Psychiatry & Psychotherapy Podcast

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 psychotherapy, delves into the interplay of attachment theory and anxiety treatment. He introduces the concept of the 'disavowed self,' encouraging therapists to help clients reclaim denied aspects for personal growth. The conversation also highlights the nuances of confronting social anxieties and emotions tied to professional pressures. Wachtel's approach combines various therapeutic methods, offering practical insights for those looking to deepen their understanding of human behavior.

Discover the surprising mental and physical benefits of sauna use, including historical insights and personal experiences. Learn how heat exposure can enhance cardiovascular health and reduce depression risk, while exploring the connection between body and mind. Hear about blood biomarkers related to sauna sessions and the role of heat shock proteins in aging. Enjoy discussions on the community aspects of sauna culture, and find out how regular use can improve sleep quality and overall well-being.

Dr. James Pennebaker, a pioneer in expressive writing research, shares insights into how writing can heal trauma and enhance mental and physical health. He discusses the science of the Expressive Writing Paradigm, revealing its benefits in reducing PTSD, improving mood, and alleviating stress. Pennebaker highlights how structured writing interventions can transform emotional chaos into clarity, offering practical tips for incorporating writing into daily life. From boosting resilience to fostering self-compassion, this conversation uncovers the profound power of words in the healing process.

Dr. Tom Wooldridge, a psychoanalyst and expert in eating disorders, shares unique insights into the emotional complexities of these conditions. He emphasizes understanding the deeper emotional issues behind symptoms, highlighting the connection between narcissism, shame, and body image. The discussion covers the distinctive challenges men face with anorexia, emphasizing societal stigma and early life experiences. Wooldridge also explores the concept of 'father hunger' and how it relates to eating disorders, illuminating the importance of tailored therapeutic interventions.

Dr. David Puder, a psychiatrist with a focus on the intersection of psychiatry and politics, joins Dr. Mark Mullen, who delves into the ethical implications of the Goldwater Rule. They explore the historical context of this rule that arose during the 1964 presidential campaign and its ethical dilemmas for psychiatrists concerning public figures. The discussion highlights the challenges of diagnosing without consent, the impact of media perceptions, and the need for careful navigation of ethical boundaries in mental health discourse.

Delve into the lasting effects of Adverse Childhood Experiences on the brain and body, from impacting the HPA axis to inflammation and neurobiology. Explore how childhood trauma can lead to changes in cortisol response, brain regions like the hippocampus and amygdala, and inflammatory cytokines. Understand the link between FKBP5 protein, cortisol regulation, and mental health disorders, and discover the importance of therapeutic interventions in mitigating the negative impacts of early life stress on mental health.