On this episode of The Psych Commute, we try something a quite different.

Instead of discussing a random idea as I drive home as usual, we run a fully simulated inpatient consult using AI voice actors (but I wrote the script with no AI involvement).

The patient: a 65-year-old nursing home resident with schizophrenia sent to the ED for “altered mental status.” The workup is normal. The ED thinks it’s psychiatric.

From there, things start to get complicated.

This episode focuses much less on interview technique and much more on clinical reasoning and management.

I’m experimenting with this format, so I’d genuinely like to know if it’s useful, useless, or somewhere in between.

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit brandonbrownmd.substack.com