The Carlat Psychiatry Podcast

What if the patients we assume are safest from suicide are actually the ones we miss? Today we're talking about suicide risk in autistic youth, why it's higher than many clinicians expect, how distress shows up differently, and what small changes in our assessment process and treatment can make a real difference.CME: Take the CME Post-Test for this EpisodePublished On: 06/01/2026Duration: 18 minutes, 29 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 1 June 2026

It's 1979, and Johns Hopkins has just shut down the first gender surgery clinic in the US. But investigations into the biological roots of gender identity are about to reopen those doors — and reshape how medicine thinks about sex, gender, and who gets to decide.CME: Take the CME Post-Test for this EpisodePublished On: 05/25/2026Duration: 11 minutes, 52 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 25 May 2026

In 1966, Johns Hopkins opened the first gender surgery clinic in the US. Thirteen years later, a single study shut it down. We examine what the research said, what it didn't say, and how new standards of care emerged from the ashes.CME: Take the CME Post-Test for this EpisodePublished On: 05/18/2026Duration: 13 minutes, 39 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 18 May 2026

The president of the US branch of WPATH built one of the largest youth gender clinics in the country, then watched it close under political fire. Now she's facing a malpractice lawsuit from a former patient. We examine the unpublished study at the center of the controversy.CME: Take the CME Post-Test for this EpisodePublished On: 05/11/2026Duration: 16 minutes, 11 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 11 May 2026

Medical societies are reversing decades of support for gender-affirming care in youth — but is it the science driving the shift, or the politics? This episode walks through the evidence, from randomized trials to regret rates, and finds a more complicated picture than either side presents.CME: Take the CME Post-Test for this EpisodePublished On: 05/04/2026Duration: 13 minutes, 09 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 4 May 2026

Two malpractice cases — one worth $2 million — are reshaping the standards of gender-affirming care. This episode traces what went wrong, what held up in court, and what every clinician needs to know when referring patients for gender affirming procedures.CME: Take the CME Post-Test for this EpisodePublished On: 04/20/2026Duration: 12 minutes, 18 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 27 April 2026

In the 1950s, a young Danish psychiatrist named Mogens Schou staked his career — and his family — on a mineral most of his colleagues dismissed as dangerous nonsense. This is the story of how lithium went from fringe curiosity to the gold standard for bipolar disorder, and the bitter scientific battle that nearly derailed it.CME: Take the CME Post-Test for this EpisodePublished On: 04/20/2026Duration: 16 minutes, 01 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 20 April 2026

Dr. Frank Yeomans is an Adjunct Associate Clinical Professor of Psychiatry at Columbia University Vagelos College of Physicians and Surgeons. He is one of the developers of Transference-Focused Psychotherapy (TFP). In this episode, he offers a deep dive into the theory and clinical practice of TFP as a treatment for Borderline Personality Disorder. Drawing on object relations theory, Dr. Yeomans explains how BPD is understood through the lens of identity integration and split internal representations, and walks clinicians through the full arc of TFP treatment — from thorough assessment and diagnostic feedback, through contracting and frame-setting, to active intervention using clarification, confrontation, and interpretation. He also addresses the clinical use of countertransference as a window into the patient's internal world, signs of therapeutic progress, and how object relations principles can be applied even outside a formal TFP frame.Published On: 4/16/2026Duration: 40 minutes, 21 secondsEarn CME for listening to this episode here.

Transcribed - Published: 16 April 2026

Before lithium became a cornerstone of psychiatry, it was in soda, spa water, and salt shakers. Trace lithium’s journey from Victorian health fad to life-saving mood stabilizer, and discover why the uric acid theory that launched it may be making a comeback.CME: Take the CME Post-Test for this EpisodePublished On: 04/13/2026Duration: 12 minutes, 48 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 13 April 2026

Legal questions come up in clinical care of autistic children and adults more often than many of us expect. A parent asks for a custody letter; a school requests documentation for services; a patient asks about disability benefits or driving. When autistic patients face legal systems, clinicians can help, but only if we stay within our role.CME: Take the CME Post-Test for this EpisodePublished On: 04/06/2025Duration: 19 minutes, 01 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 6 April 2026

Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits.CME: Take the CME Post-Test for this EpisodePublished On: 03/30/2026Duration: 12 minutes, 34 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this

