In this episode, we will be discussing some of the themes within Fyodor Dostoevsky?s legendary text, Crime and Punishment. It deals with the suffocating guilt and uneasy journey towards redemption of impoverished ex-student, Raskolnikov, who commits a horrific murder of a pawnbroker and tries to justify it, unsuccessfully, with noble purposes. Not only is the novel a stellar thriller, its themes deal with the eternal struggle between good and evil that encapsulates the human condition.
On this episode, we are joined by psychiatrist, psychopharmacologist, and author, Dr. Jonathan Meyer, to talk about using antipsychotic plasma levels to assess treatment response, safety, and oral medication adherence. He is a clinical professor of psychiatry at the University of California, San Diego. He recently published a book with Dr. Stephen Stahl for clinicians to utilize called, The Clinical Use of Antipsychotic Plasma Levels: Stahl's Handbooks.
On this podcast episode, we interview Dr. Fred Penzel who received both his MA and PhD in School and Clinical Psychology from Hofstra University in 1985. In 1989, he founded Western Suffolk Psychological Services in Huntington, New York, where he is the executive director and a practicing psychologist. Since 1982, he has been involved in the treatment of numerous disorders including OCD, body dysmorphic disorder, body-focused repetitive behaviors such as hair-pulling disorder (Trichotillomania) and excoriation disorder (compulsive skin-picking), panic and agoraphobia, phobias, and post-traumatic stress disorder. He specializes in the treatment of these disorders within his practice. He is a founding and active member of both the International Obsessive-Compulsive Disorder Foundation (IOCDF) and the TLC Foundation for BFRB?s Science Advisory Boards. He is also a member of advisory board of the United Kingdom?s Anxiety UK organization. In addition, he is an adjunct faculty member and community supervisor for the doctoral psychology program at Long Island University (C.W. Post campus). He is the author of Obsessive Compulsive Disorders: A Complete Guide to Getting Well and Staying Well (2017) and The Hair Pulling Problem: A Complete Guide to Trichotillomania (2003). He has no conflicts of interest to report.
There is a real danger of medical professionals treating or behaving differently with someone they perceive to be a Very Important Patient, which leads to inferior treatment. In this episode, Dr. Puder and Dr. Heacock discuss the complicating factors of treating physicians, the famous, and the wealthy.
Insomnia is a fairly common problem; it is likely that almost all individuals suffer from at least transient insomnia. In this episode, Michael Cummings, M.D., Shizuka Tomatsu, M.D., and Shilpa Krishnan, D.O. join the discussion on psychopharmacological treatments, lifestyle, and therapy recommendations for insomnia.
A 2019 poll reported that one-third of adults say they feel they ?cannot go anywhere without worrying about being a victim of mass shooting? and ?more than half of American teenagers worry about a shooting at their school.? A mass shooting is generally defined as the murder of at least four people at one time. Why do mass shootings take place? Are there any commonalities between the perpetrators? Could these shootings have been stopped before they started?
Alzheimer?s disease is a devastating neurodegenerative condition that affects the entire family. As psychiatrists and psychologists, we often support these patients and their families throughout this entire disease process. With the recent and controversial FDA approval of aducanumab (Aduhelm?), a new pharmacotherapy for Alzheimer?s disease, we can expect to be asked about this drug from our patients and their family.
Interview regarding the recent court case of Britney Spears and unique aspects of conservatorship law and treating people with large amounts of fame or money.
Conservatorship Lawyer: Mark McGuire
Psychiatrist: Herndon Harding M.D.
Psychiatry Resident: Serena Weber, M.D.
Psychiatrist Host: David Puder, M.D.
No conflicts of interest to report.
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In this episode, we will be discussing some themes observed in Meditations, a collection of notebooks written by the 16th Roman emperor, Marcus Aurelius, during the last years of his reign. His writings are still relevant to us and resonate within us, as the emperor himself struggled with some core questions that anyone who is living this thing called life might ponder.
In this episode, I am joined once again by Michael Cummings. M.D. and Melissa Pereau, M.D. along with Chantel Fletcher who will soon be a fourth year medical student going into Psychiatry. We will be doing an in-depth analysis on Obsessive Compulsive Disorder including history, assessments, diagnosis, and so much more.
