How to Be Patient

By Human ContentMedicine Health & Fitness Mental Health Education Self-Improvement

How to Be Patient episodes

November 09 Is it those damn phones? Internet “Addiction” & Clinical Pearls
Today, Margaret and Preston return to the topic of internet and screen use, assisted by the framework by the AAP of the “Five C’s of Media Use”. They compare different ages and best practices for screen use, then take it all the way to recommendations for adults! Resources referenced below, plus some additional ones from Margaret.

Five C’s of Media Use: https://www.aap.org/en/patient-care/media-and-children/center-of-excellence-on-social-media-and-youth-mental-health/5-cs-quick-guide/
Toddlers 5Cs: https://downloads.aap.org/AAP/PDF/CoE_5Cs_Toddlers_Final.pdf
Young Teens 5Cs: https://downloads.aap.org/AAP/PDF/CoE_5Cs_Young_Teens_Final.pdf
Older teens 5Cs: https://downloads.aap.org/AAP/PDF/CoE_5Cs_Older_Teens_Final.pdf
Internet Addiction: https://pmc.ncbi.nlm.nih.gov/articles/PMC3480687/pdf/CPSR-8-292.pdf
PMID scale:https://pmc.ncbi.nlm.nih.gov/articles/PMC4035908/
Social comparison and problematic social media use: Relationships between five different social media platforms and three different social comparison constructs: https://www.sciencedirect.com/science/article/abs/pii/S0191886922003701

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43 min
November 02 Optogenetics with Dr. Singh Alvarado
In today’s episode Margaret and I are joined by Dr. Singh Alvarado a PhD neuroscientist to talk about the mysteries and beautiful applications of optogenetics. We discuss how the science came to be, why it won the nobel prize and what weird sci-fi level things it could be used for in the future.

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Produced by Dr Glaucomflecken & Human Content
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49 min
October 26 Thinking about Thinking (brief episode with Preston)
In this solo episode with Preston we (me) discuss the neuroscience concept of metacognition and how it may apply to some of our conceptualization of current psych illnesses, along with some loose ruminating of course. For a more comprehensive and scientific review, look here!
https://www.nature.com/articles/s41583-026-01081-x

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Produced by Dr Glaucomflecken & Human Content
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17 min
October 19 Excerpts from the American Journal of Insanity (July 1851)
In today's episode we take a look back towards the history of psychiatry and read from the publication “The American Journal of Insanity.” This is the journal that predates the American Journal of Psychiatry (the name was changed in 1921). While some of the terms are outdated, the treatment principles and pathology remain eerily similar. It really shows us how far we’ve come and how little has changed in the last 150 years. Listen along to the articles and let us know what you think!

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Produced by Dr Glaucomflecken & Human Content
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50 min
October 12 Child Psychiatry Training Explained
In this episode, Margaret and Preston talk about Margaret’s experience halfway into child and adolescent psychiatry fellowship. Margaret discusses the general requirements or parts in child training, discerning child training indications versus other training paths, and how her child training impacts her care for adult psychiatry patients.

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Produced by Dr Glaucomflecken & Human Content
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40 min
October 05 How does image guided TMS stack up against the current method?
In this episode we're doing another journal club, this time reviewing the first randomized clinical trial comparing image-guided TMS to the traditional method using scalp targeting for depression. We walk through how TMS works, why targeting matters, what the study found at one month, and where the limitations are before this becomes standard of care.

Find the paper here: https://pubmed.ncbi.nlm.nih.gov/42340706/

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Produced by Dr Glaucomflecken & Human Content
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48 min
September 28 The Theory of the Crunch: Holding Difficult Dynamics in Therapy
In today’s episode, Preston and Margaret discuss the psychotherapy paper The Theory of the Crunch, by Paul Libby, a psychoanalyst. In this episode and in the paper, the idea of creating a containing environment, repetition compulsion, and ways of navigating difficult interpersonal dynamics are discussed. In this episode, a more expansive, compassionate frame will be introduced both for the therapist and patient to understand how to make it through confusing and sometimes painful clinical work.

Paper: The Theory of the Crunch by Paul Libby Russel: https://www.proquest.com/openview/c5d466aa2f6d7bcd126f98b6591861f7/1?pq-origsite=gscholar&cbl=32944

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Produced by Dr Glaucomflecken & Human Content
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1 hr
September 21 Psychiatric Effects of GLP-1s (What We Know So Far)
In this episode, Margaret and I take on the en vogue topic of GLP-1s. They have been utilized for T2DM for several years and just recently took center stage in the zeitgeist for weight loss (medically indicated or otherwise). Today, we will break down possible risks to mental health in patients using these medications and, on the flipside, potential areas where we could possibly use GLP-1s primarily to treat mental illness.
Paper used:
Sa B, Maristany A, Subramaniam A, et al. Psychiatric effects of GLP-1 receptor agonists: A systematic review of emerging evidence. Diabetes Obes Metab. 2026;28(1):50-59. doi:10.1111/dom.70198

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Produced by Dr Glaucomflecken & Human Content
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59 min
September 14 Nuances in Prescribing Antidepressants
In this episode, Margaret and Preston present how two psychiatrists think about prescribing medications for depression. Using different common clinical scenarios, they discuss standard clinical guidelines, navigating weight gain and loss with SSRIs, augmentation of SSRI’s, and sexual side effects.
See notes below for recommendations in the episode.
VA/DoD MDD treatment guidelines, 2022
https://www.healthquality.va.gov/guidelines/MH/mdd/
American College of Physicians Depression
https://www.acpjournals.org/doi/10.7326/M22-2056
Weight Change and Antidepressants
https://pubmed.ncbi.nlm.nih.gov/33022115/
Pregnancy/Perinatal/Breastfeeding
https://womensmentalhealth.org/specialty-clinics/psychiatric-disorders-during-pregnancy/

Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠

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59 min
September 07 Psychiatric Roots in Greek Mythology
The Greeks described two kinds of madness, and both are fun to talk about on our pod. Inspired by the recent hullabaloo around The Odyssey, we are going to be breaking down the DSM-V diagnoses we see in the series and run through the historical roots and the stories of what we see today in mental health.

Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: ⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠

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1 hr 7 min

About How to Be Patient

From the publisher's feed

You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone engage with. From better understanding our patients’ (and our own) relationships with their conditions in a changing world, it’s more important than ever that we learn: HOW TO BE PATIENT!