Brent R Carr

Brent R Carr, M.D.

Assistant Professor

Department: MD-PSYCHIATRY
Business Phone: (352) 265-4357
Business Email: brcarr@ufl.edu

About Brent R Carr

I serve as the department’s Neuromodulation Fellowship Training co-Director, and Chief of Electroconvulsive Therapy Services, and oversee UF’s two hospital ECT suites. I also provide psychiatric Deep Brain Stimulation programming and Transcranial Magnetic Stimulation. I work closely with the departments of neurology, neurosurgery, and anesthesia (where I hold joint faculty appointment). I also have a part-time clinical appointment at the Student Health Center.

My clinical and academic interests include neuromodulation, electromagnetic field theory, emerging psychiatric treatments, psychedelic neuroscience, neurophenomenology, biophysics, philosophy of consciousness, and history in medicine. I am a strong advocate for arts and humanities in medicine for our trainees. This enhances empathy which leads to improved rapport building and the delivery of compassionate/empathetic care. As a medical student mentor, I direct 4 senior-level medical student electives in ECT (tracks for psychiatry and anesthesia), TMS, and Applied Electricity. As a psychiatric resident teacher, I provide didactic series in clinical neuroscience, neuropsychiatry, and neuromodulation.

I obtained undergraduate degrees in zoology, physiology, and philosophy from Louisiana State University in 1992, and completed medical school (LSU, New Orleans) in 1996 followed by a psychiatry residency at Tulane University. I was on faculty at Tulane University for 20 years, including having served as their director of ECT. I also augmented my training with fellowships in electroconvulsive therapy at Emory University and transcranial magnetic stimulation at Duke University.

Students interested in scholarly activities, or residents interested in the Neuromodulation Training Fellowship program should email me directly.

Mentored posters/presentations:

Jackson Brunner, and Brent R Carr. Poster. IIH Comorbid with Migraines during Index Series of ECT. World Congress of Psychiatry. Vienna, Austria. Sep 13, 2023. TBP

David Cox, Brent R. Carr, and Jackson Brunner. Poster. Pupillary Hippus as Symtpom in Neuropsychiatria. World Congress of Psychiatry. Vienna, Austria. Sep 3, 2023. TBP

Brent Beck, and Brent R Carr. Poster. Anti-NMDA Receptor Encephalitis in the Late Postpartum Period. American Psychiatric Association. San Francisco, CA. May 23, 2023. TBP

Jackson Brunner, Brendan Butler, and Brent R. Carr. Poster. Psilocybin Potential as Global Cost-Effective Treatment. American Psychiatric Association. San Francisco, CA. May 23, 2023. TBP

Nadia Cacodcar, Allysa Nielsen, and Brent R. Carr. Poster. Rapid Response to ECT in a Post-operative Induced Catatonia. American Psychiatric Association. San Francisco, CA. May 19, 2023 – May 23, 2023. TBP

David Cox, Scott McGaugh, Brent R. Carr, and Emily Beydler. Poster. Delay of Care of Catatonic ECT Patient- Critical Evaluation of Legislative Contraint. American Psychiatric Association. San Francisco, CA. May 19, 2023 – May 23, 2023. TBP

Ted Frederic, and Brent R Carr. Poster. Etomidate as an Alternative Induction Agent for High Seizure Threshold ECT. WPA Thematic Congress. Karachi, Pakistan. Mar 4, 2023. TBP

Lauren Katzell, Gerald Richardson, Kevin Putinta, and Brent Carr. Poster. Concomitant use of electroconvulsive therapy and vagus nerve stimulation in super refractory status epilepticus: a case study. International Brain Stimulation Conference. Lisbon, Portugal. Feb 18, 2023 – Feb 23, 2023. TBP

Brendan Butler, Cameron Smith, and Brent R Carr. Poster. Electrical Field Considerations for Deep Brain Stimulation Patients Undergoing Electroconvulsive Therapy. International Brain Stimulation Conference. Lisbon, Portugal. Feb 18, 2023. TBP

Ethan Holland(g), and Brent Carr. Poster. Analyzing Global Disparities in ECT Utilization for Catatonia. World Psychiatric Association Thematic Congress. TBILISI, GEORGIA. TBP Oct 14, 2023 – Oct 16, 2022.

