Psychofarm Podcast The Deficit Model in Psychiatry & Difficult to Treat Depression with Dr. Chris Aiken | Episode 18
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Mar 5, 2025 In this discussion, Dr. Chris Aiken, a psychiatrist and assistant professor, dives into the complexities of treating difficult-to-treat depression. He critiques the traditional serotonin model and emphasizes the importance of integrating lifestyle changes and neuroprotective strategies into psychiatric care. The conversation also explores the role of thyroid hormones, methylfolate, and even testosterone supplementation in managing depression. Aiken advocates for personalized treatment approaches, moving beyond the label of 'treatment-resistant' to focus on holistic patient well-being.
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Neuroprotective Approach
- Don't explain mental health solely through neurochemical imbalances.
- Frame treatment around neuroprotection and lifestyle changes.
Visualizing Neuroprotection
- Show patients images of brain changes after neuroprotective interventions and medication.
- Empower them to choose one lifestyle intervention to augment treatment.
Deficit Model
- Some psychiatric treatments address underlying deficits rather than just symptoms.
- This "deficit model" resonates with patients seeking root-cause solutions.