Mdedge Psychcast

  Show Notes By Jacqueline Posada, MD, 4th-year resident in the department of psychiatry & behavioral sciences at George Washington University, Washington. Guest George T. Grossberg, MD: Samuel W. Fordyce Professor; director, geriatric psychiatry at Saint Louis University. Dr. Grossberg spoke at the American Academy of Clinical Psychiatrists 2019 annual meeting in Chicago, sponsored by Global Academy for Medical Education (GAME). GAME and the MDedge Psychcast are owned by the same company.   New developments in Alzheimer’s research The Systolic Blood Pressure Intervention Trial, also known as the SPRINT MIND Study, showed that tightly controlled systolic blood pressure (SBP) of 120 mm Hg, compared with an SBP of 140 mm Hg, resulted in a 20% reduced risk of developing mild cognitive impairment. The SPRINT study was terminated early at the median follow-up of 3.26 years as its results showed that tightly controlled SBP significantly reduces the risk of stroke and heart disease. The Alzheimer’s Association

Part I of II (episode 62) If you have lost a patient to suicide, or if you simply want to be part of the conversation, we strongly encourage you to email us at [email protected] your email will be read and discussed in a future episode. You can also tweet at us at @MDedgePsych. If you're someone struggling with suicide in need of care, the national suicide hotline is 800-237-8255.  

Part I of II (episode 62) If you have lost a patient to suicide, or if you simply want to be part of the conversation, we strongly encourage you to email us at [email protected]. Your email will be read and discussed in a future episode. You can also tweet at us at @MDedgePsych. If you're someone struggling with suicide in need of care, the national suicide hotline is 800-237-8255.        

In this masterclass, Charles L. Raison, MD, returns to the MDedge Psychcast to discuss the risks and benefits of antidepressants. He previously appeared on the Psychcast in episodes 15 and 16. Dr. Raison is Mary Sue and Mike Shannon Chair for Healthy Minds, Children & Families and professor, School of Human Ecology, and professor, department of psychiatry, School of Medicine and Public Health, University of Wisconsin-Madison. Later, Renee Kohanski, MD, discusses the need for psychiatrists to take care of and nourish their communities. Show Notes by Jacqueline Posada, MD, consultation-liaison psychiatry fellow with the Inova Fairfax Hospital/George Washington University program in Falls Church, Va. Treatment with antidepressants The STAR-D trial, a large effectiveness trial (n = 4,000), looked at the effect of SSRIs and other medications for the treatment of depression. As an effectiveness trial, STAR-D looked at “real” patients with comorbidities (as opposed to efficacy trials, which use “perfect pati

For more MDedge Podcasts go to mdedge.com/podcasts In part II of this Psychcast Masterclass, Patricia Westmoreland, MD, returns to discuss severe, enduring eating disorders, including management and ethical questions.  In Dr. RK this week, Renee Kohanksi explores the impact of censorship and self-censorship.  Email the show: [email protected] Interact with us on Twitter: @MDedgePsych Show Notes By Jacqueline Posada, MD, 4th-year resident in the department of psychiatry & behavioral sciences at George Washington University, Washington. Guest Patricia Westmoreland, MD, a forensic psychiatrist at the University of Colorado Denver, Aurora; attending psychiatrist for Eating Recovery Center, Denver; adjunct assistant professor of psychiatry at the University of Colorado Denver. Dr. Westmoreland spoke at the American Academy of Clinical Psychiatrists 2019 annual meeting in Chicago, sponsored by Global Academy for Medical Education (GAME). GAME and the MDedge Psychcast are owned by the same company.   Harm redu

In Episode 59 Patricia Westmoreland, MD, gives a masterclass lecture on managing severe and enduring eating disorder (SEERS).  Renee Kohanksi, MD, poses the question, "What do we want?" Contact us: [email protected] Twitter: @mdedgepsych  Show Notes By Jacqueline Posada, MD, 4th-year resident in the department of psychiatry & behavioral sciences at George Washington University, Washington. Guest Patricia Westmoreland, MD: forensic psychiatrist at University of Colorado Denver, Aurora; attending psychiatrist for Eating Recovery Center, Denver; and adjunct assistant professor at University of Colorado Denver in department of psychiatry. Dr. Westmoreland spoke at the American Academy of Clinical Psychiatrists 2019 annual meeting in Chicago, sponsored by Global Academy for Medical Education (GAME). GAME and the MDedge Psychcast are owned by the same company.   Introduction, definition, role of involuntary treatment, and novel treatment options Introduction: Prognosis: Anorexia nervosa (AN) has the highe

