Last week, the FDA approved Cabenfi, the first antipsychotic to make a clean break with the usual dopamine blocking mechanism of action.

But its origins go way back to the beetle leaf, an herbal stimulant used in Asia for over 5,000 years.

Welcome to the Carlet Psychiatry Podcast, keeping psychiatry honest since 2003. I'm Chris Aiken, the editor-in-chief of the Carlatte Psychiatry Podcast, keeping psychiatry honest since 2003.

I'm Chris Aiken, the editor-in-chief of the Carlatte Psychiatry Report.

And I'm Kelly Newsom, a psychiatric NPR, and a dedicated reader of every issue.

Every September, I give a talk on the top research updates of the past year at the North Carolina Psychiatric Association's annual meeting.

This year, I did not give the talk. As the conference opened in Asheville, North Carolina,

we heard a loud crash over our heads. Part of the Renaissance Hotel had fallen on the flat roof

above our heads. The lights went out, the windows moved in the wind and rain, but the group

pulled together, setting up

flashlights in the pitch-dark auditorium as Dr. Mahulman-Kod continued his seminar. We didn't know

where all this was headed, but we all figured if things got worse, we could all drive home. We

were wrong. Within a few hours, every road out of Asheville was closed. There was no phone or

internet. News came in by word of mouth. Food, water, and gasoline were all in short supply,

as only a few restaurants stayed open and the ones that did quickly ran out of supplies.

Sixty miles away, the Nalachaki River flooded into a Tennessee hospital that sat on its banks,

forcing patients and staff onto its roof where three Black Hawk helicopters lifted them to safety.

My main fear during all of this was of riots, but I was wrong.

People didn't act worse under this duress.

They were more friendly and helpful as they waited in two-hour-long lines to buy a box of crackers.

Neighbors went house-to-house to check on each other and offer support.

The cause of all this chaos was Hurricane Helene, which brought similar damage from Florida to Indiana last week,

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