The Carlat Psychiatry Podcast

Delving into Dissociative Identity Disorder (DID) and related topics, this podcast explores the complexities of multiple distinct personalities within one individual's mind, the challenges in diagnosis, therapy options including cognitive behavioral therapy and hypnosis, and the comparison between DID and plural identity. It emphasizes the importance of accurate assessment, therapy integration, and developing stable relationships for improved functioning.

Exploring the complexities of diagnosing and treating narcissistic personality disorder, from healthy to pathological narcissism. Navigating psychoanalytic psychotherapy with NPD patients, emphasizing the importance of genuine connection. Delving into the impact of NPD on individuals and society, the correlation with manipulation, and the challenges in therapy.

Exploring the complexities of Avoidant Restrictive Food Intake Disorder (ARFID) and its treatment modalities, including SSRIs and hydroxyzine. Discussion on diagnosing ARFID, distinguishing it from other eating disorders, and the importance of comprehensive treatment approaches. Insights from a study on using SSRIs and hydroxyzine in children and adolescents for treating ARFID, with positive outcomes observed. Emphasis on dosage recommendations, side effects, and monitoring anxiety levels in severe cases of ARFID management.

Exploring challenges of using antipsychotics in children, emphasizing safe tapering. Considerations for dosage, non-pharmacologic interventions. Importance of patient/family input during tapering. Addressing medication changes, side effects, reduced usage in late teens. Necessity of close medical supervision to limit antipsychotic use.

Exploring the role of Z hypnotics in improving antidepressant response, differences between Zopclone mirror-image stereoisomers, comparative study in Brazil, potential antidepressant properties, and present moment awareness in depression treatment.

Learn about stimulant dosing in psychiatry with Chris Aiken, MD and Kellie Newsome, PMHNP. Topics include challenges in diagnosing adult ADHD, risks of high stimulant doses, optimal dosing of Adderall XR, maximizing ADHD treatment, exploring methylphenidate dosage and effects.

Uncovering forgotten trials, the podcast explores the potential effectiveness of benzodiazepines in treating depression. It discusses the transition from barbiturates to benzos for sleep disorders, highlighting their GABAergic mechanisms and safety profiles.

Dr. Chris Aiken and Kellie Newsome discuss controversies around Auvelity, a fast-acting antidepressant, examining side effects, addictive potential, and generic components. They explore the combination of dextromethorphan and bupropion, generic substitution risks, treatment options for resistant depression, and concerns about long-term efficacy and medication use.

Dr. Aiken and Kellie discuss Auvelity, a fast-acting antidepressant, exploring its pharmacodynamics, benefits of pairing with bupropion, and update on treatment-resistant depression trial. They also delve into Aveleti's efficacy in depression treatment and ongoing studies.

This podcast discusses the use of mood stabilizers in older adults, focusing on lithium and its benefits in preventing suicide and dementia. It compares the efficacy of lithium and Valproeic acid, explores dosing considerations and potential toxicity. The use of lemotrigene as a mood stabilizer is also discussed, highlighting its effectiveness against depressive symptoms.