The Carlat Psychiatry Podcast

Jeffrey Epstein on the Couch: Part IV

30 Mar 2026

Contributed by Lukas

Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits.CME: Take the CM...

Jeffrey Epstein on the Couch: Part III

23 Mar 2026

Contributed by Lukas

Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits.CME: Take the CM...

Jeffery Epstein on the Couch: Part II

16 Mar 2026

Contributed by Lukas

Does money lead to happiness? What kind of stress causes depression? Why the FDA change their requirements for new drug approvals? And what happened b...

Jeffrey Epstein on the Couch: Part 1

09 Mar 2026

Contributed by Lukas

Narcissism, antisocial, pedophilia… We examine the diagnoses people invoke to explain Jeffrey Epstein and determine if any fit. CME: Take the CME P...

Hidden Gems: Pramipexole Part II

02 Mar 2026

Contributed by Lukas

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...

Hidden Gems: Pramipexole Part I

23 Feb 2026

Contributed by Lukas

New research moves pramipexole up in the algorithm for treatment resistant depression.CME: Take the CME Post-Test for this EpisodePublished On: 02/23/...

Wounded Healers: Steven Hayes Part II

16 Feb 2026

Contributed by Lukas

We interview Steve Hayes, originator of Acceptance and Commitment Therapy, on the personal struggles that inspired the treatment.CME: Take the CME Pos...

Wounded Healers: Steve Hayes, from Panic to ACT

09 Feb 2026

Contributed by Lukas

An interview with Steve Hayes, originator of Acceptance and Commitment Therapy (ACT), on how his struggle with panic disorder inspired his work. CME:...

Treating Anxiety and Sleep Issues in Children and Adolescents

02 Feb 2026

Contributed by Lukas

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 ...

ProLivRx: How it Works

26 Jan 2026

Contributed by Lukas

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 Ca...

ProLivRx: A New Approval in Depression

19 Jan 2026

Contributed by Lukas

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 ...

Wounded Healers: Linehan and DBT Part 2

12 Jan 2026

Contributed by Lukas

Marsha Linehan finds the core principles of DBT in a Buddhist monastery, challenges the psychoanalytic establishment, and returns to the hospital wher...

Wounded Healers: Linehan and DBT Part 1

05 Jan 2026

Contributed by Lukas

Marsha Linehan makes it out of a long-term psychiatric hospital and vows to develop a better approach to suicidality, reinventing therapy for borderli...

Wounded Healers: 12-Steps from Jung

29 Dec 2025

Contributed by Lukas

How a tip from Carl Jung inspired Alcoholics Anonymous and the 12-step recovery movement. CME: Take the CME Post-Test for this EpisodePublished On: 1...

Wounded Healers: Psychosis, Spirituality, and Jung

22 Dec 2025

Contributed by Lukas

Are psychosis and OCD ever normal? We explore this question from Carl Jung’s breakdown to a new neurologic condition, hyperphantasia.CME: Take the C...

Living Without Illusions: Psychological Survival in a World of Persistent Hatred

20 Dec 2025

Contributed by Lukas

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 i...

Wounded Healers: Freud and Jung

15 Dec 2025

Contributed by Lukas

Some of the people who revolutionized psychiatry lived with mental illness themselves. CME: Take the CME Post-Test for this EpisodePublished On: 12/1...

Christmas, Bipolar, and Ozempic

08 Dec 2025

Contributed by Lukas

How to help bipolar patients manage holiday stress, and a new drug interaction with lithium and GLP1 agonists like semaglutide (Ozempic).CME: Take the...

How to Find SAINT TMS

01 Dec 2025

Contributed by Lukas

SAINT TMS is now available. We take a closer look at its record-breaking effect size.CME: Take the CME Post-Test for this EpisodePublished On: 12/01/2...

A More Powerful Antidepressant

24 Nov 2025

Contributed by Lukas

SAINT TMS is now available. We take a closer look at its record-breaking effect size.CME: Take the CME Post-Test for this EpisodePublished On: 11/24/2...

Crossing the Alphabet Divide: An Integrative Overview of BPD Treatments with Dr. Kenneth Levy

20 Nov 2025

Contributed by Lukas

Dr. Kenneth Levy provides an overview of the major evidence-based treatments for Borderline Personality Disorder and explains why clinicians shouldn’...

AACAP Policy Statement – Expanding Access to Care for the Autism Community

17 Nov 2025

Contributed by Lukas

For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what e...

TMS, Teens, and Antidepressants

10 Nov 2025

Contributed by Lukas

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 Pos...

