PsychEd: Educational Psychiatry Podcast

PsychEd: Educational Psychiatry Podcast

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PsychEd: Educational Psychiatry Podcast episodes

  • PsychEd Episode 71: Functional Neurological Disorder with Dr. Patricia Rosebush

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

    This episode covers Functional Neurological Disorder with Dr. Patricia Rosebush. Dr. Rosebush is a Professor in the Department of Psychiatry & Behavioural Neurosciences at McMaster University. She is the distinguished author of numerous articles on clinical neuroscience, including considerable work on mitochondrial disorders in mental illness and over 30 papers on catatonia, and practices consultation-liaison psychiatry at St. Joseph’s Healthcare Hamilton.

    The learning objectives for this episode are as follows:

    1. Provide a definition and conceptual approach to FND

    2. Identify clinical signs and patient histories relevant to a diagnosis of FND

    3. Describe an approach to the treatment of FND

    4. Understand the special challenges of communication and collaboration in this illness

    Guest: Dr. Patricia Rosebush

    Hosts: Dr. Alastair Morrison, Dr. Kate Braithwaite

    Audio editing: Dr. Alastair Morrison

    Show notes: Dr. Kate Braithwaite

    Interview content:

    (02:39) Learning objectives

    (03:09) Conceptualization of FND

    (08:30) Underlying psychological processes

    (09:35) Difference between FND and factitious disorder/malingering

    (14:54) Alexithymia

    (16:51) Common symptomatic presentations

    (18:00) Types of underlying stressors

    (19:17) Other risk factors for FND

    (22:12) Communicating with patients to address stigma

    (24:32) Psychotherapy in FND

    (29:36) Referral pathways for patients with FND

    (31:15) Prognosis of FND

    (33:09) Social media and FND

    Resources:

    • Functional Neurological Disorder Society. Functional Neurological Disorder Society (FNDS). Includes a podcast and courses for physicians

    • Functional Neurological Disorder (FND) – A Patient's Guide to FND

    References:

    • Hull, M., & Parnes, M. (2021). Tics and TikTok: Functional Tics Spread Through Social Media. Movement disorders clinical practice, 8(8), 1248–1252. https://doi.org/10.1002/mdc3.13267

    • National Institute for Neurological Disorders and Stroke. (2024, July.) Functional Neurological Disorder.  U.S. Department of Health and Human Services, National Institutes of Health. Functional Neurologic Disorder | National Institute of Neurological Disorders and Stroke

    • PsychDB. (2024, April). Conversion Disorder (Functional Neurological Disorder. Conversion Disorder (Functional Neurological Disorder) - PsychDB

    • Rosebush, P. I., & Mazurek, M. F. (2011). Treatment of conversion disorder in the 21st century: have we moved beyond the couch?. Current treatment options in neurology, 13(3), 255–266. https://doi.org/10.1007/s11940-011-0124-y

    • Scamvougeras, A., & Castle, D. (2024). Functional Neurological Disorders: Challenging the Mainstream Agnostic Causative Position. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 69(7), 487–492. https://doi.org/10.1177/07067437241245957

    For more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at [email protected] and visit our website at psychedpodcast.org.

    34 min
  • PsychEd Shorts 6: Metabolic Monitoring on Antipsychotics

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers metabolic monitoring for patients on antipsychotic medications.

    Hosts: Grant Yao (MS4) and Dr. Angad Singh (PGY2)

    Audio editing: Dr. Angad Singh (PGY2)

    Timestamps:

    (0:21) - Background

    (2:22) - Monitoring for metabolic side effects

    (6:16) - Managing metabolic side effects

    (9:50) - Summary

    References:

    Agarwal, S. M., Stogios, N., Faulkner, G. E., & Hahn, M. (2023). Pharmacological interventions for the prevention of antipsychotic-induced weight gain in people with schizophrenia: A Cochrane systematic review and meta-analysis. Schizophrenia Bulletin, 49(4), 833-835.

    Carolan, A., Hynes-Ryan, C., Agarwal, S. M., Bourke, R., Cullen, W., Gaughran, F., ... & O’Donoghue, B. (2024). Metformin for the prevention of antipsychotic-induced weight gain: guideline development and consensus validation. Schizophrenia bulletin, sbae205.

