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Browse these pages for lifestyle changes that improve mental health and research updates on psychiatry.

I am a psychiatrist, editor-in-chief of the Carlat Psychiatry Report, and assistant professor at New York University and Wake Forest medical schools. I have never received pharmaceutical industry support.

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chrisaikenmd Chris Aiken, MD @chrisaikenmd ·
27 Dec

A good test of #sleep meds is whether they improve daytime cognition.

Z-hypnotics (eg Ambien) do not. Here are some that do: Orexin antagonists (eg Belsomra), possibly trazodone, and in this #insomnia trial, doxepin (Silenor):
https://ncbi.nlm.nih.gov/pubmed/38123719

#psychiatry #mentalhealth

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chrisaikenmd Chris Aiken, MD @chrisaikenmd ·
27 Dec

Landmark study of nearly 2 million suicides across 26 countries finds higher risk on New Years day:
https://www.bmj.com/content/bmj/387/bmj-2024-077262.full.pdf

Lower risk on other holidays, but rises 1-2 days after most holidays.

#Suicide is preventable.
> 988 US hotline
> #Therapy guide: https://amzn.to/41QkCBk

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chrisaikenmd Chris Aiken, MD @chrisaikenmd ·
26 Dec

Chemical exposure raises risk of childhood #ADHD, especially:
> Lead
> Pesticides
> Mercury
> PCBs
Concludes analysis of 66 studies:
https://ncbi.nlm.nih.gov/pubmed/38108946

Lead-paint banned in ’78 in US but still in some drinking water (Flint MI). PCBs banned but still in some waste

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