Psychiatry & Psychotherapy Podcast

In this episode, Dr. Jonathan Shedler discusses the importance of the initial phase of therapy, emphasizing the need to establish a working alliance and purpose. He explores resistance and defense in psychotherapy, the psychology of depression, patient readiness, and the importance of experiential understanding. Tune in to learn how to create a firm starting foundation in clinical practice.

This podcast discusses the influence of adverse childhood experiences (ACEs) on future mental health disorders. It explores the measurement of ACEs, their impact on personality disorders and psychiatric conditions, and the connection between trauma and dissociative identity disorder. The podcast also delves into the experience of children in mental hospitals, the impact of weekly therapy sessions, and the importance of personal growth and introspection.

This podcast explores the lasting impact of adverse childhood experiences on adult mental and physical health, including the prevalence of substance use disorders, depression, anxiety, PTSD, psychosis, and personality disorders. The hosts discuss the challenges faced by mental health professionals and the importance of addressing trauma. They also explore the impact of ACEs on behavioral coping mechanisms, the difficulties in accessing mental health treatment, and the effects of an enriched environment on various aspects of health.

Dr. Judith Beck, prominent figure in psychology and author of Cognitive Behavior Therapy: Basics and Beyond, discusses the history and development of CBT. Topics include childhood beliefs, applying CBT to weight loss, a positive cognitive model, using CBT skills on oneself as a therapist, and reflections on CBT.

In this podcast, the underreporting of psychotic symptoms in depression is discussed, along with the higher suicide rate in individuals with psychotic depression. The use of acceptance and commitment therapy (ACT) and antipsychotics for treatment is explored. The differences between nightmares in PTSD and malingering are examined. The complexities of treating psychotic depression and alternative approaches, such as ECT and ketamine, are discussed. The mechanisms and diagnosis of depression and delirium are explained. The importance of identifying and treating UTIs in elderly patients to prevent delirium is emphasized. The speaker's approach to assessing patients for medical issues is outlined. The potential differential diagnoses for psychotic depression, including substance use disorder and borderline personality disorder, are explored. The Bush-Francis-Catatonia Scale and treatment with lorazepam are discussed. The process of administering intramuscular medication for psychotic depression is explained.

Dr. Mark Mullen, a 4th year psychiatry resident and host of Psychiatry Bootcamp, joins Dr. Puder for the 200th episode. They discuss the benefits of podcasts in learning psychiatry, the influence of Dr. John Tar, the significance of pre-lexical communication in therapy, the importance of simple language and transference, the need for a deeper understanding of patients, interacting with respected colleagues and experts, and the future direction of the podcast.

Dr. William Miller, expert in motivational interviewing, discusses the importance of establishing a good working alliance and mobilizing a person's motivation for change in therapy. They explore the relevance of motivational interviewing in healthcare settings and the challenges of motivating change. They also discuss the influence of Carl Rogers on behavior therapy and the power of facilitating change. The origins and development of motivational interviewing are explored, along with the concept of person-centered parenting. The importance of active and guided practice in learning mental health skills and the complexities of marriage therapy are also discussed.

Explore the factors contributing to burnout among medical residents, including environmental and personal factors. Learn about the Connection Index and its role in improving resident morale. Discover the impact of the COVID-19 pandemic on work dynamics and connections among medical professionals. Understand the importance of psychological safety in preventing stress, prejudice, bias, and burnout. Delve into the concept of the Connection Index in medical education and its role in evaluating leadership success. Highlight the significance of food and empathy in creating a positive learning environment. Emphasize the importance of supervisor-student connection and providing structured feedback in medical education.

Dr. Jennifer Gaudiani discusses debunking myths about eating disorders, challenging misconceptions, determining the need for higher levels of care, and the impact of orthorexia. The podcast also explores practices in the entertainment industry, medication misuse, and exercise in weight-inclusive clinics.

In this interview with historian Dr. Christopher Browning, we discuss his book, Ordinary Men: Reserve Police Battalion 101 and the Final Solution in Poland. An internationally renowned author and researcher, Dr. Browning is also a professor emeritus of history at the University of North Carolina at Chapel Hill (UNC). He is an internationally recognized expert on the Holocaust and Nazi Germany and has authored over 75 publications.   His focus on Battalion 101 emerged during his research of the Holocaust, when he discovered that this battalion was unlike any other in the German army or police force—it was comprised of ordinary, middle-aged men, not trained soldiers. Despite this fact, they assimilated into the Nazi practices of mass murder with disturbing ease. Dr. Browning examines the psychological and cultural influences that impacted this seeming phenomenon and offers poignant insights from existing historical documents. We want to thank Jeremiah Stokes, Ed.D., LMHC for being part of this episode and helping with write up available on psychiatrypodcast.com  By listening to this episode, you can earn 2 Psychiatry CME Credits. Link to blog. Link to YouTube video.