Third-year OHSU medical students, Candace Chan and Devon Boorstein-Holler rehash the information from our first sleep medicine & psychiatry talk in a question-and-answer format. This episode is part of a project to help determine optimal podcast formats for student learning. 

Hosted by: Devon Boorstein-Holler, MS3 & Candace Chan, MS3 

Questions? [email protected]

Studies Mentioned:

Overview on the pharmacology of sleep: https://aasm.org/resources/pdf/pharmacologictreatmentofinsomnia.pdf

Study on melatonin in OTC: https://jcsm.aasm.org/doi/full/10.5664/jcsm.6434

NEJM Bob Sack review melatonin for jet lag: https://www.nejm.org/doi/10.1056/NEJMcp0909838?url_ver=Z39.88-%202003&rft_id=ori:rid:crossref.org&rfr_dat-cr_pub%20%200pubmed

Study on two groups with insomnia or not, odds to develop depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108260/

Resource for online CBTI: https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia

CBTI for depression: https://academic.oup.com/sleep/article/31/4/489/2454177?login=true

IRT vs. IRT+CBT vs. Prazosin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265653/

Surgeon Dr. Andrea Stroud and psychologist Dr. Thomas Kern take on the topic of Bariatric Surgery.

Hosted by Sheuli Chowdhury and Nakai Corral

Questions? [email protected]

Topics covered:

Studies Mentioned:

Some recent obesity statistics: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493650/

Obesity and diabetes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3066828/

Depression and suicide after bariatric surgery: https://pubmed.ncbi.nlm.nih.gov/31410656/

Long-term depression/anxiety review: https://pubmed.ncbi.nlm.nih.gov/30795495/

Disordered eating and impulsivity: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538470/

Host: Avery Ballato

Part 1: The presentation and evolution of methamphetamine use in the clinical setting with Dr. Jordan Laub, MD MPH FACEP

Part 2: The management and impact of methamphetamine use in and out of the clinical setting with Curtis Johnson, LCSW

Sources: https://www.samhsa.gov/data/data-we-collect/dawn-drug-abuse-warning-network

This episode is not affiliated with OHSU. 

Psychologist Dr. Joel Nigg takes on the topic of ADHD. 

Hosted by Nakai Corral

Questions? [email protected]

Topics covered:

Studies Mentioned:

Study on stimulants and impact on grades: https://pubmed.ncbi.nlm.nih.gov/35604744/ 

Study on stimulants and addiction: https://www.sciencedirect.com/science/article/abs/pii/S0306460313002608?casa_token=jwUw58PypHoAAAAA:W0SbeZ6OmxvAM5WJmSnxtsW5_WBh0ZFjq-vrin_cR9wUWdJjeYpQKSqDq7SEBFvHCprbA1KOtxI

Reduction in height with stimulants: https://www.sciencedirect.com/science/article/abs/pii/S0890856708600763?casa_token=eg8stVhUO28AAAAA:65KbhBjbeOuh0pjiaGout3k8NRI1wURGXMSUtWVKTIc_XiLbXk0TTDs-unQ4jqpqaDZdVlOdUPg

Brain growth and stimulants: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183380/, https://pubmed.ncbi.nlm.nih.gov/23247506/

Correction from Dr. Nigg: There’s actually not a clear conclusive finding here that I can see after more studies have come out. Only correlational studies. The main MRI finding on structure is no evidence of harm. When we do see structural changes over time (e.g., one randomized controlled trial) it’s unclear what it means.

Animal model of stimulant use and neuronal damage: https://pubmed.ncbi.nlm.nih.gov/27575717/ 

Omega 3 supplements and ADHD symptoms: https://www.tandfonline.com/doi/full/10.1080/09540260600583031?casa_token=IvSUmSWkf6gAAAAA:u8lp26TFqEsj5KIQQdTKw4vpcqXXodm612ikG9sSg742FbSeYYl3TK4frxgoDwDPXdBiUbNMJTjpXw

Vitamin D supplementation and ADHD symptoms: https://www.tandfonline.com/doi/full/10.1080/1028415X.2016.1262097?casa_token=WHfv4XoZMZYAAAAA:Wwcjgg8dpNsp1k9Je1oMVI9W7GRhhgWuVZT2WuqaKrgyUq7uVsZwPAuLUQnTa-gb0LgzsJlbxn8PfA