How to Explain TMS

03 Nov 2025

Contributed by Lukas

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 Po...

ADHD in Young Adults: Assessment, Daily Functioning, and Support That Fits

27 Oct 2025

Contributed by Lukas

Working with young adults who are navigating ADHD is rarely straightforward. They’re often dealing with more than just distractibility or missed dea...

When Your Schedule Is Full: Managing Referrals in Child Psychiatry

20 Oct 2025

Contributed by Lukas

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 ...

Psychedelics and Addiction Psychiatry

13 Oct 2025

Contributed by Lukas

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...

Understanding Climate Anxiety in Youth

06 Oct 2025

Contributed by Lukas

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 ...

The Rise of Long-Acting Buprenorphine

29 Sep 2025

Contributed by Lukas

There are two variations of long-acting injectable buprenorphine on the market. But what differentiates them, who might benefit, and how well do they ...

How to Start a Psych Medication VI

22 Sep 2025

Contributed by Lukas

Lithium, pramipexole, bupropion, carbamazepine, valproate, and trazodone. Meds that require special skill to start: CME: Take the CME Post-Test for t...

How to Start a Psych Medication V

15 Sep 2025

Contributed by Lukas

Meds that require special skill to start: Clozapine and lamotrigine.CME: Take the CME Post-Test for this EpisodePublished On: 09/15/2025Duration: 10 m...

Helping Kids Feel Safe: Talking About School Shootings

12 Sep 2025

Contributed by Lukas

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 EpisodePublished On...

How to Start a Psych Medication IV

08 Sep 2025

Contributed by Lukas

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 Po...

A New FDA Approval Brings New Psychiatric Risks

01 Sep 2025

Contributed by Lukas

The FDA just approved the cyclobenzaprine (Tonmya, Flexeril) for fibromyalgia. We look at three risks that medication raises in psychiatry.CME: Take t...

A New Ketamine

25 Aug 2025

Contributed by Lukas

The FDA just approved Ketarx for surgical pain, but the company has its eyes on depression.CME: Take the CME Post-Test for this EpisodePublished On: 0...

How to Start a Psych Medication III

18 Aug 2025

Contributed by Lukas

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 EpisodeP...

How to Start a Psych Medication II

11 Aug 2025

Contributed by Lukas

Meds that require special skill to start: Antipsychotics, Cobenfy, and a research update on antidepressant metabolism in Asians.CME: Take the CME Post...

How to Start a Psych Medication

04 Aug 2025

Contributed by Lukas

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 ...

Therapy for Postpartum Depression

28 Jul 2025

Contributed by Lukas

We interview psychoanalyst William Meyer on a therapeutic approach to postpartum depression.CME: Take the CME Post-Test for this EpisodePublished On: ...

Bipolar in the Postpartum

21 Jul 2025

Contributed by Lukas

We look at how often postpartum depression converts to bipolar, and what that means for treatment.CME: Take the CME Post-Test for this EpisodePublishe...

Grief, Parenting, and Recovery After a Disaster

17 Jul 2025

Contributed by Lukas

Today, we are focusing on how families are responding mentally and emotionally to disaster, and how children process loss when a parent or caregiver d...

So Long, Brexanolone

14 Jul 2025

Contributed by Lukas

Brexanolone has quietly exited the pharmaceutical stage, and we look at what that means for its stand-in, zuranolone (Zurzuvae), in postpartum depress...

Environmentally Induced Narcissism

07 Jul 2025

Contributed by Lukas

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...

Narcissism

30 Jun 2025

Contributed by Lukas

Two ways to approach narcissism in therapy, and how AI can ramp up the problem. CME: Take the CME Post-Test for this EpisodePublished On: 06/30/2025D...

Psychopharm Secrets: Coming Off Meds

23 Jun 2025

Contributed by Lukas

There’s a hidden placebo response to watch for when patients stop meds on their own.CME: Take the CME Post-Test for this EpisodePublished On: 06/23/...

Psychopharm Secrets: Starting Meds

16 Jun 2025

Contributed by Lukas

We look at a hidden placebo effect that can confuse the picture when starting a medication.CME: Take the CME Post-Test for this EpisodePublished On: 0...

AI in Practice

09 Jun 2025

Contributed by Lukas

Artificial Intelligence is full of medical information. Here’s how to use it wisely. CME: Take the CME Post-Test for this EpisodePublished On: 06/0...

Teen Substance Use: Choosing the Right Care

02 Jun 2025

Contributed by Lukas

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 ...

