
Psychiatry Tomorrow
Psychiatry is entering a new era. Join host Carlene MacMillan, M.D., Psychiatrist and Chief Medical Officer at Osmind, for Psychiatry Tomorrow, where we delve into captivating conversations with mental health leaders advancing the field. From groundbreaking research and technology, to the modern private practice and the policies shaping psychiatry’s future.
Navigate the exciting realms of neuromodulation, rapid-acting antidepressants, metabolic psychiatry, psychedelic medicine, starting a private practice, and much more.
Join us on this thrilling journey, and let’s transform mental health together.
Latest episodes

Jun 1, 2023 • 48min
Transforming Mental Health in Unlikely Places: Denovo Therapy's Approach to Breaking Barriers and the Power of Journaling
Join us in this riveting podcast as Ben McCauley, the founder of Denovo Therapy, sheds light on the evolution of his Lubbock-based clinic from a single provider to a beacon of hope for the broader community. The episode explores Denovo's commitment to meeting patients where they are and their innovative use of ketamine-assisted therapy, particularly in a conservative community often wary of such treatments. McCauley reveals how the clinic navigates these challenges, maintaining high clinical standards and a cross-disciplinary approach.Learn about a unique patient's journey and how the innovative use of journaling during treatment sessions contributed to their recovery. Listen as McCauley stresses the importance of patient-directed treatment guided by inner wisdom, safety, and curiosity.Ben discusses the pivotal role of Osmind's user-friendly Electronic Health Records (EHR) in delivering patient-centered care at Denovo. McCauley shares the process of transitioning from paper to digital records, emphasizing the advantages of home access and easy consent form delivery that Osmind provides.Glean valuable insights into the future of mental health care, patient-centric approaches, and the unique power of journaling in therapy sessions.Timestamps from the episode:[00:15:00] Introduction of external therapists and Texas Tech students for ketamine-assisted psychotherapy best practice sharing and learning.[00:16:00] Discussion on training and consulting, merging therapy and medical model into a psychedelic model, especially in a small conservative town that might not be receptive to ketamine treatments initially.[00:22:00] Conversation on the benefits of patients live-journaling during treatment sessions.[00:23:00] Follow-up on a patient's journey resolving suicidality, PTSD within a month, and most symptoms in eight months.[00:24:00] Emphasis on patient-directed treatment guided by inner wisdom, safety, and curiosity.[00:25:00] Highlighting Osmind's role as an easy-to-use electronic health record in care delivery.[00:32:00] Encouragement for patients to use the Osmind app for journaling while adjusting to their needs.[00:33:00] Dialogue about transitioning from paper to Osmind's electronic health records, including home access and consent form delivery.[00:34:00] Further talk on electronic health records transition, consent form reformatting for mobile, and the advantages of letting patients fill forms from home.[00:35:00] Process of moving existing patients to an electronic system, including writing summary notes and archiving old records.
Brought to you by: Osmind.org, the #1 EHR for the modern private psychiatry practice

May 14, 2023 • 3min
Welcome to Psychiatry Tomorrow!
In Psychiatry Tomorrow, we'll delve into the challenges and opportunities that lie ahead. We'll explore the delicate balance between new evidence-generating practices and timeless therapeutic wisdom. Our podcast is not intended to be individual medical advice. Rather, our goal is to create a space for critical and in-depth conversations about where the field has been, and make predictions on where it's going. As we navigate the complexities of this new era for psychiatry, we strive to be a reliable beacon amidst uncertainty—a compass directing you toward the forefront of mental health innovation. We'll bring together thought leaders and mental health professionals advancing the field in groundbreaking ways, from neuromodulation and rapid-acting antidepressants to metabolic psychiatry and psychedelic medicine. We’ll also share practical advice on starting and growing your professional practice to thrive amidst these changes. As you know, mental health takes a village, and clinical practice doesn’t exist in a vacuum. That’s why we’ll bring panelists together to discuss the broader issues that interact with mental health, from Ai and software applications to cultural policy shifts transforming how we practice. Together, let's transform mental health care by staying ahead of the curve and engaging in these vital conversations. Follow the Psychiatry Tomorrow podcast on your favorite podcast platform, and join us on this thrilling journey through psychiatry’s next frontier. See you in you the future! Ready to dive in?Find your favorite episode, and subscribe to Psychiatry Tomorrow on your favorite podcast platform. That way, you won't miss a new episode!Behind the Cover: In ancient Greek, the word for butterfly was "psyche," which means the "mind" or "soul."Just as a butterfly emerges from its cocoon, the state of the butterflies being set free mirrors the journey of withdrawal and depression often experienced by those impacted by mental illness—to emerging anew with potential for change and growth.In "Psychiatry Tomorrow," we navigate the challenges and opportunities of the future. Our cover art features a statue's head that opens to reveal a renaissance of new perspectives, breaking away from entrenched ways of thinking.Join us as we explore the ongoing metamorphosis of psychiatric care. Together, we’ll chart psychiatry’s next frontier.
Brought to you by: Osmind.org, the #1 EHR for the modern private psychiatry practice