    Cooper, S. J., Reynolds, G. P., With expert co-authors (in alphabetical order):, Barnes, T. R. E., England, E., Haddad, P. M., ... & Smith, J. (2016). BAP guidelines on the management of weight gain, metabolic disturbances and cardiovascular risk associated with psychosis and antipsychotic drug treatment. Journal of Psychopharmacology, 30(8), 717-748.

    DeJongh, B. M. (2021). Clinical pearls for the monitoring and treatment of antipsychotic induced metabolic syndrome. Mental Health Clinician, 11(6), 311-319.

    Stogios, N., Humber, B., Agarwal, S. M., & Hahn, M. (2023). Antipsychotic-induced weight gain in severe mental illness: risk factors and special considerations. Current Psychiatry Reports, 25(11), 707-721.

    For more PsychEd, follow us on Instagram (⁠@psyched.podcast⁠),  Facebook (⁠PsychEd Podcast⁠), X (⁠@psychedpodcast⁠), and Bluesky (⁠@psychedpodcast.bsky.social‬⁠). You can email us at ⁠[email protected]⁠ and visit our website at⁠ ⁠⁠psychedpodcast.org⁠.

    12 min
  • Upcoming Book Club: Healing

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

    This episode is part of the PsychEd Book Club, a forum where we discuss books of interest to psychiatry learners from a variety of disciplines. We invite you to read along with us and contribute to our discussion.

    This short introductory episode gives you a heads-up about our upcoming book club on Healing: Our Path from Mental Illness to Mental Health by Thomas Insel. Stay tuned for a longer episode in a few months where we’ll share our thoughts on the book.

    If you’d like to share your thoughts or questions about the book, email us at [email protected] or reach out on social media.

    Hosts: Dr. Kate Braithwaite, Dr. Sophie Gregoire-Mitha, Dr. Gaurav Sharma

    Audio editing by: Dr. Gaurav Sharma

    For more PsychEd, follow us on Instagram (⁠@psyched.podcast⁠),  Facebook (⁠PsychEd Podcast⁠), X (⁠@psychedpodcast⁠), and Bluesky (⁠@psychedpodcast.bsky.social‬⁠). You can email us at ⁠[email protected]⁠ and visit our website at⁠ ⁠⁠psychedpodcast.org⁠.

    8 min
  • PsychEd Episode 70: Goals of Care Conversations with Dr. Tavis Apramian

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers goals of care conversations.

    Our guest for this episode is Dr. Tavis Apramian, a clinician-investigator in the Department of Family & Community Medicine (DFCM) at the University of Toronto and scientist in the Office of Education Scholarship. He works as a palliative care physician at St. Michael’s Hospital and at Kensington Hospice. His largely qualitative program of research is focused on advance care planning; workplace-based learning and assessment; palliative care in family medicine; medical assistance in dying; and inequity in end-of-life care. His primary focus is on telling rich stories of learner and patient experiences to spark conversation about socioculturally complex educational and clinical problems in serious illness.

    The learning objectives for this episode are as follows:

    1. Describe a palliative approach to care and its relevance across different contexts

    2. Demonstrate a structured and compassionate approach to goals of care conversations

    3. Apply effective communication strategies to build therapeutic alliance, navigate difficult conversations, and involve multiple actors in the palliative context

    4. Recognize and manage challenges in goals of care conversations


    Guest: Dr. Tavis Apramian


    Hosts: Dr. Daamoon Ghahari (PGY2) and Dr. Angad Singh (PGY2)


    Audio editing: Dr. Angad Singh (PGY2)


    Timestamps:

    (1:07) - Journey to palliative care

    (5:07) - What is palliative care

    (14:47) - Understanding patient values

    (33:47) - Structuring goals of care conversations

    (44:16) - Communication strategies

    (57:05) - Navigating family meetings

    (77:25) - Reflections on MAiD for sole mental illness


    Resources:

    Roth, H. (2024). Hearing the unspoken. Canadian Family Physician, 70(10), 642-642. https://pmc.ncbi.nlm.nih.gov/articles/PMC11477260/pdf/0700642.pdf


    References:

    Bernacki, R. E., & Block, S. D. (2014). Communication about serious illness care goals: a review and synthesis of best practices. JAMA internal medicine, 174(12), 1994-2003.