Empowering Decision-Making in Developmental Disabilities

26 May 2025

Contributed by Lukas

Imagine turning 18 and suddenly being responsible for every major life decision. Yikes. That includes medical, financial, and personal, without guidan...

Expanding Access to OCD Treatment

19 May 2025

Contributed by Lukas

Many families struggle to find OCD treatment for their children. Specialty-trained therapists are limited, and wait lists are usually long. Online the...

Preschoolers and Stimulants: When Is Medication the Right Call for ADHD?

12 May 2025

Contributed by Lukas

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...

Should You Test MTHFR?

05 May 2025

Contributed by Lukas

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 f...

Folate and Depression

28 Apr 2025

Contributed by Lukas

We learn how psychiatrists figured out that low folate causes depression, and how the vitamin can treat depression even when serum levels are normal.C...

Folate, Valproate, and Lamotrigine

21 Apr 2025

Contributed by Lukas

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 disord...

A Scam for Every Woman, Child, and Man: Part 2

14 Apr 2025

Contributed by Lukas

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 spea...

A Scam for Every Woman, Child, and Man: Part 1

07 Apr 2025

Contributed by Lukas

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 ...

Hidden Dangers: The Fentanyl Crisis and Teen Overdose Prevention

31 Mar 2025

Contributed by Lukas

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 wit...

Navigating the Digital Generation: Social Media & Mental Health

24 Mar 2025

Contributed by Lukas

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 EpisodePu...

Flourishing with Mental Illness

17 Mar 2025

Contributed by Lukas

How to help patients build fulfilling lives even in the face of unremitted illness.CME: Take the CME Post-Test for this EpisodePublished On: 03/17/202...

TIMING: Postpartum Depression

10 Mar 2025

Contributed by Lukas

How post is postpartum? And how fast do you need to intervene?CME: Take the CME Post-Test for this EpisodePublished On: 03/10/2025Duration: 16 minutes...

TIMING: Weight Gain and Panic

03 Mar 2025

Contributed by Lukas

We look at the ideal times to intervene for antipsychotic weight gain and panic attacks.CME: Take the CME Post-Test for this EpisodePublished On: 03/0...

TIMING: Clozapine’s Sweet Spot

24 Feb 2025

Contributed by Lukas

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 g...

TIMING: When Lithium Comes First

17 Feb 2025

Contributed by Lukas

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...

TIMING: A Better Bipolar Diagnosis

10 Feb 2025

Contributed by Lukas

Sometimes we have a window of opportunity to make a difference. Here, we discuss time-frames where lithium, clozapine, and metformin have the greatest...

Meaning and the Patient’s Story

03 Feb 2025

Contributed by Lukas

Learn how your patient’s life story can unlock psychotherapeutic avenues of treatment on our interview with Margaret Chisolm.CME: Take the CME Post-...

Temperament and Diagnosis

27 Jan 2025

Contributed by Lukas

Learn how an understanding of patient’s temperament and the meaning of their life story can unlock psychotherapeutic avenues of treatment on our int...

The Missing Perspectives in DSM

20 Jan 2025

Contributed by Lukas

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: Ta...

Psychopharm Secrets: Side Effects

13 Jan 2025

Contributed by Lukas

Depression and cognitive impairment on benzos, tardive dyskinesia, anticholinergics, and neurotoxicity from high dose stimulants. These are the side e...

Overdiagnosis with Allen Frances

06 Jan 2025

Contributed by Lukas

Allen Frances shares his approach to chronic depression.CME: Take the CME Post-Test for this EpisodePublished On: 01/06/2025Duration: 16 minutes, 47 s...

Chronic Depression with Allen Frances

30 Dec 2024

Contributed by Lukas

Allen Frances shares his approach to chronic depression.CME: Take the CME Post-Test for this EpisodePublished On: 12/30/2024Duration: 16 minutes, 45 s...

Building a Better Alliance with Allen Frances

23 Dec 2024

Contributed by Lukas

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 Episod...

The Simple and the Complex in Psychiatry with Allen Frances

16 Dec 2024

Contributed by Lukas

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 fo...

What’s Wrong with Mental Health Care

09 Dec 2024

Contributed by Lukas

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 EpisodePublished On: ...

When Bipolar and ADHD Overlap: Treatment 2

02 Dec 2024

Contributed by Lukas

How to treat ADHD in bipolar disorder without destabilizing mood part 2: non-stimulants and supplements.CME: Take the CME Post-Test for this EpisodePu...

