PsychRounds: The Psychiatry Podcast

Dr. Larry Wang will be hosting todays episode with a very special guest. . . another Dr. Larry Wang? . . . Bipolar depression being treated with an antidepressant? Welcome to the multiverse.

Welcome back to our antipsychotic series. Today, we will be discussing Olanzapine, brand-name, Zyprexa.

Welcome to another special guest episode. In this episode, we are joined by Dr. Christine Yu Moutier, M.D., the acting Chief Medical Officer of the American Foundation for Suicide Prevention. We’ll be discussing important topics around suicide prevention and much more. AFSP: ⁠https://afsp.org/⁠ Suicide Prevention Handbook: https://www.cambridge.org/core/books/suicide-prevention/8BE216EF6EF05ABAF83B5C0D7FC9B969

Join us as we take a break from some psychopharmacology. Today, we will be talking about CBT-I, one of the first-line therapy interventions for insomnia.

Explore the fascinating world of sleep aids as the discussion dives into melatonin and remelteon. Discover the key differences between these two popular options, including their effectiveness and regulatory status. Learn about optimal dosing and the potential risks of combining medications. The podcast also highlights safety, side effects, and innovative treatments like Tassi Melteon for better sleep management. Tune in for insights on enhancing sleep quality and upcoming topics on cognitive behavioral therapy for insomnia!

Dive into the fascinating world of orexin antagonists like Suvorexant and Lemborexant. Discover how these medications target sleep disorders and their connection to conditions such as narcolepsy. Learn about their efficacy, safety, and the exciting potential they hold beyond insomnia treatment, including possible benefits for depression and Alzheimer's disease. The discussion also addresses the challenges and considerations in their use, especially for elderly patients. Tune in for an insightful exploration of modern sleep medicine!

Discover the fascinating world of Z Drugs—Zolpidem, Zaleplon, and Eszopiclone—commonly used to tackle insomnia. Delve into their unique pharmacology and mechanisms of action, distinguishing them from traditional benzodiazepines. Learn about their half-lives, dosing guidelines, and the varying safety profiles for different demographics. The discussion also highlights significant risks, including misuse and side effects like sleepwalking. Join the conversation on balancing the benefits and complexities of these medications for effective sleep treatment.

Dive into the world of sleep pharmacology and the role of H1 antagonists in treating insomnia. Trazodone’s mixed efficacy sparks a lively discussion on its clinical use and potential side effects. Discover the nuances of doxepin, the only FDA-approved sleep aid in this category. The dangers of rebound insomnia and the implications of sedating antipsychotics for sleep are critically examined. Experts also highlight the importance of sleep hygiene and cognitive behavioral therapy as vital components in managing sleep disorders.

In conversation with Dr. Barry Krakow, a board-certified sleep specialist, listeners discover the pivotal role of sleep medicine in psychiatry. Dr. Krakow stresses the need to recognize independent sleep disorders in mental health treatment, particularly for conditions like PTSD. He introduces innovative approaches like imagery rehearsal therapy for nightmares. The discussion also covers the complexity of N3 sleep and effective treatments for sleep apnea, highlighting the essential integration of sleep education in psychiatric training.

Dive into the world of Lurasidone, a game-changing antipsychotic now available as a generic, enhancing patient access. Discover its FDA approval journey and how it effectively treats bipolar depression and schizophrenia, especially in adolescents. Learn about its favorable side effect profile, including minimal weight gain and safety in pregnancy. The conversation also touches on new treatments, like the innovative Cobenify, and speculates on future trends at the intersection of psychiatry and sleep medicine.