The Carlat Psychiatry Podcast

Four months after giving birth, Lindsay Clancy stopped sleeping, and each new prescription seemed to make it worse. In Part 2, we follow her from hypomania through depression to the border of psychosis, and find a new way to interpret dissociation. Plus: A research update on a potentially fatal risk with GLP-1 agonists: Low thiamine.

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Published On: 11/09/2026
Duration: 16 minutes, 01 seconds

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

Lindsay Clancy’s trial became a televised spectacle this summer. In this series, we set the courtroom aside and focus on her psychiatric signs and treatments, following them month by month over the postpartum course. Plus: a new trial on what happened when depressed patients cut ultra-processed food.

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Published On: 11/02/2026
Duration: 17 minutes, 11 seconds

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

We prescribe ADHD medications to help with focus and impulsivity, but what happens when someone stays on them for years? Today, we're digging into new research that links long-term ADHD medication use to higher cardiovascular risk. It's not a reason to panic, but it is a reason to look twice at the dosages, duration, and how we follow up. 

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Published On: 10/26/2026
Duration: 19 minutes, 25 seconds

Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Andrew Christensen, distinguished research professor of psychology at UCLA and co-developer of Integrative Behavioral Couple Therapy (IBCT), explains how IBCT balances acceptance and change in treating relationship distress. He walks clinicians through the assessment and feedback process and the DEEP formulation, describes the three core interventions—empathic joining, unified detachment, and practical problem-solving—and discusses treatment length, termination, and training resources.
Published On: October 19, 2026
Duration: 44 mins 19 seconds

Learning ObjectivesAfter completing this educational activity, participants should be able to:
· Describe the core principles of Integrative Behavioral Couple Therapy and explain how acceptance-focused and change-focused interventions are integrated in treating relationship distress.
· Distinguish rule-governed change from contingency-shaped change and explain how in-session emotional experiences can facilitate more constructive couple interactions.
· Identify the components of the IBCT DEEP formulation—differences, emotional sensitivities, external circumstances, and patterns of interaction—and describe their role in assessment and treatment planning.
· Describe how empathic joining, unified detachment, and practical discussions are used to help couples address emotionally significant conflicts more constructively.

Topics Covered in This Interview·      The distinctive challenges and advantages of conjoint couple therapy
·      How IBCT developed from traditional behavioral couple therapy
·      Integrating acceptance and change in relationship treatment
·      Why behavioral assignments and communication skills may not produce enduring change
·      How partners’ differences can be sources of both attraction and conflict
·      Rule-governed behavior versus contingency-shaped change
·      Facilitating spontaneous change through emotionally meaningful in-session interactions
·      How therapists decide when to emphasize acceptance or direct change
·      The IBCT assessment sequence: conjoint interview, individual sessions, and feedback
·      Assessing intimate partner violence, commitment, and competing relationships
·      The DEEP formulation: differences, emotional sensitivities, external circumstances, and patterns of interaction
·      Identifying recurring conflict cycles and developing a shared, less blame-focused understanding
·      Collaboratively setting the agenda for active treatment sessions
·      Empathic joining and the development of compassionate conversations
·      Unified detachment and examining patterns of conflict together
·      Practical discussions and preparing for challenging situations
·      Experiential learning versus direct instruction in couple therapy
·      Treatment duration, outcomes, termination, and follow-up sessions
·      IBCT training opportunities and the OurRelationship online program

Parents often come into treatment hoping an SSRI will make their child's OCD disappear. But how much relief do these medications actually provide? Today, we look at a large meta-analysis that gives us a more realistic picture of what SSRIs can and can't do for pediatric OCD.

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Published On: 10/12/2026
Duration: 14 minutes, 12 seconds

Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.