The Carlat Psychiatry Podcast

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.

Chris Aiken and Kellie Newsome discuss the medical causes of bipolar disorder in older adults, exploring physical causes, differences between mania in dementia and delirium, and treatment options for secondary mania in older adults.

This podcast explores the use of Deep Brain Stimulation (DBS) for treating OCD in kids. It discusses the potential benefits, risks, and current guidelines for DBS. Results from a study show positive responses from participants, with improvements in daily function and symptom reduction. The podcast also highlights the importance of evidence-based treatments for OCD.