The Carlat Psychiatry Podcast

Why We Miss Suicide Risk in Autistic Youth 01.06.2026 18min

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.

Gender Affirming Care in Exile: Origins 25.05.2026 11min

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

Gender Affirming Care: Fall of the House of Hopkins 18.05.2026 13min

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

Gender Affirming Care in Exile: Targeting the Leader 11.05.2026 16min

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 We examine the unpublished study at the center of the controversy.CME: Take the CME Post-Test for this EpisodePublished On: 05/11/2026Duration: 16 minutes, 11 secondsChris Aiken, MD, and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

Gender Affirming Care in Exile: The Trials 04.05.2026 13min

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

Gender Affirming Care in Exile: The Lawsuits 27.04.2026 12min

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

Lithium Goes Mainstream 20.04.2026 16min

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

Treating BPD Series Ep 2: Transference-Focused Psychotherapy—From Splitting to Coherence with Frank Yeomans, MD, PhD 16.04.2026 40min

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.

Lithium: From 7UP to Table Salt 13.04.2026 12min

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

When Autism Meets the Legal System: A Clinician’s Guide 06.04.2026 19min

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.

Jeffrey Epstein on the Couch: Part IV 30.03.2026 12min

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

Jeffrey Epstein on the Couch: Part III 23.03.2026 23min

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.

Jeffery Epstein on the Couch: Part II 16.03.2026 16min

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.

Jeffrey Epstein on the Couch: Part I 09.03.2026 15min

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.

Hidden Gems: Pramipexole Part II 02.03.2026 19min

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.

Hidden Gems: Pramipexole Part I 23.02.2026 13min

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.

Wounded Healers: Steven Hayes Part II 16.02.2026 19min

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.

Wounded Healers: Steve Hayes, from Panic to ACT 09.02.2026 20min

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.

Treating Anxiety and Sleep Issues in Children and Adolescents 02.02.2026 17min

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.

ProLivRx: How it Works 26.01.2026 12min

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.