    Gross, J., & Koffman, J. (2024). Examining how goals of care communication are conducted between doctors and patients with severe acute illness in hospital settings: A realist systematic review. PLoS One, 19(3), e0299933.

    Scheunemann, L. P., Ernecoff, N. C., Buddadhumaruk, P., Carson, S. S., Hough, C. L., Curtis, J. R., ... & White, D. B. (2019). Clinician-family communication about patients’ values and preferences in intensive care units. JAMA internal medicine, 179(5), 676-684.

    You, J. J., Downar, J., Fowler, R. A., Lamontagne, F., Ma, I. W., Jayaraman, D., ... & Canadian Researchers at the End of Life Network (CARENET). (2015). Barriers to goals of care discussions with seriously ill hospitalized patients and their families: a multicenter survey of clinicians. JAMA Internal Medicine, 175(4), 549-556.


    For more PsychEd, follow us on Instagram (⁠@psyched.podcast⁠),  Facebook (⁠PsychEd Podcast⁠), X (⁠@psychedpodcast⁠), and Bluesky (⁠@psychedpodcast.bsky.social‬⁠). You can email us at ⁠[email protected]⁠ and visit our website at⁠ ⁠⁠psychedpodcast.org⁠.

    1 hr 23 min
  • PsychEd Shorts 5: Basics of Electroconvulsive Therapy

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers the basics of electroconvulsive therapy.


    Hosts: Ravi Bhindi (CC3), Dr. Angad Singh (PGY2)


    Audio Editing: Dr. Angad Singh (PGY2)


    Show Notes: Dr. Angad Singh (PGY2)


    Time Stamps:

    (0:36) - What is ECT?

    (2:18) - Indications and efficacy

    (4:35) - Treatment course

    (4:32) - Combination treatment

    (6:33) - Medications to discontinue

    (8:16) - Contraindications

    (9:40) - Side effects

    (11:52) - Procedure

    (16:03) - Summary


    Resources:

    • https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/electroconvulsive-therapy
    • https://sunnybrook.ca/content/?page=psychiatry-electroconvulsive-therapy-ect-faq


    References:

    • Andrade, C., Arumugham, S. S., & Thirthalli, J. (2016). Adverse Effects of Electroconvulsive Therapy. The Psychiatric clinics of North America, 39(3), 513–530.

    • Brakemeier, E. L., Merkl, A., Wilbertz, G., Quante, A., Regen, F., Bührsch, N., van Hall, F., Kischkel, E., Danker-Hopfe, H., Anghelescu, I., Heuser, I., Kathmann, N., & Bajbouj, M. (2014). Cognitive-behavioral therapy as continuation treatment to sustain response after electroconvulsive therapy in depression: a randomized controlled trial. Biological psychiatry, 76(3), 194–202.

    • Espinoza, R. T., & Kellner, C. H. (2022). Electroconvulsive therapy. New England Journal of Medicine, 386(7), 667-672.

    • Gill, S., Hussain, S., Purushothaman, S., Sarma, S., Weiss, A., Chamoli, S., ... & Loo, C. K. (2023). Prescribing electroconvulsive therapy for depression: Not as simple as it used to be. Australian & New Zealand Journal of Psychiatry, 57(9), 1202-1207.

    • Janjua, A. U., Dhingra, A. L., Greenberg, R., & McDonald, W. M. (2020). The efficacy and safety of concomitant psychotropic medication and electroconvulsive therapy (ECT). CNS Drugs, 34(5), 509-520.

    • Jelovac, A., Kolshus, E., & McLoughlin, D. M. (2013). Relapse following successful electroconvulsive therapy for major depression: a meta-analysis. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 38(12), 2467–2474.

    • Kolshus, E., Jelovac, A., & McLoughlin, D. M. (2017). Bitemporal v. high-dose right unilateral electroconvulsive therapy for depression: a systematic review and meta-analysis of randomized controlled trials. Psychological Medicine, 47(3), 518-530.

    • Lam, R. W., Kennedy, S. H., Adams, C., Bahji, A., Beaulieu, S., Bhat, V., ... & Milev, R. V. (2024). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023: Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes. The Canadian Journal of Psychiatry, 69(9), 641-687.

    • Luchini, F., Medda, P., Mariani, M. G., Mauri, M., Toni, C., & Perugi, G. (2015). Electroconvulsive therapy in catatonic patients: Efficacy and predictors of response. World journal of psychiatry, 5(2), 182–192.

