PsychRounds: The Psychiatry Podcast

Dr. Jason Cafer, an assistant professor of psychiatry and author of Cafer's Psychopharmacology, shares his expertise on antipsychotics and schizophrenia. He emphasizes the significance of choosing the right medication based on individual patient needs and the unique properties of clozapine for treatment-resistant cases. The discussion also covers the pharmacological mechanisms of antipsychotics, including marketing influences and the complexities of loxapine. Cafer advocates for improved education on prescribing practices to enhance patient outcomes.

Dive into the fascinating world of schizophrenia as the hosts unravel its pathophysiology and the pivotal role of dopamine. Discover how genetics intertwine with environmental factors, including childhood adversities. The conversation highlights distinct neurobiological theories, like those around glutamate and serotonin. Key receptors such as muscarinic and GABA are explored for their impact on symptoms and treatment. Lastly, get a glimpse of future possibilities, like gene therapy, that may revolutionize care.

Welcome to our first episode on Schizophrenia! We will be talking about diagnosis, history, treatment, and much more on this mini-series.

On this episode, we will discuss two additional mood stabilizers Carbamazepine (Tegretol) and it's cousin Oxcarbazepine (Trileptal).

Discover the fascinating journey of lamotrigine, originally an anti-epileptic medication, and its surprising mood-stabilizing effects. Learn how it became a key player in treating bipolar disorder, especially for maintenance therapy. Hear about the importance of a slow titration schedule and the potential risks of serious rashes. Explore its favorable side-effect profile compared to lithium and the unique challenges in patients with genetic risk factors. Plus, insights on its off-label uses for conditions like unipolar depression and borderline personality disorder.

Dive into the fascinating history and uses of Valproic Acid, originally for seizures but now vital for bipolar disorder. Uncover its mechanism of action and the controversial links between bipolar disorder and epilepsy. Learn about the critical risks, especially for women, and the potential impact on reproductive health. Explore different formulations, dosages, and the significance of timing for effective outcomes. Plus, discover how this medication addresses impulsivity while comparing its side effects to antipsychotics. A nuanced look at benefits and risks awaits!

Dr. Lorrie Garces, a consultation-liaison psychiatrist, shares vital insights on delirium and its complexities. She defines delirium and explains its common causes, emphasizing the importance of recognizing hypoactive forms often missed in clinical settings. The discussion covers effective screening tools and non-pharmacological treatments that prioritize patient comfort. Dr. Garces also addresses medication use, particularly the cautious approach to antipsychotics, and highlights the significant impact of environmental and familial support on recovery.

New psychiatry interns face unique challenges as they transition from medical school to residency. Key resources like the 'Prescriber's Guide' and effective strategies for managing time and patient evaluations are discussed. The importance of continuous learning through reading and podcasts is emphasized to enrich clinical skills. Listeners discover vital literature on psychopharmacology and psychotherapy techniques, along with insights on navigating the DSM-5 for accurate diagnosis. The speakers provide essential advice to enhance well-being and efficiency throughout residency.

Join us for a discussion about non-medication based treatments for ADHD.

Join us as we discuss two popular medications used to the treatment of ADHD, Strattera and Qelbree.