Podcasts about frontier psychiatrist

Talk of Australian cartoons—and not just Bluey—morphs into a look at several specific passages in Wright's Praiseworthy, discussion what makes the book "difficult" to read, the style of humor, what pushes us away from the text and then re-grabs out attention, and much more. This week's music is "Frontier Psychiatrist" from The Avalanches. You can find all previous seasons of TMR on our YouTube channel and you can support us at Patreon and get bonus content before anyone else, along with other rewards, the opportunity to easily communicate with the hosts, etc. And please subcribe and rate us on Apple Podcasts, Spotify, or wherever you get your podcasts. Tune in next week for more banter and analysis live on YouTube where we will be covering pages 400-463. (Up to chapter 12 in "Sitting in the Bones.") Follow Open Letter, Two Month Review, Chad Post, Kaija Straumanis, and Brian Wood for random thoughts and information about upcoming guests.

Talk of Australian cartoons—and not just Bluey—morphs into a look at several specific passages in Wright's Praiseworthy, discussion what makes the book "difficult" to read, the style of humor, what pushes us away from the text and then re-grabs out attention, and much more. This week's music is "Frontier Psychiatrist" from The Avalanches. You can find all previous seasons of TMR on our YouTube channel and you can support us at Patreon and get bonus content before anyone else, along with other rewards, the opportunity to easily communicate with the hosts, etc. And please subcribe and rate us on Apple Podcasts, Spotify, or wherever you get your podcasts. Tune in next week for more banter and analysis live on YouTube where we will be covering pages 463-525. (Up to chapter 5 in "Cargo Shifter.") Follow Open Letter, Two Month Review, Chad Post, Kaija Straumanis, and Brian Wood for random thoughts and information about upcoming guests.

