The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

How to Set Behavioral Goals in the Med Visit

Jul 31, 2023
In this podcast, they discuss setting behavioral goals during medication visits for patients with no motivation. They explore integrating CBT and medication management, using behavioral activation with TMS, understanding delirium muscetins, and the importance of accountability in behavioral assignments. They also reflect on the life of Sinead O'Connor and her impact on mental illness stigmatization.
23:07

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Quick takeaways

  • Setting small, achievable tasks with accountability can help patients with depression experience a sense of accomplishment and self-confidence.
  • Shifting the focus from quantity to quality of activities can improve the overall experience and help treat depression.

Deep dives

Setting specific and feasible goals for patients with depression

Dr. Michael Posternak suggests setting specific and concrete goals during med management visits for patients with depression. Instead of vague goals relying on willpower and motivation, he encourages patients to set small, achievable tasks, such as going for a daily 20-minute walk. Adding accountability, like having someone to report to, further increases the success rate of completing the task. The focus is on breaking the cycle of feeling overwhelmed by a large to-do list and promoting a sense of accomplishment and self-confidence.

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