Psychiatry Boot Camp

Tyler Black, a child and adolescent psychiatrist at the University of British Columbia, dives into the critical topic of suicide risk assessment. He debunks common myths and emphasizes the necessity of empathetic communication during evaluations. The discussion highlights the emotional burden felt by both patients and healthcare providers. Black categorizes suicidal motivations using a sociological framework and stresses the importance of tailored interventions. He also navigates the complexities of patient autonomy versus safety in mental health care.

Dr. George Grossberg, Henry and Amelia Nasrallah Endowed Professor of Psychiatry & Behavioral Neuroscience at Saint Louis University School of Medicine, past president of the American Association for Geriatric Psychiatry, and past president of the International Psychogeriatric Association, orients us to behavioral disturbances in patients with neurocognitive disorders. We walk through common behavioral disturbances in patients with dementia, including apathy, depression, psychosis, and agitation. We discuss management strategies including nonpharmacological and pharmacological interventions. Dr. Grossberg shares his expertise on difficult clinical management decisions when working with this population, and centers us around the importance of knowing the patient as well as the disease.Selected References:⁠Progress in Pharmacologic Management of Neuropsychiatric Syndromes in Neurodegenerative Disorders: A Review (Cummings 2024)Neuropsychiatric Symptoms of Dementia and their nonpharmacological and pharmacological management (Tampi 2022)⁠Management of BPSD Algorithm (Chen with Osser 2021)⁠Atypical Antipsychotics for Aggression and Psychosis in Alzheimer's disease (Ballard 2006) Efficacy and Adverse Effects of Atypical Antipsychotics for Dementia (Schneider 2006)Sequential Drug Treatment Algorithm for Agitation and Aggression in Alzheimer's and Mixed Dementia (Davies 2018)Support our partners:⁠⁠⁠⁠⁠Simplepractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Beat The Boards⁠⁠⁠⁠⁠⁠ (enter referral code BOOTCAMP at checkout)

Dr. Mark Oldham, Associate Professor of Psychiatry at the University of Rochester Medical Center, President of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, returns to discuss management of catatonia. We delve into management guidelines that everyone working with catatonia should know. We then have a candid discussion about common clinical challenges in treating catatonia, and describe unique cases of catatonia that require adjusting our approach.Selected references:⁠British Association for Psychopharmacology Guidelines⁠⁠⁠Rochester Catatonia Assessment Resources⁠⁠⁠NEJM Review on Catatonia⁠⁠Nature Review on Catatonia⁠⁠Schizophrenia Research Volume on Catatonia⁠⁠Describing the Features of Catatonia (Oldham)⁠Support our partners:⁠⁠⁠⁠⁠Simplepractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Beat The Boards⁠⁠⁠⁠⁠ (enter referral code BOOTCAMP at checkout)

Dr. Mark Oldham, Associate Professor of Psychiatry at the University of Rochester Medical Center, President of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, introduces us to catatonia. We discuss the clinical features of catatonia and compare and contrast catatonia's description in the DSM with the Busch-Francis Catatonia Rating Scale. We describe and discuss various signs and symptoms of catatonia in detail.Selected references:British Association for Psychopharmacology Guidelines⁠Rochester Catatonia Assessment Resources⁠NEJM Review on CatatoniaNature Review on CatatoniaSchizophrenia Research Volume on CatatoniaDescribing the Features of Catatonia (Oldham)Support our partners:⁠⁠⁠⁠Simplepractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠Beat The Boards⁠⁠⁠⁠ (enter referral code BOOTCAMP at checkout)

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, further explores delirium. This episode covers the pathophysiology of delirium including predisposing and precipitating factors, neurocircuitry, and neurotransmitters. We then discuss conceptual frameworks for management of delirium, the importance of identifying and addressing the underlying cause, and strategies for managing specific neuropsychiatric disturbances in delirium.References can be found on the ⁠episode website.⁠Support our partners:⁠⁠⁠Simplepractice.com/bootcamp⁠⁠⁠⁠⁠⁠Beat The Boards⁠⁠⁠ (enter referral code BOOTCAMP at checkout)

Dr. Mark Oldham, a consult psychiatrist and president-elect of the American Delirium Society, dives into the world of delirium. He explores its clinical features, emphasizing the need for accurate diagnosis, particularly distinguishing it from encephalopathy. Oldham discusses the alarming prevalence of delirium in hospitalized patients, especially the elderly, and its terrifying consequences, such as increased mortality rates. Furthermore, he sheds light on the vital role psychiatry plays in managing delirium, stressing the interplay between psychiatric symptoms and medical conditions.

Dr. John C. Markowitz, Professor of Clinical Psychiatry at Columbia University, introduces us to supportive psychotherapy. We discuss the principles that underpin supportive psychotherapy and "common factors" in psychotherapy. Dr. Markowitz helps us to understand where supportive psychotherapy fits into modern psychiatric practice, and provides clinical wisdom about building a therapeutic alliance and pursuing affect.What is Supportive Psychotherapy? (Markowitz 2014)Brief Supportive Psychotherapy (2022)Psychiatrist Effects in the Psychopharmacological Treatment of Depression (McKay 2006)Support our partners:⁠⁠Simplepractice.com/bootcamp⁠⁠⁠⁠Beat The Boards⁠⁠ (enter referral code BOOTCAMP at checkout)

Dr. Allen Frances, Chair of the DSM-IV Task Force and Chair Emeritus at Duke University returns to kick off Season 3. We discuss the unique role of consultation-liaison psychiatry in today's healthcare system, and Dr. Frances provides us with a framework for understanding and helping each individual patient during a medical hospitalization. Dr. Frances provides wisdom and encouragement to set the stage for our journey into the world of consultation-liaison psychiatry.Support our partners:⁠Simplepractice.com/bootcamp⁠⁠Beat The Boards⁠ (enter referral code BOOTCAMP at checkout)

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Dr. Sameer Jauhar discusses schizophrenia, exploring core clinical features, neuroscience, treatment approaches, and his humanistic approach. Topics include understanding symptoms, outcomes, comorbidities, genetic, and environmental factors. Emphasizes tailored treatments, patient-centered care, and positive patient relationships.