In this episode, we dive into the use of sleep medications in psychiatry. Is insomnia a standalone condition or a symptom of deeper issues? We discuss our clinical approach to treating sleep disturbances in psychiatric patients, focusing on medications to the nuanced use of trazodone, gabapentin, and antihistamines. Along the way, we explore the intersections of sleep and psychiatric illnesses, and the role of medications in patient recovery. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

In part two of our conversation with Dr. Nancy McWilliams, we explore a diverse range of personality dynamics, from the socially expressive yet vulnerable histrionic style to the introspective and reserved schizoid personality. Dr. McWilliams offers unique insights into how cultural and social contexts shape personality types, especially the often misunderstood histrionic style, which she discusses from her own personal perspective. We also examine the attraction between histrionic and schizoid personalities, uncovering the push-pull dynamics that can both challenge and enrich these relationships. Rounding out the discussion, we turn to obsessive-compulsive personality, investigating its roots in control, morality, and perfectionism and differentiating it from clinical OCD. With practical tips for therapists, along with reflections on the importance of countertransference and empathy, this episode provides a rich, thoughtful journey into the diverse landscape of personality.One Fall on Spotify: This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

We explore the evolution of psychosis diagnoses from the early DSM days to modern psychiatry, unpack the role of language in shaping delusions, and discuss how treatment has (and hasn’t) progressed. From Lacanian theories to real-world clinical challenges, this episode bridges the gap between theory and practice while tackling stigma head-on. Perfect for clinicians, patients, and anyone curious about the mind’s mysteries. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

In this episode, Dr. Nancy McWilliams explores the foundations of personality, tracing how our unique defenses and core life themes shape who we are and how we relate to others. She discusses the concept of personality as a tapestry woven from central themes rather than fixed traits, revealing how these themes serve as guiding narratives that influence our behaviors and relationships. The conversation takes a deep dive into the paranoid personality style, examining its key features of trust, betrayal, and sensitivity to perceived threats. Dr. McWilliams also discusses how early life experiences and family dynamics can lead individuals to develop certain defenses—particularly the powerful defenses found in paranoid personalities, such as projection and splitting. With her characteristic empathy, Dr. McWilliams shares insights on the therapeutic approaches that help individuals find greater balance and self-understanding, offering listeners a fresh perspective on the complexity and humanity behind personality and defense mechanisms. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

This episode is a continuation of our previous conversation on personality. We dive deep into the complex world of personality disorders and healthy personality traits. From the misconceptions that plague psychiatric diagnoses to the often-overlooked truths about how we develop emotionally… We discuss the difference between normal development and personality disorders, discuss the stigma surrounding diagnoses like borderline personality disorder, and explore how trauma shapes our sense of self, but doesn’t quite explain everything. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

Delve into the complex world of personality disorders and discover common misconceptions that plague diagnoses. The discussion critiques traditional frameworks, advocating for a more integrative approach to understanding personality development. Explore the limitations of OCEAN traits and how they fall short in interpreting individual behaviors. Rethink psychopathy and personality disorders while gaining insights on the differences between OCD and OCPD, focusing on emotional experiences and their impact on relationships. It's a fresh take on psychological intricacies!

In this episode, Dr. Fu rejoins us as we take a deep dive into the world of ADHD—beyond the usual headlines and social media buzz. We’ll talk about how ADHD is often misunderstood, misdiagnosed, and even overhyped. Join us as we explore why so many people are getting diagnosed, the real role of medication, and why it's dangerous to use 1 thing to explain behavior. We’ll also dig into how cultural trends and social media are shaping our views on ADHD, and why it’s essential to see the whole picture when it comes to mental health. 🔴PsychoFarm YouTube💡Anti-depressant Course📖 PsychoFarm's Treating Depression Book This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

Unfortunately my co-host Dr. Fu is missing from today. But in this episode, we dive deep into the topic of ADHD, exploring its diagnosis, challenges with the DSM criteria, and the complexities of executive functioning deficits that define the disorder. We tackle the common question, “Is ADHD real?” and discuss how the history of ADHD has shaped the way it is understood today. We also explore the nature versus nurture debate and discuss the influence of biological and environmental factors on ADHD. Throughout the conversation, we challenge traditional thinking, encouraging listeners to approach ADHD from a broader perspective, considering both the internal and external factors that contribute to managing symptoms. Finally, we discuss the importance of an internal locus of control and how individuals can take charge of their treatment and overall functioning. Join us for a thoughtful, nuanced conversation on ADHD, identity, and the evolving landscape of diagnosis and treatment.🔴PsychoFarm YouTube💡Anti-depressant Course📖 PsychoFarm's Treating Depression Book This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com

In this episode, we dive into the challenges of diagnosing bipolar disorder, especially when it overlaps with personality disorders. We discuss how psychiatric training often focuses on severe cases, which can make it harder to recognize milder forms. You'll hear about the importance of gathering detailed patient history and why short-term observations can be misleading. We also touch on the limitations of the DSM-5 and the need for a more holistic approach to diagnosis, incorporating biological, psychological, and social factors. Finally, we explore an alternative model for understanding personality disorders that goes beyond the traditional DSM framework.🔴PsychoFarm YouTube💡Anti-depressant Course📖 PsychoFarm's Treating Depression Book This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com