The Carlat Psychiatry Podcast

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

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.

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 Episode Published On: 04/06/2025Duration: 19 minutes, 01 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.

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.

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.

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.

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.

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.

Marsha Linehan finds the core principles of DBT in a Buddhist monastery, challenges the psychoanalytic establishment, and returns to the hospital where her journey started.CME: Take the CME Post-Test for this EpisodePublished On: 01/12/2026Duration: 16 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

How a tip from Carl Jung inspired Alcoholics Anonymous and the 12-step recovery movement. CME: Take the CME Post-Test for this EpisodePublished On: 12/29/2025Duration: 08 minutes, 55 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Today’s episode is one we’ve been sitting with for a long time. We’re talking about how to survive psychologically in a world where hatred is persistent, not abstract, not metaphorical but recurring, and sometimes lethal. CME: Take the CME Post-Test for this Episode Published On: 12/19/2025Duration: 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.

How to help bipolar patients manage holiday stress, and a new drug interaction with lithium and GLP1 agonists like semaglutide (Ozempic).CME: Take the CME Post-Test for this EpisodePublished On: 12/08/2025Duration: 18 minutes, 33 secondsChris Aiken, MD has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.