The Carlat Psychiatry Podcast

ADHD Undone: A Telehealth Tale

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

Medication or Therapy? A Clinical Framework for Substance Use Disorders

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 psycho

CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 2 of 2)

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 associat

CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 1 of 2)

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

Adult ADHD 4: Other Causes

How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering. CM

Adult ADHD 3: The Missing Page in DSM

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 his

Adult ADHD 2: The Late-Onset Controversy

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 t

Adult ADHD 1: The Child Grows Up

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 di

BPD Series, Episode 3: Dialectical Behavior Therapy — Balancing Acceptance and Change

Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder.

14 Reasons Why Psychopharmacology Differs in Women, Part 4

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 fin

14 Reasons Why Psychopharmacology Differs in Women, Part 3

Estrogen shapes nearly every neurotransmitter system in the brain, and when it starts to fall, psychiatric disorders often follow. This episode walks through what psychia

14 Reasons Why Psychopharmacology Differs in Women, Part 2

Premenstrual hormones can destabilize mood, worsen ADHD, trigger psychosis, and drive binge eating. This episode walks through the tools to manage hormonal fluctuations i

14 Reasons Why Psychopharmacology Differs in Women, Part 1

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

Psilocybin: What You Need to Know

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 alre

EMDR in Practice: A Clinician's Guide to Trauma Reprocessing with Roger Solomon, PhD

Dr. Roger Solomon provides a comprehensive introduction to Eye Movement Desensitization and Reprocessing (EMDR), explaining the adaptive information processing model that

Why We Miss Suicide Risk in Autistic Youth

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

Gender Affirming Care in Exile: Origins

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 re

Gender Affirming Care: Fall of the House of Hopkins

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 did

Gender Affirming Care in Exile: Targeting the Leader

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 malpr

Gender Affirming Care in Exile: The Trials

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 throu