Lauren Katzell, Gerald Richardson, Kevin Putinta, and Brent Carr. Poster. Electroconvulsive Therapy Treatment Trial in Super Refractory Status Epilepticus: A Case Study. NNDC. Ann Arbor, Michigan. Sep 20, 2022 – Jul 22, 2022.

Emily Beydler, and Brent Carr. Poster. Legislative Barriers to Electroconvulsive Therapy in the State of Florida. NNDC. Ann Arbor, MI. Sep 20, 2022 – Sep 21, 2022.

Ethan Holland, Nafisa Choudhury, and Brent Carr. Poster. Evaluating need for ECT treatment to prevent catatonia relapse in an adolescent post-Covid infection 1 year later. National Network of Depression Centers. Ann Arbor, MI. Sep 20, 2022 – Jul 20, 2022.

Alyssa Nielsen, Lymaries Velez, Steven Toffel, and Brent R. Carr. Poster. Comorbid Conditions and Caution: A Case of Phentermine-Induced Mania with Psychotic Features. National Network of Depression Centers. Ann Arbor, MI. Sep 20, 2022 – Sep 20, 2022.

Ekatarina Vlasova, and Brent R. Carr. Poster. Background: A Case Study of Asymptomatic Hyperprolactinemia Secondary to Risperidone. National Network of Depression Centers. Ann Arbor, MI. Sep 20, 2022 – Jul 20, 2022.

Max Parker, and Brent R Carr. Poster. Electroconvulsive Therapy in a patient with Idiopathic Intracranial Hypertension and Drug-Refractory Major Depressive Disorder. American Psychiatric Association. New Orleans, LA. May 22, 2022 – May 25, 2022.

Issac Benmaman, and Brent R. Carr. Poster. Ejaculation as a rare side effect during Electroconvulsive Therapy and its implication on patients. American Psychiatric Association. New Orleans, LA. May 21, 2022 – May 25, 2022.

Brent R. Carr, and Jesse Burson. Poster. The Effect of Lidocaine on Seizure Parameters in ECT : A Retrospective Chart Review. National Network of Depression Centers. Virtual. Sep 22, 2021.

Brent R. Carr, and Srinath Gopinath. Poster. Electroconvulsive Therapy in Children and Adolescents: A Case Series and Perspective on Treatment Recommendations. American Psychiatric Association. Virtual. May 3, 2021.

Kelvin Tran, Kishan Nallapula, and Brent R. Carr. Poster. Diagnostic and Treatment Challenges in an Adolescent with Narcolepsy and Psychosis. American Psychiatric Association. Virtual. May 1, 2021 – May 3, 2021.

Robert Scholl, Laura Rodriguez, and Brent R. Carr. Poster. Challenges of Takotsubo Cardiomyopathy Following Electroconvulsive Therapy. American Psychiatric Association. Virtual. May 1, 2021.

Teaford H, and Carr B. Poster. A Review of the Anesthetic Agents to consider for Patients with Elevated Seizure Threshold when conducting ECT. American Psychiatric Association Annual Conference. San Francisco, CA. May 18, 2019.

Mihalik-Wenger A, Harlan B, and Carr B. Poster. Parkinson disease and Affective Psychosis: a Diagnostic and Treatment Challenge. American Psychiatric Association Annual Conference. Los Angeles, CA. Apr 1, 2020.

Chen F(r), Chandarana M, and Carr B. Poster. Relaxed, Off Label Use of Gabapentin and Quetiapine Leading To A Surge in Prescription Drug Abuse. Institute on Psychiatric Services Conference. Washington, DC. Oct 10, 2016.

Sundeep Koppolu, Srinath Gopinath, and Brent R. Carr. Poster. Impact of COVID 19 on Demographics in patients receiving Electroconvulsive therapy. Florida Psychiatric Society. Virtual. Sep 8, 2021.

Bindshedler A, Chan N, Epstein D, Morrissey H, Mayberry M, Tran K, Carr B, and Hobbs JA. Poster. Supporting breastfeeding for medical trainees: an overview for areas of improvement. Department of Psychiatry, University of Florida College of Medicine. Gainesville, FL. Mar 22, 2019.

