The Carlat Psychiatry Podcast

Discover the groundbreaking antipsychotic, KarXT, which uniquely doesn't block dopamine, paving new paths in schizophrenia treatment. Dive into its intriguing connections to a 5,000-year-old South Asian herb and the innovative cholinergic effects of xanomaline. The podcast highlights significant clinical trials that reveal KarXT’s efficacy while casting light on its potential advantages over traditional treatments. Addressing both its promise and the uncertainties surrounding its use, it provides a comprehensive look at a fresh hopeful frontier in psychiatry.

Discover the essential role of cognitive behavioral therapy in treating obsessive-compulsive disorder in clinical settings. Learn about the complexities of providing CBT for children and adolescents, including exposure therapy and barriers to access. Explore how to evaluate treatment efficacy and compare CBT with SSRIs. Find out how general prescribers can improve their OCD management skills with specialized training and resources. Dive into the unique relationship between OCD and anxiety disorders, highlighting the importance of tackling uncertainty in treatment.

Delve into the intriguing world of off-label medications for PTSD, with a spotlight on a new contender awaiting FDA approval. Discover promising advances in antipsychotic treatments like Brexpiprazole and its partnership with sertraline. The conversation also tackles the complexities of treating insomnia tied to PTSD, weighing the pros and cons of medications like trazodone and benzodiazepines. Personalization in treatment is emphasized as crucial for effective management.

In this discussion, Kellie Newsome, a PMHNP with expertise in psychiatric care, dives into the pros and cons of SSRIs versus the off-label use of prazosin for PTSD management. The conversation highlights prazosin's effectiveness, especially for nightmares, while critiquing SSRIs for their adverse effects and limited patient satisfaction. Newsome also explores emerging treatments and the importance of personalized care in addressing PTSD symptoms effectively.

Dive into effective therapies for PTSD, including trauma-focused cognitive behavioral therapy and EMDR. Explore innovative non-exposure-based methods that address current life challenges, especially for veterans. Learn about the importance of early intervention and practical strategies like mindfulness and sleep hygiene. Discover how to navigate the healing process with community support, enjoyable activities, and coping techniques. Plus, get a glimpse of future discussions on medication options!

The transition to college presents unique challenges, especially for adolescents with psychological conditions. Strategies for choosing the right college and exploring alternative pathways are discussed. Essential skills like self-care and medication management are crucial for a smooth adjustment. Effective communication with roommates and setting boundaries are emphasized to create supportive living environments. Mental health professionals play a key role in guiding students through this significant life change.

Explore the intriguing reasons why some individuals develop PTSD after trauma while others do not. Learn about the risk factors and the significant differences in symptoms between veterans and sexual assault survivors. Delve into the brain's fear response and why traditional treatments may not always be effective. Discover how PTSD can influence brain structure, including the shrinkage of the hippocampus, and the potential for its effects to span generations. Plus, a look at aerobic exercise's benefits for brain health.

In this engaging discussion, Kellie Newsome, a PMHNP with mental health expertise, dives into the nuanced world of PTSD. She explains why some people develop PTSD after trauma while others do not. The conversation covers the evolution of PTSD diagnosis criteria, shedding light on historical perspectives and the emotional turmoil faced by those affected. Newsome also uncovers the critical link between sleep disturbances and PTSD recovery, exploring how nightmares and disrupted sleep can exacerbate symptoms.

Dr. Marilyn Jones, Clinical Service Chief at Rady Children's Hospital and a pediatrics expert at UCSD, dives deep into dysmorphology and genetic disorders in psychiatry. She discusses the prevalence and diagnosis of conditions like 22Q and Fragile X, emphasizing the critical role of early identification and genetic testing. The conversation also highlights the connection between congenital disorders and mental health challenges, alongside advancements in prenatal screening, while navigating the complex ethical landscape of genetic testing.

Recent research reveals the risks of discontinuing benzodiazepines, highlighting higher mortality rates in older patients. Lithium showcases its surprising health benefits, enhancing bone density in bipolar disorder. Innovative therapies, including ECT, show promise for PTSD and schizophrenia. A controlled trial suggests structured sleep and daily activities can significantly boost recovery from major depression. Exciting developments in psychotherapy offer hope for those battling multi-trauma PTSD, showcasing effective treatment options.