Welcome to the Frontier Psychiatrist…. Podcast. It's a podcast with myself, Dr. Owen Muir, as your host, and it's a companion podcast to FrontierPsychiatrist.com, a sassy Substack about health-related things. This is a conversation between Jazz (Glastra) and me. She is the senior director at Brain Futures, which is a 501c3 not-for-profit. She got to be the interviewer in this one! I'm a big Jazz fan, as a person, in full disclosure. I also enjoy the art form of the same name, but that is a different story.We are thrilled to have BrainFutures as partners in sponsoring Rapid Acting Mental Health Treatment 2024. It's in San Fran on the 7th of January! Join us! (that is a ticket link!)In this conversation, we try to get to a shared understanding of what we actually might mean by mental health, the mental health crisis, and whatnot. This means accepting that other people's minds might not be thinking the same things that we're thinking, and so trying to get to the same understandings is a process that we have to take seriously. We need to build trust, and that's really, at the end of the day, what this conversation is about. The transcript follows…Jazz Glastra I'm Jazz Glastra, and I'm the Senior Director at Brain Futures, which is a nonprofit that advances access to new treatments and technologies in brain health. Owen Muir, M.D.I'm Owen Scott Muir. I'm a child, adolescent, and adult psychiatrist by board certification. I identify as an interventional brain medicine doctor because I don't really love... the branding of psychiatry or the expectations. Much of this goes back to me constantly thinking about the role of trust and expectations in any conversation. Jazz Glastra What is the difference between a neurological disorder, a psychiatric disorder, and a neuropsychiatric disorder?Owen Muir, M.D.In the beginning, there were only humors. And that's a little bit of a joke, but We had neurology as a medical specialty,Sigmund Freud, whom we think of as a psychiatrist, was a neurologist. Because we didn't have psychiatry as a separate medical discipline, to this day, the American Board of Psychiatry and Neurology is one board, ABPN. What ends up in what bucket in medicine has a lot of historical ness to it? Neurology used to be all of it? If it was a brain or a nerve, That was neurology, and then Freud came along with an explanatory model for problems people had that didn't involve localizing the lesion,? Neurology took over things where you could point at where it was, and psychiatry took over things where you couldn't point at where it was. If you end up having a thyroid problem, then you go to endocrinology, and you're not managed primarily by psychiatry. The accident of history is nonlocalizable Neurology ended up as psychiatry.And here I am, talking all the time about fMRI-guided treatment, so I'm getting myself in trouble. One of the people who brought this bridge back was Dr. Nolan Williams, who trained initially as a neurologist. He did neurology first, then got board certified in behavioral neurology, and that not being enough residencies, he did an entire other residency in psychiatry.And three board certifications in, he's a neurologist and a psychiatrist, and blah blah blah. It ends up being, “Who's got the most practice in their training program with whatever the problem is to own it.” It's an accident of history is the answer.Jazz Glastra So, are we in a mental health crisis?Owen Muir, M.D.Yes, in that we have no idea what that means, and we feel very crisis-y about it.Jazz Glastra I feel crisis-y about it, usually.Owen Muir, M.D.What is mental health? I have no idea. It is the worst term because it means nothing. Which is really good for charlatans and hucksters and bad for people who are suffering. I would agree we're in a mental health crisis if, in the same question, you let me say, are we in a mobility crisis?Yes. When we only fill cars with water that should have taken gas, that's a mobility crisis, and we can have the same response to the mobility crisis of filling up gasoline-powered cars with water as we do to the mental health crisis. I'd say those are similarly crisis y. The cars wouldn't move.And you could talk about what a problem it was all day long, but the car still wouldn't go because you filled it with water, not gas. That's how I think of the mental health crisis. It's a crisis of misunderstanding; the problem is you don't understand the problem, and then you don't apply the right solutions, and you act like it's a crisis, not an actual understandable and solvable problem.Jazz Glastra What do you see as the problem?Owen Muir, M.D.If you don't know what a mental illness is, or that there are different ones, and that's important, is there a problem with people who are, for example, dying by completing suicide? Yes. That is one version of looking at the problem.Is there a problem with people having tremendous suffering? Needlessly throughout their day. Yes. Is there a problem of people being disconnected from each other and hopeless? Yes. Is there a problem of death by drug overdose? Yes. Is there a problem of many people feeling anxious and worried? Yes. Is there a problem? Many people are traumatized and thus have sequelae of that problem.A lot of different problems. Schizophrenia. Homelessness. Having a poor definition for a problem creates. More problems than accurately understanding?And so my argument is for starting with understanding and saying okay, if the problem is defined as X, then what? Because the mental health crisis doesn't define anything enough for me to have an answer for you.Jazz Glastra You gotta do something!Owen Muir, M.D.We have to do something is one of the worst things for anyone who's not a huckster.If you are a huckster, it's great because just misdirected energy to do something “comma,” anything is a cash grab, and that's awesome.Jazz Glastra I think what people probably mean when they say there's a mental health crisis is like the old adage about recessions versus depressions, where a recession is when your neighbor loses their job, and a depression is when you lose your job. When people say there's a mental health crisis, they mean that my immediate family and friends are suffering. People know more people who are