Learn Psych Podcast

The Learn Psych Podcast returns from its prolonged holiday hiatus with a great new episode! Join us today as we discuss Borderline Personality Disorder (BPD), a cluster B disorder which many clinicians find difficult to treat. We are joined by Dr. Heather Schultz who will give us tips and advice to turn this sometimes challenging population into a rewarding one. In addition, she will go over diagnostic criteria, evidence based treatments, and some clinical examples. Plus, we play a little game at the end! Thanks for listening.   ------------------------------------------------------------   Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

Forensic Psychiatry: In this month’s episode, we continue exploring psychiatry fellowships by talking about forensic psychiatry. Forensics is a large field so today’s episode tries to focus in on the criminal aspect of the subspecialty. Dr. Anacker discusses what got her interested in forensics and then we talk about forensic evaluations, the insanity defense, violence risk assessment, and guns. Even if you are not interested in forensic psychiatry, it is a great discussion. Hope you enjoy! Actuarial Risk Assessment Instruments mentioned today: PCLR - psychopathy checklist revised V-RAG - violence risk appraisal guide COVR - classification of violence risk HCR-20 - historical clinical risk management tool ------------------------------------------------------------ Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com Rate us in iTunes!

This month’s episode looks at what happens when psychiatry patients enter the golden years. That’s right, we explore the subspecialty of geriatric psychiatry. We talk with a geriatric psychiatrist about why she chose the field, what keeps it fun and interesting, as well as different challenges the elder patient brings to the visit. The episode is full of great tips, fun stories, and is intended for everyone. Even if you are not interested in geriatric psychiatry, it is a great discussion. Hope you enjoy! ------------------------------------------------------------ Let us know what you think of this episode by simply clicking link below: Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

Today, we go global! Dr. Nakita Natala makes her first podcast appearance to discuss one of her passions - global mental health. It is an interesting talk looking at the big picture of global mental health and then diving into Dr. Natala’s own experiences in the field. There are some interesting stories and this episode provides some cool insights into the challenging, yet rewarding, field. Enjoy! ------------------------------------------------------------ Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

There is a hidden danger on college campuses across the country.   Today, we examine this danger of combining stimulants and alcohol. We first speak with Julie Buckner, who started a foundation in her son's honor on his topic, after his life was tragically cut short.   Then, we interview Dr. Allison Lin, an addiction psychiatrist at the University of Michigan, to learn more about addiction in general.   Hope you enjoy it!   Some resources we discussed today: www.joshelevinefoundation.org     Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

In this episode, we create a role play scenario of a patient who presents on a very complicated psychotropic medication regimen seeking yet more controlled substances. Dr. Jouney and Dr. Wang will role play the scenario, and then we have a group discussion of the approach to take when you encounter similar situations. Lots of valuable clinical pearls within.  

Episode 019: Handling Drug Seeking Behaviors Part 1 In this episode, we create a role play scenario of a challenging patient who presents seeking benzodiazepines. Dr. Jouney and Dr. Wang will role play the scenario, and then we have a group discussion of the approach to take when you encounter difficult patients who are seeking controlled substances.   Part 2 of this series will be coming out on August 1, 2017, and will have a similar role play, but involving a different scenario with a patient on a very complicated medication regimen.     Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

Psychiatry is more than just medicine...there is that whole talking part too!   Today, we welcome Dr. Ricks Warren a psychologist at the University of Michigan to talk about cognitive distortions and cognitive behavioral therapy (CBT). We delve into both topics to discuss what they are, how they affect a person’s mood, and how CBT works as a treatment. We also tried out some provider/patient role playing to really demonstrate how easily cognitive distortions seep into our thoughts. Hope you enjoy it!   Some resources we discussed today: Free online CBT: “Mood Gym” The Feeling Good Book by Dr. David Burns Self Compassion, Kristin Neff   Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

Learn Psych Podcast Episode 17 - ECT with Dr. Dan Maixner   Topics covered: What is ECT? Electricity to the brain - where did this idea come from? Does ECT work? What conditions can ECT treat? What workup do you need to do prior to ECT? What are ECT side effects? How does informed consent work for ECT?   Other link of interest: TED talk on ECT   ------------------------------------------------------------ Let us know what you think of this episode by simply clicking link below: 3 stars: Excellent / would highly recommend to others 2 stars: Good / I might recommend 1 star: Fair / unlikely to recommend 0 stars: Bad / would not recommend   Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

