Mdedge Psychcast

In this edition of the Psychcast, Joseph Pierre, MD, returns for part II of his talk with Dr. Lorenzo Norris. This time, they discuss how to avoid clinical errors. And later, Dr. RK asks “where are they now?” Dr. Pierre is health sciences clinical professor in the department of psychiatry and behavioral sciences at the David Geffen School of Medicine at the University of California, Los Angeles.

What is the ideal treatment for patients with dual diagnoses -- what is the real-world treatment? Dr. Lorenzo Norris returns to the MDedge psychcast this week to discuss dual diagnoses. His guest is Dr. Joseph M. Pierre, MD, health sciences clinical professor in the department of psychiatry and behavioral sciences at the David Geffen School of Medicine at the University of California, Los Angeles. Dr. Pierre recently published an article for MDedge Psychiatry on the real-world challenges in managing these patients. Dr. Norris and Dr. Pierre discuss ideal treatment compared to real-world treatment. Next week in part II, Dr. Norris and Dr. Pierre dive into addressing malingering and avoiding clinical errors. And Dr. RK joins us to give a talk about, well, words.

In Episode 20, Suma Chand, PhD, stops by to talk about cognitive-behavioral therapy for depression. Dr. Chand dives into the evidence supporting the use of cognitive-behavioral therapy both as monotherapy and in combination with antidepressants for acute and long-term treatment of depression. Dr. Chand previously joined us to talk about how to adapt cognitive-behavioral therapy for older adults. And later, Dr. RK wants you to embrace the suck.

In this edition of the MDedge psychcast, Michael Gitlin, MD, of UCLA discusses the current role of stimulants in psychiatry. Dr. Gitlin raises a number of topics including ADHD and bipolar disorder. In recent years, more data have become available about patients with bipolar who are taking mood stabilizers. And Dr. RK notes the differences in therapy and psychiatry. She says that the profession has work to do on this front.

In this edition of the MDedge psychcast Laura Marsh, MD, returns to discuss Parkinson's disease. And later, the Dr. RK gives part 2 in her talk on HIPPA.

Lorenzo Norris, MD, editor in chief of MDedge Psychiatry, sits down with Igor Galynker, MD, PhD, to talk about an evaluation model he and his team created aimed at assessing the risk of imminent suicide. Dr. Galynker also discusses ways clinicians can assess their own personal emotional responses to patients who are at risk.

Laura Marsh of Baylor College of Medicine joins this episode to discuss manifestations of epilepsy. And later, Dr. Renee Kohanski begins a series into HIPPA.

In this edition, Charles L. Raison, MD, explores how ketamine impacts depression. He also explains how weather and climate can be a metaphor for the brain. Dr. Raison is the Mary Sue and Mike Shannon Chair for Healthy Minds, Children & Families at the University of Wisconsin School of Human Ecology. After the conclusion to our discussion on ketamine, Dr. Renee Kohanski finds the psychiatric nuggets from the remarkable film, Three Identical Strangers.

Is ketamine the anti-PTSD? In this edition of the MDedge Psychcast, Charles L. Raison, MD, discusses the possible impacts that ketamine and other psychedelic drugs have on specific mental illnesses. Dr. Raison is the Mary Sue and Mike Shannon Chair for Healthy Minds, Children & Families at the University of Wisconsin School of Human Ecology.

In this edition of the MDedge Psychast, Lorenzo Norris, MD, welcomes Leslie Citrome, MD, of New York Medical College in Valhalla, NY. for a conversation on the challenges of TD. Sanjay Gupta, MD, of the University of Buffalo, spoke in an MDedge video earlier this year on the importance of using the Abnormal Involuntary Movement Scale to screen for TD and treating the disorder with vesicular monoamine transporter-2 inhibitors. In the episode, Dr. Citrome notes that despite recent advances in pharmacological options, clinicians can be challenged by TD.

This week, Dr. Jeffrey Strawn and Dr. Norris continue their conversation by discussing SSRIs vs. SNRIs for pediatric patients. They also get into what to do when a pediatric patient with anxiety requires treatment for comorbid ADHD. MDedge Pediatric News recently published an ID Consult by David C. Rettew in which Dr. Rettew notes that there are “little systemic data to guide pharmacologic decision making,” beyond first and second-line SSRI followed by SNRI. You can check out a child psychiatric consult on ADHD and the role of wellness at MDedge Pediatric News. In the consult, Dr. Allison Y. Hall, MD outlines a treatment plan, ideas for parent training, and the role of sleep and exercise. Also, Dr. RK discusses what she calls a basic human right - voluntariness.

How much patient autonomy is too much – especially when you or a family member is the patient? In this episode of the Psychcast, Dr. Lorenzo Norris sits down with Dr. Jeffrey Strawn, director of the Anxiety Disorders Research Program at the University of Cincinnati College of Medicine. They discuss the challenges of respecting patient autonomy and providing clear guidance to patients.

Dr. James Griffith and Dr. Lorenzo Norris finish their conversation on resilience in the third and final part of this Psychcast series.

How patients are and can become resilient. In the second part of a three-part series, Dr. James Griffith joins Dr. Norris to discuss the people and relationships surrounding resilience.

In part 1 of a 3 part series, James Griffith, MD joins MDedge Psychiatry Editor-in-Chief Lorenzo Norris, MD to define resiliency. Dr. Griffith is the chair of the Department of Psychiatry and Behavioral Sciences at the George Washington University School of Medicine. In this episode, Dr. Griffith notes that currently, there are as many as six or seven different definitions of resilient and that whenever a clinical term becomes widely used in popular culture, the term can get muddled. Dr. Griffith says that he draws heavily on previous work by Froma Walsh, Ph.D., to help him define resilience as a practice -- “something that you do, not something that you are.” The MDedge Psychcast is published every Wednesday morning and is available wherever podcasts are found.

In this edition of the Psychcast, Dr. Jeffrey Strawn discusses the use of antidepressants in children. Also, Dr. RK has a specific question that you can ask patients to open a big door.

Each week Dr. Lorenzo Norris sits down for a conversation about what's going on in psychiatry.  This week, he is joined by Dr. Linda Worley to discuss a hot topic currently encompassing all of medicine - physician burnout. Dr. Worley uses a nautical metaphor to describe the phenomena and possible ways to combat it.   

This week, Dr. Norris welcomes Dr. Dinah Miller and Dr. Annette Hanson. Dr. Miller and Dr. Hanson coauthored the book Committed, the battle over involuntary psychiatric care. Dr. Miller is a private practice psychiatrist and a professor at Johns Hopkins University. Dr. Hanson is the director of the forensic psychiatry fellowship at the University of Maryland. Dr. Miller and Dr. Hanson are board members for Clinical Psychiatry News

In this episode, Dr. Bandy Lee, editor of The Dangerous Case of Donald Trump discusses the Goldwater Rule with Dr. Lorenzo Norris. 

The third installment of a discussion between Dr. Norris and Dr. Nasrallah regarding schizophrenia. In this episode, Dr. Norris and Dr. Nasrallah discuss the first episode of schizophrenia.