Brent R Carr

Brent R Carr, M.D.

Associate Professor

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

About Brent R Carr

As Co-Director of the Neuromodulation Fellowship Training Program and Chief of Electroconvulsive Therapy Services, I oversee the management of UFā€™s dual-hospital ECT facilities while spearheading psychiatric Deep Brain Stimulation programming and Transcranial Magnetic Stimulation. My role fosters interdisciplinary collaboration across neurology, neurosurgery, and anesthesia, reflecting a shared commitment to innovation in patient care. Beyond these clinical and academic responsibilities, I maintain a part-time engagement at the Student Health Center, where the pursuit of patient well-being remains paramount.

My intellectual and clinical pursuits traverse psychiatry and its peripheries, encompassing neuromodulation, the esoteric foundations of electromagnetic field theory, and avant-garde psychiatric frontiers such as psychedelic neuroscience and neurophenomenology. Within this breadth, I am also engaged in psychiatric movement disorders and collegiate sports psychiatry, addressing both the neuropsychiatric complexities of movement disorders and the distinct mental health needs of student-athletes. Beyond the empirical, I advocate for the integration of the arts and humanities into medicine, recognizing their capacity to deepen empathy, enrich therapeutic rapport, and elevate patient-centered care. The most profound discoveries emerge at the boundariesā€”where disciplines converge, where certainty fractures, and where the unknown demands to be explored.

My academic foundation was laid at Louisiana State University, where I earned undergraduate degrees in zoology, physiology, and philosophy in 1992 before completing medical school at LSU New Orleans in 1996. I pursued my psychiatry residency at Tulane University, where I remained for two decades, serving as director of ECT. Further refining my expertise in neuropsychiatric interventions, I completed fellowships in electroconvulsive therapy at Emory University and transcranial magnetic stimulation at Duke University, solidifying my commitment to advancing the domain of psychiatric therapeutics.

Mentorship is not merely guidanceā€”it is the ignition of inquiry, the scaffolding of scholarly independence, and the refinement of academic voice. I empower students and residents to lead as first authors, amplifying their work on global stages such as the World Federation of Neurology, the World Congress of Psychiatry, and the APA. Our collaborations span neuropsychiatric frontiers, from psychotropic innovation to the biophysical dynamics of neural modulation. In fostering this scholarship, I aim not only to shape the next cadre of psychiatric leaders but to propel the field itself forward, challenging conventions and redefining possibilities in mental health care.

— āœ¦āœ§āœ¦ — Students with a keen interest in scholarship or residents seeking to pursue the Neuromodulation Training Fellowship are encouraged to initiate direct correspondence via email. — āœ¦āœ§āœ¦ —

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

Accomplishments

Exemplary Teacher Award
2024 · College of Medicine
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
2025
MDU4004 Physician Shadowing
Teaching Philosophy
ā€¢ Engaging the mind ā€¢ Exploring the mind ā€¢ Expanding the mind

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
  • Post-traumatic stress disorder
  • Transcranial Magnetic Stimulation (TMS)

Research Profile

My research interrogates the intricate mechanisms of psychiatric intervention, with a focus on the precise parameters of electroconvulsive therapy (ECT) and deep brain stimulation (DBS) in treating complex cases. This includes device parameter settings, novel approaches to challenging conditionsā€”such as meningiomas with mass effect, status epilepticus, and the intersection of ECT with DBSā€”and underreported phenomena, like the rise in DBS impedance (as seen in macrophage encapsulation) during ECT. In parallel, I guide students in writing case reports and conducting scoping reviews, emphasizing the synthesis of clinical data. Through this work, we refine technical precision, uncover overlooked complexities in neuromodulation, and expand the empirical foundations that drive the next generation of psychiatric innovation.

Open Researcher and Contributor ID (ORCID)

