Psychopharmacology and Psychiatry Updates

By Psychopharmacology Institute

What's Psychopharmacology and Psychiatry Updates about?

Practical psychopharmacology updates for mental health clinicians. Useful for psychiatry / mental health professionals. Expert interviews and soundbites from CME presentations. Practical and free of commercial bias. Not sponsored by any pharmaceutical company.

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Psychopharmacology and Psychiatry Updates episodes:

04.11.2024
Balancing Benefits and Risks: Lithium in Child and Adolescent Psychiatry
In this episode, we explore the role of lithium in treating pediatric bipolar disorder and conduct disorder. Is lithium a viable option for managing these complex conditions in children and adolescents, or are other medications more effective? Faculty: David Rosenberg,...
04.06.2024
Orchestrating Nutrition and Medication: Micronutrient Therapy in Practice
In this episode, we explore real-world clinical cases demonstrating how broad-spectrum micronutrients can complement existing interventions for ADHD, emotional dysregulation, and mood instability. Can close monitoring and expert guidance optimize the integration of nutritional supplementation with pharmacologic treatments to create...
04.01.2024
Zuranolone: A New Dawn for Postpartum Depression Treatment
In this episode, we discuss the groundbreaking FDA approval of zuranolone, the first oral medication specifically targeting postpartum depression. Could zuranolone's novel mechanism of action as an allopregnanolone agonist herald a new era of rapid-onset, targeted treatments for this debilitating...
03.27.2024
Micronutrients for Psychiatric Disorders: Optimizing Clinical Use
In this episode, we explore practical clinical tips for using broad-spectrum micronutrient supplements to treat mental health conditions. Can an individual's nutritional needs surpass population standards? Faculty: Amelia Villagomez, M.D. Host: Richard Seeber, M.D. Learn more about our memberships...
03.22.2024
Olanzapine in Pregnancy: Examining the Risks
In this episode, we examine whether first-trimester exposure to the antipsychotic olanzapine increases the risk of major fetal malformations. Does stopping medication abruptly also carry risks? Faculty: David Rosenberg, M.D. Host: Richard Seeber, M.D. Learn more about our membership...
03.17.2024
Understanding Safety Risks of Broad-Spectrum Micronutrients
In this episode, we delve into the safety considerations of using broad-spectrum micronutrient formulas in mental disorder treatment, mainly how these supplements can interact with other medications. Is it safe to use these formulas alongside anesthesia during surgery? Faculty: Amelia...
03.12.2024
The Role of Inflammation in Delirium: Can NSAIDs Help?
In this episode, we explore the potential of NSAIDs in delirium prevention. However, NSAIDs come with risks, such as GI bleeding or kidney injury. Can NSAIDs really help prevent delirium, and if so, how? Faculty: Scott Beach, M.D. Host: Richard...
03.07.2024
Beyond Medication: Exploring Nutritional Psychiatry
In this episode, we explore the unconventional yet promising treatment modality of using broad-spectrum micronutrient formulas in mental health care. We discuss the research and clinical trials that have been undertaken to test combinations of vitamins and minerals, focusing on...
03.02.2024
Age Impact on Antidepressant Outcomes
In this episode, we discuss an insightful study by Strawn et al. that utilized a mega-analysis approach, combining data on over 900 MDD patients across lifespan treatment trials to elucidate differences in antidepressant treatment outcomes based on patient age. Does...
02.26.2024
Dealing With Delirium in Patients With Advanced Cancer
What are some common signs that suggest a cancer patient may be developing delirium? In this episode, we explore the complex issue of delirium in advanced cancer patients. We discuss important considerations regarding medication management, the importance of distinguishing...
02.21.2024
Rechallenging Clozapine: A Look at Colony Stimulating Factors
In this episode, we discuss the treatment of agranulocytosis or neutropenia in patients on clozapine therapy, a rare yet serious scenario that clinicians may encounter. We delve into the possibility of rechallenging clozapine treatment after such an event and explore...
