In this episode of historical psychiatric diagnoses we continue the “arc” (get it) with the story of a young girl with vivid hallucinations who galvanized the French army and a wise king who lost his sanity late in life. The interesting thing about these cases, however, is that they may have more underlying medical issues and in fact, the psychospiritual and somatic issues of the past are just as intertwined as they are today. Even to the point where we have to correct ourselves and realize that we may have been calling these incorrectly for a while.

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We're pulling a throwback from season two for this one, and it's the episode I will go to the mat for as one of the most clinically useful hours of psychiatry content we've ever put out. Margaret literally calculates QTc off this episode every time she's on call and her CL attending called her out for it the other day, like, "Look at her recalculating." So when she said we should bring this one back, I didn't argue.

If you're a resident, an attending who consults psych in the hospital, or a patient or family member trying to understand what it means to live after a cardiac event, start here.

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Today we'll talk through this one study from 2010 out of the Oxford Department of Experimental Psychology, "Task-related default mode network modulation and inhibitory control in ADHD: effects of motivation and methylphenidate", that I want to walk you through, because the way it reframed ADHD for me as a resident is one of the more useful brain-flips I've had this year.

References:

Liddle, E.B., Hollis, C., Batty, M.J., Groom, M.J., Totman, J.J., Liotti, M., Scerif, G. and Liddle, P.F. (2011), Task-related default mode network modulation and inhibitory control in ADHD: effects of motivation and methylphenidate. Journal of Child Psychology and Psychiatry, 52: 761-771. https://doi.org/10.1111/j.1469-7610.2010.02333.x

https://acamh.onlinelibrary.wiley.com/share/GTA8CCG95X9ZJTK7H6XA?target=10.1111/j.1469-7610.2010.02333.x

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We're going back to one of our oldies but besties. This is our motivational interviewing episode from season one, which Margaret and I both agree is probably the best episode we made that whole first run. And it holds up, maybe even better now that we're further along in training and have actually used a lot of these tools in real clinical work.

If you're a trainee, an educator, or just someone who's ever tried to gently move a person you love toward a change they keep half-saying they want, start here.

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I figured we'd do something I've been wanting to do for a while: story time. Specifically, the kind where I take some of history's most famous figures, walk you through what actually happened to them, and then put on my psychiatry resident hat and try to figure out what we'd actually diagnose them with today.

We will be analyzing King of France, Charles VI and Mary Todd Lincoln. Get ready to hear me yap about psychiatric history!

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We're doing a throwback! This was our second episode ever, way back when I was at the beginning of fourth year of med school and Margaret and I were still figuring out the rhythm of this whole podcast thing. I'm now at the end of my first year of child fellowship, and somehow attachment theory keeps coming back around no matter what lens I try to look through, existential therapy, child psych, even our death anxiety episode. Pretty much every road leads back to it. So we wanted to bring it back, dust it off, and let y'all hear where we started.

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In this episode we are joined by my coresident, @undercoverdoc who has a special interested in fitness culture and bodybuilding. With the protein intake, food weighing and gym discipline also comes “extracurriculars,” or anabolic steroids. Rob describes his observationss being in the fitness space as both an athlete and a physician and we discuss the impact of steroid use, its prevalence and what it can actually look like. 

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Code ORANGE.

We had to break the between-seasons hiatus for this one. If you've been on healthcare TikTok in the last month and you haven't seen the burnt-out fruit basket emerging, you have some catching up to do. And it all started with Dr. Orange.

Margaret and I sat down with the anonymous primary care doctor behind the orange filter that's been unleashing the truest, funniest, most honest takes on what it's actually like to practice medicine in 2026.

We get into all of it. Why she finally hit record. How she picked an orange. What she actually wishes she could change about her day-to-day if she had a magic wand. Her thoughts on direct pay, PSLF golden handcuffs, and the unhinged loyalty arc she's developing toward Tropicana.

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As we wrap up Season 3, Margaret and I are looking back at the long journey from our first late-night recording sessions in 2025 to where we are now: mid-fellowship for Margaret and fourth year for me. This season wasn't just about "yapping"; it was a masterclass in learning how to podcast and excavating the narratives hidden inside clinical papers.

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In the final episode of a four part series on existential psychotherapy, Margaret and I take on the problem of meaning. This one is a little different that the other problems of man but they all intertwine like a single cable when it comes to living your life. Join us for discussion of philosophy, purpose and how to talk to your patients about your questions of meaninglessness. 

chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.carepatron.com/files/purpose-in-life-test.pdf

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