Explore every episode of the podcast The Carlat Psychiatry Podcast

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 Episode

Published On: 10/28/2024

Duration: 24 minutes, 12 seconds

Chris 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 depression

CME: Take the CME Post-Test for this Episode

Published On: 10/21/2024

Duration: 24 minutes, 43 seconds

Chris 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 Episode

Published On: 10/14/2024

Duration: 19 minutes, 35 seconds

Chris 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 Episode

Published On: 10/07/2024

Duration: 12 minutes, 28 seconds

Chris 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 Episode

Published On: 09/30/2024

Duration: 20 minutes, 20 seconds

Joshua 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 Episode

Published On: 09/23/2024

Duration: 27 minutes, 18 seconds

Chris 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 Episode

Published On: 09/16/2024

Duration: 18 minutes, 35 seconds

Chris 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 Episode

Published On: 09/09/2024

Duration: 16 minutes, 10 seconds

Chris 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 Episode

Published On: 09/02/2024

Duration: 24 minutes, 47 seconds

Joshua 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 Episode

Published On: 08/26/2024

Duration: 17 minutes, 38 seconds

Chris 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 Episode

Published On: 08/19/2024

Duration: 16 minutes, 03 second

Chris 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 Episode

Published On: 08/12/2024

Duration: 29 minutes, 29 seconds

Joshua 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 Episode

Published On: 08/05/2024

Duration: 16 minutes, 10 second

Chris 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 Episode

Published On: 07/29/2024

Duration: 22 minutes, 11 second

Chris 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 Episode

Published On: 07/22/2024

Duration: 11 minutes, 12 second

Chris 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 Episode

Published On: 07/15/2024

Duration: 16 minutes, 40 second

Chris 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 Episode

Published On: 07/08/2024

Duration: 23 minutes, 38 second

Chris 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 Episode

Published On: 07/01/2024

Duration: 18 minutes, 55 second

Chris 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 Episode

Published On: 06/24/2024

Duration: 19 minutes, 13 second

Chris 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 Episode

Published On: 06/17/2024

Duration: 25 minutes, 59 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Did boundary violations sink MDMA assisted psychotherapy? We explore the reasons behind the FDA panel’s rejection of this psychedelic therapy.

CME: Take the CME Post-Test for this Episode

Published On: 06/10/2024

Duration: 20 minutes, 01 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In today's episode, Dr. DePhilippis tells us all about Contingency Management: what it is, how it works, and its evidence for the treatment of stimulant use disorders.

CME: Take the CME Post-Test for this Episode

Published On: 06/03/2024

Duration: 43 minutes, 29 second

Noah Capurso, MD, Dominick DePhilippis, MD have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

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 Episode

Published On: 05/27/2024

Duration: 21 minutes, 50 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

As we delved into Carl Jung's archetype of the wounded healer last Monday, it reminded us of something we learned about the serotonin transporter gene. Has modern genetics discovered a pathway to the archetype? You be the judge in this throwback to a 2021 episode. 

CME: Take the CME Post-Test for this Episode

Published On: 05/20/2024

Duration: 22 minutes, 31 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Clinicians who have lived with mental illness show us how to build a deeper empathy from our past wounds, starting with Carl Jung.

CME: Take the CME Post-Test for this Episode

Published On: 05/13/2024

Duration: 11 minutes, 14 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Clinicians who live with mental illness share the do’s and don’t’s of self-disclosure

CME: Take the CME Post-Test for this Episode

Published On: 05/06/2024

Duration: 21 minutes, 46 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

14 clinicians with mental illness share how they ask patients about mania, depression, psychosis, OCD, panic disorder, addiction, trauma, and suicide.

CME: Take the CME Post-Test for this Episode

Published On: 04/29/2024

Duration: 20 minutes, 08 second

Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

What steps should clinicians take if psychopharmacologic treatments and school behavioral strategies are insufficient for managing a child with ADHD? We've all been there. ADHD, attention deficit hyperactivity disorder, of course, affects millions of children and adolescents worldwide and can significantly impact focus, impulses, and engagement with friends.

Parents and caregivers need to understand the different kinds of medications and therapies that are available to help manage ADHD. In this podcast, Mara and I will explore the various treatment options for ADHD in children and discuss how to navigate the process of selecting more effective treatments.

CME: Take the CME Post-Test for this Episode

Published On: 04/22/2024

Duration: 26 minutes, 43 seconds

Joshua 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 episode, Dr. Brian Hurley provides expert insights into the current state of stimulant use disorder, its implications across different regions, and available treatment options.

CME: Take the CME Post-Test for this Episode

Published On: 04/15/2024

Duration: 30 minutes, 43 second

Noah Capurso, MD, Brian Hurley, MD have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Does psychiatry keep making the same mistakes? Edward Shorter gives us a historical perspective.

CME: Take the CME Post-Test for this Episode

Published On: 04/08/2024

Duration: 22 minutes, 16 second

Chris Aiken, MD, Edward Shorter, PhD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Viibryd has gone generic, but is it worth prescribing? We review all there is to know about vilazodone in this update from our #1 most read article of 2023.

CME: Take the CME Post-Test for this Episode

Published On: 04/01/2024

Duration: 12 minutes, 47 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

All sorts of medications are prescribed for anxiety in older adults. Today, we look at when and how to discontinue them.

