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The Carlat Psychiatry Podcast

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast 100 Episodes Sep 14, 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

ADHD Undone: A Telehealth Tale
ADHD Undone: A Telehealth Tale Sep 14, 2026 0:13:35 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 0:10:58 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 0:32:23 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 0:27:30 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
Adult ADHD 4: Other Causes
Adult ADHD 4: Other Causes Aug 17, 2026 0:15:35 How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering.CME: Take the CME Post-Test for this EpisodePublished On: 08/17/2026Duration: 15 minutes, 35 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaini
Adult ADHD 3: The Missing Page in DSM
Adult ADHD 3: The Missing Page in DSM Aug 10, 2026 0:14:39 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 a missing page that helps separate adult ADHD from its mimics.CME: Take the CME Post-Test for this EpisodePublished On: 08/10/2026Duration: 14 minutes, 39 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no
Adult ADHD 2: The Late-Onset Controversy
Adult ADHD 2: The Late-Onset Controversy Aug 3, 2026 0:13:07 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 EpisodePublished On: 08/03/2026Duration: 13 minutes, 07 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity
Adult ADHD 1: The Child Grows Up
Adult ADHD 1: The Child Grows Up Jul 27, 2026 0:15:11 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 on the front-lines.CME: Take the CME Post-Test for this EpisodePublished On: 07/27/2026Duration: 15 minutes, 10 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any
BPD Series, Episode 3: Dialectical Behavior Therapy — Balancing Acceptance and Change
BPD Series, Episode 3: Dialectical Behavior Therapy — Balancing Acceptance and Change Jul 20, 2026 0:50:39 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
14 Reasons Why Psychopharmacology Differs in Women, Part 4 Jul 13, 2026 0:17:38 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 episode in a four-part series covers side effects, drug metabolism, drugs of abuse, urine incontinence, and what we do — and don't — know about prescribing for transgender patients.CME: Take the CME Post-Test for this EpisodePu
14 Reasons Why Psychopharmacology Differs in Women, Part 3
14 Reasons Why Psychopharmacology Differs in Women, Part 3 Jul 6, 2026 0:18:37 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 need to know about the perimenopause: which conditions worsen, which treatments help, and when to call the OB-GYN about hormone replacement therapy.CME: Take the CME Post-Test for this EpisodePublished On: 07/06/2026Duratio
14 Reasons Why Psychopharmacology Differs in Women, Part 2
14 Reasons Why Psychopharmacology Differs in Women, Part 2 Jun 29, 2026 0:23:33 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 patients, from SSRIs to overlooked supplements to the lamotrigine-contraceptive drug interaction.CME: Take the CME Post-Test for this EpisodePublished On: 06/23/2026Duration: 23 minutes, 32 secondsChris Aiken, MD and Kell

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