The Carlat Psychiatry Podcast

A teen is using substances—how do you decide what kind of treatment makes sense? Outpatient therapy? A more structured program? We're breaking it down.CME: Take the CME Post-Test for this EpisodePublished On: 06/02/2025Duration: 20 minutes, 08 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Imagine turning 18 and suddenly being responsible for every major life decision. Yikes. That includes medical, financial, and personal, without guidance. For many young adults with developmental disabilities, these transitions can be overwhelming. How can clinicians and families provide the right level of support while respecting autonomy or at least encouraging it? That's what we're exploring today.CME: Take the CME Post-Test for this EpisodePublished On: 05/25/2025Duration: 13 minutes, 06 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Many families struggle to find OCD treatment for their children. Specialty-trained therapists are limited, and wait lists are usually long. Online therapy is an option, but how well does it work? Today, we discuss a study that examines online cognitive behavioral therapy with exposure and response prevention for kids with OCD.CME: Take the CME Post-Test for this EpisodePublished On: 05/19/2025Duration: 11 minutes, 16 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today, we're tackling a big question: How young is too young to treat children with medication for ADHD?CME: Take the CME Post-Test for this EpisodePublished On: 05/12/2025Duration: 14 minutes, 36 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

MTHFR is a genetic test that aims to clarify who will respond to methylfolate in depression. But is it worth testing for?CME: Take the CME Post-Test for this EpisodePublished On: 05/05/2025Duration: 18 minutes, 52 secondsChris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We learn how psychiatrists figured out that low folate causes depression, and how the vitamin can treat depression even when serum levels are normal.CME: Take the CME Post-Test for this EpisodePublished On: 04/28/2025Duration: 08 minutes, 29 secondsChris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We interview Victor Hoffbrand on the discovery of folate and look at how this vitamin can help or harm the action of anticonvulsants in bipolar disorder.CME: Take the CME Post-Test for this EpisodePublished On: 04/21/2025Duration: 16 minutes, 40 secondsChris Aiken, MD, 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. 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.