struggling or in crisis.Maybe the question could be, is the incidence of diagnosable mental health conditions rising? Is the incidence of completed suicide rising? Are all these things you listed before, are they getting worse?Owen Muir, M.D.Yes, completed suicide is measurable and well-tracked, and definitively, more people are dying by suicide in the United States, at the very least, now than previously. Yes.Jazz Glastra What do you think about the term death of despair?Owen Muir, M.D.I think it's an attempt at good branding. It's lumping together—death from overdose, death from suicide, and death from alcohol use disorder. Death from problems associated with psychiatric illness is an attempt to draw a circle around something in a way that.It is trying to be helpful. I appreciate both attempts to understand and define a problem. Does that definition empirically hold up? Nate Silver doesn't think so. And Nate Silver is good at numbers.Jazz Glastra What's the difference between being in remission and being cured? Why don't you ever hear people talking about cures and mental health?Owen Muir, M.D.We don't use the word cure because, essentially, the FDA won't let us. I'm a doctor, saying the word cure has a very specific meaning—definition, which is more rigorous than the dictionary definition.So, the dictionary definition of cure is having “no signs or symptoms of a disease.” I would argue many of the things I do to treat, say, depression, Stanford accelerated intelligent neuromodulation as an example, leads to what could be defined as a cure. However, because of years of hucksterism, We had too many things offered up as cures that weren't.You end up having to asterisk yourself into incoherence. Could it come back? Yes. I have athlete's foot powder that says it will cure athlete's foot. But that claim was adjudicated by the FDA a long time ago. Meconazole nitrate, a cure. That's a claim on a treatment that they would have to approve. And saying cure makes you sound like a charlatan. Until the FDA agrees with the label that says cure, I'm not going to say cure. Even though people would love that.Remission is defined as... no signs or symptoms of a disease, which is different from recovery, which I prefer conceptually, which is no signs or symptoms of a disease. And At least one meaningful friendship outside the family and meaningful work or school.Jazz Glastra You're getting more into well-being and just whole-person wellness territory there.Owen Muir, M.D.I do we need to use that many words to say human? Life anyone would want? Jazz Glastra Is that the purview of a psychiatrist or a neuropsychiatrist?Owen Muir, M.D.If you imagine the job of a physician stops at no signs or symptoms of a disease no. If you imagine the job of a physician is to help people. optimize full, rich, fulfilling lives and get and stay well, then yes. I tend to be in the latter camp. It's a little bit like trauma surgeons doing advocacy work to reduce gun violence,they got really good at sewing up bullet holes, but would rather do less of that, thanks. Because there's only so much you can do in the O. R. I trained in Rochester, for med school, where the trauma surgeons were working with the police in the community to set up shot spotter systems and educate youth about gun violence …to reduce the number of bullet holes they'd have to sew up. Trauma surgeons have been thinking about how to do this in the community better than psychiatrists have, by a lot, would be my argument.Jazz Glastra I've seen this stat bandied about that something like psychiatry hasn't had a new class of drugs in 30 years or 50 years. And we've been doing all this work and research, but the mortality and morbidity rates. are not coming down in our discipline. So I want to know what you think about why psychiatry has been stuck in this rut for so long…Owen Muir, M.D.2023 is a year when new things have come to market. The job of a physician is to understand first and then offer treatment help,We have an entire medical discipline called Physical Medicine and Rehabilitation, which looks to help people restore their physical functioning. And it's called Physiatry, the actual name of the discipline. Now, Psychiatry. is restoring the function of one's mind and psyche, right? And physiatry helps you move your knee.Whether it's referring you to a physical therapist, or a psychiatric therapist, or a psychological therapist, or, the right number of walks for you, or a medicine to make the walks easier, I see those as very similar. We have a real dichotomy between functional problems, like problems of how something moves over time, and kind of structural problems.And it's a lot easier to think your arm is broken, let's fix it, than the way your arm moves is broken, let's fix it. Or the way you think about something is broken, let's fix the movement of your thoughts. such that they function better in your life. And, GI gets this, PM& R is a whole discipline for this, and orthopedic surgery is not the same as physical medicine and rehabilitation, but they both deal with that back pain.Jazz Glastra Why has innovation been so hard in behavioral health?Owen Muir, M.D.We Changed the term to behavioral health and mental health. Whenever we feel uncomfortable, we come up with a new label for what we're doing. None of them are as good as feeling okay. Do you need behavioral health care? I don't know. Do you want to have a good life?Oh yeah. Are you freaking out? Definitely, I'd like that to stop. Part of the problem is, again, a lack of definitions. Dan Carlin at Mind Medicine Now would say, We spent 30 years perfecting algorithms to make drugs as safe as water. And we got a generation of compounds with the efficacy profile of water. We were obsessed with errors of commission, like we didn't want to do any harm. It's in the Hippocratic Oath. But we also didn't want to risk helping people. Not too much, anyway. Which is an error of omission. We weren't willing to call a spade and to admit that the suffering we were seeing was unacceptable.And could you do something about it? We limited ourselves only to things that were not harmful, which excluded many things that might have been helpful. Thus, our vision was narrowed. And so if your expectation