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The Carlat Psychiatry Podcast

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

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

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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Adult ADHD 4: Other Causes

How to separate adult ADHD from other causes of cognitive problems like bipolar disorder, sleep apnea, medication effects, brain injury, temperament, and malingering. CME: T ake the CME Post-Test for this Episode Published On: 08/17/2026 Duration: 15 minutes, 35 seconds Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies…

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Adult ADHD 3: The Missing Page in DSM

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 Episode Published On: 08/10/2026 Duration: 14 minutes, 39 seconds Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed…

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Adult ADHD 2: The Late-Onset Controversy

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 seconds Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational…

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Adult ADHD 1: The Child Grows Up

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 Episode Published On: 07/27/2026 Duration: 15 minutes, 10 seconds Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in…

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BPD Series, Episode 3: Dialectical Behavior Therapy — Balancing Acceptance and Change

Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder.

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14 Reasons Why Psychopharmacology Differs in Women, Part 4

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 Episode…

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14 Reasons Why Psychopharmacology Differs in Women, Part 3

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 Episode Published On: 07/06/2026…

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14 Reasons Why Psychopharmacology Differs in Women, Part 2

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 Episode Published On: 06/23/2026 Duration: 23 minutes, 32 seconds Chris Aiken, MD and…

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14 Reasons Why Psychopharmacology Differs in Women, Part 1

Women and men respond to psychiatric medications differently. In this first of a four-part series, Chris Aiken and Kellie Newsome walk through why valproate is risky for women, and when it’s worth using; why the FDA cut the zolpidem dose in half for female patients, and why SSRIs outperform tricyclics in women with depression. Plus: a sneak preview of DSM-6. CME: Take the CME Post-Test for this…

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Psilocybin: What You Need to Know

Psilocybin is going mainstream: Trump has signed an executive order opening psychedelics to patients with severe mental illness, and one in eight American adults has already tried it. But as we dig into the research, a more complicated picture emerges, one that separates the profound personal experience from the clinical evidence. CME: Take the CME Post-Test for this Episode Published On:…

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