Additional Positions:
Neuromodulation Fellowship Training co-director
2022 – Current ·

Accomplishments

Exemplary Teacher Award
2020 · UF College of Medicine
Exemplary Teacher Award
2019 · UF College of Medicine

Teaching Profile

Courses Taught
2018
MDT7840 Elect Top/Psychiatry
2018
MDC7830 Psychiatry Clerkship
2023
PAS5020 Intro to Medicine 2
Teaching Philosophy
My pedagogical philosophy emanates from the premise that human cognition evolved from millennia of interacting with the natural world with curiosity and zeal. I leverage this premise to orchestrate engaging and salient learning opportunities for medical students and residents in psychiatry. I also employ various theoretical frameworks of learning and intelligence to facilitate their acquisition of abstract and experiential competencies for comprehending mental phenomena and disorders. I cultivate a humanistic and empathic ethos of patient care that honors the singularity of each learner and patient. I aspire to exemplify physicianship that harmonizes critical thinking and compassion. I stimulate the learners to introspect their strengths and optimize them. I also endeavor to inculcate a sense of wonder, humor, self-deprecation, harmony, parsimony, and aesthetics in the practice of psychiatry.

Board Certifications

  • Psychiatry
    American Board of Psychiatry and Neurology

Clinical Profile

Specialties
  • Psychiatry
Areas of Interest
  • Attention deficit hyperactivity disorder
  • Bipolar disorder
  • Deep brain stimulation
  • Depression
  • Electroconvulsive therapy
  • Generalized anxiety disorder
  • Obsessive-compulsive disorder
  • Obsessive-compulsive personality disorder
  • Post-traumatic stress disorder
  • Transcranial Magnetic Stimulation (TMS)

Research Profile

Research in the use of interventional tools for treatment resistant psychiatric illnesses, including electroconvulsive therapy, deep brain stimulation in OCD, ketamine infusion therapy, transcranial magnetic stimulation, direct cortical stimulation and novel psychopharmacotherapeutics.

Open Researcher and Contributor ID (ORCID)