In this episode, I am going to build on the therapeutic alliance series to express my thoughts on how understanding emotion, specifically microexpressions, can better help you make connections with your clients. The research is amazing; there are thousands of articles on the subject. I thought I would share a bit about the evolution of my interest in emotion and microexpression in this episode and how I translated it from the forensic world into a psychotherapy setting.
In this podcast episode, we will interview Jeffrey Paul Kahn, MD, a psychiatrist who recently co-edited a book called Psychotic Disorders: Comorbidity Detection Promotes Improved Diagnosis and Treatment. Our focus will be on different presentations of psychosis and how through a good history you can better treat the underlying issue and choose optimal treatments.
In this episode, I interviewed Carl B. Gacono, PhD, who is an expert in the areas of criminal psychopathology, behavior, and treatment. We dive into understanding and acknowledging the distinct differences between psychopathic and non-psychopathic patients and how their assessment with the PCL-R and Rorschach aid in their management and treatment. We also discuss how understanding transference and countertransference is essential when interacting with these difficult patients.
In this episode of the podcast, we introduce borderline personality disorder (BPD). We discuss its history, nomenclature, epidemiology, etiology, and diagnosis while providing perspectives from clinicians regarding the treatment of individuals with BPD.
On this week?s podcast, I interview Jason Smith, Psy.D., A.B.P.P., Chief Psychologist at a prison in the United States, and Ted B. Cunliffe, Ph.D., who is a clinical and forensic psychologist at a private practice in Florida. Together, along with Carl B. Gacono, Ph.D., ABAP, they have written the book Understanding Female Offenders, researching how female offenders? psychopathic behaviors present differently than in males and how we can address biases we may have in order to identify, assess, and treat these women.
In this episode, we will be going over a book every therapist and psychiatrist should read, Viktor Frankl?s ?Man?s Search for Meaning.? Being in the trenches with our patients, we see so much pain and suffering and potentially undergo vicarious trauma ourselves through their suffering. The question, ?What is the meaning of life?? often comes up in such a context.
In today?s episode of the podcast, we?ll be continuing our deep dive into duloxetine, a serotonin-norepinephrine reuptake inhibitor (SNRI). In this second part, we?ll be covering the approved indications and off-label uses of duloxetine.
In this episode of the podcast, we discuss akathisia, the horrible and all too common side effect of psychiatric medications. Subsequently, we go through definitions, history, mechanism, how to rate it, and treatment.
In the last episode, we talked about the first two stages of the hero?s journey. In this episode, I will focus on the path of the hero as it specifically applies to mental health professionals. I will discuss exactly what those are and how these are areas in our core being that simply cannot be faked. The areas we will be discussing require the hero (us) to develop and mature at the core of our being, to embody these things, and to be fundamentally transformed.
In today?s episode of the podcast, we will be doing a deep dive into duloxetine, a serotonin-norepinephrine reuptake inhibitor (SNRI). In part one of this two-part series, we will cover the history of SNRIs as well as mechanisms of action, cytochrome P450 issues, side effects, and contraindications to consider when prescribing duloxetine and this class of medications.
There are several disorders so branded with taboo, stigma, and legal consequences that they are almost never diagnosed and very little research has been done on them. These patients are literally seen by every specialty, often without knowing it, and without a good solution. I am hoping this podcast brings awareness to this important topic and gives providers insight into the power of empathy in helping these patients.
?The Hero?s Journey? entails several predictable steps of leaving and returning transformed. Striving towards one?s heroic possibilities and unfolding one?s potentials is deeply pleasurable. Realizing that our narratives can be seen as part of a journey can encourage these pleasurable aspirational attempts and reframe hardships. This concept of The Hero?s Journey is something I use often in my practice and find very useful.
With the background from part 1 in mind, in part 2, we review the modern era of research exploring the treatment of various psychopathology. The results for these studies begin to elucidate the various effects individuals experience with psilocybin. The benefits are potentially impressive, however, there are significant limitations that are noteworthy. Psilocybin therapy is just coming out of its nascence and it is useful to have a critical view of the research coming out to avoid pitfalls in the future.