Physician and trainee mental health is a popular topic being researched today. According to a paper published by Shanafelt and Noseworthy of the Mayo Clinic in 2016, over 50% of physicians are experiencing symptoms of burnout! They also describe how this issue can influence quality of care, patient safety, physician turnover, physician turnover and patient satisfaction. So the Learn Psych Podcast wanted to further explore this topic, so we welcome back Dr. Kate Baker to discuss her role in our department’s house officer mental health program. We also discuss different coping strategies and ways to combat burnout that anyone can benefit from. Hope you enjoy it! ------------------------------------------------------------ Let us know what you think of this episode by simply clicking link below: 3 stars: Excellent / would highly recommend to others   2 stars: Good / I might recommend   1 star: Fair / unlikely to recommend   0 stars: Bad / would not recommend   Send more feedback here Twitter: @learnpsychpod Facebook: Learn Psych Podcast www.learnpsychpodcast.com   Rate us in iTunes!

Episode 15: Dr. Tom Fluent joins us today to talk about childhood ADHD. We use Dr. Fluent's own personal story with ADHD to talk about the disorder, treatment, and how it effects a family as a whole. It should be an entertaining, open, and honest discussion of a disorder that can be misunderstood and frustrating for many clinicians. This show is intended for all listeners with an interest in psychiatry.   Find Learn Psych Podcast on: -Facebook: Learn Psych Podcast -Twitter: @learnpsychpod

Return of the Pod - Announcements!   We have a second host - please welcome Dr. Matt Hughes!   Our next full episode (and also Matt’s debut) will come out on Wednesday, March 1, 2017, with the topic of diagnosis and treatment of ADHD in kids. Matt also has an upcoming episode on Physician Mental Health, coming out in April.   Our production schedule will now be 1-2 episodes per month, which should be a more sustainable rate for us going forward. Thanks for listening...and stay tuned for our next full episode coming to you on March 1!

Announcements: The every-other-week production schedule is sadly unsustainable for me. I am unable to keep up with it myself and I will need to take a break. I am looking for help with developing content. If you are interested, message me here: http://www.learnpsychpodcast.com/contact-us/  Besides trying to save my time, I also will need to figure out how to make the podcast financially sustainable. I have an assignment to do some customer discovery interviews. Anyone can be interviewed if you have an interest in psychiatry, you don't have to listen to the podcast. Sign up on my website, www.learnpsychpodcast.com/interview To learn about other podcasts with interesting episodes about psychiatry/psychology, follow us on: Facebook (www.facebook.com/learnpsychpodcast)  Twitter: www.twitter.com/learnpsychpod You can also subscribe to our email list: http://www.learnpsychpodcast.com/newsletter/ Estimated time of return: I will need to take a few months off to continue developing the podcast. I am in the process of developing more episodes now. Stay tuned!

Episode 12: Dr. Kate Baker of the University of Michigan joins us again for an episode on the treatment of phobias, building upon the last episode on the diagnosis of phobias. This episode will cover topics like: - What is the best treatment for different types of phobias (specific phobia, agoraphobia, social phobia)? - What is exposure therapy? How does it work? - What is “social mishap exposure”? - What is cognitive restructuring? - What medications can be used to treat different phobias?   This episode will be most useful for clinical students and residents early in their training. Material may be of interest and use to pre-clinical students, although we will go into more depth than will be required for your tests.

Today's show is about how to diagnose a phobia, with Dr. Kate Baker of the University of Michigan. In two weeks, we will be back with a second episode on treatment of phobias. This episode may be most helpful for pre-clinical and clinical students, as well as residents early in their training. In today's episode we cover: - Specific phobias (like fear of flying, fear of getting an injection) - Social phobia (also known as social anxiety disorder), which can include things like fear of public speaking - Agoraphobia - Fear neurocircuitry   Specific Phobia criteria: - intense anxiety, almost always provoked by stimulus - avoidance / endured with intense anxiety - anxiety out of proportion to actual danger - clinical distress or impairment (social, occupational, etc) - duration over 6 months - not better explained by another disorder   Social phobia: one additional criterion to the specific phobia criteria is: individual fears that he/she will act in a way or show anxiety symptoms that will be negatively evaluated, such as being rejected or embarrassed. Agoraphobia: The additional criterion to specific phobia is two or more of the following: Fear of: - using public transportation - being in open spaces - being in enclosed spaces - being in a crowd or line - being outside the home alone     Basic steps of neurocircuitry: 1. signal of danger/trauma inputted into brain 2. brain puts context around this information 3. if brain interpretation is of concern, then fight/flight activated. Key brain structure in the fear response is the amygdala.   Resources: You may find it helpful to review fear neurocircuitry from the National Neuroscience Curriculum Initiative website.  

