The Carlat Psychiatry Podcast
The Carlat Psychiatry Podcast
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The Carlat Psychiatry Podcast
▶ WebplayerClear, 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
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Sep 28, 2026 · 15:26
Prescribing stimulants outside of ADHD is not illegal, but what Done did sent the clinical leader to jail. We look at what went wrong and what the charges were, and end with a…
Sep 21, 2026 · 26:01
Done paid clinicians by the refill, not the visit. We trace how a telehealth company built its business model around stimulant prescriptions. Along the way you’ll learn why…
Sep 14, 2026 · 13:35
A Silicon Valley founder built a telehealth company to make ADHD treatment as easy as ordering takeout, until federal prosecutors traced 37 million pills of Adderall back to the…
Sep 7, 2026 · 10:58
Today, we’re tackling a deceptively simple question that comes up all the time in clinical practice: When should we prioritize medication, when should we emphasize psychotherapy,…
Aug 31, 2026 · 32:23
Dr. Donn Posner is a leading expert in Cognitive Behavioral Therapy for Insomnia (CBT-I), founder and president of Sleepwell Consultants, and an adjunct clinical associate…
Aug 24, 2026 · 27:30
Dr. Donn Posner is one of the most active educators in CBT-I. He's founder and president of Sleepwell Consultants, adjunct clinical associate professor in Psychiatry and…
Aug 17, 2026 · 15:35
How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering. CME: T ake…
Aug 10, 2026 · 14:39
The modern DSM began as a short list of 12 well-validated diagnoses. But the list expanded as the authors changed the goals from validity to reliability. Lost in this history is…
Aug 3, 2026 · 13:07
Nine studies have tried to find out whether ADHD can start in adulthood, we dig into the data and find some answers to the controversy. CME: Take the CME Post-Test for this…
Jul 27, 2026 · 15:11
DSM-5 loosened the criteria for adult ADHD, but did it get too lose? We look at what recent prosecutions of telehealth companies mean for those trying to diagnose this disorder…
Jul 20, 2026 · 50:39
Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder.
Jul 13, 2026 · 17:38
Women clear some psychiatric medications more slowly, lose bone density at higher rates, and face greater medical consequences from alcohol and smoking than men. This final…
Jul 6, 2026 · 18:37
Estrogen shapes nearly every neurotransmitter system in the brain, and when it starts to fall, psychiatric disorders often follow. This episode walks through what psychiatrists…
Jun 29, 2026 · 23:33
Premenstrual hormones can destabilize mood, worsen ADHD, trigger psychosis, and drive binge eating. This episode walks through the tools to manage hormonal fluctuations in female…
Jun 22, 2026 · 17:32
Women and men respond to psychiatric medications differently. In this first of a four-part series, Chris Aiken and Kellie Newsome walk through why valproate is risky for women,…
Jun 15, 2026 · 18:34
Psilocybin is going mainstream: Trump has signed an executive order opening psychedelics to patients with severe mental illness, and one in eight American adults has already…
Jun 8, 2026 · 30:33
Dr. Roger Solomon provides a comprehensive introduction to Eye Movement Desensitization and Reprocessing (EMDR), explaining the adaptive information processing model that…
Jun 1, 2026 · 18:30
What if the patients we assume are safest from suicide are actually the ones we miss? Today we're talking about suicide risk in autistic youth, why it's higher than many…
May 25, 2026 · 11:53
It's 1979, and Johns Hopkins has just shut down the first gender surgery clinic in the US. But investigations into the biological roots of gender identity are about to reopen…
May 18, 2026 · 13:39
In 1966, Johns Hopkins opened the first gender surgery clinic in the US. Thirteen years later, a single study shut it down. We examine what the research said, what it didn't say,…
May 11, 2026 · 16:12
The president of the US branch of WPATH built one of the largest youth gender clinics in the country, then watched it close under political fire. Now she's facing a malpractice…
May 4, 2026 · 13:09
Medical societies are reversing decades of support for gender-affirming care in youth — but is it the science driving the shift, or the politics? This episode walks through the…
