Psychiatry & Psychotherapy Podcast

Our bodies are “wired” to perform. Learning how to consciously modulate your internal sympathetic state is the key to unlocking optimal performance. The autonomic nervous system (ANS) facilitates survival by generating the fight-or-flight response and promotes recovery following activation (the ability to relax). The ANS achieves this by balancing two complementary systems: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS). For example, your ANS is currently adjusting your pupillary diameter, respiratory rate, blood pressure, heart rate, skin conductance, sweat production, sphincter tone and postural muscles (just to name a few) to allow you to focus your eyes to read this information without passing out, falling over, overheating or urinating on yourself. For PDF with full notes on our discussion and breathing: https://psychiatrypodcast.com/resources By listening to this episode, you can earn 0.75 Psychiatry CME Credits. Link to blog. Link to YouTube video. Join Dr. Eller on: Facebook: @PhysicalTherapyRX Instagram: rxpt_ Join David on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

Learn: Why to optimize medical issues like hypertension and diabetes Change psychiatric and non-psychiatric medications to optimize brain function Optimize sleep to obtain rest and increase brain function How drugs influence the brain short and long term to change sensorium How viewing yourself without "free will" influences brain function By listening to this episode, you can earn 0.75 Psychiatry CME Credits. Link to blog. Link to YouTube video. For PDF with citations and full notes go to: https://psychiatrypodcast.com/resources Join David on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

In a world facing an epidemic of depression and anxiety, the benefits of exercise shine brightly. Research shows that strength training not only boosts mood but also enhances cognitive function and lowers dementia risk. The podcast delves into how exercise acts as a natural remedy, providing biological insights and practical tips. Listeners learn to develop effective exercise programs tailored for mental health, proving that physical activity is essential for overall well-being. Get ready to rethink your approach to fitness and mental wellness!

What are the best diets for the brain and cognitive function?   How much does diet influence our sensorium? What particular foods are important?   How do we change our genes to optimize our brain? By listening to this episode, you can earn 0.5 Psychiatry CME Credits. Link to blog. Link to YouTube video. For PDF with citations and detailed notes go to: My Resource Page Ask David questions on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

In this episode, Dr. Puder addresses the fascinating realm of schizophrenia with Dr. Cummings, a previous guest in the show. Dr. Cummings is a psychiatrist with a wealth of experience from working at Patton State Hospital in California, one of the biggest forensic hospitals in the world. -Defining Schizophrenia -Living with Schizophrenia and Perception of Reality -Are Negative Symptoms in Schizophrenia Precipitated by Medications? -Emil Kraepelin, and the Early Studies on Schizophrenia -The Pathology, Biology, and Genetics of Schizophrenia -Cannabis Use and Risk For Schizophrenia -The Loss of Brain in Schizophrenia -Counter-arguments Against Robert Whitaker’s “Anatomy of an Epidemic”         -Schizophrenia Prevention in High Risk Population -Australian Study on Children of Schizophrenic Parents -Crime, Violence, Mass Shootings and Schizophrenia -Medical Management of Schizophrenia -1st Break Psychosis -Long-acting Injectable Antipsychotics in Early Illness -Medication Adherence -Exercise, Lifestyle, Diet Optimization By listening to this episode, you can earn 1 Psychiatry CME Credits. Link to blog. Link to YouTube video. Join David on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder CV of Dr. Michael A. Cummings Assistant Producer: Arvy Wuysang Editor: Trent Jones

This week I had a discussion with Dr. Darcy Trenkle on the difficulty of providers to get psychiatric treatment, using ourselves as the examples.  In a recent article nearly 40% of physicians surveyed said they would be reluctant to seek formal medical care for treatment of a mental health problem because of concern that this may put their medical license in jeopardy.  Physicians have three times the national average for suicide and have unique stressors and often a culture not conducive to seeking help.  We discussed difficulties we had in contemplating getting care for different issues we faced.  Hopefully, this will open a discussion regarding the conflicts providers have in engaging needed help.  Dr. Trenkle is a psychiatrist in Southern California and is affiliated with Loma Linda University Health.  She received her Medical Degree from Loma Linda University School of Medicine. She completed her residency training at Loma Linda University in 2015. She is the Medical Director for Electroconvulsive Therapy as well as Program Development for the Behavioral Medical Center at Loma Linda University.  If you are a Medical Student, Resident or Attending listening to this and need help, please reach out to a local provider.  We are open to receive emails if you are local, our names are searchable in the Loma Linda email system.   By listening to this episode, you can earn 0.75 Psychiatry CME Credits. Link to blog. Link to YouTube video. Join David on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

