
The Carlat Psychiatry Podcast
Clear, engaging, and practical updates on clinical psychiatry. Hosted by Chris Aiken, MD, and Kellie Newsome, PMHNP.
Earn CME for listening at www.thecarlatreport.com/podcastcme
Latest episodes

Jul 29, 2024 • 22min
Psychoanalysis Looks Inward
Beverly Stoute, MD, a medical doctor focused on racial and social biases in psychoanalysis, joins Kellie Newsome, PMHNP, to delve into critical issues. They discuss systemic racism in psychoanalytic training heightened by recent societal events. The conversation addresses the struggles BIPOC candidates face, including financial obstacles and inadequate support. Stoute emphasizes the importance of cultural sensitivity in treatment, urging for updated training practices to foster inclusivity and better support for diverse patients in psychoanalysis.

Jul 22, 2024 • 12min
Race and Unconscious Bias
Beverly Stoute, MD, shares research on the origins of unconscious racial bias. Topics include how racial bias evolves from childhood experiences, systemic racism, racial fantasies, implicit bias in psychiatric diagnoses, and healthcare disparities for black individuals.

Jul 15, 2024 • 17min
Psychotherapy, Enactments, and Race
Beverly Stoute, MD, a physician dedicated to exploring unconscious racial biases in therapy, shares profound insights. She delves into how these biases can disrupt the therapist-patient relationship and hinder effective treatment. The discussion highlights the necessity of recognizing racial dynamics in psychoanalysis and the influence of societal narratives on personal experiences. Real-world examples, such as microaggressions in therapeutic settings, illustrate how language and awareness can foster a more inclusive environment for patients of color.

Jul 8, 2024 • 24min
Ketamine Assisted Therapy Part III
Kyle Greenway, who developed the Montreal Model for ketamine and psychotherapy, discusses setting personalized therapeutic goals, exploring thought diffusion, the relationship between values and behavior in therapy, setting goals for ketamine treatment, and the therapeutic power of music in therapy.

Jul 1, 2024 • 19min
Ketamine Assisted Therapy Part II
Kyle Greenway, developer of the Montreal Model for ketamine therapy, discusses the essential steps in preparing for ketamine-assisted therapy, rationalizing medication regimens, building a collaborative relationship, creating a supportive environment, and integrating music and personal items in psychedelic therapy.

5 snips
Jun 24, 2024 • 19min
Ketamine Assisted Therapy Part I
Dr. Kyle Greenway discusses his Montreal Model for ketamine-assisted therapy, highlighting the need for active therapy alongside ketamine. The podcast explores diverse effects of ketamine, differences between ketamine and esketamine, contraindications with GABA agonists, and tapering off benzodiazepines during therapy.

Jun 17, 2024 • 27min
MDMA: What Went Wrong Part 2
Psychiatrist Chris Aiken and PMHNP Kellie Newsome discuss the recent FDA rejection of MDMA therapy for PTSD, exploring issues like boundary violations and functional unblinding. They analyze biases in medication trials, potential risks of MDMA, and the advocacy for its medical use in treating PTSD. The podcast also explores cardiovascular risks of MDMA, therapist influence on patient outcomes, and the need for standardized evaluation methods.

Jun 10, 2024 • 20min
MDMA: What Went Wrong Part 1
Chris Aiken, MD, a psychiatrist specializing in psychedelic therapy, discusses the FDA panel's rejection of MDMA-assisted psychotherapy and the challenges in accessing such therapy in the United States. The podcast explores contrasting experiences in MDMA therapy, origins of MDMA in therapy, the role of therapists in maintaining boundaries, and the positive effects of MDMA on PTSD symptoms.

Jun 3, 2024 • 43min
Contingency Management with Dr. Dominick DePhilippis
Dr. Dominick DePhilippis discusses Contingency Management for stimulant use disorders, emphasizing its use of incentives to reinforce abstinence behaviors. The episode explores the effectiveness of Contingency Management, challenges in implementation, and the role of smart gift cards in sustaining recovery. Also, it touches on emerging drug threats and resources for learning about CM in addiction treatment.

May 27, 2024 • 22min
(Wounded Healers) Impairment & Strength
Clinicians who have lived with mental illness share how it impaired them - and strengthened them - on the job.CME: Take the CME Post-Test for this EpisodePublished On: 05/27/2024Duration: 21 minutes, 50 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
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