Mark Ruffalo, acclaimed actor and mental health advocate, discusses the intricacies of borderline personality disorder (BPD). He explores the historical evolution of BPD diagnosis, highlighting key concepts like splitting and identity diffusion. The conversation addresses the impact of childhood trauma on self-concept and relationships, along with effective therapeutic approaches. Ruffalo emphasizes the importance of empathy in treatment and delves into the emotional dynamics between therapists and patients, offering profound insights for understanding this complex condition.

Nicholas Fabiano, a resident psychiatrist and mental health advocate, joins Brendon Stubbs, a distinguished researcher in exercise science, for an engaging discussion on treating depression. They explore how exercise can rival medications and therapy, revealing unique antidepressant mechanisms at play. The conversation highlights the importance of personalized exercise plans, the effectiveness of different modalities like aerobic training, and the necessity of enjoyment in physical activity. They also address the social aspects of exercise and its holistic benefits for mental health.

In a thought-provoking conversation, Stijn Vanheule, a distinguished clinical psychologist and psychoanalyst from Ghent University, challenges common myths about psychosis. He shares insights on how psychosis intersects with creativity and existential struggles. They explore the impacts of significant life changes on mental health and emphasize the need for empathic listening in therapy. By examining historical figures like Carl Jung, Vanheule highlights the importance of treating psychotic experiences with respect and understanding, opening new paths for healing and connection.

Join renowned OCD expert Fred Penzel, who has over 43 years of experience, as he discusses innovative treatment approaches for Obsessive-Compulsive Disorder. He dives into Exposure and Response Prevention (ERP), revealing effective strategies for confronting intrusive thoughts. The conversation highlights the neurobiology behind OCD and the emotional pain of compulsive behaviors. Family dynamics in therapy and the importance of psychoeducation are emphasized, alongside insights into managing suicidal obsessions and tackling body-focused repetitive behaviors. It's a treasure trove of hope and practical tools for clinicians and individuals alike.

In this discussion, Anthony Bateman, a co-founder of Mentalization-Based Therapy (MBT), psychiatrist Brandon Unruh, and clinical social worker Robert Drozek tackle the complexities of treating pathological narcissism. They highlight the transformative potential of MBT for individuals with Narcissistic Personality Disorder, emphasizing emotional regulation and self-awareness. The guests dive into the nuances of grandiose vs. vulnerable narcissism, treatment techniques, and the role of empathy, providing insights that could revolutionize therapeutic approaches for those often perceived as challenging.

In this discussion, Dr. Jessi Gold, a psychiatrist and Chief Wellness Officer at the University of Tennessee System, sheds light on burnout's emotional toll in healthcare. She explains depersonalization as a defense against trauma, leading to emotional numbness and detachment from patients. The conversation touches on alexithymia and its impact on empathy. Dr. Gold shares effective strategies like early intervention and advocating for systemic changes to foster clinician resilience and reconnect with their purpose.

In this episode, Dr. David Puder, alongside guests Rachel Blackston and Dr. Eric Bender, dives into the psychological insights presented in Pixar's Inside Out 2. Together, they explore the complex emotional world of adolescence, focusing on the challenges Riley faces as she navigates new emotions—like Anxiety, Envy, and Embarrassment—that reflect common experiences during teenage years. Through expert analysis, the conversation unpacks how these emotions influence identity formation, self-doubt, and social dynamics. The discussion also addresses the impact of childhood experiences, how adolescents process peer pressures, and the role of parental responses in supporting emotional growth. Join us as we delve into the film’s depiction of teenage mental health and its psychological accuracy, providing parents, therapists, and teens themselves with valuable takeaways on emotional resilience and self-discovery. By listening to this episode, you can earn 1.25 Psychiatry CME Credits. Link to blog. Link to YouTube video.

Dr. Michael Cummings, a psychopharmacologist specializing in BPD, joins the discussion on the complexities of treating Borderline Personality Disorder. He elaborates on the limited role of medications like antipsychotics and antidepressants, emphasizing that psychotherapy remains essential for effective care. The conversation touches on alternative treatments such as exercise and omega-3s, as well as the potential of ketamine therapy, highlighting the need for a well-rounded approach to managing this challenging disorder.

Dr. Michael Cummings, a renowned psychopharmacologist, joins the conversation to unpack the tricky link between psychiatric medications and weight gain. They delve into how antipsychotics can disrupt metabolism and appetite regulation, revealing the science behind this issue. With insights on GLP-1 agonists and effective lifestyle changes, Cummings emphasizes practical strategies for managing medication-induced weight gain. They also discuss the importance of individualized approaches to treatment, making the case for regular monitoring and patient motivation.

Dr. Paul Wachtel, a leading psychologist renowned for his integrative approach to therapy, discusses his groundbreaking concepts on anxiety and attachment. He emphasizes the importance of recognizing the 'disavowed self'—those hidden parts of our identity—and how reclaiming them can foster personal growth. The conversation also explores the complexities of social anxiety and emotional awareness in therapy. Through practical insights, he illustrates how understanding family dynamics and early relationships can significantly impact emotional health and interpersonal relationships.