The Psychiatrists Guide

On this episode we discuss the history behind CBD. We delve into the research that supports or doesn't support the use of CBD for pain, anxiety, insomnia and more. And we discuss the approved indications of medications derived from CBD that are on the market today.

In this episode we discuss new research that links the use of certain antidepressants and the development of dementia. Check out the referenced paper here: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2736353 And check out Technodrome1 at https://www.instagram.com/technodrome1/?hl=en

In this episode we interview Dr. Senthil Rajaram, Geriatric Psychiatry Fellow at UPenn about mental health apps.

Some of the Apps mentioned in this episode:
T2 Mood Tracker https://apps.apple.com/us/app/t2-mood-tracker/id428373825
Virtual Hope Box https://apps.apple.com/us/app/virtual-hope-box/id825099621
PTSD Coach https://apps.apple.com/us/app/ptsd-coach/id430646302

On this episode we discuss the origins Goldwater Rule, which stops psychiatrists from diagnosing public figures, and how it applies in the era of Donald Trump. Should psychiatrists warn the public about someone they think is dangerous?

Please read Dr. Stone's Article:  https://www.lawfareblog.com/psychiatrists-goldwater-rule-trump-era 

Are e-cigarettes safer than regular cigarettes? Can they help you stop smoking? Drs. Coira and Sherer discuss the latest evidence.

James Sherer, MD and Rafael Coira, MD, JD discuss the diagnosis and treatment of video game addiction. James recaps his panel at PACS East and we share our experiences with games growing up.

Sources:
1.       Zajac K, Ginley M, Chang R, Petry N. Treatments for Internet Gaming Disorder and Internet Addiction: A Systematic Review. Psychology of Addictive Behaviors. 2017, Vol. 31, No. 8, 979–994

2.       King D, Delfabbro P. Internet Gaming Disorder Treatment: A Review of Definitions of Diagnosis and Treatment Outcome. Journal of Clinical Psychology. 2014, 40: 942-955

3.       Gonzalez-Bueso V, Santamaria J, Fernandez D, Merino L, Montero E, Ribas J. Association between Internet Gaming Disorder or Pathological VideoGame Use and Comorbid Psychopathology: A Comprehensive Review. Int J Environ Res Public Health. 2018, Apr; 15(4):668

4.       Greenfield D. Treatment Considerations in Internet and Video Game Addiction. Child and Adolescent Psychiatric Clinics of North America. 2018, Vol. 27, No. 2, 327-344

5.       Han D.H., Hwang J.W., and Renshaw P.F.: Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Exp Clin Psychopharmacol 2010; 18: pp. 297-304

6.       Han D.H., and Renshaw P.F.: Bupropion in the treatment of problematic online game play in patients with major depressive disorder. J Psychopharmacol 2012; 26: pp. 689-696

7.Bullock SA, Potenza MN. Pathological gambling: neuropsychopharmacology and treatment. Curr Psychopharmacol. 2012;1:67–85.

 8.Kim SW, Grant JE, Adson DE, Shin YC. Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biol Psychiatry. 2001;49:914–21.

 9.Grant JE, Odlaug BL, Potenza MN, Hollander E, Kim SW. Nalmefene in the treatment of pathological gambling: multicentre, double-blind, placebo-controlled study. Br J Psychiatry. 2010;197:330–1.

In March 2019, the FDA cleared a pair of headphones called Cervella which promises to treat depression, anxiety and insomnia. What's the science behind this and other cranial electrotherapy stimulation devices and do they work?

Episode Artwork derived from a work by Andreashorn and is licensed under the Creative Commons Attribution-Share Alike 4.0 International license https://creativecommons.org/licenses/by-sa/4.0/deed.en

Sources:
Shekelle PG, Cook IA, Miake-Lye IM, Booth MS, Beroes JM, Mak S. Benefits and Harms of Cranial Electrical Stimulation for Chronic Painful Conditions, Depression, Anxiety, and Insomnia: A Systematic Review. Ann Intern Med. ;168:414–421. doi: 10.7326/M17-1970 (https://annals.org/aim/article-abstract/2672602/benefits-harms-cranial-electrical-stimulation-chronic-painful-conditions-depression-anxiety?doi=10.7326%2fM17-1970)

Feusner JD, Madsen S, Moody TD, et al. Effects of cranial electrotherapy stimulation on resting state brain activity. Brain Behav. 2012;2(3):211–220. doi:10.1002/brb3.45
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3381625/)

Rafael Coira, MD, JD and James Sherer, MD discuss the new FDA approval of the Esketamine nasal spray for treatment of depression. Marketed under the trade name Spravato, Esketamine promises to reverse depression in one day, but what are the risks of taking a medication derived from the drug PCP?

Psychiatrists, Rafael Coira, MD, JD and James Sherer, MD discuss the neurophysiology of sleep and how to improve it. 

Rafael Coira, MD, JD and James Sherer, MD discuss the history, causes, features and treatment of PTSD.