Show Notes By Jacqueline Posada, MD, 4th-year resident in the department of psychiatry & behavioral sciences at George Washington University, Washington.   Masterclass guest Richard Balon, MD: professor of psychiatry and training director at Wayne State University, Detroit. In March, Dr. Balon spoke at the American Academy of Clinical Psychiatrists 2019 annual meeting in Chicago, sponsored by Global Academy for Medical Education (GAME). GAME and the MDedge Psychcast are owned by the same company.   Physician burnout and effective interventions The scales (for example, the Maslach Burnout Inventory) do not necessarily represent the full extent of burnout: If physicians work 12 hours but find fulfillment in work, they will be tired but not necessarily burned out. However, if physicians work 12 hours a day feeling frustrated by the systemic problems, then burnout can ensue. Common contributors to provider burnout: Excessive workload: Pressures of working with an electronic medical record, extensive ti

Host Lorenzo Norris, MD, returns this week for a dual-specialty episode on the opioid crisis and how it can be mitigated. He welcomes psychiatrist Martin Klapheke, MD, and family practice physician Magdelena Pasarica, MD, PhD, to talk about education, strategies, and collaboration between psychiatry and family practice medicine. In Dr. RK this week, Renee Kohanski, MD, talks about whether something is indeed better than nothing. You can contact the Psychcast by emailing us at [email protected] or you can follow us on Twitter at @MDedgePsych.   Show Notes By Jacqueline Posada, MD, 4th-year resident in the department of psychiatry & behavioral sciences at George Washington University, Washington.   Guests Dr. Martin M. Klapheke: psychiatry residency program director; assistant dean, medical education; and professor of psychiatry at University of Central Florida, Orlando Dr. Magdalena Pasarica: associate professor of medicine; medical director, KNIGHTS (Keeping Neighbors in Good Health Through Service) stu

MDedge Psychiatry live Twitter chat on the aftermath of losing a patient to suicide. April 24th, 6 - 7 p.m. EST. @MDedgePsych, #MDedgeChats Episode 54 Donald Black, MD, gives a masterclass lecture on behavioral addictions and Renee Kohanski talks about what normal is.  Show Notes By Jacquiline Posada, MD. Gambling disorder (previously pathological gambling) is widespread, though not commonly assessed Patients may not volunteer information related to gambling unless asked, so questions about gambling should be included in routine questioning Assessment should include questions about legal and illegal gambling Explore extent: Ask about the level of financial burden; impact on home life, such as marital problems and divorce; legal complications like bankruptcy. Finally, ask about suicide risk related to gambling  Treatment: There is strong data for SSRI medications and naltrexone for urges Therapy is more efficacious, such as CBT therapy and Gamblers Anonymous  In certain states, such as Io

In this episode of the MDedge Psychcast, Sidney Zisook, MD, gives a Masterclass lecture on physician suicide and Dr. RK talks about what can be spoken into existence.  If you have ideas, suggestions, questions for Dr. Norris or Dr. RK, or feedback for the show, please email us at [email protected]. You can also follow us on Twitter @MDedgePsych.   Show NotesBy Jacqueline Posada, MD Introduction Suicide in general population increased by 30% since 1999. The suicide rate was 14 people in every 100,000 up from 10.5 people per 100,000 in 1999. 400 physicians die per year. However, there is not great data collection about profession-specific suicide Suicide is the leading cause of death in male residents and the 2nd leading cause of death in female residents This represents a serious loss of the medical profession as well as the thousands of patients who lose their physician as well    Risks factors for physician suicide   Psychological: Physicians tend be contentious, perfectionistic, and compulsive. They