0000-0001-7771-4886

Publications

Academic Articles
2025
Ennui
Journal of Medical Ethics. 51(2):144-145 [DOI] 10.1136/jme-2023-109748.
2024
Autonomic responses in electroconvulsive therapy: Understanding the neurophysiological basis of ejaculation
European Journal of Neurology. 31(S1)
2024
Cerebellar vulnerability in lithium therapy: An integrative review and conceptual analysis
European Journal of Neurology. 31(S1) [DOI] https://doi.org/10.1111/ene.16340.
2024
Confounding effects of stimulant misuse on deep brain stimulation optimization in obsessive-compulsive disorder: A detailed case study.
Annals of Neurology. 31(S1)
2024
Detailed mechanisms of neuronal hyperexcitability induced by hyperventilation in electroconvulsive therapy
European Journal of Neurology, . 31(S1)
2024
Echoes of time: pearls beyond the veil ā€“ Extra reflections
The British Journal of Psychiatry. 224(2):73-73 [DOI] 10.1192/bjp.2023.173.
2024
Ethical and neurological dimensions of Dr. Robert G. Heath’s deep brain stimulation experiments
European Journal of Neurology. 31(S1) [DOI] https://doi.org/10.1111/ene.16339.
2024
Evaluating Clonazepam’s efficacy in facial erythromelalgia: Neurogenic kindling and psychosomatic interplay
European Journal of Neurology. 31(S1) [DOI] 10.1111/ene.16340. [PMID] 38941129.
2024
Hearing safety of accelerated TMS: Calculating daily noise dose of the SAINT protocol for depression
Brain Stimulation. 17(1):65-67 [DOI] 10.1016/j.brs.2023.12.009. [PMID] 38141753.
2024
Hypothetical neurological impacts of exceeding auditory thresholds in transcranial magnetic stimulation
European Journal of Neurology. 31(S1)
2024
Integrative neurobiology of akathisia: Dissecting the role of basal ganglia and neurotransmitter systems
European Journal of Neurology. 31(S1)
2024
National Network of Depression Centers position statement: Insurance coverage for intravenous ketamine in treatment-resistant major depressive disorder
Journal of Affective Disorders. 346:221-222 [DOI] 10.1016/j.jad.2023.11.008. [PMID] 37940059.
2024
Neurocognitive and behavioral challenges in pediatric ASD and post-radiosurgery arteriovenous malformation
European Journal of Neurology. 31(S1)
2024
Neurological and ethical implications of rising botched executions in the U.S.
European Journal of Neurology. 31(S1)
2024
Neuroplasticity in children post-war trauma: A critical review of prefrontal, amygdaloid, and hippocampal alterations
European Journal of Neurology. 31(S1)
2024
Phylogenetic elucidation and philosophical inquiry into the Claustrum’s implications in mammalian consciousness
European Journal of Neurology, . 31(S1)
2024
Reducing Respiratory Complications During Electroconvulsive Therapy (ECT) With Smaller Doses of Succinylcholine in a Morbidly Obese Patient: A Case Report
Cureus. 16(7) [DOI] 10.7759/cureus.65654. [PMID] 39205780.
2024
Side Stepping The Issues: Disappointment With An Ethics Consult For A Medically High Risk Patient
Narrative Inquiry in Bioethics. 14(1):13-16 [DOI] 10.1353/nib.2024.a934178. [PMID] 39129631.
2024
The genetics of severe depression.
Molecular psychiatry. [DOI] 10.1038/s41380-024-02731-1. [PMID] 39406997.
2024
Tolerability of anodic polarity reversal in deep brain stimulation for intractable obsessive-compulsive disorder: A preliminary report
Annals of Neurology. 96(S32) [DOI] 10.1002/ana.27051.
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 programming for intractable obsessiveā€“compulsive disorder using a long pulse width
Frontiers in Psychiatry. 14 [DOI] 10.3389/fpsyt.2023.1142677. [PMID] 37457764.
2023
Deep brain stimulation: brisk response to initial triple monopolar settings
Brain Stimulation. 16(1) [DOI] 10.1016/j.brs.2023.01.472.
2023
ECT encephalopathy and psychodynamic psychotherapy in an adolescent with borderline personality disorder
Journal of the Neurological Sciences. 455 [DOI] 10.1016/j.jns.2023.122499.
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
Estrogen-associated migraine and progestin-only contraception
Journal of the Neurological Sciences. 455 [DOI] 10.1016/j.jns.2023.121621.
2023
Examining the Effects of Environmental Knowledge and Health Insurance Coverage on Health Status
Environments. 10(4) [DOI] 10.3390/environments10040062.
2023
Franz Joseph Gall[StQuote]s snuff box: Ein SchƤdel puzzle
Journal of the Neurological Sciences. 455 [DOI] 10.1016/j.jns.2023.122656.
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
