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The Carlat Psychiatry Podcast

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast 100 episodes Nov 9, 2026

Clear, 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.

Episodes

Kraepelin on Clancy Part 2
Kraepelin on Clancy Part 2 Nov 9, 2026 16:02 Four months after giving birth, Lindsay Clancy stopped sleeping, and each new prescription seemed to make it worse. In Part 2, we follow her from hypomania through depression to the border of psychosis, and find a new way to interpret dissociation. Plus: A research update on a potentially fatal risk with GLP-1 agonists: Low thiamine.CME: Take the CME Post-Test for this EpisodePublished On: 11/09/2
Kraepelin on Clancy Part 1
Kraepelin on Clancy Part 1 Nov 2, 2026 17:11 Lindsay Clancy’s trial became a televised spectacle this summer. In this series, we set the courtroom aside and focus on her psychiatric signs and treatments, following them month by month over the postpartum course. Plus: a new trial on what happened when depressed patients cut ultra-processed food.CME: Take the CME Post-Test for this EpisodePublished On: 11/02/2026Duration: 17 minutes, 11 second
Balancing Focus and Cardiovascular Risk with ADHD Treatment
Balancing Focus and Cardiovascular Risk with ADHD Treatment Oct 26, 2026 19:25 We prescribe ADHD medications to help with focus and impulsivity, but what happens when someone stays on them for years? Today, we're digging into new research that links long-term ADHD medication use to higher cardiovascular risk. It's not a reason to panic, but it is a reason to look twice at the dosages, duration, and how we follow up. CME: Take the CME Post-Test for this EpisodePublished On:
Treating Couples: Integrative Behavioral Couple Therapy — Balancing Acceptance and Change Andrew Christensen, PhD
Treating Couples: Integrative Behavioral Couple Therapy — Balancing Acceptance and Change Andrew Christensen, PhD Oct 19, 2026 44:21 Dr. Andrew Christensen, distinguished research professor of psychology at UCLA and co-developer of Integrative Behavioral Couple Therapy (IBCT), explains how IBCT balances acceptance and change in treating relationship distress. He walks clinicians through the assessment and feedback process and the DEEP formulation, describes the three core interventions—empathic joining, unified detachment, and
How Much Do SSRIs Really Help Kids with OCD?
How Much Do SSRIs Really Help Kids with OCD? Oct 12, 2026 14:13 Parents often come into treatment hoping an SSRI will make their child's OCD disappear. But how much relief do these medications actually provide? Today, we look at a large meta-analysis that gives us a more realistic picture of what SSRIs can and can't do for pediatric OCD.CME: Take the CME Post-Test for this EpisodePublished On: 10/12/2026Duration: 14 minutes, 12 secondsJoshua Feder, MD, and M
Treating BPD Series, Episode 4: Mentalization-Based Treatment—From Reacting to Reflecting with Carla Sharp, PhD
Treating BPD Series, Episode 4: Mentalization-Based Treatment—From Reacting to Reflecting with Carla Sharp, PhD Oct 5, 2026 38:37 Dr. Carla Sharp is a leading expert in Mentalization-Based Treatment (MBT), developmental psychopathology, and the treatment of personality disorders. She is the John and Rebecca Moores Professor of Clinical Psychology at the University of Houston, where she serves as Associate Dean for Faculty and Research and directs the Developmental Psychopathology Lab and the Adolescent Diagnosis, Assessment,
ADHD Undone: The Corporate Practice of Medicine
ADHD Undone: The Corporate Practice of Medicine 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 research update that improves access to psychiatric care the honest way.CME: Take the CME Post-Test for this EpisodePublished On: 09/28/2026Duration: 15 minutes, 25 secondsChris Aiken, MD and Kellie Newsome, PMHNP have discl
ADHD Undone: The Stimulant Conspiracy
ADHD Undone: The Stimulant Conspiracy 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 amphetamines are the #1 stimulant in America, but rarely used outside the US.Plus: a research update on tapering and switching sleep medication.CME: Take the CME Post-Test for this EpisodePublished On: 09/21/2026Duration: 26 mi
ADHD Undone: A Telehealth Tale
ADHD Undone: A Telehealth Tale 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 clinic. We follow Done from venture-backed startup to criminal conviction, and ask what the case means for how we diagnose and treats ADHD. Plus: a new FDA approval adds a third option to the ADHD reuptake-inhibitor family
Medication or Therapy? A Clinical Framework for Substance Use Disorders
Medication or Therapy? A Clinical Framework for Substance Use Disorders 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, and when can we recommend both? This question comes up especially often with patients who are new to treatment. They’ll ask, “Do I need a medication?” or “Can I just do therapy?” And while it’s tempting to answer in gener
CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 2 of 2)
CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 2 of 2) 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 professor in the Department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine. He is co-author of Cognitive Behavioral Therapy for Insomnia: A Session-by-Session Guide, and he has trained and co
CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 1 of 2)
CBT-I: The First-Line Treatment for Chronic Insomnia with Dr. Donn Posner (Part 1 of 2) 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 Behavioral Sciences at Stanford, and spent twenty-five years before that as director of behavioral sleep medicine at the Sleep Disorders Center of Lifespan Hospitals.In this first of two episodes, Dr. Posner explains that chronic

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