Concise Psych

Concise Psych

By Prashant Sharma, D.O., Board Certified PsychiatristHealth & FitnessMental Health
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Concise Psych episodes

  • Ep 31: What makes a Good VA Rating Decision?

    In this video, I discuss a case of depression secondary to tinnitus and
    the VA rating decision. I highlight the importance of evidence-based
    decision-making and a thorough psychiatric evaluation.
    "If the evidence is there, then the decision is clear."
    Takeaways
    A good VA rating decision is based on an evidence-based approach and thorough evaluation.
    Medical opinions from private examiners may carry more weight if they provide a more reasoned rationale and are supported by the totality of evidence.
    Comprehensive analysis of medical records and scientific evidence is crucial in supporting a claim.
    Raters who make decisions based on the evidence help avoid prolonging the process for veterans.

    6 min
  • Ep 30: Interview with USMC Veteran Garret Biss

    Garret Biss, a Marine Corps Veteran and recovery coach, discusses the challenges of transitioning out of the military and finding meaning in life after service. He emphasizes the importance of authenticity and self-acceptance during this process. Biss highlights the need to focus on strengths, commonalities with others, and the positive aspects of one's experiences. He also suggests practicing self-compassion and using a mirror exercise to build self-esteem. Biss believes that finding meaning in suffering and embracing post-traumatic growth can lead to a more fulfilling life. The conversation covers the importance of

    connection and authenticity in our lives, as well as the need to normalize conversations around mental health. It also touches on the topic of firearms and signs to look for when someone is struggling with their mental health.
    Links:
    https://UnspokenTrauma.vet (TEDx)
    https://TheWarriorReset.com (a free gift for audience I may mention)
    https://ValiantPath.vet (a coaching program for Veterans I run)
    https://GarretBiss.com (personal website)
    You can find Garret:
    https://linkedin.com/in/gbbiss
    https://facebook.com/garretBissFan
    https://twitter.com/garretbiss
    https://youtube.com/@thrivingrecovery
    https://www.instagram.com/garretbiss

    54 min
  • Ep 25: Does Anxiety cause Irritable Bowel Syndrome?

    Let's go through what IBS is, how it's related to anxiety, and the scientific evidence?

    Articles for Reference:
    Sadeghi A, Biglari M, Nasseri Moghaddam S. Post-infectious Irritable Bowel Syndrome: A Narrative Review. Middle East J Dig Dis. 2019 Apr;11(2):69-75. doi: 10.15171/mejdd.2019.130. Epub 2019 Mar 25. PMID: 31380002; PMCID: PMC6663289.
    Mayer EA, Tillisch K, Gupta A. Gut/brain axis and the microbiota. J Clin Invest. 2015 Mar 2;125(3):926-38. doi: 10.1172/JCI76304. Epub 2015 Feb 17. PMID: 25689247; PMCID: PMC4362231.
    Moloney RD, Johnson AC, O'Mahony SM, Dinan TG, Greenwood-Van Meerveld B, Cryan JF. Stress and the Microbiota-Gut-Brain Axis in Visceral Pain: Relevance to Irritable Bowel Syndrome. CNS Neurosci Ther. 2016 Feb;22(2):102-17. doi: 10.1111/cns.12490. Epub 2015 Dec 10. PMID: 26662472; PMCID: PMC6492884.
    Peter J, Fournier C, Durdevic M, Knoblich L, Keip B, Dejaco C, Trauner M, Moser G. A Microbial Signature of Psychological Distress in Irritable Bowel Syndrome. Psychosom Med. 2018 Oct;80(8):698-709. doi: 10.1097/PSY.0000000000000630. PMID: 30095672; PMCID: PMC6250280.
    Lin H, Guo Q, Wen Z, Tan S, Chen J, Lin L, Chen P, He J, Wen J, Chen Y. The multiple effects of fecal microbiota transplantation on diarrhea-predominant irritable bowel syndrome (IBS-D) patients with anxiety and depression behaviors. Microb Cell Fact. 2021 Dec 28;20(1):233. doi: 10.1186/s12934-021-01720-1. PMID: 34963452; PMCID: PMC8715582.
    Ford AC, Sperber AD, Corsetti M, Camilleri M. Irritable bowel syndrome. Lancet. 2020 Nov 21;396(10263):1675-1688. doi: 10.1016/S0140-6736(20)31548-8. Epub 2020 Oct 10. PMID: 33049223.
    Saha L. Irritable bowel syndrome: pathogenesis, diagnosis, treatment, and evidence-based medicine. World J Gastroenterol. 2014 Jun 14;20(22):6759-73. doi: 10.3748/wjg.v20.i22.6759. PMID: 24944467; PMCID: PMC4051916.
    Hu, Z., Li, M., Yao, L. et al. The level and prevalence of depression and anxiety among patients with different subtypes of irritable bowel syndrome: a network meta-analysis. BMC Gastroenterol 21, 23 (2021). https://doi.org/10.1186/s12876-020-01...
    Labus, J. S., & Mayer, E. A. (2017). Depression and Irritable Bowel Syndrome: A Bidirectional Association. Gastroenterology Clinics of North America, 46(4), 583–597. https://doi.org/10.1016/j.gtc.2017.06...
    Saito YA, Schoenfeld P, Locke GR., 3rd The epidemiology of irritable bowel syndrome in North America: a systematic review. Am J Gastroenterol. 2002;97:1910–1915.
    Ng QX, Soh AYS, Loke W, Venkatanarayanan N, Lim DY, Yeo WS. Systematic review with meta-analysis: The association between post-traumatic stress disorder and irritable bowel syndrome. J Gastroenterol Hepatol. 2019 Jan;34(1):68-73. doi: 10.1111/jgh.14446. Epub 2018 Sep 10. PMID: 30144372.

    7 min

About Concise Psych

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Welcome, friends! Concise Psych is about all things related to Mental Health & Psychiatry. I am your host, Dr. Prashant Sharma - I am a Psychiatrist and I am excited to bring you this podcast. I…