PsychNP Cast

Dre Ceja (They/Them) joins us to talk about easy things we can do to provide affirming care for our transgender and non-binary patients. We will discuss simple changes you and staff can make when working with patient's pronouns, avoiding gender errors, understanding simple terms, and remembering that it doesn't always have to be about gender care.

Reaching out to our Guest Dre Ceja ([email protected]):

LGBT Center of Central PA - Director of Training & Education

Transgender Training Institute

Instagram: https://www.instagram.com/dreconchile/

Meet Rochelle Perry PMHNP ([email protected]) to learn about how she's worked with her son on his use of Long-Acting Injectables (LAIs) and how she uses them in her outpatient settings. There is a lot of strong clinical evidence that this patient care pathway helps and it's very easy, with low barriers to us providing it right in our office. Learn more about that... listen and enjoy.

References:

Greene, M., Yan, T., Chang, E., Hartry, A., Touya, M., & Broder, M. S. (2018). Medication adherence and discontinuation of long-acting injectable versus oral antipsychotics in patients with schizophrenia or bipolar disorder. Journal of Medical Economics, 21(2), 127–134. https://doi.org/10.1080/13696998.2017.1379412

Kishimoto, T., Hagi, K., Nitta, M., Leucht, S., Olfson, M., Kane, J. M., & Correll, C. U. (2018). Effectiveness of Long-Acting Injectable vs Oral Antipsychotics in Patients With Schizophrenia: A Meta-analysis of Prospective and Retrospective Cohort Studies. Schizophrenia Bulletin, 44(3), 603–619. https://doi.org/10.1093/schbul/sbx090

Oliver, D., Davies, C., Crossland, G., Lim, S., Gifford, G., McGuire, P., & Fusar-Poli, P. (2018). Can We Reduce the Duration of Untreated Psychosis? A Systematic Review and Meta-Analysis of Controlled Interventional Studies. Schizophrenia Bulletin, 44(6), 1362–1372. https://doi.org/10.1093/schbul/sbx166 

Subotnik, K., Casaus, L., Ventura, J., Luo, J., Hellemann, G., Gretchen-Doorly, D., Marder, S., & Nuechterlein, K. (2015). Long-Acting Injectable Risperidone for Relapse Prevention and Control of Breakthrough Symptoms After a Recent First Episode of Schizophrenia : A Randomized Clinical Trial. JAMA Psychiatry (Chicago, Ill.), 72(8), 822–829. https://doi.org/10.1001/jamapsychiatry.2015.0270

Titus-Lay, E. N., Ansara, E. D., Isaacs, A. N., & Ott, C. A. (2018). Evaluation of adherence and persistence with oral versus long-acting injectable antipsychotics in patients with early psychosis. The Mental Health Clinician, 8(2), 56–62. https://doi.org/10.9740/mhc.2018.03.056

Velligan, D. I., Maples, N. J., Pokorny, J. J., & Wright, C. (2020). Assessment of adherence to oral antipsychotic medications: What has changed over the past decade?. Schizophrenia Research, 215, 17–24. https://doi.org/10.1016/j.schres.2019.11.022

Weiden, P. J., Claxton, A., Kunovac, J., Walling, D. P., Du, Y., Yao, B., Yagoda, S., Bidollari, I., Keane, E., & Cash, E. (2020). Efficacy and Safety of a 2-Month Formulation of Aripiprazole Lauroxil With 1-Day Initiation in Patients Hospitalized for Acute Schizophrenia Transitioned to Outpatient Care: Phase 3, Randomized, Double-Blind, Active-Control ALPINE Study. The Journal of Clinical Psychiatry, 81(3), 19m13207. https://doi.org/10.4088/JCP.19m13207

• Want to be a guest? Fill this form out: https://forms.gle/tTQ8nChFaV4tKEj38
• Email us Email: [email protected]

This is a 2 part episode. Part 2: Lucie Fielding and Ed Stern talk about the clinical intersections of trans sexualities and erotic embodiments. We cover a variety of aspects of clinically supporting and affirming the transgender community. We also chat about sex and sexuality in an open and frank, but professional way (maybe the little ones around you might want to listen to something else). We give our audience a stronger understanding of their approach to care for the transgender community.

Lucie Fielding's book "Trans Sex: Clinical Approaches to Trans Sexuality and Erotic Embodiments can be purchased directly through Routledge Publishing, locally or by Amazon

Routledge Link Use Discount Code AET21 to get 20% off the book

Amazon Link

Lucie Fielding website

Link tree

• Want to be a guest? Fill this form out: https://forms.gle/tTQ8nChFaV4tKEj38
• Email us Email: [email protected]

This is a 2 part episode. Part 1: Lucie Fielding and Ed Stern talk about the clinical intersections of trans sexualities and erotic embodiments. We cover a variety of aspects of clinically supporting and affirming the transgender community. We also chat about sex and sexuality in an open and frank, but professional way (maybe the little ones around you might want to listen to something else). We give our audience a stronger understanding of their approach to care for the transgender community.

Lucie Fielding's book "Trans Sex: Clinical Approaches to Trans Sexuality and Erotic Embodiments can be purchased directly through Routledge Publishing, locally or by Amazon

Routledge Link Use Discount Code AET21 to get 20% off the book

Amazon Link

Lucie Fielding website

Link tree

• Want to be a guest? Fill this form out: https://forms.gle/tTQ8nChFaV4tKEj38
• Email us Email: [email protected]

We talk with Melanie Martin,  DNP, PMHNP, FNP-BC about grief and loss in this episode. We approach the discussion from a number of different directions and even chat about the approach to patient care from the eye of Dr Diet, Dr Quiet and good old Dr Merryman. DR. Martin also shares her personal struggle with a dramatic loss, and how this personal experience has led her to join us in the mental health community.

