Psychiatry & Psychotherapy Podcast

In this episode of Psychiatry & Psychotherapy, Dr. David Puder hosts a deep dive with experts Nicholas Fabiano, MD, Brandon Luu, MD, Joshua Mangunsong, MS3, and Liam Browning, MS4 into the exciting potential of creatine supplementation for mental health and cognitive enhancement. They explore cutting-edge research on how creatine can improve mood disorders, including depression and anxiety, enhance cognitive functions such as memory, attention, and reasoning, and support brain metabolism through its role in ATP regeneration. The episode also reviews clinical trials demonstrating creatine’s effectiveness in psychiatric disorders, optimal dosing strategies, and its safety profile. Listen to learn how creatine may revolutionize treatment options in psychiatry. By listening to this episode, you can earn 1.5 Psychiatry CME Credits. Link to blog. Link to YouTube video.

Join Dr. Matt Bernstein, a psychiatrist and metabolic psychiatry pioneer, as he unveils the life-changing potential of the ketogenic diet for mental health. Discover how this diet positively impacts severe conditions like bipolar disorder and schizophrenia. Delve into the fascinating links between metabolic health and mental well-being, with actionable insights on improving treatment outcomes. Dr. Bernstein also shares innovative strategies for patient adherence and the significant benefits of tracking ketone levels for mental wellness.

Dr. Michael Cummings, a leading psychopharmacologist and former head consultant at Patton State Hospital, shares his insights on treating schizophrenia with Clozapine. The discussion highlights the recent removal of the Clozapine REMS program, easing patient management. Key topics include optimal dosing practices, managing side effects, and drug interactions. Cummings also addresses the complexities of clozapine's associations with OCD and catatonia. The conversation underscores the importance of personalized strategies to improve patient outcomes while navigating the challenges of treatment.

Dr. Awais Aftab, a Cleveland psychiatrist, discusses the intricate nuances of the serotonin hypothesis and its link to depression and antidepressants. He challenges the conventional notion of serotonin deficiency, diving into recent research on the efficacy of SSRIs versus placebo treatments. The conversation highlights the impact of adverse childhood experiences on mental health and emphasizes the need for personalized approaches in treatment. Aftab also critiques reliance on pharmaceutical solutions, advocating for diverse strategies including psychotherapy and lifestyle changes.

Frank Yeomans, a leading expert in Transference-Focused Psychotherapy, discusses the nuances of treating Borderline and Narcissistic Personality Disorders. He delves into object relations theory, emotional integration, and the complexities of transference in therapy. Yeomans shares clinical insights on navigating paranoia and idealization, emphasizing the importance of the therapeutic relationship. He also contrasts TFP with other psychodynamic approaches and highlights how emotional responsibility can foster personal development and stability in patients.

John Tarr, a late psychiatrist and psychoanalyst renowned for his empathic approach, dives into the emotional intricacies of therapy termination. He emphasizes viewing 'goodbye' as a transformative transition rather than a loss. Tarr addresses how separations can unearth past attachment wounds and offers strategies for patients and therapists to navigate these emotional challenges. His insights encourage self-reflection and personal growth, revealing how these moments of closure foster resilience and autonomy in the therapeutic journey.

Liam Browning, a returning guest with expertise in mental health and wellness, dives into the fascinating world of cold exposure. They discuss various methods like ice baths and cold-water swimming, examining their scientific backing for improving mood and anxiety levels. Topics include the physiological effects on dopamine and norepinephrine, practical safety tips, and historical practices. They also address misconceptions about immune boosting and emphasize individual responses, all while highlighting the potential for cold immersion in daily wellness routines.

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.