Psychiatry Boot Camp

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/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months)⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings)⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings)⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

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.

When you think about core topics in consultation-liaison psychiatry, “supportive psychotherapy” probably isn’t the first thing that comes to mind. But maybe it should be. In this episode, I sit down with Dr. John C. Markowitz, Columbia psychiatrist, researcher, and co-author of Supportive Psychotherapy: A Guide, to talk about the therapy that “gets no respect.” Dr. Markowitz explains how this deceptively simple approach, built on empathy, affect, and alliance, rivals more “sophisticated” treatments for depression. We explore why the most powerful interventions often come down to being present, listening well, and helping patients feel understood. And we talk about the threat facing psychotherapy itself and what we stand to lose if psychiatrists give it up. Takeaways: Supportive psychotherapy works and evidence shows it can be just as effective as CBT or IPT for depression. Common factors like alliance, empathy, affect focus, and ritual account for much of what makes any therapy succeed. Following affect matters emotions are uncomfortable, but they’re not dangerous, and they guide the healing process. Less is often more letting patients lead, listening actively, and resisting the urge to “fix” can create deeper insight. Psychotherapy is under siege and preserving its human core may be psychiatry’s most important act of resistance. Selected references: 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/bootcamp⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠Beat the Boards⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠Sales@Human-Content.Com⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Allen Frances, Chair Emeritus at Duke University and a key figure in developing the DSM-IV, shares his insights on consultation-liaison psychiatry. He emphasizes the transformative power of 'magic moments' during patient care, highlighting the importance of compassionate connections in hospitals. Frances discusses how personalized interactions can enhance emotional support during vulnerable times, and how supportive psychotherapy may bolster patients' defenses. His wisdom offers a refreshing perspective on the psychiatrist’s role in promoting healing in medical settings.

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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.

A clinical psychologist explains PTSD's impact on daily life, conditioning aspects, and evidence-based treatments. Topics include symptoms, coping mechanisms, arousal symptoms, neurobiological aspects, and psychotherapies. Comorbidities like mood and anxiety disorders are explored, with a focus on therapeutic approaches and cultural considerations in treating PTSD patients.

Dr. Walkup discusses normal vs. pathological anxiety, therapeutic alliance with anxious patients, genetic influences on anxiety, importance of early intervention in children, benefits of CBT over benzodiazepines in treatment, and recognizing anxiety in young patients.

Dr. Roger McIntyre, Professor of Psychiatry at the University of Toronto, discusses the differentiation of normal 'low mood' from psychiatric conditions. The podcast covers historical subtypes of depression, DSM specifiers for major depressive disorder, epidemiology, neurophysiology, and treatment options.

Dr. Lois Choi-Kain discusses the prevalence, naturalistic course, and treatments for borderline personality disorder (BPD) and introduces the "Good Psychiatric Management" (GPM) model. The topics covered include challenges faced by BPD patients, the need for sustainable treatment approaches, the significance of listening and understanding patients, and the use of an interpersonal hypersensitivity model in treatment.