Transcribed - Published: 30 March 2026

Narcissism, antisocial, pedophilia… A lot of psychiatric terms have been used to explain Jeffrey Epstein. We’ll look at what fits.CME: Take the CME Post-Test for this EpisodePublished On: 03/23/2026Duration: 23 minutes, 38 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 23 March 2026

Does money lead to happiness? What kind of stress causes depression? Why the FDA change their requirements for new drug approvals? And what happened between Jeffrey Epstein and Ghislaine Maxwell that launched an enterprise of abuse?CME: Take the CME Post-Test for this EpisodePublished On: 03/16/2026Duration: 16 minutes, 49 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 16 March 2026

Narcissism, antisocial, pedophilia… We examine the diagnoses people invoke to explain Jeffrey Epstein and determine if any fit. CME: Take the CME Post-Test for this EpisodePublished On: 03/09/2026Duration: 15 minutes, 29 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 9 March 2026

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-Test for this EpisodePublished On: 03/02/2026Duration: 19 minutes, 24 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 2 March 2026

New research moves pramipexole up in the algorithm for treatment resistant depression.CME: Take the CME Post-Test for this EpisodePublished On: 02/23/2026Duration: 13 minutes, 41 secondsChris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 23 February 2026

We interview Steve Hayes, originator of Acceptance and Commitment Therapy, on the personal struggles that inspired the treatment.CME: Take the CME Post-Test for this EpisodePublished On: 02/16/2026Duration: 19 minutes, 01 secondsChris Aiken, MD, Kellie Newsome, PMHNP, and Steven Hayes, PhD, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 16 February 2026

An interview with Steve Hayes, originator of Acceptance and Commitment Therapy (ACT), on how his struggle with panic disorder inspired his work. CME: Take the CME Post-Test for this EpisodePublished On: 02/09/2026Duration: 20 minutes, 32 secondsChris Aiken, MD, and Steven Hayes, PhD, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 9 February 2026

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 tells a very different story.CME: Take the CME Post-Test for this EpisodePublished On: 02/02/2025Duration: 17 minutes, 53 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 2 February 2026

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 Carpenter.CME: Take the CME Post-Test for this EpisodePublished On: 01/26/2026Duration: 12 minutes, 33 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 26 January 2026

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 EpisodePublished On: 01/19/2026Duration: 20 minutes, 49 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 19 January 2026

Marsha Linehan finds the core principles of DBT in a Buddhist monastery, challenges the psychoanalytic establishment, and returns to the hospital where her journey started.CME: Take the CME Post-Test for this EpisodePublished On: 01/12/2026Duration: 16 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 12 January 2026

Marsha Linehan makes it out of a long-term psychiatric hospital and vows to develop a better approach to suicidality, reinventing therapy for borderline personality disorder. CME: Take the CME Post-Test for this EpisodePublished On: 01/05/2026Duration: 16 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 5 January 2026

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: 12/29/2025Duration: 08 minutes, 55 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 29 December 2025

Are psychosis and OCD ever normal? We explore this question from Carl Jung’s breakdown to a new neurologic condition, hyperphantasia.CME: Take the CME Post-Test for this EpisodePublished On: 12/22/2025Duration: 15 minutes, 41 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 22 December 2025

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 is persistent, not abstract, not metaphorical but recurring, and sometimes lethal. CME: Take the CME Post-Test for this EpisodePublished On: 12/19/2025Duration: 19 minutes, 01 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 20 December 2025

Some of the people who revolutionized psychiatry lived with mental illness themselves. CME: Take the CME Post-Test for this EpisodePublished On: 12/15/2025Duration: 15 minutes, 15 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 15 December 2025

How to help bipolar patients manage holiday stress, and a new drug interaction with lithium and GLP1 agonists like semaglutide (Ozempic).CME: Take the CME Post-Test for this EpisodePublished On: 12/08/2025Duration: 18 minutes, 33 secondsChris Aiken, MD has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 8 December 2025

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: 12/01/2025Duration: 16 minutes, 04 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 1 December 2025

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: 11/24/2025Duration: 09 minutes, 53 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 24 November 2025

Dr. Kenneth Levy provides an overview of the major evidence-based treatments for Borderline Personality Disorder and explains why clinicians shouldn’t limit themselves to just one model. Despite their different styles, these treatments share core elements and similar effectiveness, and Dr. Levy makes the case that therapists best serve patients when they understand multiple approaches and remain flexible in how they use them.