Melanie Martin,  DNP, PMHNP, FNP-BC

Blue Sky Mental Health and Wellness in Tucson, AZ

• Want to be a guest? Fill this form out: https://forms.gle/tTQ8nChFaV4tKEj38
• Email us Email: [email protected]

Shellie Baird is a Psych Nurse, Psych NP student, and the mother of a transgender daughter. Shelli has a lot to share with us. Her professional experience in psych nursing taught her a lot. It taught her to accept patients for who and what they are. She also has a daughter who was identified as male at birth. You're going to hear from this expert about her discovery, her journey and she's going to share some insights to help you work with our transgender patients.

Resources:

https://www.wpath.org/

https://www.thetrevorproject.org/

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• Email us Email: [email protected]

Whether we realize it or not, we see patients impacted by intergenerational trauma. Our guest Whiney Fear, MSN PMHNP-BC puts it into perspective for us in context to our own Indigenous American population. The value of the information she shares applies to the entire BIPOC community and refugees from other countries and communities.

Whiney Fears Linked In Profile

Read more on Intergenerational Trauma

• APA: The legacy of trauma
• IHS: Integrating Trauma Informed and Historical Trauma Informed Care in Behavioral Health Interventions with American Indians and Alaska Natives
• Native Hope: Understanding Historical Trauma and Native Americans
• The impact of historical trauma on American Indian health equity

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• Email us Email: [email protected]

Dara Hoffman Fox (https://darahoffmanfox.com/)is a therapist, an author and an educator. In this episode we talk to her about communicating with nonbinary and transgender patients. We'll discuss the culture, pronoun use, charting and so much more.

Here's some more information on todays topic and Dara Hoffman Fox:

Learn more about Dara: https://darahoffmanfox.com/

Buy Dara's book: "You and Your Gender Identity: A Guide to Discovery" (https://discoveryourgenderidentity.com/) from her website (preferred, plus it's then autographed) or from Amazon.

Want to learn more? Check out the Trans-Affirming Therapists Academy and their classes: https://trans-affirming-therapists-academy.teachable.com/

Approached to working with gender diversity - Thanks to Synchronicity Counseling: https://www.synchronicity-counseling.com/approaches-to-working-with-gender

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• Email us Email: [email protected]

Guest: Erin Harrell, PMHNP

https://www.infocuspsych.com/

Southhaven, MS 38672

[email protected]

The Modified Checklist for Autism in Toddlers M-CHART

https://www.autismspeaks.org/screen-your-child

Autism Behavior Checklist

https://wbma.cc/wp-content/uploads/2018/04/ABC_checklist.pdf

Autism Spectrum Quotient

https://psychology-tools.com/test/autism-spectrum-quotient (online)

https://psychcentral.com/quizzes/autism-test (print)

Childhood autism spectrum test (CAST)

https://psychology-tools.com/test/cast (online)

https://www.autismresearchcentre.com/tests/childhood-autism-spectrum-test-cast/ (print)

ABA Therapy defined:

https://www.autismspeaks.org/applied-behavior-analysis-aba-autism-treatment

National Autism Association: https://nationalautismassociation.org/

Autism Society: https://www.autism-society.org/

Autism Speaks: https://www.autismspeaks.org/

Uniquely Human (A Different Way of Seeing Autism)

https://amzn.to/3lRZFPq

Essential Clinical Guide to Understanding and Treating Autism

https://amzn.to/3tVdnnE

Treating Disruptive Disorders: A Guide to Psychological, Pharmacological, and Combined Therapies

https://amzn.to/3lQvQPr

A Clinician’s Guide to Mental Health Conditions in Adults with Autism Spectrum Disorders

https://amzn.to/31l8tEg

Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening

https://pediatrics.aappublications.org/content/145/1/e20193449

AAP Autism Toolkit: https://toolkits.solutions.aap.org/autism/home

https://www.aappublications.org/news/2019/12/16/autism121619

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(https://www.justinbethoneynp.com/).

He's in practice as a PMHNP in Bend OR. We discuss his integrative medicine approach to mental health. We also talk about his book "The Mental Wellness Diet" and how he approaches mental health care with medication and focusing on core elements of nursing theory and wellness practice.

Links:

The Mental Wellness Diet Book (available in many formats on Amazon: https://www.thementalwellnessdiet.com/)

Justin's approach to integrative medicine: https://www.justinbethoneynp.com/integrative-psychiatry

Just the integrstive graphic: https://static.wixstatic.com/media/537236_8ad12b8ef5e545ffa786f6eebb6d0831~mv2.png/v1/fill/w_677,h_875,al_c,q_90,usm_0.66_1.00_0.01/Functional%20Medicine%20Psychiatry%20Hourglass.webp)

GOTO IT Functional Medicine approach https://www.ifm.org/functional-medicine/what-is-functional-medicine/

Hildegard Peplaus – Nursing Theorist https://nurseslabs.com/hildegard-peplaus-interpersonal-relations-theory/#:~:text=Peplau's%20theory%20defined%20Nursing%20as,involving%20an%20interaction%20between%20two

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