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
Pelletier and ethnobotany: Alkaloids crucial role in pharmacopeia
Journal of the Neurological Sciences. 455 [DOI] 10.1016/j.jns.2023.122658.
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 ā€“ Psychiatry in history
The British Journal of Psychiatry. 222(4):174-174 [DOI] 10.1192/bjp.2022.195. [PMID] 36934768.
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
Should brocaā€™s aphasia be called hoodā€™s aphasia?
Journal of the Neurological Sciences. 455 [DOI] 10.1016/j.jns.2023.122654.
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(3):128-129 [DOI] 10.1097/yct.0000000000000903. [PMID] 36972250.
2022
Electroconvulsive Therapyā€™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. 38(3):159-164 [DOI] 10.1097/YCT.0000000000000840. [PMID] 35704844.
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(3):202-203 [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.
AMA journal of ethics. 23(7):E582-583 [DOI] 10.1001/amajethics.2021.582. [PMID] 34351271.
2021
ā€˜Lone travelersā€™ ā€“ 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)
Presentations
2022-04-02
Paradoxical Neuroethical Crisis of Agency and Identity in an Obsessive-Compulsive Disorder Deep Brain Stimulation Patient
International / Refereed. Poster. Budapest, Hungary
2022-04-02
Electroconvulsive Therapyā€™s use in Idiopathic Intracranial Hypertension with Mood Disorder: caution, promise, and progress.
International / Refereed. Poster. Budapest, Hungary
2022-04-02
Emerging Catatonia and Psychosis in Resolving Covid-19 Infection in an Adolescent
International / Refereed. Poster. Budapest, Hungary
2022-04-02
Investigation of Galvanic Apparatus as Antecedent to ECT: History of Medicine
International / Refereed. Poster. Budapest, Hungary
2022-03-25
Corticostriatothalamocortical (CSTC) Circuitry and Deep Brain Stimulation for OCD
National / Invited. Lecture. New Orleans, LA
2021-10-29
Advanced Electroconvulsive Therapy
National / Invited. Lecture. New Oreans, LA
2022-09-20
Electroconvulsive Therapy Treatment Trial in Super Refractory Status Epilepticus
National / Refereed. Poster. Ann Arbor, MI
2022-09-21
Legislative Barriers to Electroconvulsive Therapy in the State of Florida
National / Refereed. Poster. Ann Arbor, MI
2022-09-21
Evaluating need for ECT treatment as prevention 1 year post catatonia post-Covid infection
National / Refereed. Poster. Ann Arbor, MI
2022-09-21
Comorbid Conditions and Caution: A Case of Phentermine-Induced Mania with Psychotic Features
National / Refereed. Poster. Ann Arbor, MI
2022-09-21
Background: A Case Study of Asymptomatic Hyperprolactinemia Secondary to Risperidone
National / Refereed. Poster. Ann Arbor, MI
2022-05-25
Electroconvulsive Therapy in a patient with Idiopathic Intracranial Hypertension and Drug-Refractory Major Depressive Disorder
National / Other. Poster. New Orleans, LA
2022-05-25
Ejaculation as a rare side effect during Electroconvulsive Therapy and its implication on patients
National / Refereed. Poster. New Orleans, LA
2021-09-22
The Effect of Lidocaine on Seizure Parameters in ECT : A Retrospective Chart Review
International / Refereed. Poster. Virtual
2021-05-03
Electroconvulsive Therapy in Children and Adolescents: A Case Series and Perspective on Treatment Recommendations
National / Refereed. Poster. Virtual
2021-05-03
Diagnostic and Treatment Challenges in an Adolescent with Narcolepsy and Psychosis
National / Refereed. Poster. Virtual
2021-05-03
Challenges of Takotsubo Cardiomyopathy Following Electroconvulsive Therapy.
National / Refereed. Poster. Virtual
2019-05-18
A Review of the Anesthetic Agents to consider for Patients with Elevated Seizure Threshold when conducting ECT
National / Refereed. Poster. San Francisco, CA
2020-04-01
Parkinson disease and Affective Psychosis: a Diagnostic and Treatment Challenge
National / Refereed. Poster. Los Angeles, CA
2016-10-10
Relaxed, Off Label Use of Gabapentin and Quetiapine Leading To A Surge in Prescription Drug Abuse
National / Refereed. Poster. Washington, DC
2021-09-08
Impact of COVID 19 on Demographics in patients receiving Electroconvulsive therapy
State / Refereed. Poster. Virtual
2020-10-02
Grand Rounds: Brief Overview of Practical Aspects of ECT
State / Invited. Lecture. University of Florida

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 117500
GAINESVILLE FL 32611
Business Street:
2140 STADIUM ROAD
STUDENT HEALTH CARE CENTER
Gainesville FL 32611