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The Carlat Psychiatry Podcast

by The Carlat Psychiatry Podcast
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Latest episodes

  • How Much Do SSRIs Really Help Kids with OCD?

    October 12, 2026 · 14 min

    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…

  • Treating BPD Series, Episode 4: Mentalization-Based Treatment—From Reacting to Reflecting with Carla Sharp, PhD

    October 5, 2026 · 39 min

    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…

  • ADHD Undone: The Corporate Practice of Medicine

    September 28, 2026 · 15 min

    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…

  • ADHD Undone: The Stimulant Conspiracy

    September 21, 2026 · 26 min

    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…

  • ADHD Undone: A Telehealth Tale

    September 14, 2026 · 14 min

    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…

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  • Medication or Therapy? A Clinical Framework for Substance Use Disorders

    September 7, 2026 · 11 min

    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…

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

    August 31, 2026 · 32 min

    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…

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

    August 24, 2026 · 28 min

    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…

  • Adult ADHD 4: Other Causes

    August 17, 2026 · 16 min

    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 Episode Published On…

  • Adult ADHD 3: The Missing Page in DSM

    August 10, 2026 · 15 min

    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…

  • Adult ADHD 2: The Late-Onset Controversy

    August 3, 2026 · 13 min

    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 Episode Published On: 08/03/2026 Duration: 13 minutes, 07…

  • Adult ADHD 1: The Child Grows Up

    July 27, 2026 · 15 min

    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…

Full episode archive on Apple Podcasts →

About the show

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