Psychiatry & Psychotherapy Podcast

Dive into the intriguing world of transference, where patients project past feelings onto their therapists, creating a unique and complex dynamic. Discover how early experiences shape emotional interactions in therapy. Learn about the critical role therapist self-awareness plays in navigating their own reactions, ultimately enhancing the therapeutic relationship. The importance of community among mental health professionals is emphasized as a means to foster shared learning and growth. A captivating exploration of emotions in clinical practice awaits!

In this episode of Psychiatry & Psychotherapy, Dr. David Puder dives into the critical issue of inpatient violence with special guests Dr. Gillian Friedman and Nate Hoyt, MS4. Explore the latest evidence-based strategies to predict, prevent, and manage aggression in psychiatric settings. Discover key insights on: Risk factors for inpatient violence, including diagnoses and history of aggression. Effective de-escalation techniques and innovative interventions like Safewards and environmental modifications. The role of pharmacotherapy, staff-patient relationships, and alternative approaches in reducing violence and improving outcomes. Join us as we reimagine safer and more compassionate care for both patients and staff in psychiatric hospitals. By listening to this episode, you can earn 1.5 Psychiatry CME Credits. Link to blog. Link to YouTube video. Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

On this week’s episode of the podcast, I am joined by Dr. Carolina Osorio, a geriatric psychiatrist (and one of my favorite people). After she finished her psychiatry residency, she also went on to finish a fellowship in geriatric psychiatry to take care of her favorite people. Dr. Osorio runs a special program that treats elderly people with depression and anxiety. By listening to this episode, you can earn 1 Psychiatry CME Credits. Link to blog. Link to YouTube video. Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

Experts discuss Ted Bundy's psychopathy, the role of pornography in sexual violence, emotional expressions, coping with disturbing content, predicting criminal behavior, and the glamorization of serial killers in the media.

The words “aggression” and “violence” are sometimes used synonymously, but in reality, aggression can be physical or non-physical, and directed either against others or oneself. Violence is more of a use of force with an intent to inflict damage. One study looked at the principle types of aggression and violence that occur in psychiatric patients, and broke it down into three categories: Impulsive violence (the most common category) Predatory violence (purposeful and planned violence) Psychotically-driven violence (least common) By listening to this episode, you can earn 1 Psychiatry CME Credits. Link to blog. Link to YouTube video. Instagram: dr.davidpuder Twitter: @DavidPuder Facebook:DrDavidPuder

Discover the fascinating world of empathy, exploring its three types: cognitive, affective, and compassionate. Learn how these dimensions impact patient care in medical practice and the importance of fostering empathetic responses. Discover practical strategies to enhance empathy, including the role of attention, diet, and even reading fiction. Delve into the nuances of emotional understanding and active listening, crucial for meaningful connections in therapy and beyond.

Exploring ADHD diagnosis, misconceptions, and treatment challenges. Highlighting the impact on daily functioning and the importance of accurate diagnosis. Discussing medication options, psychological testing, and non-medication treatments like cognitive behavioral therapy.

What is placebo? The original meaning of the word placebo is, “I will please.” That statement comes from a time when doctors didn’t have our modern code of ethics, and they would prescribe whatever would make the person feel better. They probably had the best intentions, but they also would have known that whatever they were prescribing might not have been a real medication for the symptoms the patient was experiencing. Doctors, even then, knew that suggestion was powerful, sometimes more powerful than the medicine they were prescribing. Laypeople who hear the word “placebo” automatically think of sugar pills. They may think only that it’s something a doctor gives to placate and make people feel better when they aren’t getting the active medication. Placebos have long been used as a comparison arm for clinical trials. Usually it is in the form of an inert sugar pill or sham-procedure. Researchers can observe a psychobiological response known as the placebo effect. But when thinking about the word “placebo,” we must think of the entire effect of it, and it is perhaps better termed “the meaning effect.” As I discussed in last week’s episode of the podcast, the meaning we give something creates belief, and belief is a potent change mechanism, even when it comes to our physical health. It is especially potent when it comes to mental health. The placebo effect encompasses the therapeutic alliance, expectations, natural healing of the body and mind, and the environment of therapy. It involves the power of suggestion, mood, and the beliefs behind even one positive or negative interaction with a doctor. It also, as we will see, involves studies involving heavy-hitting medication. When there is an increased ritual, there is an increased placebo effect. During a hospital stay, the surgery preparation, meetings with doctors, nurses and therapists can have an incredibly therapeutic effect on a patient. It is possible to see biological mechanisms triggered by psychosocial context and attribute it to a placebo effect. What is the power of suggestion, the meaning effect, placebo effect, and how do we use it or avoid it in our practices and when testing new medical treatments? By listening to this episode, you can earn 1 Psychiatry CME Credits. Link to blog. Link to YouTube video. Instagram: dr.davidpuder Twitter: @DavidPuder Facebook:DrDavidPuder

For many, motherhood is a beautiful, unique, and meaningful experience. The mother-child bond is a relationship that has the potential to be a deeply loving and positive experience for both the mother and child. However, motherhood can be distressing, which is why it is imperative that we, as providers, understand the unique psychiatric issues that are associated with this time period in a woman’s life. Perinatal mood and anxiety disorders, or PMAD for short, is the term used to describe mood and anxiety disorders that affect women during the perinatal period, which is the timeframe from pregnancy to 12 months postpartum. PMAD encompasses a variety of disorders, such as anxiety, depression, obsessive-compulsive disorder, bipolar mood disorder, psychosis, and PTSD. Details on connecting with Kelly Rivinius through social media or about her free support group:here By listening to this episode, you can earn 1 Psychiatry CME Credits. Link to blog. Link to YouTube video.

Viktor Frankl, a renowned psychiatrist and founder of logotherapy, shares compelling insights on finding meaning, especially during suffering. He discusses personal experiences from the Holocaust that highlight resilience and choices amidst adversity. The conversation emphasizes the role of meaning in therapy, focusing on empathetic listening and building a therapeutic alliance. Frankl also touches on the importance of meaningful connections in medicine and how observing children can reveal deeper joys and purposes in everyday life.