The basis of cognitive behavioral therapy is that we should put our thoughts on trial and not just believe them. CBT works by digging into the foundation of our thinking patterns so we can rewire the patterns that are messed up.
On this week?s episode of the podcast, I speak to Dr. David Burns M.D. about cognitive behavioral therapy. He?s the author of several industry-leading books on the subject, including Feeling Good and Feeling Great.
Psilocybin has been increasingly part of western consciousness. As the scientific community explores its therapeutic use and safety in controlled settings, there are a lot of people outside of that community who are passionate advocates for its recreational use. If we are to be knowledgeable about this subject, it is useful to know the sources that our patients are getting their information from, the history of its use, and what we currently know about its safety.
There are medications that worsen cognitive function and all mental health providers should be aware, and work on optimizing sensorium. In this episode, we'll cover a spectrum of sensorium disruptions and medications that you need to look out for.
In this last episode of the Big Five personality model series, we are going to focus on extraversion which is the positive emotion dimension associated with gregariousness, charisma, enthusiasm, assertiveness, and social ability.
In this episode, we continue our discussion on the Big Five. We will do a deep dive into agreeableness discussing it's sub facets: trust, straightforwardness, altruism, compliance, modesty, and tender-mindedness. We will also discuss the strengths and weaknesses of having high trait agreeableness.
In Conscientiousness Part 1 we explored the sub-facets of conscientiousness, summarizing the advantages and disadvantages of each. For completeness, we will provide sources for that material as well as brief summaries of those sources. Today, in Part 2, we will focus largely on conscientiousness in daily life, psychopathology, and therapy.
In this podcast, we discuss openness, the third of five in our podcast series looking at the domains within the Five Factor Model of personality. We look at how openness is defined, its heritability, and its effects on physical health, personal attributes, psychopathy, pharmacotherapy, and therapeutic techniques.
In this episode, we continue our Big Five Personality Traits series by doing a deep dive into Conscientiousness. We'll look into studies that show how low conscientiousness increases mortality rate as well as positive aspects of high conscientiousness. We also explore the 6 domains, genetic factors, and different life stages of conscientiousness.
In this episode, we review studies on strength training, exercise, and depression from the last 2 years. It is well known that any form of exercise is beneficial for people with depressive symptoms, with strength training being most effective. Strength training can be both a treatment for patients with depression and a protective mechanism against the onset of depression.
In part 2 if the Big Five series we talk about how medications, such as Selective Serotonin Reuptake Inhibitors (SSRIs), psychotherapy, and exercise can make an impact. Trial studies of mindfulness-based cognitive therapy and cognitive behavioral therapy (CBT) have shown promise in the treatment of neuroticism. We also discuss the possible benefits of neuroticism. Studies have shown that neurotic people may outperform their stable counterparts in a work context. This ?healthy neuroticism? may exist when the effects of neuroticism and conscientiousness interact.
Netflix has recently come under fire for its release of the French film "Cuties." While critics have praised the movie for exploring themes of the oversexualization of children, audience members are consistently appalled at the provocative situations that the 11-year-old characters are put through. In this episode, I discuss our culture's saturation with the oversexulization of children in media with Maddie Ulrich B.S., Randy Stinnett, Psy.D., ABPP, and Caroline Osorio M.D.
In this episode, Dr. Cummings and I discuss forensic pedophilia and the sexualization of children in our society.
In today?s podcast, we discuss the Big Five personality traits, focusing on neuroticism and how it fits into this set. We then explore each of the six domains of neuroticism and the research of how it manifests in other parts of one?s life and affects relationships.
In today?s episode of the podcast, we?ll be doing a deep-dive into nortriptyline, a lesser-talked about medication in psychopharmacology. We?ll cover a little about the history of tricyclic antidepressants (TCAs) as well as the characteristics, side-effects, and indications to consider when prescribing this class of medication.