0000-0001-7771-4886

Publications

2023
An open label pilot trial of sequential bifrontal low frequency r-TMS in the treatment of primary insomnia
Psychiatry Research. 324 [DOI] 10.1016/j.psychres.2023.115194. [PMID] 37054553.
2023
Deep brain stimulation: brisk response to initial triple monopolar settings
Brain Stimulation. 16(1) [DOI] 10.1016/j.brs.2023.01.472.
2023
Electrical field considerations for deep brain stimulation patients undergoing electroconvulsive therapy
Brain Stimulation. 16(1) [DOI] 10.1016/j.brs.2023.01.471.
2023
Electroconvulsive therapy use for refractory status epilepticus in an implantable vagus nerve stimulation patient: A case report
Frontiers in Psychiatry. 14 [DOI] 10.3389/fpsyt.2023.1126956. [PMID] 36816412.
2023
Generalized Seizure following Benzodiazepine reversal with Flumazenil prior to Electroconvulsive therapy
Brain Stimulation. 16(1):286-287 [DOI] 10.1016/j.brs.2023.01.502.
2023
Gravida One, Para Forced
Journal of Medical Humanities. 44(2):281-281 [DOI] 10.1007/s10912-022-09747-0.
2023
Individualized ECT Succinylcholine Dosing in a Morbidly Obese Patient
Brain Stimulation. 16(1) [DOI] 10.1016/j.brs.2023.01.831.
2023
Intricacy of Treating Chronic Nausea Associated Suicidal Ideation with Electroconvulsive Therapy and Gastric Electrical Stimulation: A Case Report
Brain Stimulation. 16(1) [DOI] 10.1016/j.brs.2023.01.830.
2023
Rapid symptom control in neuroleptic malignant syndrome with electroconvulsive therapy: A case report
Frontiers in Psychiatry. 14 [DOI] 10.3389/fpsyt.2023.1143407. [PMID] 37032940.
2023
Rapid Symptom Resolution of a Mixed Affective State with High-Frequency Repetitive Transcranial Magnetic Stimulation
Frontiers in Psychiatry. 14 [DOI] 10.3389/fpsyt.2023.1137055. [PMID] 36846231.
2023
Recognizing Unintended Succinylcholine to Rocuronium Vial Exchange During Electroconvulsive Therapy
Brain Stimulation. 16(1):407-408 [DOI] 10.1016/j.brs.2023.01.832.
2023
Reflections on Franz Gall and phrenology – Psychiatry in history
The British Journal of Psychiatry. 222(4):174-174 [DOI] 10.1192/bjp.2022.195.
2023
Severe myalgia and jaw pain resolution with conversion to rocuronium in ECT
Brain Stimulation. 16(1) [DOI] 10.1016/j.brs.2023.01.324.
2023
Successful ECT in an adolescent with catatonia and psychosis due to COVID-19
Psychiatry Research Case Reports. 2(1) [DOI] 10.1016/j.psycr.2023.100129. [PMID] 37197173.
2023
Successful Electroconvulsive Therapy in a Patient With a Meningioma With Mass Effect
The Journal of ECT. Publish Ahead of Print [DOI] 10.1097/yct.0000000000000903. [PMID] 36972250.
2022
Electroconvulsive Therapy’s use in Idiopathic Intracranial Hypertension with Mood Disorder: Caution, promise, and progress
European Psychiatry. 65(S1):301-302 [DOI] doi:10.1192/j.eurpsy.2022.769.
2022
Emerging Catatonia and Psychosis in Resolving COVID-19 Infection in an Adolescent
European Psychiatry. 65(S1):495-495 [DOI] doi:10.1192/j.eurpsy.2022.1259.
2022
Late 1800s Fringe Electrotherapeutic Devices: Comparative Electrical Capabilities
European Psychiatry. 65(S1):261-262 [DOI] doi:10.1192/j.eurpsy.2022.672.
2022
National Network of Depression Centers’ Recommendations on Harmonizing Clinical Documentation of Electroconvulsive Therapy
The Journal of ECT. Publish Ahead of Print [DOI] 10.1097/yct.0000000000000840.
2022
Neuroethical Considerations in an OCD patient undergoing Deep Brain Stimulation
Narrative Inquiry in Bioethics. 12(1):24-26 [DOI] 10.1353/nib.2022.0011. [PMID] 35912603.
2022
Paradoxical Neuroethical Crisis of Agency and Identity in an Obsessive-Compulsive Disorder Deep Brain Stimulation Patient
European Psychiatry. 65(S1):S739-S739 [DOI] 10.1192/j.eurpsy.2022.1909.
2022
Prepared Mind: A Vessel
Humanism Evolving Through Arts and Literature. (Fall)
2022
Still Here
Family Medicine. 54(2):152-152 [DOI] 10.22454/fammed.2022.481566.
2022
Successful Electroconvulsive Therapy in Idiopathic Intracranial Hypertension With Mood Disorder and Partial Empty Sella Syndrome
The Journal of ECT. Publish Ahead of Print [DOI] 10.1097/yct.0000000000000889. [PMID] 36215412.
2021
Inflorescence of Mistrust.
The Journal of medical humanities. 42(1) [DOI] 10.1007/s10912-021-09687-1. [PMID] 33704616.
2021
Wayfinding
American Medical Association Journal of Ethics. 23(7):582-583 [DOI] 10.1001/amajethics.2021.582. [PMID] 34351271.
2021
‘Lone travelers’ – psychiatry in pictures
The British Journal of Psychiatry. 218(4):216-216 [DOI] 10.1192/bjp.2020.235.
2020
Full Collection of Personal Narratives.
Narrative inquiry in bioethics. 10(3):186-215 [DOI] 10.1353/nib.2020.0076. [PMID] 33583841.
2020
The Little Yellow Paper and The Street.
Narrative inquiry in bioethics. 10(3):197-200 [DOI] 10.1353/nib.2020.0058. [PMID] 33583846.
2020
Within the Outside yet Outside the Within: The Way Art Creates a Liminal Space
INTIMA: Journal of Narrative Medicine. (Spring)
Exploring the Effects of Environmental Knowledge and Health Insurance Coverage on Physical and Mental Health: Evidence from a Nationally Representative Sample of Rural Women in China
. [DOI] 10.20944/preprints202302.0358.v1.

Grants

Sep 2020 ACTIVE
1/2 Genetics at an extreme: an efficient genomic study of individuals with clinically severe major depression receiving ECT
Role: Principal Investigator
Funding: NATIONAL NETWORK OF DEPRESSION CENTERS via NATL INST OF HLTH NIMH

Education

Residency – Psychiatry
2000 · Tulane University
Internship – Psychiatry
1997 · Tulane University
Medical Degree
1996 · Louisiana State University

Contact Details

Phones:
Business:
(352) 265-4357
Emails:
Business:
brcarr@ufl.edu
Addresses:
Business Mailing:
PO Box 103424
GAINESVILLE FL 32610