Psychiatry & Psychotherapy Podcast

David Puder, M.D.
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Nov 7, 2025 • 1h 19min

Genetic and Environmental Influences of Schizophrenia

Dr. Liam Browning, a psychiatrist specializing in psychiatric genetics, teams up with Dr. Nicholas Fabiano, an expert in psychiatric epidemiology, to delve into the intriguing interplay of genetics and environment in schizophrenia. They explore the significance of heritability, the implications of childhood trauma, and the cannabis-hallucinogen connection to psychosis risk. Also discussed are prenatal factors, genetic findings from studies, and the ethical dimensions of genetic testing. The conversation highlights the need for person-centered care and preventive strategies in mental health.
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17 snips
Oct 31, 2025 • 1h 8min

Combatting the Negative Effects of Sleep Deprivation

Dr. Brandon Luu, an internal medicine physician and respiratory fellow, dives into the cognitive and metabolic chaos caused by sleep deprivation. He highlights shocking studies linking sleepless nights to impairments in learning and memory, akin to being legally intoxicated. Discover how high-intensity interval training (HIIT) and creatine can counteract these effects while caffeine and bright light therapy sharpen focus. Plus, Luu shares practical tips on using exercise and light to boost performance even when tired—essential tools for anyone navigating sleep loss!
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37 snips
Oct 24, 2025 • 53min

Devaluation, Transference, Narcissism with Diana Diamond

Clinical psychologist Diana Diamond, an expert in transference-focused psychotherapy, delves into the intricacies of narcissism and treatment. She unpacks the complex dynamics of devaluation, often manifested as patients undermining their therapists. Diamond discusses the impact of attachment styles on therapy, revealing how different patterns transform treatment interactions. The conversation also touches on the Narcissus myth, exploring its themes of trauma and self-destructiveness, while emphasizing the importance of acknowledging therapists' fallibility to foster genuine connections.
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28 snips
Oct 17, 2025 • 1h 11min

Intergenerational Trauma Explained: The Role of Reflective Function and Mentalization in Healing Attachment

This discussion features Sharia Cherlow, a Psychiatry resident sharing insights on reflective function and attachment interventions, Khaled Itani, who offers perspectives on mentalization's role in early development, and Fidel Schumann, who provides clinical examples of attachment phenomena. They dive into intergenerational trauma, exploring how trauma-specific reflective functioning impacts attachment styles. They also discuss effective therapies like Mentalization-Based Therapy and practical strategies for parenting to promote secure attachments in children.
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Sep 26, 2025 • 1h 7min

Understanding Real Event OCD: When the Past Fuels Obsession

In this discussion, OCD specialist Kevin Foss dives into Real Event OCD, where past experiences spiral into obsessive thoughts. He clarifies how it differs from PTSD and highlights symptoms like intrusive doubt and guilt. Exploring effective treatments like Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT), Kevin emphasizes healthy support strategies for loved ones. The conversation also covers common triggers, ethical considerations in therapy, and the importance of shifting from shame to guilt for recovery.
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10 snips
Sep 16, 2025 • 1h 38min

Identity Diffusion

Dive into the intriguing world of identity diffusion and its effects on mental health. Discover how this phenomenon manifests through feelings of emptiness and fractured self-image. Explore its connections to borderline personality disorder and the role of empathy in therapy. Uncover coping strategies such as journaling, and address societal pressures that impact authenticity. The discussion also highlights the challenges faced by clinicians and the intricate dynamics of relationships affected by narcissism and identity struggles.
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9 snips
Aug 29, 2025 • 1h 11min

Cannabis and Depression, Anxiety, PTSD, Sleep, and Cognitive Function Update and Review

Liam Browning, a returning guest known for his insights on patient perspectives regarding cannabis, and Danielle Lu, a medical student engrossed in mental health, dive deep into the latest research on cannabis and its effects. They discuss its complex relationships with depression and anxiety, emphasizing the risk factors of high potency cannabis. Their conversation navigates the challenges of PTSD recovery, balancing relief with potential addiction risks, and the importance of recognizing emotions rather than numbing them. A thought-provoking discussion on cannabis' role in mental health!
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4 snips
Aug 18, 2025 • 1h 15min

Regulating Our Emotions as Parents with Alissa Jerud, PhD

In this engaging discussion, Dr. Alissa Jerud, a licensed clinical psychologist and author of Emotion Savvy Parenting, shares valuable insights on navigating parenting's emotional challenges. She introduces the ART framework to help parents accept, regulate, and tolerate their feelings. Dr. Jerud emphasizes the importance of mindfulness, compassionate responses to children's behaviors, and practical strategies for managing bedtime struggles and youth sports pressures. Her evidence-based tools aim to foster resilience and deepen connections between parents and children.
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67 snips
Jul 25, 2025 • 1h 15min

Psychodynamic Psychopharmacology: Insights from Dr. David Mintz

Dr. David Mintz, a seasoned psychiatrist with over 30 years at the Austen Riggs Center, delves into psychodynamic psychopharmacology. He discusses how medication isn't just biomedical but intricately tied to meaning and patient dynamics. Mintz emphasizes the role of patient expectations and identity in treatment responses. He highlights the critical nature of the therapeutic alliance in recovery, advocating for a personalized, holistic approach to psychiatric care that considers both psychological and physical health.
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9 snips
Jun 27, 2025 • 54min

Catatonia in Children and Teens

Dr. Joshua Ryan Smith, a child and adolescent psychiatrist specializing in catatonia and autism at Vanderbilt University, sheds light on the often-overlooked condition of catatonia in youth. He discusses its misdiagnosis and the critical need for accurate identification, especially in neurodivergent children. The conversation delves into effective assessment tools, including the Bush-Francis scale, and highlights the importance of distinguishing catatonia from typical behaviors associated with autism. Practical treatment strategies, including medication and ECT, are also explored.

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