is, let's pursue treatments that might get people 50 percent better, you're not going to only look at things that get you a hundred percent better. If your endpoint is remission, and that's all you'll accept, then you spend your time on different stuff. So, we spent our time on half measures because it made sense to do so given the constraints we set for ourselves, which were flawed.Jazz Glastra How unusual do you think that focus on remission is in your field?Very rare. If you don't know it's possible, then why would you do it?Jazz Glastra Do you think most of your colleagues don't know what's possible?I think they know it's possible, but they don't have it, as that's not the expectation. Look, I have drugs to prescribe. I'm a prescriber. I'm going to prescribe them. Those drugs are evidence-based, but to do what? To reduce suffering by 50%. Not studied to eliminate all the symptoms of the much less, heaven forbid, something that could get you even better.Jazz Glastra So you and I chatted a little bit this week about the prevention of mental health and substance use disorders, mostly mental health disorders, I think. I'm curious if you could talk about wanting to reduce suffering but not eliminate it. Owen Muir, M.D.One of the reasons I worry about Eliminating disorders as someone who's enthusiastic about doing so, there's a reason they had a predisposition to have that problem in the first place.It is like having a Lamborghini as your car but moving to Colorado. And it won't perform well up the hill in the snow. In the context of living in Denver in the winter, a Lamborghini is a poorly adapted car, and you are a terrible driver. And so if you imagine everyone just rags on you for how well your car performs, ignoring what car it is, then I'm a terrible driver.It happens to me because I have a Lamborghini, and there's snow, and it's not a good snow car, right? My Subaru friends will rip on me. I'm just better adapted to driving around L.A. That goes, wow, you can sit on the 405 at five miles an hour in style.It's a context issue. Some people do better in the cold; some people do better in the heat. That's what we're prepared for. Some people do better in high novelty environments. Some people do poorly in low novelty environments. Some people are very careful. Some people are very reckless.We need a variety of people around. Unfortunately, some of those people are more vulnerable in some contexts. So in a high cocaine environment, people with the predisposition to be more curious and novelty seeking which often shows up as adhd Are more likely to use and get a lot of reward from cocaine and develop a cocaine use disorder if you're Some people are predisposed to have a problem in a context, some people gain more weight from McDonald's and you put them in a high McDonald's environment, they get obese.Some people are more likely to become depressed when things get bad, and they're more likely to be depressed in a highly depressogenic environment. It's our pre-existing vulnerabilities, which are boons in other contexts. You want some people around who are more curious and look under the rock for the extra thing because they can't help themselves. We evolved together in a tribe, and when you lose track of the fact that we need each other, each of these individual vulnerabilities. Thus, I don't want to think about eliminating people with mental illness.I do want to eliminate the distress. People have, and sometimes that means environmental modifications. And sometimes, it means acknowledging that this environment is one in which you are maladapted. We need to be able to help you function better in this very difficult environment in which you find yourself.But there's a classic ad for Valium that I think makes us cringe now but should. And it's a woman in a broom closet. “We can't eliminate her drudgery; we can help the anxiety. Valium,” or some such thing. It's a woman with a rag on her head, and like a bunch of brooms, and it's super sexist.And it's just ugh. You make, you want to die, and no, stop doing that! Stop, let me, but not everyone has that option. It's about being honest with ourselves. We could eliminate anxiety or make the world a better place so people wouldn't feel trapped. And I don't know that eliminating anxiety is the goal so much as can you, can we help you be untrapped?Jazz GlastraWe don't need to eliminate people who have a predisposition to anxiety, depression, or schizophrenia, But could we prevent them from having their disorder triggered?So, I will give you one of the easiest examples of this I can come up with, which is cannabis and schizophrenia. So we have really strong data, mostly from Christoph Carell's work with other people as well, that ultra-high risk for schizophrenia individuals who smoke cannabis are highly more likely to convert to schizophrenia. And so if you wanted to prevent schizophrenia, the easiest thing to do, in quotes around the word easiest, is get young people not to smoke any cannabis. That would prevent a lot of schizophrenia. Good luck with that, by the way.Jazz Glastra I think we can have a separate conversation about public health messaging around schizophrenia and cannabis and how effective it could be. Owen Muir, M.D.You could prevent schizophrenia by reducing the rates of cannabis use.Jazz Glastra I think that would be a nice thing. —fin—Thank you for listening to the Frontier Psychiatrist podcast. Leave us five stars on whatever platform you're listening to. It helps discovery and lets other people know that it's a great podcast. I highly recommend sharing it with your friends. If you have enemies to whom you would like to send podcasts, you can do that too.If you've enjoyed hearing Jazz and I talk, there'll be more of it. , Brain Futures is co-sponsoring an event I'm hosting on January 7th called Rapid Acting Mental Health Treatment 2024. You can get your tickets on Eventbrite. It's in San Francisco, right before the JPM Health Conference. A special shout out to my friend Grady Hannah, the CEO of Nightware, whose idea it was in the first place.He and other exciting innovators will be there and talking to each other and to you at this reception. (ticket link) This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

