PsychRounds: The Psychiatry Podcast

Join us as we continue our series on Bipolar Disorder. Today, we will be discussing a few of the proposed theories in regards to its pathophysiology.

Join us for another brief conversation. Today, we will be discussing Bipolar disorder and it's associated screening.

Dive into the world of Vortioxetine, a notable antidepressant that's shaking things up in the treatment of major depressive disorder! Discover its unique serotonin-modulating properties and potential cognitive benefits. The discussion reveals challenges like insurance woes and high costs, alongside insights into side effects and demographic advantages. Plus, look ahead to future topics on bipolar disorder, addressing screening and treatment strategies. It's a lively exploration of mental health innovation!

Dive into the world of Vilazodone, also known as Viibryd, exploring its unique properties as a serotonin partial agonist and reuptake inhibitor. Discover how it compares to Buspirone, particularly in reducing pill burden and addressing sexual side effects. The discussion also highlights the FDA's opinions on its marketing claims and its effectiveness in treating depression. With insights into new developments like Jepron and advancements in antidepressant efficacy, the conversation is a deep dive into the evolving landscape of psychiatric treatment.

Dive into the fascinating world of serotonin-norepinephrine reuptake inhibitors, focusing on Fetzima and Savella. Discover their unique properties, including the financial impact on patients and intriguing dosing strategies. The podcast explores their versatile applications in treating depression, anxiety, and neuropathic pain, while also unpacking their pharmacological complexities. A highlight is the discussion on the norepinephrine paradox in psychiatric treatment, emphasizing the need for deeper understanding in mental health therapies.

Dive into the fascinating world of Duloxetine, an SNRI used to tackle depression, anxiety, and chronic pain. Discover its unique properties compared to other medications and learn about dosing strategies and side effects. Gain insights into its clinical uses, including special considerations for children and patients with liver issues. The discussion also sheds light on the importance of medication adherence and how to effectively manage co-existing conditions.

Dive into the world of SNRIs, focusing on Venlafaxine and Desvenlafaxine. Discover their history, mechanism of action, and unique dosing strategies. The discussion highlights potential side effects, especially the risks to blood pressure at higher doses. Learn about innovative approaches for treatment-resistant depression, such as combining Effexor with mirtazapine. Gain insights into the importance of tailoring prescriptions to individual patient needs, including considerations for adherence and monitoring health factors.

Join us for our first review series. We will be discussing several board-style questions based on our previous episodes with special guest, Dr. Bradley Miller.

Discover the fascinating world of mirtazapine, a unique antidepressant with a dual action on noradrenaline and serotonin. Explore its sedative effects, rapid relief for sleep issues, and its controversial 'California rocket fuel' combination. Learn about its pharmacokinetics, minimal interactions, and FDA-approved uses for major depression. The discussion also delves into the benefits for the elderly, such as appetite stimulation, against concerns like weight gain. It highlights ideal candidates for treatment and dispels common misconceptions surrounding this intriguing medication.

Dive into the fascinating world of Bupropion, an NDRI with a rich history as both an antidepressant and smoking cessation aid. Discover its unique effects on neurotransmitters and how it stands out with fewer sexual side effects. The discussion highlights its FDA approvals for seasonal affective disorder and smoking addiction, along with promising off-label uses like treating methamphetamine use disorder. Learn about the potential benefits and risks, including its association with seizures, and why it’s underutilized despite its effectiveness.