The Carlat Psychiatry Podcast

Dive into the fascinating link between low folate levels and depression, tracing discoveries back to the 1930s. Discover how folate impacts neurotransmitter production and cognitive health. Unearth the advantages of L-methylfolate over traditional folic acid, revealing its unique ability to cross the blood-brain barrier. Learn about the effects of folate deficiency on mental health, especially in relation to obesity and inflammation. This discussion highlights the evolving strategies in depression treatment and the emerging importance of affordable folate options.

Delve into the vital role of folate in treating mood disorders and its complex relationship with anticonvulsants in bipolar disorder. Discover the groundbreaking research on anemia among pregnant women and its historical context. Uncover the nuances of folic acid's effects on mental health, along with surprising interactions with medications like lamotrigine. The podcast also discusses the genetic factors that can influence treatment outcomes, highlighting the importance of personalized care in psychiatric settings.

1 in 3 Americans were victims of online scams in the past year. Even when you know your patient is being scammed, it is hard to pull them out. We speak with Cathy Wilson about the therapeutic techniques to break psychological trap.CME: Take the CME Post-Test for this EpisodePublished On: 04/14/2025Duration: 11 minutes, 27 secondsChris Aiken, MD, Cathy Wilson, LPC, ACS, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

1 in 3 Americans were victims of online scams in the past year. Learn the signs, and the psychological traps that can make people lose everything.How to help patients build fulfilling lives even in the face of unremitted illness.CME: Take the CME Post-Test for this EpisodePublished On: 04/07/2025Duration: 13 minutes, 13 secondsChris Aiken, MD, Cathy Wilson, LPC, ACS, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The Fentanyl overdose crisis is now one of the leading causes of death among adolescents, and it is happening in every corner of the country. Stay with us as we talk about the state of the crisis and the steps we can take to save lives.CME: Take the CME Post-Test for this EpisodePublished On: 03/31/2025Duration: 15 minutes, 41 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dive into the intriguing effects of social media on youth mental health, balancing connection with hazards like misinformation and cyberbullying. Discover how online interactions shape plural identities and impact clinical practices, emphasizing holistic therapeutic approaches. Explore the complexities of teen sexting, recognizing its relationship-building benefits alongside serious risks. Lastly, understand cyberbullying's profound implications on mental well-being and the crucial need for open dialogue between teens and adults.

Margaret Chislom, a Professor of Psychiatry at Johns Hopkins University, discusses how individuals with mental illness can still flourish in life. She emphasizes the importance of relationships and engaging activities, sharing success stories of patients overcoming challenges. The conversation unveils four pathways to flourishing: family, community, work, and education. Chislom advocates for a holistic approach, valuing connections and nature in recovery, and redefines education as a means for personal growth while addressing isolation during the pandemic.

Postpartum depression affects one in eight mothers, making early intervention crucial for both maternal and infant health. The hosts discuss traditional treatments and the promising newcomer, xerenolone, known for its quick effects. They explore rapid-acting depression medications and highlight the importance of holistic recovery, incorporating therapy and support. Additionally, they differentiate between severe postpartum depression and psychosis, cautioning about medical factors that heighten risks, particularly in women with bipolar disorder.

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.

Discover the critical timing in administering clozapine for schizophrenia treatment and its remarkable benefits for patients resistant to standard therapies. Dive into the historical journey of clozapine, understanding its essential role in managing symptoms and its ability to prevent complications like tardive dyskinesia. Gain insights into FDA approval processes and monitoring requirements that ensure patient safety. Learn how timely communication can drastically improve treatment outcomes and why many patients miss out on this vital medication.