PsychRounds: The Psychiatry Podcast

Dr. Tanner Hewitt, Dr. Larry Wang and Dr. Bradley Miller
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Aug 27, 2025 • 26min

Pramipexole (Mirapex): Treatment Resistant Depression

Pramipexole, known for treating Parkinson's, is explored for its unexpected role in treatment-resistant depression. The discussion dives into its mood-enhancing effects and unique mechanisms tied to motivation. Safety concerns arise, particularly regarding side effects like impulse control issues. A revealing study highlights pramipexole's potential as an augmentation therapy for depression, showcasing significant symptom improvement. The conversation also emphasizes the risks and benefits of dopamine agonists, urging safe practices in patient management.
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Aug 20, 2025 • 1h 1min

Psych Congress Series: Psychedelics, Consciousness, and Buddhist Practices with Dr. Charles Raison

In this conversation, Dr. Charles Raison, a prominent psychiatrist and researcher, dives into the fascinating intersection of psychedelics and consciousness. He discusses innovative treatments for depression, including whole-body hyperthermia and Tibetan Buddhist practices like tummo. Raison examines the evolution of consciousness, the influence of technology on mental health, and how psychedelics can enhance neuroplasticity and memory. Listeners will discover the promising potential of integrating ancient practices with modern science.
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10 snips
Aug 13, 2025 • 47min

Psych Congress Series: The Biological and Evolutionary Underpinnings of Depression with Dr. Charles Raison

Dr. Charles Raison, a renowned psychiatrist and professor, dives deep into the biological and evolutionary aspects of depression. He discusses the role of inflammation and the HPA axis in mood disorders. Raison highlights innovative treatments, including psychedelics, and the potential of precision medicine tailored to inflammation responses. The conversation also honors the late Dr. Vladimir Maletic, reflecting on his significant contributions to psychiatry. Listeners gain insights into major depressive disorder's complexities and emerging therapies like pramipexole.
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Aug 6, 2025 • 32min

Psych Congress Series: Monitoring Antipsychotic Plasma Levels with Dr. Jonathan Meyer

Welcome Back! We have recently partnered with Psych Congress to bring our audience access to some of their leading speakers and educators, and today is the second installment of this endeavor, featuring Dr. Jonathan Meyer on the topic of Antipsychotic plasma level monitoring. Dr. Meyer has authored the handbook on this topic, along with the Lithium and Clozapine handbooks as well. You can find them here: https://www.amazon.com/s?k=jonathan+meyer&crid=3IARW0R4T9RGD&sprefix=jona%2Caps%2C369Psych Congress Discount Code: PSYCHROUNDSConference Website: https://www.hmpglobalevents.com/psych-congressSources:- https://www.cambridge.org/core/books/clinical-use-of-antipsychotic-plasma-levels/E7C0B6DBB4F6031F4D47935154CBEC8D
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4 snips
Jul 30, 2025 • 1h 6min

Psych Congress Series: Positive Psychiatry with Dr. Rakesh Jain

Dr. Rakesh Jain, a prominent psychiatrist and co-chair of the Psych Congress National Conference steering committee, shares insights on the transformative concept of positive psychiatry. He explores how this holistic approach diverges from traditional methods by integrating lifestyle factors and patient aspirations. The conversation emphasizes the synergy between traditional and positive psychiatry, focusing on resilience and well-being. Jain also discusses the introduction of the WHO-5 scale and how humor and mindfulness can enhance therapeutic experiences.
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20 snips
Jul 16, 2025 • 14min

The Anxiolytics: Propranolol (Inderal)

Discover the intriguing off-label uses of Propranolol, particularly in treating anxiety disorders. The discussion reveals its impact on the central nervous system and how it may assist those with PTSD. Unique dosing guidelines and pharmacokinetics are explored, along with the mixed evidence surrounding its efficacy. The potential of Propranolol to reduce emotional intensity during memory consolidation is examined. The episode also covers clonidine's rapid effectiveness in anxiety treatment, leading to a lively appeal for listener engagement.
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11 snips
Jul 2, 2025 • 13min

The Anxiolytics: Buspirone (Buspar)

Dive into the world of buspirone, a medication used to tackle anxiety, and uncover its rich history and recent FDA approval of jepirone for depression. Learn about the unique pharmacodynamics of buspirone, including its partial agonist function and impressive safety profile. The conversation delves into off-label uses, such as aiding in movement disorders and addressing antidepressant-related sexual dysfunction. Plus, discover how buspirone combines with new treatments like jepirone to enhance outcomes for those battling depression.
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Jun 18, 2025 • 31min

Cultural Psychiatry with Dr. Francis Lu

Today, we have one of the giants and pioneers of Asian-American Psychiatry joining us to discuss Cultural Psychiatry, Dr. Francis Lu! Dr. Lu's Books: https://www.amazon.com/stores/author/B003HFAX8E?ccs_id=d6d03eae-2c95-481f-8f7a-f844580eb108References:https://psychiatryonline.org/doi/10.1176/appi.focus.18103https://psycnet.apa.org/record/2015-37696-000
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Jun 11, 2025 • 17min

The Anxiolytics: Hydroxyzine (Atarax/Vistaril)

Welcome back! On todays episode, we will discuss hydroxyzine (Atarax, Vistaril), a frequently used medication for anxiety.References:https://pubmed.ncbi.nlm.nih.gov/9616188/https://pubmed.ncbi.nlm.nih.gov/27998379/https://pubmed.ncbi.nlm.nih.gov/21154375/https://pubmed.ncbi.nlm.nih.gov/1345410/
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31 snips
Jun 4, 2025 • 1h 7min

Introduction to Metabolic Psychiatry with Dr. Matthew Bernstein

Join Dr. Matthew Bernstein, a Harvard-affiliated psychiatrist and chief medical officer at Accord and Ellenhorn Clinics, as he dives into metabolic psychiatry, a groundbreaking field blending mental health with metabolic processes. He shares insights on the ketogenic diet, detailing its history and potential benefits for psychiatric disorders. Learn about the vital role of ketone levels in treatment and the relationship between diet and heart health. Dr. Bernstein also advocates for nutritional reforms in mental health care, emphasizing the importance of holistic approaches.

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