The podcast discusses the concept of sensorium and how optimizing brain function through sleep, diet, exercise, and stress management can improve cognitive abilities. Stories of individuals who improved mental performance by optimizing their sensorium are shared. The detrimental effects of long hospital stays and stress on delirium are explored, along with strategies to address chronic stress for better mental health. Therapy, including EMDR and trauma-focused CBT, is highlighted for healing from trauma and managing chronic anger.

Psychotherapist Randy Stinnett shares his journey and insights in psychotherapy. Topics include integrated behavioral health in primary care, influences like Habib Davanloo, and the impact of a Persian psychotherapist. Discussion on the punitive aspect of the superego and formative experiences in psychotherapy.

In this episode I will be interviewing William Britt, PhD level clinical psychologist, an expert in cognitive behavioral therapy, object relations therapy, EMDR and a board certified neuropsychologist. He runs cognitive rehabilitation groups and neuropsychological assessments, and supervises neuropsychological fellows and interns. He also works closely with the psychiatric residents teaching about suicide.   In this episode, Dr. William Britt explores his experiences running an inpatient psychiatric group for 5 to 13 year olds who are being treated for violence or attempted suicide, using uses a method based on Irving Yalom’s inpatient group psychotherapy technique. We discuss how the trend of teen suicide has increased over the years and the typical causes of depression. We also cover common bullying tactics and how cyber bullying has changed society.  We then discuss how to use the group's support to help each other move away from being suicidal. We explore how the Netflix TV series “Thirteen Reasons Why” has influenced young minds and the new terms the patients are using. In the end, Dr. Britt and Dr. Puder answers how we adapt and recover from trauma, and how we find meaning and value within stress.   By listening to this episode, you can earn 0.75 Psychiatry CME Credits. Link to blog. Link to YouTube video. Join David on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder CV of Dr. Britt

In this episode, Dr. Cummings and I discuss psychopathy: the fearless, empathyless people, who see others as objects, and have the inability to attach within relationships. Dr. Michael Cummings recently contributed to a book called “Violence in Psychiatry,” detailing the biological aspects of psychopathy, edited by Stephen Stahl. Dr. Cummings works at Patton State Hospital, one of the biggest forensic hospitals in the world. He is the Yoda of the psychiatric world, with many other psychiatrists bringing him their most complex and difficult cases.    In this episode we cover: History of psychopathy Influence of early life traumas Prosocial careers of psychopaths Biological components in psychopathy The emotion psychopaths fail to see BDNF (brain-derived neurotrophic factor) Prefrontal area (the parent of the brain that warns us “that is not a good idea”) Amygdala Why psychopathy has not been bred out of existence Advice when you are in a relationship with a psychopath What drugs make someone look psychopathic Effect of alcohol andmethamphetamines on the brain Influence of cocaine on the brain Why more men are violent psychopaths And treatment of this group of people (clozapine’s influence on glutamate) The Story of Phineas Gage We also wrestle with how to increase the percentage of psychopaths that end up helping society vs percentage that become criminals. Warburton, K and Stahl S (Editors).  Violence in Psychiatry.  The Neurobiology of Psychopathy. Cambridge University Press 2016), pp. 200-05 CV of Dr. Michael A. Cummings By listening to this episode, you can earn 1 Psychiatry CME Credits. Link to blog. Link to YouTube video. Join David on Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder Editor: Trent Jones *This podcast is for informational purposes only and is the opinions of the people on this episode.  For full disclaimer go here.