Apr 27, 2026 · 12:18
Two malpractice cases — one worth $2 million — are reshaping the standards of gender-affirming care. This episode traces what went wrong, what held up in court, and what every…
Apr 20, 2026 · 16:02
In the 1950s, a young Danish psychiatrist named Mogens Schou staked his career — and his family — on a mineral most of his colleagues dismissed as dangerous nonsense. This is the…
Apr 16, 2026 · 40:31
Dr. Frank Yeomans is an Adjunct Associate Clinical Professor of Psychiatry at Columbia University Vagelos College of Physicians and Surgeons. He is one of the developers of…
Apr 13, 2026 · 12:49
Before lithium became a cornerstone of psychiatry, it was in soda, spa water, and salt shakers. Trace lithium’s journey from Victorian health fad to life-saving mood stabilizer,…
Apr 6, 2026 · 19:01
Legal questions come up in clinical care of autistic children and adults more often than many of us expect. A parent asks for a custody letter; a school requests documentation…
Mar 30, 2026 · 12:35
Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits. CME: Take the CME Post-Test for this Episode…
Mar 23, 2026 · 23:38
Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits. CME: Take the CME Post-Test for this Episode…
Mar 16, 2026 · 16:49
Does money lead to happiness? What kind of stress causes depression? Why the FDA change their requirements for new drug approvals? And what happened between Jeffrey Epstein and…
Mar 9, 2026 · 15:29
Narcissism, antisocial, pedophilia… We examine the diagnoses people invoke to explain Jeffrey Epstein and determine if any fit. CME: Take the CME Post-Test for this Episode…
Mar 2, 2026 · 19:25
Pramipexole has moved up the in our algorithm for treatment resistant depression. Today, learn how to use this dopamine agonist. CME: Take the CME Post-Test for this Episode…
Feb 23, 2026 · 13:41
New research moves pramipexole up in the algorithm for treatment resistant depression. CME: Take the CME Post-Test for this Episode Published On: 02/23/2026 Duration: 13 minutes,…
Feb 16, 2026 · 19:02
We interview Steve Hayes, originator of Acceptance and Commitment Therapy, on the personal struggles that inspired the treatment. CME: Take the CME Post-Test for this Episode…
Feb 9, 2026 · 20:33
An interview with Steve Hayes, originator of Acceptance and Commitment Therapy (ACT), on how his struggle with panic disorder inspired his work. CME: Take the CME Post-Test for…
Feb 2, 2026 · 17:53
A parent sits across from you and asks, "Why can't my child just take the same anxiety medicine that helps me?” Sounds reasonable, but the evidence tells a very different story.…
Jan 26, 2026 · 12:33
How a new FDA approved device for difficult-to-treat depression engages the brain through the sensory nerves in part II of our interview with Linda Carpenter. CME: Take the CME…
Jan 19, 2026 · 20:50
We interview Linda Carpenter, lead investigator on the new FDA approved device for difficult-to-treat depression. CME: Take the CME Post-Test for this Episode Published On:…
Jan 12, 2026 · 21:11
Marsha Linehan finds the core principles of DBT in a Buddhist monastery, challenges the psychoanalytic establishment, and returns to the hospital where her journey started. CME:…
Jan 5, 2026 · 16:51
Marsha Linehan makes it out of a long-term psychiatric hospital and vows to develop a better approach to suicidality, reinventing therapy for borderline personality disorder.…
Dec 29, 2025 · 8:56
How a tip from Carl Jung inspired Alcoholics Anonymous and the 12-step recovery movement. CME: Take the CME Post-Test for this Episode Published On: 12/29/2025 Duration: 08…
Dec 22, 2025 · 15:42
Are psychosis and OCD ever normal? We explore this question from Carl Jung’s breakdown to a new neurologic condition, hyperphantasia. CME: Take the CME Post-Test for this Episode…
Dec 20, 2025 · 19:01
Today’s episode is one we’ve been sitting with for a long time. We’re talking about how to survive psychologically in a world where hatred is persistent, not abstract, not…
Dec 15, 2025 · 15:16
Some of the people who revolutionized psychiatry lived with mental illness themselves. CME: Take the CME Post-Test for this Episode Published On: 12/15/2025 Duration: 15 minutes,…
Dec 8, 2025 · 18:33
