NEI Podcast

What is the evidence that exercise is at least as effective as medications for the treatment of mental health disorders, such as depression? Can you share any research findings on the effects of exercise for patients with traumatic brain injury?  If you have questions like these, you won't want to miss this episode with psychiatrist and renowed author, Dr. John Ratey! Best selling author, John J. Ratey, MD, is an Associate Clinical Professor of Psychiatry at Harvard Medical School and an internationally recognized expert in Neuropsychiatry. He has published over 60 peer-reviewed articles, and 11 books published in 17 languages, including the groundbreaking ADD-ADHD “Driven to Distraction” series with Ned Hallowell, MD. With the publication of  "Spark-The Revolutionary New Science of Exercise and the Brain," Dr. Ratey has established himself as one of the world's foremost authorities on the brain-fitness connection.  His most recent book, “Go Wild” explores how we can achieve optimal physical and mental health by getting in touch with our caveman roots, and how we can “re-wild” our lives.   Recognized by his peers as one of the Best Doctors in America since 1997, Dr. Ratey was recently honored by the Massachusetts Psychiatric Society as "Outstanding Psychiatrist of the Year" for advancing the field. Dr. Ratey and his work are frequently profiled in the media, where he’s been featured on ABC, CBS, NBC, PBS and NPR, as well as in The New York Times, Newsweek, The Washington Post, US News and World Report, Men’s Health, and other national publications.

Given the recent COVID-19 virus pandemic, how is pediatric anxiety influenced by things like the media, parental attitudes, and the family environment? How effective is telepsychiatry for pediatric patients? If you have these types of questions you won't want to miss this timely and important interview with psychiatrist Dr. Jeffrey Strawn! In this episode, we discuss issues like effective communication strategies for parents during this time, and how to best meet the needs of pediatric patients with anxiety. Dr. Strawn is an Associate Professor of Psychiatry and Pediatrics at the University of Cincinnati and at Cincinnati Children’s Hospital. He directs the University of Cincinnati Anxiety Disorders Research Program. His ongoing research explores the pathophysiology and psychopharmacology of anxiety disorders, using functional neuroimaging and magnetic resonance spectroscopy. His research further aims to identify early predictors of treatment response in anxiety and to identify which patients may respond best to which specific treatments. In his clinical practice, he works with youth with anxiety disorders and with their parents and families. 

What is our current understanding of the gut-brain connection? What is the difference between the microbiome and microbiota? How is dysbyosis of the gut associated with certain psychiatric disorders? In this CME podcast, we address these questions and more in this captivating interview between Dr. Andrew J. Cutler and Dr. Roger S. McIntyre! Optional CME credits / certificate instructions: After listening to the podcast, to take the optional posttest and receive CME credit, click HERE. Learning Objectives: After completing this educational activity, you should be better able to: Explore the relationship between the brain-gut-microbiome axis and chronic inflammation Discuss current evidence of the brain-gut connection’s impact on mental health Consider potential implications of the gut-brain connection for the treatment of various mental illnesses Accreditation and Credit Designation Statements: The Neuroscience Education Institute (NEI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. NEI designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. A posttest score of 70% or higher is required to receive CME credit. Nurses and Physician Assistants: for your CE requirements, the ANCC and NCCPA will accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. The content in this activity pertains to pharmacology and is worth 1.0 continuing education hour of pharmacotherapeutics. Peer Review: The content was peer-reviewed by an MD specializing in psychiatry to ensure the scientific accuracy and medical relevance of information presented and its independence from bias. NEI takes responsibility for the content, quality, and scientific integrity of this CME activity. Disclosures: All individuals in a position to influence or control content are required to disclose all relevant financial relationships. Although potential conflicts of interest are identified and resolved prior to the activity being presented, it remains for the participant to determine whether outside interests reflect a possible bias in either the exposition or the conclusions presented. Faculty Interviewer / Author Andrew J. Cutler, MD Clinical Associate Professor, Department of Psychiatry, SUNY Upstate Medical University, Syracuse, NY Grant/Research: Acadia, Alkermes, Allergan, Axsome, Biohaven, Intra-Cellular, Lundbeck, Novartis, Otsuka, Sage, Sunovion, Tris Consultant/Advisor: Acadia, AiCure, Alfasigma, Alkermes, Allergan, Avanir, Intra-Cellular, Ironshore, Janssen, Lundbeck, MedAvante-ProPhase, Neurocrine, Novartis, Otsuka, Sage, Sunovion, Takeda, Teva, Tris Speakers Bureau: Acadia, Alkermes, Allergan, Avanir, Ironshore, Janssen, Lundbeck, Neurocrine, Otsuka, Sunovion, Takeda, Teva, Tris Faculty Interviewee / Author Roger S. McIntyre, MD, FRCPC Professor, Departments of Psychiatry and of Pharmacology; Head, Mood Disorders Psychopharmacology Unit, University Health Network; University of Toronto, Toronto, ON, Canada Grant/Research: CIHR/GACD/Chinese National Natural Research Foundation, Stanley Medical Research Institute Consultant/Advisor: Allergan, Janssen, Lundbeck, Minerva, Neurocrine, Otsuka, Pfizer, Purdue, Shire, Sunovion, Takeda Speakers Bureau: Allergan, Janssen, Lundbeck, Minerva, Neurocrine, Otsuka, Pfizer, Purdue, Shire, Sunovion, Takeda Pre-Interview Author Sabrina K. Bradbury-Segal, PhD Medical Writer, Neuroscience Education Institute, Carlsbad, CA No financial relationships to disclose. The Planning Committee and Peer Reviewer have no financial relationships to disclose. Disclosure of Off-Label Use: This educational activity may include discussion of unlabeled and/or investigational uses of agents that are not currently labeled for such use by the FDA. Please consult the product prescribing information for full disclosure of labeled uses. Cultural and Linguistic Competency: A variety of resources addressing cultural and linguistic competency can be found in this linked handout. Support: This activity is supported solely by the provider, NEI. Released: April 13, 2020          CME credit expires: April 13, 2023

