The Carlat Psychiatry Podcast TIMING: Weight Gain and Panic
Mar 3, 2025
The discussion dives into the critical timing for interventions related to weight gain from antipsychotics and managing panic attacks. It clarifies the difference between panic attacks and panic disorder, emphasizing a reframed perspective on panic. Cognitive behavioral therapy emerges as a key treatment, supported by alternative methods like aerobic exercise and mindfulness. The podcast also highlights metformin's role in mitigating weight gain in psychiatric patients and discusses the latest advancements in psychiatric medications.
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Salinger's Trauma Shapes His Novel
- J.D. Salinger experienced deep trauma in WWII, which influenced his novel The Catcher in the Rye.
- The main character, Holden Caulfield, reflects psychological trauma that underlies his alienation.
Teen Years Critical for Mental Illness
- Major mental illnesses often start between ages 15-20 during brain changes.
- Environmental stressors can trigger illness onset in genetically vulnerable people.
Intervene Early for Panic Disorder
- After a first panic attack, focus on reducing avoidance behaviors and worry about future attacks.
- Help patients understand panic attacks are normal alarms, but avoiding them can escalate into a phobia.
