Psychcast

This week, Dr. Jeffrey Strawn and Dr. Norris continue their conversation by discussing SSRIs vs. SNRIs for pediatric patients. They also get into what to do when a pediatric patient with anxiety requires treatment for comorbid ADHD. MDedge Pediatric News recently published an ID Consult by David C. Rettew in which Dr. Rettew notes that there are "little systemic data to guide pharmacologic decision making," beyond first and second-line SSRI followed by SNRI. You can check out a child psychiatric consult on ADHD and the role of wellness at MDedge Pediatric News. In the consult, Dr. Allison Y. Hall, MD outlines a treatment plan, ideas for parent training, and the role of sleep and exercise. Also, Dr. RK discusses what she calls a basic human right - voluntariness.

How much patient autonomy is too much – especially when you or a family member is the patient? In this episode of the Psychcast, Dr. Lorenzo Norris sits down with Dr. Jeffrey Strawn, director of the Anxiety Disorders Research Program at the University of Cincinnati College of Medicine. They discuss the challenges of respecting patient autonomy and providing clear guidance to patients.

Dr. James Griffith and Dr. Lorenzo Norris finish their conversation on resilience in the third and final part of this Psychcast series.

How patients are and can become resilient. In the second part of a three-part series, Dr. James Griffith joins Dr. Norris to discuss the people and relationships surrounding resilience.

In part 1 of a 3 part series, James Griffith, MD joins MDedge Psychiatry Editor-in-Chief Lorenzo Norris, MD to define resiliency. Dr. Griffith is the chair of the Department of Psychiatry and Behavioral Sciences at the George Washington University School of Medicine. In this episode, Dr. Griffith notes that currently, there are as many as six or seven different definitions of resilient and that whenever a clinical term becomes widely used in popular culture, the term can get muddled. Dr. Griffith says that he draws heavily on previous work by Froma Walsh, Ph.D., to help him define resilience as a practice -- "something that you do, not something that you are."

The MDedge Psychcast is published every Wednesday morning and is available wherever podcasts are found.

In this edition of the Psychcast, Dr. Jeffrey Strawn discusses the use of antidepressants in children. Also, Dr. RK has a specific question that you can ask patients to open a big door.

Each week Dr. Lorenzo Norris sits down for a conversation about what's going on in psychiatry.

This week, he is joined by Dr. Linda Worley to discuss a hot topic currently encompassing all of medicine - physician burnout. Dr. Worley uses a nautical metaphor to describe the phenomena and possible ways to combat it.

This week, Dr. Norris welcomes Dr. Dinah Miller and Dr. Annette Hanson. Dr. Miller and Dr. Hanson coauthored the book Committed, the battle over involuntary psychiatric care. Dr. Miller is a private practice psychiatrist and a professor at Johns Hopkins University. Dr. Hanson is the director of the forensic psychiatry fellowship at the University of Maryland. Dr. Miller and Dr. Hanson are board members for Clinical Psychiatry News

In this episode, Dr. Bandy Lee, editor of The Dangerous Case of Donald Trump discusses the Goldwater Rule with Dr. Lorenzo Norris.

The third installment of a discussion between Dr. Norris and Dr. Nasrallah regarding schizophrenia. In this episode, Dr. Norris and Dr. Nasrallah discuss the first episode of schizophrenia.