How do you manage billing and insurance for telepsychiatry? What are some challenges to treating patients who may not be tech saavy? In part 2 of this episode, we address these questions and more, providing you with the most current information on the practical implications of telepsychiatry in our interview with psychiatric nurse practitioner, Michele Novella.  Michele Novella, PMHNP-BC, PMHCNS-BC, is the owner and medical director of Star Psychiatric Healthcare, LLC, in Danbury, CT. She was educated at Fairfield University in Fairfield, CT, and received her Master's Degree in Adult Psychiatric Nursing from Yale University, graduating with high Honors. Additionally, Ms. Novella is an inductee into the Sigma Theta Tau International Honor Society and is an active member of the ANA, APNA, and CTAPRNS. She is also a past recipient of the American Cancer Society's prestigious "Excellence in Onocology" Nursing Award for the State of CT.  She is a national speaker for several pharmaceutical companies, including Takeda and Lundbeck. Additional Resources:  Telepsychiatry Applications/Programs: Kareo: https://www.kareo.com/ Doxy.Me: https://doxy.me/ Zoom: https://zoom.us/ ICD-10-CM Official Coding Guidelines from the CDC: https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf 

In this episode, we discuss the importance and practical implications of telepsychiatry in the field of mental health, with psychiatric nurse practioner, Michele Novella. Has your practice been impacted by the COVID-19 pandemic? In part 1 of this episode, Michele takes you step-by-step through the process of implementing telepsychiatry into your practice. Learn about the "do's" and "don'ts", and important information that you will need to know to better treat your patients during this challenging time!  Michele Novella, PMHNP-BC, PMHCNS-BC, is the owner and medical director of Star Psychiatric Healthcare, LLC, in Danbury, CT. She was educated at Fairfield University in Fairfield, CT, and received her Master's Degree in Adult Psychiatric Nursing from Yale University, graduating with high Honors. Additionally, Ms. Novella is an inductee into the Sigma Theta Tau International Honor Society and is an active member of the ANA, APNA, and CTAPRNS. She is also a past recipient of the American Cancer Society's prestigious "Excellence in Onocology" Nursing Award for the State of CT.  She is a national speaker for several pharmaceutical companies, including Takeda and Lundbeck. Additional Resources:  Telepsychiatry Applications/Programs: Kareo: https://www.kareo.com/ Doxy.Me: https://doxy.me/ Zoom: https://zoom.us/ ICD-10-CM Official Coding Guidelines from the CDC: https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf 

In this episode, we raise awareness about a forgotten, yet extremely vulnerable population at high risk for traumatic brain injury (TBI). What are ways that we can better screen for patients who have experienced intimate partner violence (IPV)? How are types of brain injuries unique in this population? Are there neuroimaging techniques that can more accurately detect IPV-related TBIs?  Deb York is a board certified Psychiatric-Mental Health Nurse Practitioner practicing in Colorado Springs, CO.  She completed her research certification as a Certified Clinical Research Associate at the Association of Clinical Research Professionals. Deb has a clinical focus in endocrine psychiatry for the treatment of a variety of psychiatric illnesses with specialized expertise in treatments for mood disorders involving menopause, andropause, PMS, PMDD and post-partum depression.  Her research focuses on conducting clinical trials to identify and evaluate novel psychopharmacological and neuroradiological interventions for traumatic brain injury, mood disorders, and pediatric psychiatric illnesses. Additionally, Deb is certified in Bioidentical Hormone Replacement Therapy through the Academy for Preventive and Innovative Medicine by WorldLink Medical. Deb has over 25 years in the clinical trials industry conducting clinical research in pharmaceuticals & biologics, with a specialty in Women’s Health, CNS & psychiatric clinical trials. Deb completed her Bachelor of Science in Nursing at the University of Missouri-St. Louis Barnes College of Nursing-Washington University.  She completed her Master’s Degree at the University of Cincinnati in Nurse Midwifery and her Post-Master’s Certification from the University of Cincinnati in Psychiatry-Mental Health. Additionally, Deb is an Adjunct Professor at the College of Nursing at the University of Cincinnati and Director of Clinical Research at Mountain Mind.  

What are ketones and how are they related to mental health? What is the relationship between mitochondrial dysfunction and the ketogenic diet? What is the carnivore diet? If these are some of your questions when it comes to nutrition and mental health, you won't want to miss Part II of this exciting interview with Dr. William Sauve'!

Are carbohydrates bad for me? Is the ketogenic diet good for the brain? What is the carnivore diet? These are questions that concern many people today, especially if you're interested in nutrition and the brain. In Part I of this episode we dive into this hot topic with Dr. William Sauve', where we discuss many of these questions and more!   Dr. William M. Sauve' is a psychiatrist in Virginia. He received his medical degree from Uniformed Services University of the Health Sciences and has been in practice between 11-20 years.

In Part II of this interview with Dr. Rona Hu, we discuss the most effective ways of assessing and preventing violence in the healthcare setting. Learn how to protect yourself, how to cope with such experiences, and how to support one another in the aftermath. 

In this episode, we dive into a topic that is not talked about enough, yet many clinicians experience assault by patients. Here, we address how to identify risks, how to decrease escalation from agitation to aggression, and how to cope after a violent event has occurred with a patient. Dr. Rona Hu is the Associate Dean of Academic Affairs at Stanford University School of Medicine. She is a Clinical Professor at Stanford University, and she was the formal Medical Director of the Acute Psychiatric Unit at Stanford for 20 years.