Today's episode is about immature defense mechanisms. We are back again with Dr. Michael Casher from the University of Michigan. Immature Defense Mechanisms covered in this episode: Acting out Denial Regression Projection Pasive aggression Dissociation Splitting Somatization Converstion Identification with aggressor Others: Negation   This episode is targeted to pre-clinical students, clinical students, and residents early in their training. Others who are interested in psychology may also find this episode helpful.   Feel free to visit our website to provide us with feedback on our shows. www.learnpsychpodcast.com Also, here is a humorous cartoon about defense mechanisms that you may enjoy.

Episode 009 Theory of Mind, Mature & Neurotic Defense Mechanisms with Dr. Michael Casher   Today's show explores Freud's "Theory of Mind" the id, ego, super-ego, the conscious, pre-conscious, and unconscious   And we tie in what the theory of mind has to do with defense mechanisms. In today's episode, we cover mature and neurotic defense mechanisms. Mature Defense Mechanisms: Altruism Humor Sublimation Suppression Neurotic Defense Mechanisms: Displacement Intellectualization Isolation of Affect Rationalization Reaction formation Repression Doing-undoing

The biopsychosocial formulation is a way of writing an assessment of a patient in psychiatry. As the name implies, it combines biological, psychological, and social information to develop a full picture of the presentation. Although it was actually created to be used in a wide range of medical fields, it is most often found in psychiatry. After discussing the origins of the biopsychosocial formulation, we create an example formulation using a well-known fictional story from popular culture. Then, we further discuss how to sort information into the biological, psychological, and social categories. This episode may be most helpful to pre-clinical students, clinical students, and residents early in their training. This is a topic frequently covered on exams, especially for clinical students, who may be asked to write an example formulation. Providers outside the field of psychiatry may find the episode helpful to encourage extra consideration of the psychological and social aspects of patient care. Or, maybe you frequently consult psychiatry and want to better understand their notes.

Episode 7 - Assessment of Decision Making Capacity Today’s show is about how to resolve competing interests when a patient wants to do one thing, but the medical team thinks something else would be better. For example, what happens when you have a patient who has a bad infection and needs a surgery to survive, but the patient is refusing the surgery? The surgical team wants to operate, but the patient says no, though it appears the patient is a little confused and may not quite understand the situation. How do you reconcile these differences of opinion and figure out how to proceed? We will explore this topic of assessing decision making capacity, often just called capacity for short, on this episode. To help explore this topic, we will again be joined by Dr. Charles Surber of the University of Michigan. This episode is most likely to be helpful for clinical students currently doing a psychiatry rotation, particularly on a consult-liaison service. Pre-clinical students might also find it helpful. Others who may find it useful include psychiatric residents, especially early in residency. Other physicians who consult psychiatry on their patients may also find this material helpful.

Episodes 6 with Dr. Charles Surber. On today’s episode, we discuss delirium, a clinical syndrome that many medical students will encounter, often while not on their psychiatry rotation. We define delirium, and then discuss the causes, risk factors, treatment, and prevention of delirium.

Episode #5 with Dr. Ed Deneke. We explore a case about a patient who believes he is being poisoned. We discuss the differential diagnosis and also explore the question how a physician can best treat a patient who doesn’t believe he has problem. Other topics covered in this episode include safety concerns, collateral information, and alliance building.

Mental status exam, part 2, with Dr. Michael Casher. Topics discussed in this episode include: Thought content - phobias, delusions Perceptions - hallucinations and what sorts of conditions hallucinations can be seen in Cognition Insight Judgment Dr. Casher will offer tips for interviewing patients to elicit these various parts of the mental status exam.

Episode #3, released on June 8, 2016 and recorded in Spring 2016. Today’s topic is the mental status exam, and I will be interviewing Dr. Michael Casher, one of the attending psychiatrists at the University of Michigan. We will cover: -What is the mental status exam? Why do we have the mental status exam in psychiatry. -We will play a sketch from a TV show and we will have Dr. Casher break it down with a mental status exam. -Various areas of the mental status exam: Appearance, attitude, behavior/psychomotor activity, mood, affect, speech, thought process. This particular episode is going to be appropriate for pre-clinical and clinical students. Residents early in their training may also find it useful.

Interview with Dr. Laura Hirshbein, MD, PhD, of the University of Michigan. Podcast covers topics: - What is psychiatry? How does it compare to psychology or neurology? - What is a psychiatric illness, and how is a psychiatric illness diagnosed? - What is the DSM? How did we get to the current DSM? - How have psychiatric illnesses been treated over the years?

An introduction to the Learn Psych Podcast and its host. Podcast will cover topics in psychiatry, targeted primarily at medical students, residents, and other trainees.