02.16.2024
Managing Anxiety in Patients With Cancer
In this episode, we delve into the management of anxiety in cancer patients, including the effective psychotherapeutic interventions and pharmacologic options for treating anxiety in this vulnerable group. The episode also touches on the importance of cultural sensitivity and patient...
02.11.2024
Managing Antidepressant Side Effects in Youth
In this podcast episode, Dr. David Rosenberg explores practical strategies to asess and manage common antidepressant side effects in the pediatric population. Get useful takeaways regarding activation, insomnia, withdrawal symptoms, and more. Faculty: David Rosenberg, M.D. Host: Richard Seeber, M.D....
02.06.2024
Depressed Patient With Cancer? Here’s How to Treat
In this podcast episode, Jaroslava Salman, M.D., discusses the treatment options for depressed patients with cancer. Stay a step ahead in your practice with practical tips on which psychotherapies are helpful, which antidepressants to use and for how long, what...
02.01.2024
Brexanolone: A Quick Fix for Postpartum Depression and Anxiety?
In this podcast episode, Dr. Vivien Burt delves into a study on brexanolone for women with postpartum depression, anxiety, and insomnia. Listen in and find out the effect and time frame of brexanolone on these symptoms. Faculty: Vivien Burt, M.D....
01.27.2024
The Nitty-Gritty on Treatment Optimization for Tic Disorders in Youth
In this podcast, Dr. David Rosenberg offers practical insights into treatment optimization for youth with tic disorders. Listen in and find out which treatment modality takes precedence, which factors need to be considered, how long to use medication, and more....
01.22.2024
Untangling Dilemmas: Youth Cannabis-ADHD-Stimulant Med Misuse
In this podcast, Dr. David Rosenberg expertly addresses the questions on what to do when your adolescent patient has ADHD but uses cannabis. Should you prescribe stiimulants or not? And what if they just want stimulants for better test scores?...
01.17.2024
Tic Disorders and Psychiatric Comorbidities in Youth: Treatment Cheat Sheet
In this podcast, Dr. David Rosenberg delves into tic disorders and psychiatric comorbidities in youth. This includes ADHD, OCD, anxiety and depression, and disruptive behaviors. Jump in and listen to practical treatment options for these cases, and stay one step...
01.12.2024
Clinician’s Digest: CANMAT and Mixed States Practicalities
CANMAT presents a spectrum approach to mixed states. In this podcast, Dr. Jim Phelps delves into this and the DSM-5 approach, where mixed states became a specifier that can be added to a diagnosis of unipolar depression, effectively creating a...
01.07.2024
Mystery No More: Understanding Tic Disorders in Pediatric Psychiatry
In this podcast episode, Dr. David Rosenberg provides a much-needed understanding of tic disorders in children and adolescents. Listen in to learn what a typical course of this disorder could look like, why you may not need to substitute methylphenidate...
01.02.2024
Metformin for Youth on SGAs: Ready for Prime Time?
In this podcast, Dr. David Rosenberg explores a review on metformin for youth on SGAs. Is it effective in mitigating weight gain in this population? And more importantly, should you prescribe it ASAP? Listen in as Dr. Rosenberg answers these...
12.28.2023
Diagnosing Bipolar Disorder Within a Mood Spectrum? Here’s How
In this podcast, Dr. Jim Phelps discusses the issue of diagnosing bipolar disorder within the framework of a mood spectrum. How bipolar should a patient be before switching treatment strategies? Listen in for tips and practical takeaways to answer this...
12.23.2023
Zolpidem Is to Blame: Sleepwalking and Sleep-Related Eating Disorder
In this podcast, Dr. Schenck discusses zolpidem-induced sleeping disorder and eating disorder. Listen and find out important tips and considerations, such as this being more common in females, alerting bed partners, being careful with zolpidem doses over 10 mg, and...
12.18.2023
Cariprazine: A Good Option for Pediatric Patients?
Cariprazine may be a good option for pediatric patients with schizophrenia and bipolar I disorder. Listen as Dr. Rosenberg summarizes study findings, which may broaden your options with children and adolescents. Faculty: David Rosenberg, M.D. Host: Richard Seeber, M.D. ...