CME: Take the CME Post-Test for this Episode

Published On: 03/25/2024

Duration: 22 minutes, 47 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today we are discussing dissociative identity disorder (DID) and related topics 



CME: Take the CME Post-Test for this Episode

Published On: 03/18/2024

Duration: 17 minutes, 31 seconds

Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today, I am discussing narcissistic personality with Dr. Frank Yeomans, a world leader in the psychotherapy of personality disorders.

CME: Take the CME Post-Test for this Episode

Published On: 03/11/2024

Duration: 31 minutes, 17 seconds

Mark Ruffalo, MSW, DPsa and Frank Yeomans, MD, PhD have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity

Today, Avoidant/Restrictive Food Intake Disorder (ARFID) and its treatment

modalities in the world of mental health are explored.

CME: Take the CME Post-Test for this Episode

Published On: 03/04/2024

Duration: 17 minutes, 23 seconds

Joshua 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 will be discussing the challenges of managing antipsychotic medications in children and adolescents. We will explore various strategies that aim to balance symptom relief with potential side effects, while also guiding towards personalized and safer treatment options. Join us in discovering the art of precision in pediatric mental health care.

CME: Take the CME Post-Test for this Episode

Published On: 02/26/2024

Duration: 19minutes, 25 seconds

Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Here's a Throwback Thursday episode originally cast in March of 2021, where we're going to look at the question of whether adding a z hypnotic improves antidepressant response. And stay tuned to the very end where I'm going to update it with new research. We all know that when you sleep better, you feel better.

CME: Take the CME Post-Test for this Episode

Published On: 02/22/2024

Duration: 27 minutes, 56 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing.

CME: Take the CME Post-Test for this Episode

Published On: 02/19/2024

Duration: 22 minutes, 23 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The release of the fast-acting antidepressant Auvelity got us thinking about an older strategy to speed up antidepressants, benzodiazepines. So we're bringing you this Thursday throwback, do benzodiazepines treat depression? Benzos and sleep meds rarely earn a mention in textbooks on depression these days, but that has not always been the case.

Today, in part one of a two-part series, we'll open up a forgotten repository of psychiatric research, where a stack of about 50 controlled trials has been archived away, suggesting that the GABAergic benzos might actually treat depression.

CME: Take the CME Post-Test for this Episode

Published On: 02/15/2024

Duration: 27 minutes, 43 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at its side effects, addictive potential, and whether you can just use the generic components.

CME: Take the CME Post-Test for this Episode

Published On: 02/12/2024

Duration: 16 minutes, 44 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at how it works and the clinical trials, including new data in treatment resistant depression

CME: Take the CME Post-Test for this Episode

Published On: 02/05/2024

Duration: 14 minutes, 02 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How to choose a mood stabilizer in older adults.

CME: Take the CME Post-Test for this Episode

Published On: 01/29/2024

Duration: 17 minutes, 40 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Bipolar disorder is different in the elderly. Today we look at the medical causes to watch out for.

CME: Take the CME Post-Test for this Episode

Published On: 01/22/2024

Duration: 12 minutes, 19 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Have you ever wondered about using Deep Brain Stimulation, DBS, for kids dealing with Obsessive Compulsive Disorder, OCD? It's a hot topic among parents, but do we have enough evidence to back up this rather intense treatment? Let's dive in and take a closer look at deep brain stimulation.

CME: Take the CME Post-Test for this Episode

Published On: 01/14/2024

Duration: 11minutes, 49 seconds

Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We interview Stephan Jackman, whose company is developing a new formulation of lithium, and bring updates on lithium in younger, older, and peripartum patients.

CME: Take the CME Post-Test for this Episode

Published On: 01/08/2024

Duration: 16 minutes, 44 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

A year of research on lithium, including updates on its efficacy, renal risks, tremor, and a controlled trial of instant vs. extended release

CME: Take the CME Post-Test for this Episode

Published On: 01/01/2024

Duration: 22 minutes, 06 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In today’s podcast, we explore background knowledge, experiences, and

misconceptions surrounding psychodynamic therapy and discuss how we define evidence for it with our guest, Dr. Jonathan Shedler.

CME: Take the CME Post-Test for this Episode

Published On: 12/25/2023

Duration: 52 minutes, 47 seconds

Mark L. Ruffalo, MSW, DPsa, Jonathan Shedler, PhD, and Geneva Valeska, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Callous unemotional behaviors can be challenging to understand. One community study of 1136 children (from 3rd-7th grade) found that 10%–32% of those with conduct disorder and 2%–7% of those without conduct disorder met the callous emotional specifier threshold in the DSM-5. In this episode, we will discuss what callous unemotional behaviors are, how they look like, how to assess these behaviors, types of interventions, and more. 

Dr. Meghan Rose Donohue joins us today to help us unpack this topic. She is an instructor in psychiatry and works in the division of child and adolescent psychiatry at Washington University School of Medicine.

CME: Take the CME Post-Test for this Episode

Published On: 12/18/2023

Duration: 24 minutes, 33 seconds

Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sigmund Freud’s theories are challenged by his granddaughter, Sophie Freud.

CME: Take the CME Post-Test for this Episode

Published On: 12/11/2023

Duration: 17 minutes, 53 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sigmund Freud’s theories are challenged by his granddaughter, Sophie Freud.



CME: Take the CME Post-Test for this Episode

Published On: 12/04/2023

Duration: 13 minutes, 40 second

Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.