In today's podcast, we explore the connection between social media, mental health, and today's youth.CME: Take the CME Post-Test for this EpisodePublished On: 03/24/2025Duration: 12 minutes, 58 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How to help patients build fulfilling lives even in the face of unremitted illness.CME: Take the CME Post-Test for this EpisodePublished On: 03/17/2025Duration: 15 minutes, 19 secondsChris Aiken, MD, Margaret Chislom, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How post is postpartum? And how fast do you need to intervene?CME: Take the CME Post-Test for this EpisodePublished On: 03/10/2025Duration: 16 minutes, 31 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We look at the ideal times to intervene for antipsychotic weight gain and panic attacks.CME: Take the CME Post-Test for this EpisodePublished On: 03/03/2025Duration: 12 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sometimes we have a window of opportunity to make a difference. In this series we discuss time-frames where panic, clozapine, and metformin have the greatest benefits.CME: Take the CME Post-Test for this EpisodePublished On: 02/24/2025Duration: 11 minutes, 53 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sometimes we have a window of opportunity to make a difference. In this series we discuss time-frames where lithium, clozapine, and metformin have the greatest benefits.CME: Take the CME Post-Test for this EpisodePublished On: 02/17/2025Duration: 19 minutes, 28 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sometimes we have a window of opportunity to make a difference. Here, we discuss time-frames where lithium, clozapine, and metformin have the greatest benefits.CME: Take the CME Post-Test for this EpisodePublished On: 02/10/2025Duration: 17 minutes, 23 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Learn how your patient's life story can unlock psychotherapeutic avenues of treatment on our interview with Margaret Chisolm.CME: Take the CME Post-Test for this EpisodePublished On: 02/03/2025Duration: 16 minutes, 41 secondsChris Aiken, MD, Margaret Chisolm, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Learn how an understanding of patient's temperament and the meaning of their life story can unlock psychotherapeutic avenues of treatment on our interview with Margaret Chisolm.CME: Take the CME Post-Test for this EpisodePublished On: 01/27/2025Duration: 18 minutes, 12 secondsChris Aiken, MD, Margaret Chisolm, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Margaret Chisolm shares the Perspectives model, a way of assessing patients that builds on the DSM takes the famous manual a few steps further.CME: Take the CME Post-Test for this EpisodePublished On: 01/20/2025Duration: 22 minutes, 23 secondsChris Aiken, MD, Margaret Chisolm, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Depression and cognitive impairment on benzos, tardive dyskinesia, anticholinergics, and neurotoxicity from high dose stimulants. These are the side effects that patients aren't likely to notice until it's too late.CME: Take the CME Post-Test for this EpisodePublished On: 01/13/2025Duration: 07 minutes, 41 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Allen Frances shares his approach to chronic depression.CME: Take the CME Post-Test for this EpisodePublished On: 01/06/2025Duration: 16 minutes, 47 secondsChris Aiken, Allen Frances, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Allen Frances shares his approach to chronic depression.CME: Take the CME Post-Test for this EpisodePublished On: 12/30/2024Duration: 16 minutes, 45 secondsChris Aiken, Allen Frances, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Allen Frances shows us how to put the common ingredients of effective therapy into practice at every visit.CME: Take the CME Post-Test for this EpisodePublished On: 12/23/2024Duration: 16 minutes, 53 secondsChris Aiken, Allen Frances, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Allen Frances shows us how to adjust our therapeutic approach for problems that are simple and those a bit more complex.CME: Take the CME Post-Test for this EpisodePublished On: 12/16/2024Duration: 21 minutes, 45 secondsChris Aiken, Allen Frances, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We talk with Nick Rosenlicht, MD about what's gone wrong in the mental health care system.CME: Take the CME Post-Test for this EpisodePublished On: 12/09/2024Duration: 23 minutes, 57 secondsChris Aiken, Nicholas Rosenlicht, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How to treat ADHD in bipolar disorder without destabilizing mood part 2: non-stimulants and supplements.CME: Take the CME Post-Test for this EpisodePublished On: 12/02/2024Duration: 11 minutes, 01 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How to treat ADHD in bipolar disorder without destabilizing mood part 1: stimulants and non-stimulants.CME: Take the CME Post-Test for this EpisodePublished On: 11/25/2024Duration: 17 minutes, 26 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

You'll never be 100% sure if a patient has bipolar, ADHD, or both, but we'll get you as close as we can.CME: Take the CME Post-Test for this EpisodePublished On: 11/18/2024Duration: 17 minutes, 24 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today, we delve into the complicated world of psychiatric diagnoses and their impact on treatment.CME: Take the CME Post-Test for this EpisodePublished On: 11/11/2024Duration: 34 minutes, 20 secondsMark L. Ruffalo, MSW, DPsa and Nassir Ghaemi, MD, MPH, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How to assess med response when the patient reports is a poor guide: long-term mood stabilizers, sleep meds, and rapid cycling.CME: Take the CME Post-Test for this EpisodePublished On: 11/04/2024Duration: 18 minutes, 12 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

A new med combo for alcohol use disorder, antipsychotic dose reduction in schizophrenia, and two new tips for using stimulants in ADHD.CME: Take the CME Post-Test for this EpisodePublished On: 10/28/2024Duration: 24 minutes, 12 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

New studies change how we think about lithium and weight gain, and updates on lumateperone, lavender, and esketamine in depressionCME: Take the CME Post-Test for this EpisodePublished On: 10/21/2024Duration: 24 minutes, 43 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We count down the top 10 research updates of the past year with a focus on treatment resistant depression and benzo withdrawal.CME: Take the CME Post-Test for this EpisodePublished On: 10/14/2024Duration: 19 minutes, 35 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

KarXT (Cobenfy) is the first antipsychotic that doesn't block dopamine. We trace the origins of this new drug to a South Asian herb used for over 5,000 years, up to the three EMERGENT trials that led to its FDA approval.CME: Take the CME Post-Test for this EpisodePublished On: 10/07/2024Duration: 12 minutes, 28 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today, we are talking about using cognitive behavioral therapy to treat Obsessive-Compulsive Disorder in clinical settings.CME: Take the CME Post-Test for this EpisodePublished On: 09/30/2024Duration: 20 minutes, 20 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

