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Dr. Roger McIntyre, Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, returns to introduce depressive disorders.
We differentiate normal "low mood" from conditions that warrant a psychiatric diagnosis. We discuss historical subtypes of depression and the current DSM specifiers for major depressive disorder. We review epidemiology, discuss the neurophysiology of depressive disorders, and then dive into treatment options.
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Dr. Lois Choi-Kain, Director of the Gunderson Personality Disorders Institute at McLean Hospital and Associate Professor of Psychiatry at Harvard Medical School, introduces us to borderline personality disorder (BPD).
We discuss the prevalence, naturalistic course, and treatments for BPD. We explore BPD using the “Good Psychiatric Management” (GPM) model, which is intended to empower clinicians of all disciplines to manage patients with BPD effectively. We discuss the principles of GPM and walk through some examples of how it might be used in the clinical setting.
Book: Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide (Check your academic library!)
References:
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Dr. Roger McIntyre, Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, introduces us to bipolar disorders.
We discuss the key clinical features of bipolar disorders, the relationship between bipolar disorders and circadian rhythm, known pathogenesis, and some first line treatment options. We also contextualize the difference between "type I" and "type II" bipolar disorder, and explore the relationship between bipolar disorder and traumatic life experiences.
For more: Bipolar Disorders (Lancet Seminar)
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Dr. Steve Delisi, Chief Medical Officer at YourPath Inc., Associate Director at UC-Irvine School of Medicine's "Train New Trainers" Primary Care - Training and Education in Addiction Medicine Fellowship, Adjunct Professor at Hazelden Betty Ford Graduate School of Addiction Studies, walks through the fundamentals of substance use disorder. We discuss the neurobiology of substance use disorder and explore the clinical use of "translational neuroscience." You'll also learn about the relationship between trauma and substance use, hear best practices for building a therapeutic alliance with this patient population, and catch a glimpse into future research on substance use disorders.
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Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, takes us through a deep dive on delirium. This episode covers an enormous amount of material. We contrast encephalopathy and delirium before diving into the dangerousness of delirium and prevention strategies. We explore the neurobiology of delirium and tie it to validated assessment tools and treatment approaches. We also discuss areas for future research and learn to appreciate the evolutionary function that delirium serves.
References can be found on the episode website.
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I am reaching out with a brief request. I do not gain any monetary benefit from the podcast, but I am hoping to share the project more widely with the academic community. In order to do that, I need to gather feedback on how you are using the podcast. Would you please take one minute and enter your email address into this microsoft form so that I can survey you? I will never share your information and it will only be used for studying how you are using the podcast. You can expect a very brief survey in the coming months. We will not be collecting any personal or identifying information, and your participation is completely voluntary. Thanks for your consideration, and I hope you are enjoying the show!
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Dr. Erick Messias, Chair of Psychiatry at Saint Louis University, introduces us to the world of psychiatric epidemiology. Learn how epidemiological figures (that show up on training exams) are derived, and explore how epidemiology can help us to understand the naturalistic course of psychiatric illness. We also delve into the history of our diagnostic system and how it developed into the current model, and run through some of the most important findings to date in psychiatric epidemiology. Dr. Messias also explains how to approach every situation in life "as a 2 by 2 table," and we conclude with some wisdom about inserting meaning into daily psychiatric practice.
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Dr. Kimberly Nordstrom, Past President of the American Association for Emergency Psychiatry and Associate Clinical Professor of Psychiatry at the University of Colorado, discusses the process of considering medical contributions to psychiatric illness. We discuss red flags that should guide clinicians to start thinking medically, explain the importance of systematically approaching a differential diagnosis, and provide a brief introduction to a few common medical-psychiatric conditions including autoimmune encephalitis, neuroleptic malignant syndrome (NMS), and serotonin toxicity ("serotonin syndrome").
Book: Quick Guide to Psychiatric Emergencies: Tools for Behavioral and Toxicological Situations
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Dr. Allen Frances, Chair of the DSM-IV Task Force and Chair Emeritus at Duke, returns to orient listeners to psychiatric diagnosis. Explore diagnostic principles including "stepped diagnosis" and understand the importance of nuance when making and communicating a psychiatric diagnosis. You'll also learn about how these diagnoses are derived, and hear tips for making an accurate and meaningful diagnosis to improve a patient's quality of life.
Book: Essentials of Psychiatric Diagnosis by Dr. Allen Frances
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Welcome to Psychiatry Boot Camp Season 2: Hoofbeats on Broadway! We are basing this season around the axiom, "When you hear hoofbeats on Broadway, think horses, not zebras." Our global experts will introduce the fundamentals of psychiatric diagnosis before walking us diagnosis-by-diagnosis through the psychiatric stables. Stay tuned!
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