30 years ago. He shares a few dosing tips, and touches on how he works with patients and their families. Plus, the word of the day: Gramophone Syndrome. Published On: 1/25/21 Duration: 23 minutes, 30 seconds Got feedback? Take the podcast survey.
28 minutes | a month ago
Are Probiotics Ready for Practice?
The gut microbiome influences the brain in numerous ways, but can building a better microbiome treat depression? Dr. Ted Dinan walks us through the science in this interview. Published On: 1/17/21 Duration: 27 minutes, 50 seconds Article Referenced: "Probiotics in Psychiatry," The Carlat Psychiatry Report, January 2021 Got feedback? Take the podcast survey.
29 minutes | a month ago
Cognitive Enhancers: The Brain on Chess
The Queen’s Gambit is Netflix’s critically acclaimed series about a chess prodigy who gets “a little help from her friends.” In this episode we find out what they got right, and wrong, about psychiatric meds and cognitive enhancement. Published On: 1/11/2020 Duration: 29 minutes Article Referenced: "The Queen's Gambit," The Carlat Psychiatry Report, January 2021
27 minutes | 2 months ago
What We Learned in 2020
A look at the top 10 practice-changing highlights from our 2020 journal. Tardive dyskinesia, inflammation, lumateperone, top first-line medications, trazodone in depression, Silexan for anxiety, excellent lithium responders, hormones and mood, and ramelteon’s generic debut. Published On: 12/28/2020 Duration: 26 minutes, 30 seconds Articles Referenced: "How to Treat Tardive Dyskinesia," The Carlat Psychiatry Report, January 2020 "Inflammatory Biomarkers in Depression," The Carlat Psychiatry Report, February 2020 "Lumateperone and lemborexant," The Carlat Psychiatry Report, March 2020 "The Psychopharmacology Algorithm Project," The Carlat Psychiatry Report, April 2020 "Trazodone: The Forgotten Antidepressant," The Carlat Psychiatry Report, May 2020 "When Further Medication Trials Seem Futile," The Carlat Psychiatry Report, June/July 2020 "Silexan: A Novel Anxiolytic," The Carlat Psychiatry Report, August 2020 "Who Should Get Lithium?," The Carlat Psychiatry Report, September 2020 "Mood and Menopause," The Carlat Psychiatry Report, October 2020 "Is Ramelteon an Effective Hypnotic?," The Carlat Psychiatry Report, November 2020
25 minutes | 2 months ago
Retractions are on the rise in medical research, and we get to the bottom of it with Ivan Oransky, cofounder of RetractionWatch.com. Published On: 12/21/2020 Duration: 25 minutes, 12 seconds Got feedback? Take the podcast survey.
4 minutes | 2 months ago
Melatonin Supplements in Middle Age [60 Sec Psych]
Most of the research on melatonin has involved older adults, and there it seems to work pretty well, just a little less effective than most prescription sleep meds. So how well does melatonin work in middle aged adults? This new study is the first to test that out. [Study Link] Published On: 12/17/2020 Duration: 4 minutes, 5 seconds Related Article: "Is Ramelteon an Effective Hypnotic?", The Carlat Psychiatry Report, November 2020 Got feedback? Take the podcast survey.
20 minutes | 2 months ago
Therapy in the Med Visit: An Interview with Donna Sudak
Donna Sudak shares her tips for weaving cognitive behavioral therapy (CBT) into the 30-minute psychotherapy session with medication. The article on rating scales she references - Free, Brief, and Validated - is available here. Published On: 12/14/2020 Duration: 19 minutes, 49 seconds Article Referenced: "Brief Therapy During the Medication Visit," The Carlat Psychiatry Report, November/December 2020 Got feedback? Take the podcast survey.
5 minutes | 2 months ago
Night Eating in Bipolar Disorder [60 Sec Psych]
Not only do we get more urges to eat at night, but we tend to overeat and lean more towards junk food. So how does that play out in bipolar disorder? This new study by Francisco Romo-Nava and colleagues at the University of Cincinnati and the Mayo Clinic sought to find out by asking 783 adults with bipolar disorder about their eating habits and circadian patterns of energy and sleep. [Study Link] Published On: 12/12/20 Duration: 4 minutes, 43 seconds Got feedback? Take the podcast survey.