A new medication is knocking on the door for FDA approval in PTSD, and it isn't MDMA. We cover that, and 8 other off label medications.CME: Take the CME Post-Test for this EpisodePublished On: 09/23/2024Duration: 27 minutes, 18 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Should we follow the FDA and give SSRIs, or venture off label with the fabled prazosin?CME: Take the CME Post-Test for this EpisodePublished On: 09/16/2024Duration: 18 minutes, 35 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Learn what therapies work for PTSD, what goes on in session, and how to prevent PTSD when your patient calls after a trauma.CME: Take the CME Post-Test for this EpisodePublished On: 09/09/2024Duration: 16 minutes, 10 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The transition to college can be challenging for any adolescent, but when an adolescent has psychological conditions, or they're dealing with other mental health concerns, it is especially difficult to navigate this transition.CME: Take the CME Post-Test for this EpisodePublished On: 09/02/2024Duration: 24 minutes, 47 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Why do some people get PTSD after a trauma and not others? What goes on in the brain during PTSD.CME: Take the CME Post-Test for this EpisodePublished On: 08/26/2024Duration: 17 minutes, 38 secondsChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Why do some people get PTSD after a trauma and not others? What goes on in the brain during PTSD.CME: Take the CME Post-Test for this EpisodePublished On: 08/19/2024Duration: 16 minutes, 03 secondChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today, we are talking about dysmorphology and genetic disorders in psychiatry. Dr. Marilyn Jones joins us to help us identify and understand these conditions. Dr. Jones tells us about the prevalence and diagnostic considerations for these conditions, such as 22q and Fragile X. Join us as we talk about the importance of early identification, genetic testing, and strategies for supporting individuals and families affected by these conditions.CME: Take the CME Post-Test for this EpisodePublished On: 08/12/2024Duration: 29 minutes, 29 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Research updates on benzo discontinuation, iloperidone in mania, lithium, schizophrenia, ECT, a new circadian psychotherapy, and therapy for multi-trauma PTSD.CME: Take the CME Post-Test for this EpisodePublished On: 08/05/2024Duration: 16 minutes, 10 secondChris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The Holmes Report looked at racial, social, and economic biases in psychoanalysis. Beverly Stoute, MD, shares the findings.CME: Take the CME Post-Test for this EpisodePublished On: 07/29/2024Duration: 22 minutes, 11 secondChris Aiken, MD, Beverly Stoute, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Beverly Stoute, MD, shares research on the origins of unconscious racial bias.CME: Take the CME Post-Test for this EpisodePublished On: 07/22/2024Duration: 11 minutes, 12 secondChris Aiken, MD, Beverly Stoute, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We talk with Beverly Stoute, MD, about how unconscious racial biases play out between therapist and patient.CME: Take the CME Post-Test for this EpisodePublished On: 07/15/2024Duration: 16 minutes, 40 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Kyle Greenway developed the Montreal Model to pair ketamine with psychotherapy. In this 3-part series, he shows us how to do it.CME: Take the CME Post-Test for this EpisodePublished On: 07/08/2024Duration: 23 minutes, 38 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Kyle Greenway developed the Montreal Model to pair ketamine with psychotherapy. In this 3-part series, he shows us how to do it.CME: Take the CME Post-Test for this EpisodePublished On: 07/01/2024Duration: 18 minutes, 55 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Kyle Greenway developed the Montreal Model to pair ketamine with psychotherapy. In this 3-part series, he shows us how to do it.CME: Take the CME Post-Test for this EpisodePublished On: 06/24/2024Duration: 19 minutes, 13 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

An FDA panel just rejected MDMA assisted therapy. We look at the reasons why, and what this means for the future of psychedelic therapy. CME: Take the CME Post-Test for this EpisodePublished On: 06/17/2024Duration: 25 minutes, 59 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.