Charles Raison, MD, returns to the Psychcast this week to give a Masterclass lecture on the bidirectional relationship between inflammation and depression. There are links to relevant research below.   Dr. Raison discusses incorporating the science of inflammation into the pharmacologic treatment of depression. He addresses research suggesting that while depression as a whole isn’t an inflammatory condition, inflammation may be a depressive subtype. He also covered how inflammation might affect treatment. You can listen to Dr. Raison's take-home messages by skipping to (19:45).      CHARLES RASION, M.D. Dr. Raison is Mary Sue and Mike Shannon Chair for Healthy Minds, Children, & Families and Professor of Human Development and Family Studies at the  School of Human Ecology as well as Professor in the Department of Psychiatry at the University of Wisconsin-Madison School of Medicine and Public Health.   Dr. Raison previously appeared on Psychast in a two-part lecture on ketamine. In episode 14, Dr.

Episode 52: Tardive dyskinesia masterclass II Leslie Citrome, MD, MPH, returns to the MDedge Psychcast to lecture on Tardive Dyskinesia. In episode 52, where we caught up with Dr. Citrome at the Psychopharmacology Update meeting in Cincinnati, he discusses how to evaluate treatments for TD within the context of P values and effect sizes. Dr. Citrome joined Psychcast host Lorenzo Norris, MD, in the 13th edition of the Psychcast to talk about management of TD. In episode 13, Dr. Citrome said that you can start screening your patients in the waiting room as well as when they walk to the exam room. He and Dr. Norris also discussed movement conditions and the role antipsychotics might play in patients with TD. You can listen to the conversation between Dr. Norris and Dr. Citrome from July of 2018 by clicking here. TD has been a recent topic of interest at the Psychcast. In the 45th episode Johnathan Meyer, MD, noted that TD has been the bane of the psychiatrist's existence for the better part of a half-century.

Contact us: [email protected] Twitter: @mdedgepsych    In this In this masterclass episode, Stephen Levine, MD, stops by to talk about how a person's sexuality flows throughout their lives.   And later, Dr. RK discusses bipolar in part I of her new series.

Contact us: [email protected] Twitter: @mdedgepsych   Masterclass Lecture: What's New in Alzheimer's Disease.  Lecturer: George T. Grossberg, MD.  He is the Samuel W. Fordyce professor and Director of Geriatric Psychiatry at St. Louis University School of Medicine.   You can read more from Dr. Grossberg including video and writing, by clicking here.   Dr. RK:  Dr. RK's topic this week is the MDQ and how she uses in her practice. Learn more about the MDQ by clicking here. 

Contact us: [email protected] Twitter: @mdedgepsych  In this episode, Nicolas Badre, MD, talks with Lorenzo Norris, MD, about ways to approach reducing dosages or discontinuing medications that aren’t beneficial. And Renee Kohanski, MD, ponders the privilege of being part of patients’ gifted moments.

Contact us: [email protected] Twitter: @mdedgepsych  In this episode, Marlene Freeman, MD, discusses the latest studies on the risks of treating, and not treating, women with bipolar disorder during pregnancy. And Renee Kohanski, MD, returns with part two of her feature on eating her own words.

Contact us: [email protected]: @mdedgepsych Richard Balon, MD, is professor of clinical psychiatry and anesthesiology and associate chair of education at Wayne State University in Detroit.  In this masterclass episode of psychcast, he lectures on the recent increase in the price of drugs. 

Contact us: [email protected] In this episode, Igor Galynker, MD, stops by to talk about suicide with Lorenzo Norris, MD. One major topic of conversation centers around the suicide-specific diagnosis. And later, Renee Kohanski, MD, talks about the importance of communication. You can listen to Dr. Galynker’s first appearance on the Psychcast here (http://bit.ly/2LGiRwn).

Contact us: [email protected] Twitter: @mdedgepsych

Contact us: [email protected] Twitter: @MDedgePsych Johnathan Meyer, MD, notes that TD has been the bane of the psychiatrist's existence for the better part of a half century. In this Mastercalss edition, Dr. Meyer talks about this disease and analyzes where the field is today.