Zach is joined by Tia from the I Read Comic Books podcast to talk one of her favorite comics: the 2014 solo series Bucky Barnes: Winter Soldier!On the heels of Original Sin, Bucky Barnes finds himself in the role of, "The Man on the Wall," protecting Earth from any and all threats from the galaxy, at all costs. But what happens when he finds himself not only in love with an alien princess, but playing a part in a game between a future version of himself from another universe, and the Crossbones of that Universe who just happens to be an unstoppable killing machine? PLUS: Loki hijinx! Written by Aleš KotArt by Marco Rudy, Langdon Foss, Michael Walsh---------------------------------------------------Tia's Bucky Barnes: Winter Soldier Playlist (aka, The Lost Glove is Happy):1. Lovedust by Luna2. Pain by Catherine Wheel3. Violaine by Cocteau Twins4. Stray Bullet by KMFDM5. Vapour Trail - 2001 Remaster by Ride6. Wish You Were Here by Rasputina7. Frontier Psychiatrist by The Avalanches8. Do You Realize? by The Flaming Lips9. Hyperballad by Björk10. Starlight by Muse11. Laides and Gentlemen We Are Floating in Space by Spiritualized---------------------------------------------------Buy cool art by Marco Rudy HERE! ---------------------------------------------------Check out Dreampass and all their killer tracks on Spotify!---------------------------------------------------Join the Patreon to help us keep the lights on, and internet connected! https://www.patreon.com/tctwl---------------------------------------------------Listen to my other podcast!TFD: NerdcastAnd I am also part of the team over at...I Read Comic Books!---------------------------------------------------Want to try out all the sweet gigs over on Fiverr.com? Click on the link below and sign up!https://go.fiverr.com/visit/?bta=323533&brand=fiverrcpa---------------------------------------------------Follow on Instagram!The Comics That We LoveFollow on Tiktok!The Comics that We LoveFollow on Twitter!@Z_Irish_Red

