The Carlat Psychiatry Podcast

The FDA has approved cyclobenzaprine for treating fibromyalgia, but it comes with significant psychiatric risks, especially for the elderly. The conversation highlights the dangers of combining opioids, muscle relaxants, and benzodiazepines, which can lead to overdose. There's a focus on the 'Holy Trinity' of medications and the legal ramifications for prescribers. Additionally, potential adverse effects, like mania in bipolar patients, are discussed, stressing the importance of evidence-based interventions before medication.

The FDA just approved Ketarx for surgical pain, but the company has its eyes on depression.CME: Take the CME Post-Test for this EpisodePublished On: 08/15/2025Duration: 18 minutes, 30 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Meds that require special skill to start: Atomoxetine and prazosin, plus a new FDA warning on stimulants.CME: Take the CME Post-Test for this EpisodePublished On: 08/18/2028Duration: 08 minutes, 28 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Meds that require special skill to start: Antipsychotics, Cobenfy, and a research update on antidepressant metabolism in Asians.CME: Take the CME Post-Test for this EpisodePublished On: 08/11/2025Duration: 12 minutes, 19 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Discover the essential steps before starting psychiatric medication, focusing on patients' hopes and fears. Learn how to provide realistic hope and set expectations effectively. The importance of trust and communication in medication management is emphasized, alongside discussing risks and choices. Dive into innovative treatments like light therapy for bipolar depression, highlighting safety and stabilization effects. An enlightening conversation that prepares both patients and providers for the journey ahead!

We interview psychoanalyst William Meyer on a therapeutic approach to postpartum depression.CME: Take the CME Post-Test for this EpisodePublished On: 07/28/2025Duration: 14 minutes, 18 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Postpartum depression can morph into bipolar disorder, raising diagnostic challenges with accuracy as low as 15%. New treatments like zarenolone show promise for quick relief, but navigating this transition requires careful evaluation. The discussion also highlights various therapeutic strategies—both medication and non-pharmacological—that are vital to supporting mothers. Family involvement and psychotherapy are emphasized as key elements in the recovery process, showcasing the importance of a comprehensive approach to maternal mental health.

The discussion centers on how families, particularly children, emotionally navigate disasters and the loss of caregivers. Experts highlight the crucial role of psychiatric support for both children and parents facing these challenges. They delve into the complexities of childhood grief, stressing the importance of communication for effective emotional processing. Additionally, the podcast addresses caregiver trauma and societal stressors while offering strategies for healthy coping and community engagement, fostering resilience in the wake of loss.

Brexanolone has stepped aside, leading to the rise of zuranolone in treating postpartum depression. This transition raises intriguing questions about potency and safety, especially for breastfeeding mothers. The podcast dives deep into the classifications of postpartum depression and reveals zuranolone's unique properties as a neurosteroid. Don't miss insights on its potential effects on bipolar disorder and a comparison to current treatment options, setting the stage for a broader discussion on mental health.

Dive into the fascinating world of Hubris Syndrome, where too much power can amplify narcissistic traits. Discover how leaders in politics and the arts often face challenges related to empathy and humility. Explore the environmental influences that shape our personalities and behaviors. Engaging quizzes prompt you to reflect on symptoms in yourself or others. Learn strategies to foster genuine connections and promote self-awareness amidst the allure of power.