How to help bipolar patients manage holiday stress, and a new drug interaction with lithium and GLP1 agonists like semaglutide (Ozempic). CME: Take the CME Post-Test for this…
Dec 1, 2025 · 16:04
SAINT TMS is now available. We take a closer look at its record-breaking effect size. CME: Take the CME Post-Test for this Episode Published On: 12/01/2025 Duration: 16 minutes,…
Nov 24, 2025 · 9:53
SAINT TMS is now available. We take a closer look at its record-breaking effect size. CME: Take the CME Post-Test for this Episode Published On: 11/24/2025 Duration: 09 minutes,…
Nov 20, 2025 · 48:12
Dr. Kenneth Levy provides an overview of the major evidence-based treatments for Borderline Personality Disorder and explains why clinicians shouldn’t limit themselves to just…
Nov 17, 2025 · 24:08
For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really…
Nov 10, 2025 · 13:40
Owen Muir, MD, believes TMS ought to come before antidepressants for many teens with depression, but does the FDA agree with him? CME: Take the CME Post-Test for this Episode…
Nov 3, 2025 · 18:43
Do TMS and psychotherapy share a common mechanism? We talk with Owen Muir about how to engage patients with this magnetic therapy. CME: Take the CME Post-Test for this Episode…
Oct 27, 2025 · 16:15
Working with young adults who are navigating ADHD is rarely straightforward. They’re often dealing with more than just distractibility or missed deadlines. There’s anxiety,…
Oct 20, 2025 · 14:07
More teens are saying they can’t sleep because they’re worried about the environment. Today, we’re asking: How do we respond to climate anxiety without pathologizing it? CME:…
Oct 13, 2025 · 23:38
Today, we'll be talking about psychedelics and addiction psychiatry, what they are, how they work, and what the research actually tells us. CME: Take the CME Post-Test for this…
Oct 6, 2025 · 15:56
More teens are saying they can’t sleep because they’re worried about the environment. Today, we’re asking: How do we respond to climate anxiety without pathologizing it? CME:…
Sep 29, 2025 · 9:02
There are two variations of long-acting injectable buprenorphine on the market. But what differentiates them, who might benefit, and how well do they work? Find out in today’s…
Sep 22, 2025 · 17:27
Lithium, pramipexole, bupropion, carbamazepine, valproate, and trazodone. Meds that require special skill to start: CME: Take the CME Post-Test for this Episode Published On:…
Sep 15, 2025 · 10:19
Meds that require special skill to start: Clozapine and lamotrigine. CME: Take the CME Post-Test for this Episode Published On: 09/15/2025 Duration: 10 minutes, 19 seconds Chris…
Sep 12, 2025 · 4:04
Dr. Josh Feder shares how to talk with kids about school shootings and help them feel safe. CME: Take the CME Post-Test for this Episode Published On: 09/12/2025 Duration: 04…
Sep 8, 2025 · 13:48
Ziprasidone and quetiapine. One goes better fast, one slow. Also the mystery of ghost pills, and a research update on pramipexole. CME: Take the CME Post-Test for this Episode…
Sep 1, 2025 · 16:43
The FDA just approved the cyclobenzaprine (Tonmya, Flexeril) for fibromyalgia. We look at three risks that medication raises in psychiatry. CME: Take the CME Post-Test for this…
Aug 25, 2025 · 18:31
The FDA just approved Ketarx for surgical pain, but the company has its eyes on depression. CME : Take the CME Post-Test for this Episode Published On: 08/15/2025 Duration: 18…
Aug 18, 2025 · 8:28
Meds that require special skill to start: Atomoxetine and prazosin, plus a new FDA warning on stimulants. CME : Take the CME Post-Test for this Episode Published On: 08/18/2028…
Aug 11, 2025 · 12:19
Meds that require special skill to start: Antipsychotics, Cobenfy, and a research update on antidepressant metabolism in Asians. CME : Take the CME Post-Test for this Episode…
Aug 4, 2025 · 13:18
Before you cook, oil the pan; before you plant that spring lawn, aerate the soil. Before you start a psych med, these are six things you need to have in place. CME : Take the CME…
Jul 28, 2025 · 14:19
We interview psychoanalyst William Meyer on a therapeutic approach to postpartum depression. CME : Take the CME Post-Test for this Episode Published On: 07/28/2025 Duration: 14…
Jul 21, 2025 · 10:27
We look at how often postpartum depression converts to bipolar, and what that means for treatment. CME : Take the CME Post-Test for this Episode Published On: 07/21/2025…