    • Tess, A. V., & Smetana, G. W. (2009). Medical evaluation of patients undergoing electroconvulsive therapy. New England Journal of Medicine, 360(14), 1437-1444.

    • Zolezzi M. (2016). Medication management during electroconvulsant therapy. Neuropsychiatric disease and treatment, 12, 931–939.


    For more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at [email protected] and visit our website at psychedpodcast.org.

    18 min
  • PsychEd Episode 69: Exercise for Depression with Dr. Nicholas Fabiano

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers exercise as a treatment for depression.

    Our guest for this episode is Dr. Nicholas Fabiano, a third-year psychiatry resident at the University of Ottawa. His research focuses on the overlap between mental and physical health, particularly lifestyle measures that can be used to improve mental health, including exercise, diet, and sleep.


    The learning objectives for this episode are as follows:

    1. Understand the evidence supporting the antidepressant effects of exercise 

    2. Explore the mechanisms underlying the benefits of exercise

    3. Learn how to prescribe exercise as a treatment for depression

    4. Identify the risks and caveats of prescribing exercise for depression


    Guest: Dr. Nicholas Fabiano (PGY3)


    Hosts: Dr. Wendy MacMillan-Wang (PGY4) and Dr. Angad Singh (PGY1)


    Audio Editing: Dr. Angad Singh (PGY1)


    Timestamps:

    (2:55) Origins of the interest in exercise

    (6:22) Evidence of antidepressant effects

    (14:05) Considerations in special populations

    (18:00) Overlap of mental and physical health

    (20:37) Mechanism of action

    (26:18) Exercise prescription

    (33:10) Exercise as addiction and self-harm

    (36:42) Counselling and mitigating harm

    (39:30) Combining with other lifestyle interventions

    (41:41) Evidence for other mental illnesses


    References:

    Fabiano N, Gupta A, Fiedorowicz JG, Firth J, Stubbs B, Vancampfort D, Schuch FB, Carr LJ, Solmi M. The effect of exercise on suicidal ideation and behaviors: A systematic review and meta-analysis of randomized controlled trials. Journal of affective disorders. 2023 Jun 1;330:355-66.

    Fabiano, N., Puder, D., & Stubbs, B. (2024). The evidence is clear, exercise is not better than antidepressants or therapy: it is crucial to communicate science honestly. Journal of Physical Activity and Health, 1(aop), 1-2.

    Heissel, A., Heinen, D., Brokmeier, L. L., Skarabis, N., Kangas, M., Vancampfort, D., ... & Schuch, F. (2023). Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. British journal of sports medicine, 57(16), 1049-1057.

    Hird, E. J., Slanina-Davies, A., Lewis, G., Hamer, M., & Roiser, J. P. (2024). From movement to motivation: a proposed framework to understand the antidepressant effect of exercise. Translational Psychiatry, 14(1), 273.

    Verhoeven, J. E., Han, L. K., Lever-van Milligen, B. A., Hu, M. X., Révész, D., Hoogendoorn, A. W., ... & Penninx, B. W. (2023). Antidepressants or running therapy: Comparing effects on mental and physical health in patients with depression and anxiety disorders. Journal of affective disorders, 329, 19-29.


    For more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at [email protected] and visit our website at psychedpodcast.org.

    47 min
  • PsychEd Shorts 4: Mental Status Exam

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers the mental status exam.


    Hosts: Dr. Matthew Cho (PGY1) and Dr. Angad Singh (PGY2)


    Audio editing: Dr. Angad Singh (PGY2)


    Episode Evaluation: Shelly Palchik (MS4)


    Timestamps:

    (0:20) Basics of the mental status exam

    (2:05) Appearance

    (4:00) Behaviour

    (5:00) Cooperation

    (6:20) Speech

    (7:18) Emotions

    (9:12) Perception

    (10:15) Thought process

    (12:35) Thought content

    (13:28) Insight

    (14:10) Judgement

    (14:46) Cognition


    Reference: 

    Donnelly, J., Rosenberg, M., & Fleeson, W. P. (1970). The evolution of the mental status—past and future. American Journal of Psychiatry, 126(7), 997-1002.

    Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3), 189-198.

    Norris, D. R., Clark, M. S., & Shipley, S. (2016). The mental status examination. American family physician, 94(8), 635-641.