The COVID-19 pandemic and subsequent lockdowns have seemed to foster a ?sub-epidemic? of suicidality and deteriorating mental health. Suicidal thoughts have spiked across every demographic due to the loss of connection to usual psychosocial supports, normal activities, and in a lot of cases, jobs, leading to significant financial stress. These stressors compound and massively impact the mental resiliency of everyone reached by this pandemic.
If you are a medical student or someone studying for a big exam, this episode is for you. We will first discuss the mental roadblocks that prevent students from performing at their top potential for exams. We also break down and outline some effective study strategies, and provide a sample day-by-day study plan for any 2nd year medical student preparing for the USMLE Step 1 exam. Finally, we have also created a 3-step challenge all students can follow.
On this episode of the Psychiatry and Psychotherapy Podcast, we continue our conversation with geriatric psychiatrist, Dr. Osorio, to talk about retirement?specifically, how to retire well and happy. She recently published a book for people in this transition: Stop Freaking Out About Retirement
Understanding disorganized attachment as medical professionals is important because some patients have experienced trauma, or 2nd generation influences of trauma, which leads to this issue. As we continue to explore disorganized attachment and how we can help patients with this attachment style, it?s important to remember that this information provides the foundation for why empathy, connection, and emotion mirroring is vital in psychotherapy and psychiatry.
When people dissociate, it means they feel disconnected from their body. They feel fear and dread, sometimes feeling completely frozen. As mental health professionals, understanding disorganized attachment gives us appreciation and understanding for the necessity of empathy, attunement and deeply understanding the experience of another.
In this final part of the free will series, we take a look at the relationship between the concept of free will and mental health. Is free will altered in those suffering from schizophrenia? How is well-being related to free will? Thinking about these questions and the rise of neuroessentialism within psychiatry allows us to recognize the influence of our environment on our decision-making. The debate is far from settled, but a belief in free will clearly affects daily life and the practice of psychiatry.
This is the second episode in our Free will series. In this episode, we will describe some definitions of free will, explore determinism (the opposite of free will), cover some quotes by famous authors on the topic, and break down some statistics, and studies about it.
On this episode of the Psychiatry and Psychotherapy Podcast I have a conversation with Matthew Hagele, a soon to be 4th year medical student with a masters in bioethics. We will talk about the history, the why, and the cultural importance of free will. We will examine the implications of free will on mental health.
This is the first of a three part series. We hope they provide interesting application information for your own practice.
Join Dr. Danielle Hairston and Dr. Puder on a discussion of recent events. Dr. Hairston has served as the Black Psychiatrists of America Scientific Program Chair since 2016. She is also the American Psychiatric Association Black Caucus? Early Career Representative. She is the residency director at Howard University. She has a Consultation-Liaison Psychiatry Fellowship. Dr. Hairston has also had the opportunity to speak nationally and internationally about the impact of racial trauma and culture on mental health. She is a contributing author to the recently published book, Racism and Psychiatry: Contemporary Issues and Interventions. Her interests include consultation-liaison psychiatry, resident education, minority mental health, cultural psychiatry, and collaborative care.
On this episode of the Psychiatry and Psychotherapy Podcast, we talk about meaning, and how it relates to suicide.
This is part 3 of a series of podcasts on suicide. If you haven?t listened to the first two episodes, they are here:Suicide Epidemiology, Risk Factors, and Treatments Genetics and Environmental Factors in Suicide
As the economy continues to shut down during COVID-19, people are growing more concerned about work and finances. Even if the virus is miraculously contained in the next few months, the economy will still be reeling from the damage of the lockdown.
As psychiatrists, we are concerned about the increases in mental illness from the lack of employment and a potential increase in suicides. In this episode, we begin to look at past studies on the links between economic disaster and the subsequent rates of depression and suicide, and what we might be able to do to help.
On this week?s episode of the Psychiatry and Psychotherapy Podcast, I interview Dr. Daved Van-Stralen. During this season of COVID-19, Van-Stralen is focusing on the unique stresses on the healthcare system. How can the healthcare system improve the way that things are currently being done? How can people handle stress and the stress of seeing multiple deaths, exposure to the disease, and increased hours?
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