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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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Naltrexone-Bupropion failed in this RCT of binge eating, but did reduce weight (it is approved for that as Contrave):
https://pubmed.ncbi.nlm.nih.gov/37751990

The combo did work in a similarly sized #binge trial from 2022, so jury is still out on this one
https://pubmed.ncbi.nlm.nih.gov/36285406

#psychiatry

There are 3 ways to prevent depression after ECT:
1. CBT Therapy
2. #Lithium + nortriptyline (or SNRI)
3. Maintenance #ECT (eg, monthly)

In this large study of 19,944, maintenance ECT lowered hospitalization rates by 60%:
https://pubmed.ncbi.nlm.nih.gov/39292447

#psychiatry

Remarkable study created criteria for 3 types of “At-Risk” #bipolardisorder. After a decade of follow-up, 1 in 3 at-risk patients converted to full bipolar compared to none of the control patients:
https://ncbi.nlm.nih.gov/pmc/articles/pmid/37713195

#psychiatry #depression

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