When Bipolar and ADHD Overlap: Treatment 1

25 Nov 2024

Contributed by Lukas

How to treat ADHD in bipolar disorder without destabilizing mood part 1: stimulants and non-stimulants.CME: Take the CME Post-Test for this EpisodePub...

When Bipolar and ADHD Overlap: Diagnosis

18 Nov 2024

Contributed by Lukas

You’ll never be 100% sure if a patient has bipolar, ADHD, or both, but we’ll get you as close as we can.CME: Take the CME Post-Test for this Episo...

Precision in Psychiatry: Diagnosing, Treating, and Differentiating Core Psychiatric Conditions

11 Nov 2024

Contributed by Lukas

Today, we delve into the complicated world of psychiatric diagnoses and their impact on treatment.CME: Take the CME Post-Test for this EpisodePubli...

Psychopharm Secrets: What Patients Won’t Tell You

04 Nov 2024

Contributed by Lukas

How to assess med response when the patient reports is a poor guide: long-term mood stabilizers, sleep meds, and rapid cycling.CME: Take the CME Post-...

Top 10 Findings: Alcohol, ADHD, and Antipsychotics

28 Oct 2024

Contributed by Lukas

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 C...

Top 10 Findings: Lithium, Lumateperone, and Lavender

21 Oct 2024

Contributed by Lukas

New studies change how we think about lithium and weight gain, and updates on lumateperone, lavender, and esketamine in depressionCME: Take the CME Po...

Top 10 Findings of Past Year: Treatment Resistant Depression and Benzos

14 Oct 2024

Contributed by Lukas

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-...

Cobenfy: A New Antipsychotic

07 Oct 2024

Contributed by Lukas

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,...

Basics of Office-Based Cognitive Behavioral Therapy for OCD

30 Sep 2024

Contributed by Lukas

Today, we are talking about using cognitive behavioral therapy to treat Obsessive-Compulsive Disorder in clinical settings.CME: Take the CME Po...

PTSD 101: Nine Off-Label Meds

23 Sep 2024

Contributed by Lukas

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...

PTSD 101: Prazosin or SSRI?

16 Sep 2024

Contributed by Lukas

Should we follow the FDA and give SSRIs, or venture off label with the fabled prazosin?CME: Take the CME Post-Test for this EpisodePublished On: 09/16...

PTSD 101: Therapy and Prevention

09 Sep 2024

Contributed by Lukas

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-Tes...

Navigating the Transition to College

02 Sep 2024

Contributed by Lukas

The transition to college can be challenging for any adolescent, but when an adolescent has psychological conditions, or they're dealing with other me...

PTSD 101: Causes

26 Aug 2024

Contributed by Lukas

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 EpisodePublished...

PTSD 101: Diagnosis

19 Aug 2024

Contributed by Lukas

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 EpisodePublished...

Congenital Disorders in Psychiatry: Screening & Management

12 Aug 2024

Contributed by Lukas

Today, we are talking about dysmorphology and genetic disorders in psychiatry. Dr. Marilyn Jones joins us to help us identify and understand these con...

Six Research Updates

05 Aug 2024

Contributed by Lukas

Research updates on benzo discontinuation, iloperidone in mania, lithium, schizophrenia, ECT, a new circadian psychotherapy, and therapy for multi-tra...

Psychoanalysis Looks Inward

29 Jul 2024

Contributed by Lukas

The Holmes Report looked at racial, social, and economic biases in psychoanalysis. Beverly Stoute, MD, shares the findings.CME: Take the CME Post-Test...

Race and Unconscious Bias

22 Jul 2024

Contributed by Lukas

Beverly Stoute, MD, shares research on the origins of unconscious racial bias.CME: Take the CME Post-Test for this EpisodePublished On: 07/22/2024Dura...

Psychotherapy, Enactments, and Race

15 Jul 2024

Contributed by Lukas

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 Episo...

Ketamine Assisted Therapy Part III

08 Jul 2024

Contributed by Lukas

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...

Ketamine Assisted Therapy Part II

01 Jul 2024

Contributed by Lukas

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...

Ketamine Assisted Therapy Part I

24 Jun 2024

Contributed by Lukas

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...

MDMA: What Went Wrong Part 2

17 Jun 2024

Contributed by Lukas

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 th...

MDMA: What Went Wrong Part 1

10 Jun 2024

Contributed by Lukas

Did boundary violations sink MDMA assisted psychotherapy? We explore the reasons behind the FDA panel’s rejection of this psychedelic therapy.CME: T...

Contingency Management with Dr. Dominick DePhilippis

03 Jun 2024

Contributed by Lukas

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 stimula...