Dr. Owen Muir is an Anna Freud National Centre for Children and Families-trained psychiatrist and official Mentalizing Treatment Supervisor. He is the coauthor of Adolescent Suicide and Self Injury: Mentalizing Theory and Treatment, a dual board-certified physician, with ABPN certification in general and child and adolescent psychiatry and a practicing physician in New York. But beyond the LinkedIn profile, he's a badass "inside baseball" advocate railing against the insurance industry for it's nonsensical malfeasance in the way it treats patients. His infamous newsletter, the "Frontier Psyciatrist's Substack" is appointment reading by anyone wishing to take an active role in fixing America's broken healthcare system.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

As another Spooptober nears its end, we close things out with five games that will drive you mad, MAD... like, as a gameplay mechanic, with sanity meters and in-game hallucinations. Then we'll dig into the past week's bumper crop of new releases, including Mario Wonder, Marvel's Spider-Man 2, and Slay the Princess; look at the reveals from Xbox's Partner Preview, and the otherwise benign games that scared you as a kid. Question of the Week: Do you have a go-to game or series you like to play during spooky season? Break song is Frontier Psychiatrist by The Avalanches.

The Frontier Psychiatrist's newsletter? It is what you are reading. It's a health-themed publication written by Owen Scott Muir, M.D. This is a brief detour from my recent series on medications, many of which have a critical slant. Those include Risperidone, Depakote, Geodon, Ambien, Prozac, Xanax, Klonopin, Lurasidone, Olanzapine, Zulranolone, Benzos, Caffeine, Semeglutide, Lamotrigine, Cocaine, Xylazine, Lithium, dextromethorphan/bupropion and Adderall, etc. I write this all by myself every day. Consider subscribing. (the paywall starts 5 weeks back, and there are 360something articles back there). It makes a horrible or awesome gift, depending on your friend circle. I also get paid more money by Amazon if my readers buy stuff now, like, for example, my favorite book about mental illness—or this tea I drink daily. I also encourage you to send me this coffee maker— or, more realistically, to anyone else.Today, I address what happens when schizophrenia is not treated, even if it is. It has high morbidity and mortality, a problem that medications address. Effectively. Not without costs, but the best data suggests treatment is better than no treatment for most people.I'm going to cut to the chase briefly, and if you or a family member want to read a great book on treatment with antipsychotic medicine, I'd recommend this one. Jeff Leiberman, M.D., has been …controversial… of late. However, there is no denying his role in understanding schizophrenia and its treatment, and his book on the topic is worth a read or listen, called a Malady of the Mind.Psychotic. We use the word commonly in chit-chat to denote something is bad. Unreasonable. Wrong. Deranged. Nothing is beguiling about the word. It is a thing to deny in oneself— “I am not psychotic!”Understanding PsychosisSome people don't get that luxury. Some people are honest-to-goodness psychotic. Most of us do not know what that means. Some of us do, and some smaller portions are blessed with the ability to spend time on both sides of that psychotic equation. I will define the term:Psychosis refers to a collection of symptoms that affect the mind, where there has been some loss of contact with reality. During an episode of psychosis, a person's thoughts and perceptions are disrupted and they may have difficulty recognizing what is real and what is not. The most common illness we associate with psychosis is schizophrenia. Psychosis can occur with depression, bipolar disorder, and other maladies. Depression and mania are mood states; we refer to these mixed with psychotic symptoms as affective disorders in psychiatry. A brief grammar note, brought to you by Grammarly, a tool I use and—sadly—am not paid to promote:Is affective just another word for effective? Are the two words similar and entangled in the way the verbs affect and effect are? No, affective is not just another word for effective. And affective and effective are not derived from the verbs affect and effect. They come from the nouns affect and effect.There is a difference in the literature—and in the lives of patients—when it comes to illnesses that have affective psychosis and non-affective psychosis. Much of the anti-psychiatry crowd focuses on affective disorders and argues about the side effects of those treatments. Less attention is paid to non-affective psychosis because It's not as compelling an argument. These are challenging illnesses either way and are associated with significant morbidity—impairments in life—and mortality—early death.“Uncured of Worse”: 1937.As far back as 1937, authors noted the grim prospects in the long-term course of schizophrenia (in this context, I'm referring to largely “non-affective psychosis” —where the delusions or hallucinations are not tied to mood episodes):Of the 100 cases, 66% were uncured or worse after the lapse of 6-10 years, with persisting process symptoms or in a defective state after the course had run; 13% were improved, 4% were cured with defects, and 17% were completely cured. “The Prognosis is Poor”: 2010By 2010, with decades of more data, the conclusion was much the same—schizophrenia sucks, even compared to other admittedly bad illnesses:Our 26-year longitudinal study and other longitudinal studies confirm older views that outcome for schizophrenia, while showing some variation for different schizophrenia patients, is still significantly poorer than that for other psychiatric disorders.A large NIMH follow-up study with 2 to 10 years of time following patients from a first episode that required hospitalization demonstrated:The sample showed substantial functional impairment and levels of symptoms, with only about 20% of the sample demonstrating a good outcome…The “not-good” outcomes looked like this:78% of the sample suffered a relapse, 38% attempted suicide and 24% had episodes of major affective illness.Beyond Psychiatric Problems?We tend to focus on the role of bad psychiatric outcomes as psychiatrists. Still, the medical outcomes are similarly troubling, including high smoking rates, metabolic syndrome, heart disease, HIV, Hepatitis C, and other medical illnesses. Overall, this leads to an extremely disheartening finding: having schizophrenia is an illness that takes a tremendous toll on the individual and their family and leads to early death and disability at unacceptably high rates:Persons with schizophrenia have an exceptionally short life expectancy. High mortality is found in all age groups, resulting in a life expectancy of approximately 20 years below that of the general population. Evidence suggests that persons with schizophrenia may not have seen the same improvement in life expectancy as the general population during the past decades. Thus, the mortality gap not only persists but may actually have increased.Comparisons are useful, and if we look at HIV after the introduction of HAART (Highly Active Anti-Retroviral Therapy), we find:HIV-related mortality decreased from 6.5 to 1.3 per 100,000 population (80% decrease, p = 0.0115). New HIV diagnoses declined from 702 to 238 cases (66% decrease; p = 0.0004) with a consequent estimated decline in HIV incident cases from 632 to 368 cases per year (42% decrease; p = 0.0003).And if we compare that to schizophrenia, in the largest meta-analysis I could find, we find:The mortality risk for patients with schizophrenia was 1249 per 100 000 … (95% CI, 1029-1469)Psychosis is Bad Compared to Other Bad ThingsThe mortality from schizophrenia is 19,215% higher than from pre-HAART HIV infection and 96,076% higher than from HIV with HAART treatment. If you had to choose between HIV and schizophrenia, HIV is safer—with or without treatment.To make the point even more clearly, even having a car crash only has a 0.77% fatality rate, or 770/100,000.If you had to choose between a car crash and schizophrenia, the car crash is safer.Those outcomes are not good enough. Schizophrenia is impairing and dangerous to your life, especially if untreated. Other psychiatric illnesses are also. Psychiatric medications can modify this risk to your life in the right direction, even with those risks. Tapering them, as we saw in the RADAR trial (lead-authored by a critical psychiatrist, published in the Lancet just this week), doesn't make it better:At 2-year follow-up, a gradual, supported process of antipsychotic dose reduction had no effect on social functioning.And, further, made it worse:here were 93 serious adverse events in the reduction group affecting 49 individuals, mainly comprising admission for a mental health relapse, and 64 in the maintenance group, relating to 29 individuals.It includes twice as many deaths. In a research study, this is a huge deal. The way to look at this is the probability of relapsing is bad, and it's statistically more likely and with more than double likelihood if you were randomized to a taper protocol.Antipsychotic Medication Saves Lives. It has Burdens. These Choices are Difficult. We need to do better, but the haters are incorrect. We have done better than nothing, even with imperfect tools, even when examined by those who have an axe to grind with those very tools. Treatment of schizophrenia saves lives.Stay Humble,Faced with Suffering, and Carry On—Owen Scott Muir, M.D. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

