Psychiatry and Mental Health

Host: Mimi Secor, DNP, FNP-BC, FAANP

Guest: Evelyn Resh, CNM, MPH

All parents want to make sure their teenage daughters are well-informed about issues related to sex, but how do advanced practice clinicians make sure teens are comfortable about their sexuality as they move into adulthood? Certified nurse midwife Evelyn Resh, director of women's health and sexuality counseling at Miraval Resorts, Tucson, Arizona, joins host Mimi Secor to talk about giving girls the knowledge and information they need to make healthy decisions about sex. They also discuss the impact that mothers have on their daughters' body image, and new sexual issues facing girls today.

Host: Eric Tangalos, MD

Guest: Herbert Sier, MD, CMD

What are some of the unique issues related to patients with Parkinson's in long-term care, and how can all long-term care team members assess and manage the condition? Dr. Herbert Sier, associate chief of geriatrics and assistant professor of medicine at Northwestern University Feinberg School of Medicine, and vice president of medical affairs at the nonprofit community organization, CJE Senior Life, in Chicago, Illinois, joins host Dr. Eric Tangalos to discuss ways physicians can preserve and improve mobility for Parkinson's patients, while providing for appropriate psychological care as well. Hosted by Dr. Eric Tangalos.

Host: Eric Tangalos, MD

Guest: Jay Luxenberg, MD

It can be challenging for caregivers to diagnose depression in long-term care medicine, even though depression in facilities such as nursing homes and assisted living facilities is common. How can long-term care physicians recognize the early signs and symptoms of depression, and determine when pharmacologic or other forms of therapy are most appropriate? What quantitative screening tests and management tools are helpful for physicians to use in diagnosing and treating depression? Dr. Jay Luxenberg, director of medical services at the Jewish Home in San Francisco, and clinical professor in the School of Medicine at the University of California, San Francisco, weighs the options of antidepressant therapy versus other non-pharmacologic treatments for patients with depression in long-term care facilities. What evidence demonstrates the efficacy of bright light therapy, family involvement and other activities in improving the symptoms of depression? Dr. Eric Tangalos hosts.

Host: Maureen Whelihan, MD

Guest: Michael Krychman, MD

When a woman is first diagnosed with breast cancer, a doctor's first concern is a treatment plan. But what happens after chemotherapy, radiation and surgery? Women must once again learn to reconnect with their bodies. Dr. Michael Krychman, executive director of the Southern California Center for Sexual Health and Survivorship Medicine, joins host Dr. Maureen Whelihan to discuss the treatment of low sexual desire in breast cancer survivors.

Host: Maureen Whelihan, MD

Guest: Michael Krychman, MD

More than 43 percent of women across the country, of all ages and races, have some type of sexual complaint or problem; but more often than not, they don't talk to their doctor about it. How can doctors bring up this issue without making their patients feel uncomfortable? Dr. Michael Krychman, executive director of the Southern California Center for Sexual Health and Survivorship Medicine, joins host Dr. Maureen Whelihan to discuss how to overcome the barriers when talking about sex with patients, as well as what causes low desire in women and how to treat it.

Host: Maureen Whelihan, MD

Guest: Stanley Althof, PhD

Most men who deal with erectile dysfunction (ED) suffer in silence because they don't know how to approach the subject with their doctor. How can you make it easier for your patients to talk about this sometimes embarrassing issue? Dr. Stanley Althof, professor emeritus at Case Western Reserve University School of Medicine, joins host Dr. Maureen Whelihan as they look at the biological and psychological causes of ED as well as the impact it can have on the health of couples.

Host: Bruce Japsen

Guest: Darrel Regier, MD

It's been over 15 years since the publication of the Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The DSM-V is due to be published in May 2013, and for the first time, the American Psychiatric Association invited input from the wider medical community and the general public. Anyone could go to the website, view the draft criteria alongside DSM-IV criteria, as well as the rationale behind the proposed changes, and add their comments, through April 20, 2010. Dr. Darrel Regier, executive director of the American Psychiatric Institute for Research and Education and director, division of research, at the American Psychiatric Association, tells host Bruce Japsen about what's due to change in the Manual, and the ramifications for research, treatment, payment, and — ultimately — outcomes.

Host: Steven Edelman, MD

Guest: William Polonsky, PhD, CDE

Patients living with diabetes often struggle with motivation, depression and other emotional or behavioral challenges. How can healthcare professionals support their patients in the behavioral aspects of their diabetes care and the emotional challenges of their condition? Join host Dr. Steven Edelman and his guest, founder of the Behavioral Diabetes Institute, Dr. William Polonsky as they discuss the need for understanding and support, what's wrong with 'policing,' and good diabetes etiquette in the management diabetes.

Host: Steven Edelman, MD

Guest: Irwin Goldstein, MD

The vascular, neurologic, hormonal and psychological issues associated with the diabetes and metabolic syndromes are commonly the cause of sexual problems. What benefit does a multidisciplinary approach to sexual medical issues bring to people living with diabetes? Join host Dr. Steven Edelman and his guest, director of San Diego Sexual Medicine at Alvarado Hospital in Southern California, Dr. Irwin Goldstein, as they discuss both male and female sexual dysfunction, treatments and a multidisciplinary approach to sexual medical issues.

Representative Charles Boustany, MD, of Louisiana, responds to President Obama's healthcare address in front of a joint session of Congress, September 9, 2009. Listen here or download the podcast.

To hear President Obama's address, click here.