Access Mental Health

Should you check liver enzymes on second generation antipsychotics?

Larger studies, with refined designs, point to a yes for some of them:
https://psych-partners.com/olanzapine-may-raise-liver-enzymes

Smartphone use can be a source of distress or soothing in borderline personality disorder.

New inpatient study clarifies what makes the difference:
https://psych-partners.com/smartphones-in-borderline-personality-disorder-friend-and-foe

Melatonin has neuroprotective effects. But can it protect memory during ECT?

It did in a new RCT of (caveat: Small). Learn how to use it:
https://psych-partners.com/melatonin-protects-before-ect

Here's how antidepressants affect sleep quality.

▪ Worsened: SSRI, SNRI, MAOI
▪ Improved: Mirtazapine, trazodone, agomelatine,
▪ Middle: Tricyclics, bupropion

More details in new review:
https://psych-partners.com/antidepressants-and-sleep-not-all-drugs-are-equal

The FDA just cleared MeRT, a new type of EEG-guided TMS for .

Here are the (sparse) details on the trial and how to find a provider:
https://psych-partners.com/fda-clears-a-new-type-of-tms

How do artists and leaders fight ?

This historical review arrives at a strategy we all can learn from: Absorption.
https://psych-partners.com/how-artists-and-leaders-fight-depression

Check out our new articles on therapy for , temperamental mimics of , digital addictions, and self-diagnosis:
https://www.thecarlatreport.com/articles/6303-therapy-for-bipolar-disorder

New: Articles have audio versions.

Let me know what changed your practice, and what you agree/disagree with!

Since 2020, rates have risen 800%, but not in patients with intellectual disability, an indicator of severity that has fallen from 56% to 7% in this large cohort study.

The diagnostic criteria have also shifted. Get the details:
https://psych-partners.com/why-autism-looks-different-today

Most of what we know about benzo tapers is based on expert opinion, not clinical trials.

New review clarifies the evidence, including the role of meds, CBT, and tapering schedules, and the risks:
https://psych-partners.com/tapering-benzodiazepines-what-we-dont-know

What's wrong with DSM-5's criteria for ? New review finds:
▪ Vague symptoms
▪ Criteria that overlap with each other
▪ A lot that overlaps with normal

Learn more, including how use the structured interview and separate it from :
https://psych-partners.com/the-adhd-diagnosis-has-a-validity-problem