Click Vortex, our lucky number twenty-seventh episode. Tune in to the WASTOIDS livestream as Sam Means (The Format) and Jason Woodbury (Aquarium Drunkard) discuss the tangled saga of Fleetwood Mac, Lindsey Buckingham, and Stevie Nicks, press play on The Avalanches "Frontier Psychiatrist" music video, and discuss The Format's music video history. Call us anytime at 1-877-WASTOIDS. More podcasts and videos at WASTOIDS.com | Follow us on Instagram and YouTube.

A Scotsman, an Irishman and a Bulgarian are crazy in the coconut. Episode Links Frontier Psychiatrist Music Video Wayne And Shuster International - Frontier psychiatrist Social @gonetoofarcast on Instagram @gonetoofarcast on Twitter Website gonetoofarcast.com Email gonetoofarcast@gmail.com Support the podcast Donate on our Ko-Fi page Credits Intro music by richardmitic Hosted by Neal, Nelly and David. Artwork by Nelly. Edited by David. Powered by Castopod on a Linode server.

Two hard men forge a path together in the Colorado Rockies to leave a life they can't remember whilst playing a game they can't forget. 0:00:00 - Intro, or Welcome to the 'Regular Weekly Podcast' 0:04:06 - Game Overview, or How our Hosts Met Colorado Midland 0:08:54 - Design Distance, or Does Familiarity Breed Contempt? (Probably Not) 0:17:54 - Game History, or A Brief Genealogy of Colorado Midland 0:22:22 - Anxiety of Influence, or The Other Bloom's Taxonomy 0:34:30 - Rules of Play, or How to Claim Your Mines 0:48:00 - Analysis, or From Whence Do We Like Our Asymmetry? 1:01:51 - Game Balance, or Should Play Be Fair? 1:10:54 - House Rules, or How to Win Friends & Influence People 1:24:19 - The American Psyche, or Freud and Trains (Entering Tunnels?) 1:36:50 - A Lesser-Spotted Positive Review 1:58:11 - The End, or How Games Are Scored 02:03:40 - Holy Resurrection Ova, or Stuff and Nonsense

link Трек-лист: 01. Eminem — Lose Yourself 02. Twenty One Pilots — Jumpsuit 03. The Wombats — Ready For The High 04. Avalanches — Frontier Psychiatrist 05. Meute — Expanse 06. Вопли Видоплясова — Пачка цигарок 07. Tides From Nebula — Dopamine 08. Skee Mask — Flyby Vfr 09. The Last Shadow Puppets — Standing … Продолжить чтение Lofstrom loop 264

Methyl Ethel perform 'Matters' before covering a mash-up of The Avalanches' 'Frontier Psychiatrist' and Sycco's 'Dribble' for Like A Version.

No Guest this week, just your two favorite hosts talking about the most questionable "One Hit Wonder" Matt has ever picked. He has good excuses for bending the rules so dramatically and if you've never heard the weird sample heavy sounds of the Avalanches you are in for a treat. If you like the show, be sure to rate, review, and subscribe. Email us at onehitthunderpodcast@gmail.com. Also, follow us on our social media: Twitter: @1hitThunderPod Instagram: onehitthunderpodcast Wanna create your own podcast? Contact us at www.weknowpodcasting.com for more information. Visit punchlion.com for Punchline tour dates, news, and merch. Find out more at https://one-hit-thunder.pinecast.co This podcast is powered by Pinecast.

This podcast, created mid pandemic while Owen and Carlene were in early pandemic Exile in Rural CT, explores the world of Trolls old and new. Mary Shelly, the author of the first science fiction novel, has as her antihero the Monster. The Monster is one of our earlier Trolls of great repute. Victor Frankenstein, a young doctor, created this creature of meat and lightning….but that wasn't enough to make him feel included. Our Episode also describes the parallels between excluded-feeling people of our current era, whom we feature as Zoom Bombers. This episode also features Dr. Dickon Bevington, the medical director of the Anna Freud National Centre for Children and Families and our IT Director, RJ Smith, who we are introducing as our sidekick on our Clubhouse show.For our Creator First show, The Frontier Psychiatrists, we are embarking on a path of exploration of the frontiers of the mind and the media. Think classic ReplyAll tech investigation but through the lens of two married psychiatrists instead of PJ and Alex. It's regular home is at 1pm EDT on Fridays. Tomorrow, we will be focusing on gamification on social audio, with a panel of diverse views that include behavioral scientist Matt Wallaert, prominent addiction psychiatrist Dr. Anne Lembke who was featured in the Social Dilemma, Bethania Baciagalupe who is known as “The Pricing Nerd”, digital futurist and prominent social audio creator Brian Fanzo and game designer and therapist Julia Koerwer.. We thought the Zoom Bomber episode would give you an idea of the type of subject matter we look forward to exploring on our show. Also note we have a calendar of all upcoming Frontier Psychiatrist-related and Sphere Club programming and our Sunday night AMA Frontier Psychiatrist show will be continuing and include special guests from mental health, the music industry, athletes and more. We are publishing excerpts in the form of podcasts for our paid subscribers of some of our shows. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

Retour sur Since I Left You, premier album des australiens The Avalanches sortie en 2000. Essentiel niveau sampling, cette sortie, melting pot d'influences et de collages effrénés avait fait l'objet d'un numéro double. Dans cette version longue sans commentaire, une première demi-heure se concentre sur l'unique titre Frontier Psychiatrist et pour la deuxième une sélection du reste de l'album. Bonne écoute !

#350-346Intro/Outro: If You Could Only See by Tonic350. Frontier Psychiatrist by The Avalanches349. The Space Between by Dave Matthews Band348. Tomorrow Never Knows by The Beatles347. Maybellene by Chuck Berry346. It's Alright, Ma (I'm Only Bleeding) by Bob Dylan

Après avoir étudié en détail les samples de l'unique titre "Frontier Psychiatrist", voyons voir le reste de l'album avec au choix, Boney M, Madonna et même François Hardy parmi la multitude d'échantillons présents. Une pièce maîtresse !