12.13.2023
Sleepwalking and Sleep Driving: Medication to Be Aware Of
This podcast explores medication associated with sleepwalking and sleep driving, as well as recommendations for clinicians when prescribing them to patients. Faculty: Carlos Schenck, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 0.5 CME: Parasomnias...
12.08.2023
Olanzapine/Samidorphan: Good for Psychosis With Less Weight Gain?
In this episode, we explore whether the olanzapine–samidorphan combination helps with psychosis while halting weight gain. We also look into the cost vs benefit of the combination as well as the metabolic side effects. Faculty: James Phelps, M.D. Host: Richard...
12.03.2023
Melatonin's Impact on Suicidality and Accidents in Adolescents
Can melatonin reduce the risk of suicidality, bodily injuries, falls, and accidents in children and adolescents? In this episode, we explore a study that delves into this question. Discover how sleep disturbances impact young individuals' health, development, cognitive skills, emotional...
11.28.2023
Understanding Sleep-Related Eating Disorder (SRED)
Do you know what sleep-related eating disorder (SRED) is and how it intertwines sleep and eating pathologically? In this episode, we delve into an in-depth analysis of SRED, elucidating its diagnostic criteria, key characteristics of the diagnosis, and some intriguing...
11.23.2023
Pimavanserin: A Solution for Psychosis in Parkinson's Disease?
This episode explores the controversial role of pimavanserin in treating psychosis in Parkinson's disease. How does it compare with quetiapine or clozapine? Sneak peek: All of these medications are effective, yet none distinctly surpasses the others. Faculty: Jim Phelps, M.D....
11.18.2023
Current Approaches to Treating Pediatric Bipolar Disorder
Pediatric bipolar disorder treatment has evolved significantly since 2005, moving beyond lithium to several FDA-approved treatments. However, the challenges remain: How do we choose the first-line treatment? How can we mitigate and monitor side effects? In this episode, we discuss...
11.13.2023
Exploring Pharmacogenomic Testing in MDD
Can pharmacogenomic testing improve the selection and dosing of antidepressants in patients with MDD? In this episode, we explore the findings of the PRIME Care trial and discuss the clinical significance of these tests. Faculty: Jim Phelps, M.D. Host: Richard...
11.08.2023
Broad-Spectrum Micronutrients: A New Frontier in ADHD Treatment
In this episode, we discuss the role of broad-spectrum micronutrients (BSMs) in managing symptoms of ADHD. We examine the rationale behind opting for alternative therapies for this condition and dissect the outcomes of an RCT involving BSMs for ADHD. Could...
11.03.2023
Predicting Nonadherence in ADHD: A Focus on Side Effects
Are you aware that a staggering 80% of ADHD patients report at least 1 side effect from their medication? In this episode, we discuss an analysis that seeks to answer an essential question: Can we predict medication nonadherence in adolescents...
10.29.2023
How Nutrient Metabolism Influences Mental Health
Did you know that your genes could affect how your brain processes vital nutrients? In this episode, we delve into fascinating research on micronutrient supplementation for mental disorders, such as ADHD. Discover how our genetic makeup might dictate our nutrient...
10.24.2023
Antipsychotics and Substance Use: A Fresh Look at Old Drugs
Could antipsychotic switching impact substance use in schizophrenia? In this episode, Dr. Jim Phelps explores the impact of antipsychotics on patients with schizophrenia and substance use disorder. He includes insights from national cohorts and clinical cases and delves into the...
10.19.2023
The Effect of the Mediterranean Diet on Depression
Dive into the fascinating world of nutrition's impact on mental health in our latest episode. We explore intriguing studies on the Mediterranean diet's potential to alleviate depressive symptoms. Can a shift in dietary habits truly improve mental health? Faculty: Amelia...
10.14.2023
Racial Disparities in Pharmacologic Restraints
