Deep Dive with Lindsay Hill, DNP, PMHNP - Psych NP Mentor - PMHNP Mentor

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Show Notes: How Do You Feel? – One Doctor’s Search for Humanity in Medicine

In this episode, we dive into the poignant and revealing memoir How Do You Feel? by psychiatrist Dr. Jessi Gold. What happens when the people trained to save our lives are the ones who need saving? Dr. Gold takes us behind the scenes of her clinic, where she specializes in treating healthcare workers—a group often celebrated as "heroes" but privately struggling with a profound mental health crisis.

Key themes discussed in this episode:

• The Hidden Curriculum: We explore the unspoken rules of medical training that teach doctors to suppress their emotions, hide their illness, and view vulnerability as a weakness.
• Healing the Healers: Through the composite stories of patients like Luke (a resident battling OCD and fears of COVID), Megan (an ER doctor learning to feel again after years of stoicism), Janet (a nurse dealing with PTSD and moral injury), and Naya (a pre-med student paralyzed by perfectionism), we witness the diverse toll the profession takes on its own.
• The Burnout Trap: Dr. Gold examines the systemic issues that lead to burnout, revealing how even "burnout experts" like herself can miss the warning signs in their own lives due to the culture of medicine.
• The Power of Authenticity: The discussion highlights the importance of breaking the silence, the risks of self-disclosure in the medical field, and why admitting "I’m not fine" might be the bravest thing a doctor can do.

Join us as we answer the question doctors often forget to ask themselves: How do you feel?.

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Explore the intersection of high achievement and severe mental illness through the case of Elyn Saks, a tenured law professor living with schizophrenia.... We examine her clinical trajectory from a "grave" prognosis to professional success, analyzing her treatment regimen involving antipsychotics like thiothixene and clozapine combined with long-term psychoanalysis.... The discussion highlights the patient's internal experience of psychosis, the traumatic impact of mechanical restraints, and the complex dynamics of medication adherence and side effect management.... Psychiatric NPs will gain a nuanced perspective on prognosis and the therapeutic alliance, reinforcing the importance of treating the whole person rather than just the symptoms documented in a chart.

Hey! I'd love to hear your thoughts, send me a voice note.

Hey! I'd love to hear your thoughts, send me a voice note.

In this episode, we take an in-depth look at Stephanie Foo’s acclaimed memoir, What My Bones Know. A successful radio producer for This American Life and Snap Judgment, Foo seemed to have it all on paper, but behind the scenes, she was battling a constant, crushing anxiety she called "the dread".

Join us as we explore her journey from a diagnosis of Complex PTSD (C-PTSD) to her relentless pursuit of healing. Unlike traditional PTSD, which is often linked to a single event, C-PTSD arises from chronic, repeated trauma—in Foo's case, years of severe physical and verbal abuse at the hands of her parents in San Jose, California.

Key Topics Covered:

• Understanding C-PTSD: How Complex PTSD differs from traditional PTSD and why it creates a "relentless search for a savior".

• The Science of Trauma: We discuss the impact of Adverse Childhood Experiences (ACE) scores on physical health and life expectancy, and how trauma can literally reshape the brain.

• A Journalist’s Approach to Healing: Foo attacks her diagnosis like a reporter, interviewing scientists and experimenting with various therapies, including EMDR (Eye Movement Desensitization and Reprocessing) and restorative yoga.

• The Myth of the Model Minority: Foo investigates her hometown of San Jose to uncover the silent epidemic of intergenerational trauma within her immigrant community, challenging the idea of the "perfect" Asian American upbringing.

• Dr. Ham and the Hulk: We discuss the pivotal role of Dr. Jacob Ham, who taught Foo to reframe her rage (her "Hulk") not as a monster, but as a protective force to be thanked rather than shamed.

• From Broken to BADASS: The surprising twist where Foo learns that her trauma responses—specifically dissociation—can actually function as a superpower in times of crisis, a phenomenon researchers call BADASS (Blunted and Discordant Affect Sensitivity Syndrome).

Memorable Quote: "Healing is never final. It is never perfection. But along with the losses are the triumphs... I am the beast’s master, and at the end of each battle I stand strong and plant my flag."

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Are you a busy clinician looking for bottom-line assessments of the latest psychiatric medications? In this episode, we dive into the Eighth Edition of the Medication Fact Book for Psychiatric Practice. Authored by Talia Puzantian, PharmD, and Daniel J. Carlat, MD, this comprehensive 2026 update is designed to provide "need-to-know" information that can be quickly absorbed during a busy day of seeing patients.

Join us as we explore the latest additions to this essential reference guide, including:

• New FDA Approvals: We cover nine new fact sheets featuring recently approved treatments, such as the novel antipsychotic xanomeline/trospium (Cobenfy), the rapid-acting postpartum depression drug zuranolone (Zurzuvae), and the new antidepressant gepirone (Exxua).
• Clinical Decision Tools: Learn about the book's 11 updated treatment algorithms and 33 quick-scan tables, covering everything from ADHD and mood stabilizers to somatic treatments like blue light blocking glasses.
• Practical Practice Management: We discuss a brand-new appendix dedicated to navigating the frustration of prior authorization requests and denials, alongside updated guidance on dosing in hepatic and renal impairment.
• Expanded Treatment Categories: Discover the latest protocols for anti-amyloid monoclonal antibodies in dementia care and updated strategies for managing side effects like weight gain and tardive dyskinesia.

Whether you are a psychiatrist, nurse practitioner, or psychologist, this episode offers a preview of the algorithms and clinical pearls you need to streamline your prescribing practice.

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This podcast discusses the emerging field of metabolic psychiatry, which posits that mitochondrial dysfunction is the fundamental biological root of mental illness. Rather than viewing psychiatric conditions solely as neurotransmitter imbalances, this framework suggests that disorders like depression and schizophrenia are manifestations of cellular energy failure in the brain. Research indicates a bi-directional link between metabolic diseases and mental health, where issues like insulin resistance can actually predict future psychiatric decline. Consequently, traditional medications may fail because they only address downstream symptoms instead of the underlying metabolic crisis. To bridge this gap, the text advocates for metabolic interventions such as the ketogenic diet, which may restore brain function by enhancing mitochondrial health and providing alternative fuel sources. This perspective seeks to integrate psychiatry with general medicine, reframing mental health as a reflection of the body's overall energy regulation and physical vitality.