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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 ·
19 Nov

This study gathers 198 symptoms of early psychosis:
https://pubmed.ncbi.nlm.nih.gov/37948888

The best treatment for early “prodromal” #psychosis is psychotherapy/omega-3, not antipsychotics:
https://www.thecarlatreport.com/articles/4478-how-to-identify-and-treat-prodromal-symptoms-of-bipolar-disorder-and-schizophrenia

How to use omega-3:
https://chrisaikenmd.com/supplements

#schizophrenia

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chrisaikenmd Chris Aiken, MD @chrisaikenmd ·
19 Nov

Dextromethorphan augmented SSRI #antidepressants in small RCT (it’s part of Auvelity):
https://pubmed.ncbi.nlm.nih.gov/39551007

The SSRI had not failed, so it’s an enhancement study. They confirmed dextromethorphan reached “therapeutic” levels (0.5–5.9 ng/ml).

#psychiatry #pmhnp #depression

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chrisaikenmd Chris Aiken, MD @chrisaikenmd ·
18 Nov

TMS and transcranial direct current stimulation (tDCS) are different ways to treat #depression with electromagnetic energy.

They worked better together than either alone in this new trial:
https://pubmed.ncbi.nlm.nih.gov/39535797

#psychiatry

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