4 minutes | 2 months ago
Prazosin Helps Some Stay Sober from Alcohol [60 Sec Psych]
There are many reasons why people drink, and one of them is alcohol withdrawal. The withdrawal state causes anxiety, negative mood, and cravings, and these kinds of symptoms lead patients to turn to alcohol once more. Some treatments for alcohol use disorders – like gabapentin – work better in patients with high withdrawal symptoms – and this new study from Rajita Sinha and colleagues at Yale investigated whether that held true for prazosin as well. [Study Link] Published On: 12/10/2020 Duration: 4 minutes, 9 seconds Got feedback? Take the podcast survey.
23 minutes | 3 months ago
CBT-Insomnia: A patient guide
Cognitive behavioral therapy treats insomnia as well as a sleep med, and it also improves depression and immune function. This special patient podcast introduces the first steps of the therapy, and shows you how to find the full therapy if more help is needed. CBT-insomnia resources: Apps: CBT-i Coach, Somyrst. Books: Depression and Bipolar Workbook (C Aiken), Say Good Night to Insomnia (G Jacobs), End the Insomnia Struggle (C Ehrnstrom). Published On: 12/7/2020 Duration: Got feedback? Take the podcast survey.
3 minutes | 3 months ago
Probiotics in Depression: A New Study [60 Sec Psych]
Depression and anxiety improve when healthy bacteria are added – whether through diet or probiotics – according to several dozen small randomized controlled trials. However, only a handful of those trials involved full clinical depression. This study adds to that count, but with a different result. [Link] The probiotic used in the study was: Omnibiotic Stress Repair 7.5 billion organisms per 1 portion (3 g). Bacterial strains in the capsule were: B. bifidum W23, B. lactis W51, B. lactis W52, L. acidophilus W22, L. casei W56, L. paracasei W20, L. plantarum W62, L. salivarius W24 and L. lactis W19. Published On: 12/5/2020 Duration: 3 minutes, 13 seconds Got Feedback? Take the podcast survey.
5 minutes | 3 months ago
Ritalin, Provigil, and Caffeine Compared [60 Sec Psych]
About 1 in 50 US adults use stimulants like amphetamines (Adderall), methylphenidate (Ritalin), and modafinil (Provigil) without a prescription, and 80% of them take the drugs to enhance cognition, not to get high. The ethics of all this are vexing, but putting that aside, how well does the practice work? And how does it compare to drug that most of us ingest everyday: Caffeine. [Study Link] Published On: 12/2/2020 Duration: 4 minutes, 47 seconds Got feedback? Take the podcast survey.
18 minutes | 3 months ago
Reimagining ADHD with Edward Hallowell, MD
While medication is the mainstay of treating symptoms in ADHD, Edward Hallowell, MD, shares a positive, relationship-based approach to ADHD with practical strategies to help children and adolescents manage ADHD. Published On: 11/30/2020 Duration: 18 minutes, 10 seconds Related Article: "Reimagining ADHD," The Carlat Child Psychiatry Report, January/February/March 2020 Got feedback? Take the podcast survey.
3 minutes | 3 months ago
Bad News for Antipsychotics and Circadian Rhythms [60 Sec Psych]
Schizophrenia, autism, addictions, borderline personality disorder, nearly every psychiatric disorder is associated with disrupted circadian rhythms. All of these disorders are treated from time to time with antipsychotics, so how do antipsychotics affect sleep and circadian rhythms? This new systematic review offers some answers. [Link] Published On: 11/25/2020 Duration: 2 minutes, 53 seconds Got feedback? Take the podcast survey.
27 minutes | 3 months ago
Psychotherapy Side Effects: An Interview with Michael Linden
Can psychotherapy have side effects? Michael Linden believes it can, and he launched some of the key studies that shed light on this under-appreciated phenomenon. [Link] Published On: 11/23/2020 Duration: 26 minutes, 30 seconds Related Article: "Side Effects of Psychotherapy," The Carlat Psychiatry Report, November 2020 Got feedback? Take the podcast survey.
3 minutes | 3 months ago
Olanzapine vs. Asenapine [60 Sec Psych]
If we trust the Catie trial, olanzapine is one the most effective antipsychotics for schizophrenia. Why? Despite its trying side effects – particularly weight gain--patients stuck with it the longest, which means it was doing enough good that patients were willing to stick with it despite any side effects it was causing. [Link] Published On: 11/21/2020 Duration: 2 minutes, 55 seconds Got feedback? Take the podcast survey.
Terms of Service
Do Not Sell My Personal Information
© Stitcher 2020