Transcribed - Published: 20 November 2025

For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really means. This shift could transform how we support children and families.CME: Take the CME Post-Test for this EpisodePublished On: 11/17/2025Duration: 24 minutes, 07 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 17 November 2025

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 Post-Test for this EpisodePublished On: 11/10/2025Duration: 13 minutes, 39 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity. Dr. Owen Muir is affiliated with Brainsway, Mind Medicine, Ampa, Magnus Medical, Neurolief, and Soinera Bio. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Transcribed - Published: 10 November 2025

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 Post-Test for this EpisodePublished On: 11/03/2025Duration: 18 minutes, 43 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity. Dr. Owen Muir is affiliated with Brainsway, Mind Medicine, Ampa, Magnus Medical, Neurolief, and Soinera Bio. Dr. Aiken has reviewed this educational activity and has determined that there is no commercial bias as a result of this financial relationship.

Transcribed - Published: 3 November 2025

Working with young adults who are navigating ADHD is rarely straightforward. They’re often dealing with more than just distractibility or missed deadlines. There’s anxiety, identity shifts, life transitions, and sometimes a long history of feeling misunderstood. This isn’t about checking boxes on a symptom list, it’s about understanding how their brain, their environment, and their story all interact. Today, we’re going to unpack that. CME: Take the CME Post-Test for this EpisodePublished On: 10/27/2025Duration: 16 minutes, 14 secondsJoshua Feder, MD, and Geneva Valeska have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 27 October 2025

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 without pathologizing it?  CME: Take the CME Post-Test for this EpisodePublished On: 10/20/2025Duration: 14 minutes, 06 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 20 October 2025

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 the CME Post-Test for this EpisodePublished On: 10/13/2025Duration: 23 minutes, 38 secondsNoah Capurso, MD, MHS, and Snehal Bhatt, MD, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 13 October 2025

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 without pathologizing it?  CME: Take the CME Post-Test for this EpisodePublished On: 10/06/2025Duration: 15 minutes, 56 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 6 October 2025

There are two variations of long-acting injectable buprenorphine on the market. But what differentiates them, who might benefit, and how well do they work? Find out in today’s podcast.CME: Take the CME Post-Test for this EpisodePublished On: 09/29/2025Duration: 11 minutes, 36 secondsNoah Capurso, MD, MHS, and Geneva Valeska have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 29 September 2025

Lithium, pramipexole, bupropion, carbamazepine, valproate, and trazodone. Meds that require special skill to start: CME: Take the CME Post-Test for this EpisodePublished On: 09/15/2025Duration: 17 minutes, 27 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 22 September 2025

Meds that require special skill to start: Clozapine and lamotrigine.CME: Take the CME Post-Test for this EpisodePublished On: 09/15/2025Duration: 10 minutes, 19 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 15 September 2025

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: 09/12/2025Duration: 04 minutes, 04 secondsJoshua Feder, MD, and Geneva Valeska have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 12 September 2025

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 Post-Test for this EpisodePublished On: 09/08/2025Duration: 13 minutes, 47 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 8 September 2025

The FDA just approved the cyclobenzaprine (Tonmya, Flexeril) for fibromyalgia. We look at three risks that medication raises in psychiatry.CME: Take the CME Post-Test for this EpisodePublished On: 09/01/2025Duration: 16 minutes, 42 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 1 September 2025

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: 08/15/2025Duration: 18 minutes, 30 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 25 August 2025

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 EpisodePublished On: 08/18/2028Duration: 08 minutes, 28 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 18 August 2025

Meds that require special skill to start: Antipsychotics, Cobenfy, and a research update on antidepressant metabolism in Asians.CME: Take the CME Post-Test for this EpisodePublished On: 08/11/2025Duration: 12 minutes, 19 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 11 August 2025

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 in place.CME: Take the CME Post-Test for this EpisodePublished On: 08/04/2025Duration: 13 minutes, 18 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 4 August 2025

We interview psychoanalyst William Meyer on a therapeutic approach to postpartum depression.CME: Take the CME Post-Test for this EpisodePublished On: 07/28/2025Duration: 14 minutes, 18 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 28 July 2025

We look at how often postpartum depression converts to bipolar, and what that means for treatment.CME: Take the CME Post-Test for this EpisodePublished On: 07/21/2025Duration: 10 minutes, 27 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcribed - Published: 21 July 2025