May 12, 2023 • 42min
Navigating the Landscape of Critical Psychiatry: A Conversation with Dr. Awais Aftab
In this episode, we engage in a nuanced discussion with Dr. Awais Aftab, a leading figure in critical psychiatry, exploring key issues in the field. We distinguish critical psychiatry from "anti-psychiatry," explore the influence of cultural movements on mental health discourse, and discuss the role of service users in advocating for better care. Dr. Aftab shares insights on the role and challenges of crisis hotlines, advocates for a shift in focus of inpatient psychiatric care from risk management to therapeutic outcomes, and discusses the potential and pitfalls of telepsychiatry. Join us as we aim for a more patient-centered approach in mental health care.What you'll learn in this episode:Understanding the landscape of critical psychiatry and contrasting it with the divisive term "anti-psychiatry"The role of cultural movements and groups like mad pride, service users, psychiatric survivors—in shaping language around how we conceptualize mental illnessThe role of service users in advocating for better care, especially regarding involuntary hospitalizations and crisis hotlinesHow practicing psychiatrists can move the field forward in a meaningful way Dive deeper into these insights in the full blog post (coming soon)
Brought to you by: Osmind.org, the #1 EHR for the modern private psychiatry practice

May 11, 2023 • 36min
Placebos & Psychedelics: Assessing Efficacy with Dr. Boris Heifets
The "placebo effect" gets a bad rap. The human mind is a powerful thing, capable of incredible feats of healing and transformation. Nowhere is this more evident than in the world of psychedelic research. Dr. Boris Heifets has spent years studying the neurobiological underpinnings of these compounds, but he knows that their true power lies in something much deeper. In this interview, Dr. Boris Heifets discusses:•His efforts to understand the neurobiological underpinnings of psychedelics, and how that translates to the future of psychiatry•The healing power of suggestion (and an amazing first-person account)•How he uses his knowledge to turn ideas into real-world applications Read the summarized blog post of this interview (originally published in Northern California Psychiatric Society Magazine).
Brought to you by: Osmind.org, the #1 EHR for the modern private psychiatry practice

May 5, 2023 • 1h 1min
Adding SPRAVATO® in Your Practice: A Practical Guide
In this enlightening episode, host Carlene MacMillan, M.D., and guest Brittainy Wagner, LPC, delve into the potential of Esketamine (SPRAVATO®) as a breakthrough solution for treatment-resistant depression and acute suicidality. They explore how to successfully incorporate this novel treatment into your psychiatric practice, despite challenges like navigating the REMS program and understanding complex billing procedures.Listen in as they provide a deep dive into the essential facets of SPRAVATO®: its function, typical treatment protocol, potential side effects, and the crucial SPRAVATO® REMS program. The episode also covers patient eligibility, crafting a comfortable treatment space, and tips on streamlining REMS administration for your practice.The conversation doesn't stop there. Carlene and Brittainy also tackle the often perplexing topic of reimbursement, offering insights into the cost of SPRAVATO®, understanding billing codes, and how to navigate Medicaid reimbursement. They also discuss potential financial assistance through the Janssen Carepath program and strategies for dealing with common payer issues.Finally, they highlight how Osmind EHR's integration with SPRAVATO® REMS program can save hours of administrative work, allowing you to focus on patient care. Tune in to learn how to make offering SPRAVATO® simpler and more profitable.Read the quick and comprehensive guide to adding SPRAVATO® to your practice here. You'll learn:What is SPRAVATO® (esketamine)?What is the typical treatment protocol for SPRAVATO?What are the Potential Side Effects of SPRAVATO®?What is the SPRAVATO® REMS program?How can you set up a comfortable treatment space?How can you streamline REMS administration and protect yourself?How do you navigate reimbursement challenges?
Brought to you by: Osmind.org, the #1 EHR for the modern private psychiatry practice
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