In this episode, we explore a pressing problem in pediatric psychiatry: The disparities in the use of pharmacologic restraints. How can we address these biases in our healthcare system? What role do behavioral interventions play in reducing the need for...
10.09.2023
Managing Orthostasis in Patients on Clozapine
In this episode, we discuss the causes of clozapine-induced orthostasis. Although some patients may develop tolerance, it can limit titration and potentially obstruct patients from reaching the plasma level where they respond well to the medication. There are practical management...
10.04.2023
Lavender Extract for Anxiety
In this episode, we discuss the potential of lavender extract, Silexan, as an alternative treatment for anxiety and insomnia with Dr. Jim Phelps. Is it truly a promising solution free from dependency and withdrawal symptoms or just an effective placebo?...
09.29.2023
Psychopharmacology Insights: Clozapine and Constipation
In this episode, we explore a common yet severe side effect of clozapine: Constipation. Why does this drug cause such drastic changes in colonic transit times, and how can we manage it effectively? Faculty: Jonathan Meyer, M.D. Host: Richard Seeber,...
09.24.2023
Understanding the Cardiovascular Impact of ADHD Medication
In this episode, we discuss a comprehensive study on the potential cardiovascular risks of ADHD medication. Although these medications pose minimal risk for those without preexisting conditions, there seems to be an elevated risk for those with preexisting cardiovascular diseases....
09.19.2023
Sialorrhea: A Clozapine Side Effect
In this episode, we delve into the problem of sialorrhea or excessive salivation in patients on clozapine. Why does this occur, and how can it be managed? Join us as Dr. Jonathan Meyer shares his expertise on this unique side...
09.14.2023
Inflammation and Antidepressants: A New Treatment Frontier?
Can a simple lab test guide our choice of antidepressants? Explore the intriguing link between inflammation, measured by C-reactive protein (CRP) levels, and the effectiveness of certain antidepressants in this episode. Faculty: Jim Phelps, M.D. Host: Richard Seeber, M.D. ...
09.09.2023
Ketamine Therapy: A New Hope for Adolescent Depression?
Could ketamine be the breakthrough we need in treating adolescent depression? Join us in this episode as we explore the potential of ketamine therapy and its rapid antidepressant effects. Also, learn how ketamine works, its safety profile, and why it's...
09.04.2023
Unraveling Nightmares: Exploring REM Sleep Behavior Disorder
In this episode, we dive into the puzzling case of a 67-year-old man experiencing violent moving nightmares. Is it rapid eye movement sleep behavior disorder, frequent and recurring nightmares, night terrors, PTSD, or another parasomnia? Tune in as we explore...
08.30.2023
Acute Agitation and Dexmedetomidine: A Novel Treatment Approach
In this episode, we delve into a new horizon in the management of acute agitation. We discuss dexmedetomidine, a drug that's been around since 1999, recently reformulated into a sublingual film and FDA approved for treating agitation associated with schizophrenia...
08.25.2023
The Prevalence and Risks of RBD
In this episode, we dive into rapid eye movement sleep behavior disorder (RBD). Did you know that RBD's prevalence is on par with schizophrenia in middle-aged and older adults? Tune in as we explore the prevalence, assessment, and management of...
08.20.2023
ADHD Medication and Their Role in Anxiety and Depression
In this episode, we dive deep into the effects of ADHD medication on anxiety and depressive symptoms in children and adolescents. Can these medications significantly exacerbate symptoms of anxiety or depression? Or do these symptoms arise more from the underlying...
08.15.2023
In the Realm of Sleep: RBD Diagnosis Explained
In this episode, we delve deep into the diagnostic mysteries of RBD, the need for video polysomnography, and the mechanisms leading to RBD. Whether you are a veteran or new to the field, this episode promises to deepen your understanding...
08.10.2023
NAC in Schizophrenia: Pie in the Sky or Groundbreaking Solution?
Are we missing a vital piece in the schizophrenia treatment puzzle? In this episode, we explore the intriguing and controversial role of N-acetylcysteine (NAC) in schizophrenia. We dive deep into the evidence, the theories, and the ongoing debates about this...

