Psychiatry & Psychotherapy Podcast

How to Manage Aggression with Psychopharmacology in an Inpatient Setting

Apr 14, 2022

Michael Cummings, a psychopharmacologist with expertise in treating treatment-resistant patients at a state hospital, unpacks the nuances of aggression and violence in mental health care. He breaks down the three types of aggression: impulsive, predatory, and psychotic. Cummings discusses effective strategies for managing aggression using psychopharmacology, particularly the role of antipsychotics and benzodiazepines. He also highlights the critical connection between sleep quality and mental health, emphasizing its importance in managing agitation.

56:19

Creator website

Episode guests

Michael Cummings

AI Summary

AI Chapters

Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Understanding the different types of aggression, such as impulsive and psychotic, is crucial for implementing appropriate treatment strategies in inpatient settings.

Continuous medical education (CME) memberships are essential for reducing burnout among healthcare professionals by providing flexible learning opportunities that enhance job satisfaction.

Deep dives

Addressing Burnout and Job Satisfaction in Psychiatry

Burnout can significantly impact job satisfaction, especially in the medical field. The podcast emphasizes the importance of continuous medical education (CME) and suggests a CME membership as a solution to alleviate last-minute stressors that can lead to burnout. Such memberships allow professionals to engage in learning at their convenience, integrating education seamlessly with their busy schedules. This approach not only enhances personal well-being but also contributes positively to the quality of care provided to patients.

Intro

2min

Managing Aggression in Inpatient Settings

20min

Understanding Delirium: The Spectrum of Awareness

5min

Understanding Aggression in Inpatient Care

10min

Managing Aggression: A Pharmacological Approach

16min

The Critical Role of Sleep in Managing Mental Health Agitation

2min

Global Impact and Future Discussions on Psychomotor Agitation

2min

Violence and aggression are often used interchangeably, with subtle distinctions differentiating the two. Aggression is an umbrella term that encompasses violence and is defined as actions that lead to harm towards self, others, or objects, while violence is defined as actions that lead to harm, specifically toward other individuals (Newman, 2012). Aggression, according to the 3-factor approach initially detailed by investigators from the New York State Hospital system, is categorized into three types of assault: impulsive, predatory/organized, and psychotic. Impulsive aggression was the most common type at 54%, with predatory/organized type (29%) and psychotic type (17%) trailing behind (Quanbeck CD, 2007; Meyer et al., 2016). This episode aims to explore the management of agitation, aggression, and violence in the inpatient setting.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

Link to blog.

Link to YouTube video.