Pour fêter la mi-saison de l'émission, un numéro double sur Since I Left You, premier album des australiens The Avalanches, sorti en 2000. Dans cette première partie, les samples et autres autour de cet unique titre "Frontier Psychiatrist" qui révèle déjà cette utilisation toute particulière d'échantillons aux influences diverses.

Do you hear that coming? It's the unmistakable sounds of The Avalanches. A single Avalanches song may include 10 different samples across 4 different genres across 3 different continents. Their projects are at once nonsensical and thematic. For their upcoming 3rd album, "We Will Always Love You", The Avalanches are going from thematic to cinematic. To understand The Avalanches and their unique sound, Dan calls on his friend Oliver the indie music oracle to help paint a picture of one of music's most unique modern acts. The 3rd Avalanches LP will be reviewed on Audioface #169.Check out Oliver's band "Sun Bear Hum"! Subscribe to Audioface wherever you're listening so you always get new episodes. For politics, Subscribe to Power Report if you haven't already. Send us music recommendations @audiofacepod on Twitter, Instagram, or YouTube. We appreciate it, and you!

This week Lori and Aria finally explore one of their all-time favourite filmmakers, John Waters, looking specifically at how his brand of trash infects the melodrama genre with "Polyester" (1981).Audio clip from "Frontier Psychiatrist" by The Avalanches. See acast.com/privacy for privacy and opt-out information.

In this week's episode of Off Panel, cartoonist Jeff Lemire joins the show to talk about his work on titles like Black Hammer and Gideon Falls. Lemire discusses his organizational abilities, what getting ahead with your writing offers you, a day in his life, studio space, his connection to rural locations, Black Hammer's connection to his love of comics, the divide between independent and superhero comics, how Black Hammer evolved, his collaborators, expanding its universe, the appeal of horror, Gideon Falls's development, working with Andrea Sorrentino, the JH Williams III effect, creating tension, writing for others versus himself, him stepping back from for-hire work, and more.

WHAT DOES THAT MEAN? - Old man Turtle Face

Podcast mensuel présenté et programmé par Dick Tomasovic. Durée : 60 minutes. 50e émission ! Le cinéma samplé ! 50 numéros, ça se fête, avec une émission spéciale un peu différente puisque Post-synchro s’intéresse aujourd’hui non pas aux bandes sonores filmiques, mais bien aux chansons qui ont samplé les bandes sonores du cinéma. Les voix et les dialogues de Charlie Chaplin, Marilyn Monroe, Elizabeth Taylor, Audrey Hepburn, Jean-Pierre Léaud, Peter Fonda, Jean Gabin et bien d’autres hantent ces mélodies pop. Playlist : Get Misunderstood – Troublemakers  Act won (things fall apart) – The Roots Murder – New Order At the Speed of Life - Xzibit Rabbit in Your Headlights - UNKLE 1-800 Suicide - Gravediggaz Frontier Psychiatrist – The Avalanches The Booklovers – The Divine Comedy Loaded – Primal Scream M1 A1 – Gorillaz Iron Sky – Paolo Nutini Margaret on the Rocks – Microfilm Les cerfs-volants – Benjamin Biolay Nantes - Beirut

I feel strangely hypnotised. It must be the video for Frontier Psychiatrist by The Avalanches.

This episode we talk about LVO 2017, identifying and exploiting mistakes, and talk a bit about the psychological aspects of the game when playing against certain players. We're always open to feedback and questions on the forums, twitter or email us at Strict lyWorstGB@gmail.com. Find us on Twitter @StrictlyWorstGB or Facebook at fb.me/StrictlyTheWorst. Strictly The Worst is an unofficial podcast and has no affiliation with Steamforged Games. Opinions expressed are solely the personal opinions of the hosts and in no way reflect the opinion of Steamforged Games.

The Immortals are back and even more clueless than usual! Because they're reviewing Clueless. Get it? No. Fine. Also they review a really weird album, eat little dog cookies, review an even weirder song and get way too many feelings about college. Also an intern from another dimension gives us another ominous message. We're a review show! Get excited.   Intro 0:00 – 2:29 Clueless 2:29 – 27:16 Beyond Skin 27:16 – 35:34 Shortbread 35:34 – 42:40 Frontier Psychiatrist 42:40 – 56:25 My One-Legged Friend and Me 56:25 – 57:54 Fresh Meat 57:54 – 1:14:20 Outro 1:14:20 – 1:18:49   --Leave your own henge ratings at TheArtImmortal.com --Be sure you leave an iTunes review so Pedro can give you a compliment on air.   Email Twitter iTunes YouTube   Join us Thursday next as we discuss more things. Until then, email or tweet us your thoughts, leave a review on iTunes and other crap every podcast asks you to do. (But we love that you do it!)   Artwork by Ray Martindale

>>> Frontier Psychiatrist