What's Psychopharmacology and Psychiatry Updates about?

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Psychopharmacology and Psychiatry Updates episodes:

Balancing Benefits and Risks: Lithium in Child and Adolescent Psychiatry

Orchestrating Nutrition and Medication: Micronutrient Therapy in Practice

Zuranolone: A New Dawn for Postpartum Depression Treatment

Micronutrients for Psychiatric Disorders: Optimizing Clinical Use

Olanzapine in Pregnancy: Examining the Risks

Understanding Safety Risks of Broad-Spectrum Micronutrients

The Role of Inflammation in Delirium: Can NSAIDs Help?

Beyond Medication: Exploring Nutritional Psychiatry

Age Impact on Antidepressant Outcomes

Dealing With Delirium in Patients With Advanced Cancer

Rechallenging Clozapine: A Look at Colony Stimulating Factors

Managing Anxiety in Patients With Cancer

Managing Antidepressant Side Effects in Youth

Depressed Patient With Cancer? Here’s How to Treat

Brexanolone: A Quick Fix for Postpartum Depression and Anxiety?

The Nitty-Gritty on Treatment Optimization for Tic Disorders in Youth

Untangling Dilemmas: Youth Cannabis-ADHD-Stimulant Med Misuse

Tic Disorders and Psychiatric Comorbidities in Youth: Treatment Cheat Sheet

Clinician’s Digest: CANMAT and Mixed States Practicalities

Mystery No More: Understanding Tic Disorders in Pediatric Psychiatry

Metformin for Youth on SGAs: Ready for Prime Time?

Diagnosing Bipolar Disorder Within a Mood Spectrum? Here’s How

Zolpidem Is to Blame: Sleepwalking and Sleep-Related Eating Disorder

Cariprazine: A Good Option for Pediatric Patients?

Sleepwalking and Sleep Driving: Medication to Be Aware Of

Olanzapine/Samidorphan: Good for Psychosis With Less Weight Gain?

Melatonin's Impact on Suicidality and Accidents in Adolescents

Understanding Sleep-Related Eating Disorder (SRED)

Pimavanserin: A Solution for Psychosis in Parkinson's Disease?

Current Approaches to Treating Pediatric Bipolar Disorder

Exploring Pharmacogenomic Testing in MDD

Broad-Spectrum Micronutrients: A New Frontier in ADHD Treatment

Predicting Nonadherence in ADHD: A Focus on Side Effects

How Nutrient Metabolism Influences Mental Health

Antipsychotics and Substance Use: A Fresh Look at Old Drugs

The Effect of the Mediterranean Diet on Depression

Racial Disparities in Pharmacologic Restraints

Managing Orthostasis in Patients on Clozapine

Lavender Extract for Anxiety

Psychopharmacology Insights: Clozapine and Constipation

Understanding the Cardiovascular Impact of ADHD Medication

Sialorrhea: A Clozapine Side Effect

Inflammation and Antidepressants: A New Treatment Frontier?

Ketamine Therapy: A New Hope for Adolescent Depression?

Unraveling Nightmares: Exploring REM Sleep Behavior Disorder

Acute Agitation and Dexmedetomidine: A Novel Treatment Approach

The Prevalence and Risks of RBD

ADHD Medication and Their Role in Anxiety and Depression

In the Realm of Sleep: RBD Diagnosis Explained

NAC in Schizophrenia: Pie in the Sky or Groundbreaking Solution?