Multi-nutrient supplements and ADHD symptoms: https://pubmed.ncbi.nlm.nih.gov/34303786/

Mindfulness w/ parents and kids with ADHD: https://pubmed.ncbi.nlm.nih.gov/35847187/

MTA trials: https://journals.lww.com/jrnldbp/Abstract/2001/02000/Findings_from_the_NIMH_Multimodal_Treatment_Study.8.aspx

Sleep psychiatrist Dr. Emens and sleep specialist Dr. Mukundan take on the topic sleep medicine through a psychiatric lens.

Hosted by Tom Bartlett and Nakai Corral

Questions? [email protected]

Topics covered:

Studies Mentioned:

Overview on pharmacology of sleep: https://aasm.org/resources/pdf/pharmacologictreatmentofinsomnia.pdf

Study on melatonin in OTC: https://jcsm.aasm.org/doi/full/10.5664/jcsm.6434

NEJM Bob Sack review melatonin for jet lag: https://www.nejm.org/doi/10.1056/NEJMcp0909838?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

Dr. Sack's study on blind individuals and melatonin: https://grantome.com/grant/NIH/R01-MH056874-01

Study on two groups with insomnia or not, odds to develop depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108260/

Resource for online CBTi: https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia

CBTI for depression: https://academic.oup.com/sleep/article/31/4/489/2454177?login=true

Cannabis and sleep: https://pubmed.ncbi.nlm.nih.gov/31895189/

IRT vs. IRT + CBT vs. Prazosin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265653/

Psychiatrists Dr. Roff and Dr. D'Souza take on the topic of diagnosis and treatment of borderline personality disorder. 

Hosted by Dr. Vikas Mankala and Nakai Corral

Questions? [email protected]

Borderline personality disorder is a complex mental health condition that is characterized by difficulty managing emotions and behavior, impulsiveness, instability of interpersonal relationships, and insecurity - which often presents as self-image issues. Most diagnoses are made during early adulthood, and the core features cause significant impairment in every day life. It is estimated that the lifetime prevalence of borderline personality disorder is 6 percent, with studies showing that the diagnosis was present in 6.4 percent of urban primary care patient, 9.3 percent of psychiatric outpatients, and a staggering 20 percent of psychiatric inpatients. The ratio of females to males is approximately 3:1 in clinical settings, however the lifetime prevalence does not differ significantly between men and women. Co-occuring psychiatric disorders are common including mood, anxiety, substance-use, eating and somatoform disorders.

Borderliner notes: https://www.youtube.com/c/BorderlinerNotes

What is Dialectical behavior therapy for adolescents (DBT)?: https://youtu.be/Stz--d17ID4

Addiction specialists Dr. Thomas Meeks and Dr. Honora Englander take on the topic of opioid use disorder. 

Hosted by Lenora Waconda and Nakai Corral

Questions? [email protected]

Fentanyl Concentrations in Canada: https://drugcheckingbc.ca/wp-content/uploads/sites/2/2022/04/Drug_Checking_BC_Mar_2022.pdf

Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2760032

Opioid Agonist Discontinuation: https://pubmed.ncbi.nlm.nih.gov/35489179/ 

Microinduction of Buprenorphine/Naloxone: A Review of the Literature: https://pubmed.ncbi.nlm.nih.gov/33378137/

Psychiatrists Dr. Asha Jetmalani and Dr. Craigan Usher take on the topics of gender dysphoria, transgender psychiatric care, and pediatric management. 

Hosted by Corey Gallet de Saint-Aurin and Nakai Corral

Questions? [email protected]

Let’s Talk Gender: Ten Things Transgender and Nonbinary Youth Want All Researchers to Know - https://www.jaacap.org/article/S0890-8567(21)02095-5/fulltext

Ten Things Transgender and Gender Nonconforming Youth Want Their Doctors to Know - https://www.jaacap.org/article/S0890-8567(17)30027-8/fulltext

Psychiatrists Dr. Sean Stanley and Dr. Mikaela Rodriguez take on adult ADHD treatment and diagnosis. 

Hosted by Nakai Corral and Devon Holler