    PsychDB. (2024, Jan 18). Mental Status Exam. https://www.psychdb.com/teaching/mental-status-exam-mse

    Voss, R., & Das, J. (2024). Mental status examination. StatPearls.


    If you want to learn more about the mental status exam, check out our longer episode about this topic: https://www.psychedpodcast.org/blog/mse


    For more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at [email protected] and visit our website at psychedpodcast.org.

    17 min
  • PsychEd Episode 68: South Asian Mental Health with Dr. Farooq Naeem

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

    This episode covers South Asian mental health with Dr. Farooq Naeem, a senior scientist with the Institute for Mental Health Policy Research and a psychiatrist at the Centre for Addiction and Mental Health. He is also a professor of psychiatry at the University of Toronto.

    Dr. Naeem pioneered techniques for culturally adapting CBT. These techniques have been used to adapt CBT in South Asia, North Africa, Middle East, Kenya and China. His research areas include CBT, psychosis, and culture, with an overall aim to improve access to CBT. He has also published on issues related to health services and quality improvement. He works with a team of IT experts and has developed a CBT-based therapy program — called eGuru — that can be delivered through web and smartphone apps.

    The learning objectives for this episode are as follows:

    By the end of this episode, you should be able to…

    1. Recognize the unique mental health challenges and barriers faced by South Asian communities

    2. Understand how cultural nuances shape mental health presentations and assessments

    3. Describe culturally adapted CBT and its benefits for South Asian patients

    4. Identify initiatives and future directions in transcultural psychiatry for South Asians

    Guest: Dr. Farooq Naeem

    Hosts: Hira Ahmad, Gurvir Rai, Nikhita Singhal

    Audio editing by: Nikhita Singhal

    Show notes by: Nikhita Singhal

    Resources:

    • PsychEd Episode 29: Cultural Psychiatry with Dr. Eric Jarvis

    • Culturally Adapted Cognitive Behavioural Therapy for Canadians of South Asian Origin

    • South Asian Canadian Mental Health Foundation

    • Society for the Study of Psychiatry and Culture

    References:

    • Gadalla, T.M. (2010). Ethnicity and seeking treatment for depression: a Canadian national study. Canadian Ethnic Studies 41(3), 233-245. https://doi.org/10.1353/ces.2010.0042

    • Karasz, A., Gany, F., Escobar, J., Flores, C., Prasad, L., Inman, A., Kalasapudi, V., Kosi, R., Murthy, M., Leng, J., & Diwan, S. (2019). Mental health and stress among South Asians. Journal of Immigrant and Minority Health, 21(S1), 7–14. https://doi.org/10.1007/s10903-018-0790-4

    • Kumar, A., & Nevid, J. S. (2010). Acculturation, enculturation, and perceptions of mental disorders in Asian Indian immigrants. Cultural Diversity and Ethnic Minority Psychology, 16(2), 274–283. https://doi.org/10.1037/a0018352

    • Lai, D. W. L., & Surood, S. (2008). Socio-cultural variations in depressive symptoms of ageing South Asian Canadians. Asian Journal of Gerontology and Geriatrics, 3(2), 84-91.

    • Leung, P., Cheung, M., & Tsui, V. (2011). Asian Indians and depressive symptoms: Reframing mental health help -seeking behavior. International Social Work, 55(1), 53–70. https://doi.org/10.1177/0020872810372801

    • Masood, N., Okazaki, S., & Takeuchi, D. T. (2009). Gender, family, and community correlates of mental health in South Asian Americans. Cultural Diversity and Ethnic Minority Psychology, 15(3), 265–274. https://doi.org/10.1037/a0014301

    • Vakil, K., Desse, T. A., Manias, E., Alzubaidi, H., Rasmussen, B., Holton, S., & McNamara, K. P. (2023). Patient-centered care experiences of first-generation, South Asian migrants with chronic diseases living in high-income, Western countries: systematic review. Patient Preference and Adherence, 17, 281–298. https://doi.org/10.2147/PPA.S391340

    For more PsychEd, follow us on Instagram (@psyched.podcast), Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at [email protected] and visit our website at psychedpodcast.org.

    53 min
  • PsychEd Shorts 3: Approach to Psychotic Symptoms

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

    This short episode is about an approach to patients with psychotic symptoms.