Jul 17, 2025 · 19:48
Today, we are focusing on how families are responding mentally and emotionally to disaster, and how children process loss when a parent or caregiver dies. CME: Take the CME…
Jul 14, 2025 · 12:50
Brexanolone has quietly exited the pharmaceutical stage, and we look at what that means for its stand-in, zuranolone (Zurzuvae), in postpartum depression. CME: Take the CME…
Jul 7, 2025 · 11:44
We explore the DSM-style criteria for Hubris Syndrome, a variation of narcissism that can be induced by too much power and adoration. CME: Take the CME Post-Test for this Episode…
Jun 30, 2025 · 10:44
Two ways to approach narcissism in therapy, and how AI can ramp up the problem. CME: Take the CME Post-Test for this Episode Published On: 06/30/2025 Duration: 10 minutes, 44…
Jun 23, 2025 · 13:44
There’s a hidden placebo response to watch for when patients stop meds on their own. CME: Take the CME Post-Test for this Episode Published On: 06/23/2025 Duration: 13 minutes,…
Jun 16, 2025 · 13:22
We look at a hidden placebo effect that can confuse the picture when starting a medication. CME: Take the CME Post-Test for this Episode Published On: 06/16/2025 Duration: 13…
Jun 9, 2025 · 18:49
Artificial Intelligence is full of medical information. Here’s how to use it wisely. CME: Take the CME Post-Test for this Episode Published On: 06/09/2025 Duration: 18 minutes,…
Jun 2, 2025 · 20:08
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…
May 26, 2025 · 13:06
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…
May 19, 2025 · 11:23
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…
May 12, 2025 · 14:36
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 Episode Published On: 05/12/2025…
May 5, 2025 · 18:53
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 Episode Published…
Apr 28, 2025 · 8:30
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…
Apr 21, 2025 · 16:40
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…
Apr 14, 2025 · 11:27
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…
Apr 7, 2025 · 13:14
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…
Mar 31, 2025 · 15:41
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…
Mar 24, 2025 · 12:58
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 Episode Published On: 03/24/2025…
Mar 17, 2025 · 15:19
How to help patients build fulfilling lives even in the face of unremitted illness. CME: Take the CME Post-Test for this Episode Published On: 03/17/2025 Duration: 15 minutes, 19…
Mar 10, 2025 · 16:32
How post is postpartum? And how fast do you need to intervene? CME: Take the CME Post-Test for this Episode Published On: 03/10/2025 Duration: 16 minutes, 31 seconds Chris Aiken,…
Mar 3, 2025 · 12:50
We look at the ideal times to intervene for antipsychotic weight gain and panic attacks. CME: Take the CME Post-Test for this Episode Published On: 03/03/2025 Duration: 12…
Feb 24, 2025 · 11:53
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…
Feb 17, 2025 · 19:29
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:…
Feb 10, 2025 · 17:24
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…
Feb 3, 2025 · 16:42
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 Episode…
Jan 27, 2025 · 18:12
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.…
Jan 20, 2025 · 22:23
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…
Jan 13, 2025 · 7:41
Depression and cognitive impairment on benzos, tardive dyskinesia, anticholinergics, and neurotoxicity from high dose stimulants. These are the side effects that patients aren’t…
Jan 6, 2025 · 16:48
Allen Frances shares his approach to chronic depression. CME: Take the CME Post-Test for this Episode Published On: 01/06/2025 Duration: 16 minutes, 47 seconds Chris Aiken, Allen…
Dec 30, 2024
Allen Frances shares his approach to chronic depression. CME: Take the CME Post-Test for this Episode Published On: 12/30/2024 Duration: 16 minutes, 45 seconds Chris Aiken, MD,…
Dec 23, 2024 · 16:54
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 Episode Published On: 12/23/2024…
Dec 16, 2024 · 21:45
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 Episode Published…
Dec 9, 2024 · 23:56
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 Episode Published On: 12/09/2024 Duration: 23…
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