    Hosts: Ravi Bhindi (CC3), Dr. Angad Singh (PGY2)

    Audio editing: Dr. Angad Singh (PGY2)

    Show notes: Dr. Angad Singh (PGY2)

    Infographic: Dr. Kate Braithwaite

    References:

    Griswold, K. S., Del Regno, P. A., & Berger, R. C. (2015). Recognition and differential diagnosis of psychosis in primary care. American family physician, 91(12), 856-863.

    Hua, L. L., Alderman, E. M., Chung, R. J., Grubb, L. K., Lee, J., Powers, M. E., ... & Wallace, S. B. (2021). Collaborative care in the identification and management of psychosis in adolescents and young adults. Pediatrics, 147(6), e2021051486.

    Lieberman, J. A., & First, M. B. (2018). Psychotic disorders. New England Journal of Medicine, 379(3), 270-280.

    PsychDB. (2021, Jan 15). Psychotic Disorders. Retrieved July 15, 2025, from https://www.psychdb.com/psychosis/home

    PsychDB. (2022, Jan 26). Psychotic Depression. Retrieved July 15, 2025, from https://www.psychdb.com/mood/1-depression/psychotic

    PsychDB. (2021, Jan 15). Psychotic Disorders. Retrieved July 15, 2025, from https://www.psychdb.com/psychosis/home

    Resources:

    https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/psychosis

    https://www.earlypsychosis.ca/symptoms-of-psychosis/

    For more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), and X (@psychedpodcast). You can email us at [email protected] and visit our website at psychedpodcast.org.

    22 min
  • PsychEd Episode 67: Catatonia with Dr. Patricia Rosebush

    Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

    This episode covers catatonia with Dr. Patricia Rosebush. Dr. Rosebush is a Professor in the Department of Psychiatry & Behavioural Neurosciences at McMaster University. She is the distinguished author of numerous articles on clinical neuroscience, including considerable work on mitochondrial disorders in mental illness and over 30 papers on catatonia, and practices consultation-liaison psychiatry at St. Joseph’s Healthcare Hamilton.

    The learning objectives for this episode are as follows:

    By the end of this episode, the listener will be able to…

    1. Develop a conceptual understanding of catatonia
    2. Have an approach for diagnosing catatonia
    3. Have an approach for treating catatonia

    Guest: Dr. Patricia Rosebush

    Hosts: Dr. Alastair Morrison (PGY1), Dr. Angad Singh (PGY1)

    Audio editing: Dr. Angad Singh

    Show notes: Dr. Alastair Morrison

    Interview content:

    (01:20) Clinical features of catatonia (high level overview)

    (04:15) Clinical anecdote - an index case of catatonia

    (06:00) History of approaches to catatonia

    (10:00) Approach to different catatonia phenotypes

    (15:00) Categorization and ideas of mechanism

    (18:00) Assessing clinical signs of catatonia 

    (24:00) Preserved awareness in catatonia

    (27:00) Investigations and differential diagnosis

    (30:00) First interventions: benzodiazepines and benzodiazepine withdrawal

    (41:30) Managing medical considerations in catatonia

    (45:00) Treating other psychiatric illnesses in the catatonic patient

    (49:00) Acute, chronic, and refractory treatments

    References:

    • Barnes MP, Saunders M, Walls TJ, Saunders I, Kirk CA. The syndrome of Karl Ludwig Kahlbaum. J Neurol Neurosurg Psychiatry. 1986 Sep;49(9):991-6. https://doi.org/10.1136/jnnp.49.9.991
    • Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. I. Rating scale and standardized examination. Acta Psychiatr Scand. 1996 Feb;93(2):129-36. https://doi.org/10.1111/j.1600-0447.1996.tb09814.x
    • PsychDB. (2023, November 23). Catatonia. https://www.psychdb.com/cl/0-catatonia
    • Rosebush PI, Mazurek MF. Catatonia and its treatment. Schizophr Bull. 2010 Mar;36(2):239-42. https://doi.org/10.1093/schbul/sbp141

    For more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at [email protected] and visit our website at psychedpodcast.org.

    1 hr 2 min

About PsychEd: Educational Psychiatry Podcast

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This podcast is written and produced by psychiatry residents at the University of Toronto and is aimed at medical students and residents. Listeners will learn about fundamental and more advanced…

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