Episodes
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Dive deep into the practicalities of psychiatric medication management for PTSD in this clinical discussion. We explore the often limited evidence base and the necessity of off-label prescribing, focusing on strategies for stabilization, safety, and trust… the first stage of trauma treatment. Learn about experience-based approaches using SSRIs like sertraline, sleep aids such as trazodone and gabapentin, the cautious use of antipsychotics, and why benzodiazepines are discouraged. The conversation also touches on managing sleep disturbances and dissociation, situating medication as a supportive tool alongside essential psychotherapy and lifestyle changes, guided by principles like Pierre Janet's three-stage model.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Join us for an in-depth exploration of trauma and Post-Traumatic Stress Disorder (PTSD). This episode moves beyond common language to establish a clinical definition of trauma, detailing the DSM-5 criteria required for a PTSD diagnosis. The hosts break down the core PTSD symptom clusters – intrusion, avoidance, negative alterations in cognitions/mood, and arousal/reactivity – providing clear examples like flashbacks, hypervigilance, and negative self-beliefs. They delve into the concept of dissociation, its role in trauma, and the challenges it presents in assessment. Listeners will gain crucial insights into the diagnostic process, common misdiagnoses (like mistaking PTSD for depression), the vital importance of earning therapeutic trust, and effective interviewing techniques for sensitive topics, ultimately highlighting why accurate identification is key to recovery.
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Episodes manquant?
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This conversation explores key aspects of forensic psychiatry, including the insanity defense, dissimulating patients, and how clinical practice intersects with legal systems. It highlights the importance of open-ended dialogue, nuanced diagnosis, and maintaining empathy without succumbing to cynicism.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Join us in a conversation about involuntary commitment, and the legal framework behind psychiatric treatment. We discuss real-world scenarios, share insights into how clinicians juggle patient autonomy versus societal protection. Whether you are new to the field or a seasoned professional, this episode offers valuable perspectives on balancing ethical duties, legal obligations, and patient care.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
In this episode, we sit down with Dr. Chris Aiken to look at a big question: when do we treat an underlying deficit in psychiatric illness? Focusing on difficult-to-treat depression, our conversation delves into the deficit model and looks at different paradigms, from neuroprotective strategies and lifestyle interventions to the nuanced use of medications like SSRIs, lithium, and thyroid hormones, as well as targeted supplements. Tune in for a thought-provoking discussion that looks at when we approach treating depression by focusing on its underlying causes.
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This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Schizophrenia treatment is complex, and choosing the right antipsychotic can make all the difference. In this episode, we take a deep dive into schizophrenia medications... breaking down the pros and cons of different antipsychotics, metabolic risks, sedation issues, and the challenges of adherence. We discuss how to tailor treatment to individual patients, avoid unnecessary side effects, and improve long-term outcomes. Whether you're a clinician prescribing antipsychotics or someone looking to understand schizophrenia medications better, this discussion offers practical insights and evidence-based strategies for optimizing treatment.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
What is the future of psychiatric treatment? In this episode we explore groundbreaking innovations in neuromodulation, AI driven diagnostics, and the evolving business of mental healthcare. Dr Owen Muir discusses why business and policy are as crucial as clinical advancements in ensuring that cutting edge treatments like accelerated TMS, noninvasive vagus nerve stimulation, and AI assisted tardive dyskinesia detection actually reach patients. From reshaping psychiatric training to rethinking what it means to cure mental illness, this conversation challenges how we view progress in psychiatry. Tune in to discover how technology, policy, and medical practice are converging to transform the field.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Medications and therapy are the foundation of mental health treatment, but what else can you do to improve your well-being? In this episode, we explore the essential lifestyle changes that can make a profound impact on mental health. From exercise and behavioral activation to socialization, sleep, and mindfulness, we break down practical, evidence-based strategies that go beyond prescriptions. We also discuss how avoiding substances and engaging with the right self-help resources can support long-term recovery. Whether you're a clinician, a patient, or just someone looking to optimize mental well-being, this episode offers actionable insights to help build a sustainable, holistic approach to mental health. Tune in for a deep dive into the three pillars of treatment and why lifestyle changes are just as crucial as medications and therapy.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
In this engaging episode, Dr. Owen Muir dives into the science and practice of Transcranial Magnetic Stimulation (TMS), exploring its transformative role in modern psychiatry. The conversation begins with a historical look at how TMS emerged from groundbreaking research in the 1980s, evolving into an FDA-approved, noninvasive treatment for mental health disorders such as treatment-resistant depression, OCD, and bipolar disorder. Listeners are taken on a journey through the mechanics of TMS, from precise brain mapping and neural synchronization to the innovative use of accelerated TMS protocols that offer rapid symptom relief.
Dr. Owen Muir unpacks how TMS harnesses magnetic fields to stimulate neural circuits, effectively “resetting” brain rhythms and boosting neuroplasticity. They discuss real-world clinical applications, sharing insights on how tailored coil positioning and stimulation patterns can lead to significant improvements in mood regulation and cognitive function. The podcast also addresses practical challenges, including optimizing treatment intervals, insurance hurdles, and the future of neuromodulation in psychiatry.
Whether you’re a clinician looking to stay up to speed on the latest in TMS research or a patient exploring nonpharmacological options for mental health care, this episode provides a comprehensive and accessible overview of TMS technology and its promising impact on mental health treatment. Join us as we decode the complexities of TMS and reveal how this innovative therapy is reshaping the landscape of mental health care.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Explore the fundamentals of the Therapeutic Alliance and Frame in this podcast episode, where we highlight how trust, clear communication, and structured boundaries form the bedrock of effective psychiatric practice. Learn practical strategies for aligning treatment goals, clarifying diagnostic expectations, and navigating challenges like medication hesitancy or “trauma dumping.” Perfect for psychiatrists, therapists, and mental health enthusiasts, this discussion offers real-world examples, expert insights, and actionable tips to build a more collaborative and successful therapeutic relationship
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This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Humbly…. we explore a practical overview of bipolar disorder, from refining your diagnostic approach to navigating effective treatments. In this episode, we highlight how sleep patterns play a pivotal role, how substances and antidepressants can complicate clinical presentations, and the fundamentals of evidence-based medication choices, spanning mood stabilizers and second-generation antipsychotics. Discover best practices for acute mania management, bipolar depression strategies, and why lifestyle interventions are crucial for long-term stability. Whether you’re a seasoned clinician or just starting out, this conversation offers valuable insights on delivering comprehensive, balanced care for individuals with bipolar disorder.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
This episode delves into the pearls of treating depression with medications, offering practical strategies for clinicians and patients alike. From identifying the root causes of depressive symptoms to exploring evidence-based medication and lifestyle interventions, this discussion provides actionable insights for improving mental health outcomes. Learn about personalized treatment options, managing side effects, and the importance of a strong therapeutic alliance in achieving sustained remission.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
Join renowned therapist Dr. Mark Ruffalo as he unpacks the complexities of Borderline Personality Disorder (BPD). This discussion delves into the relational patterns, effective communication of diagnoses, core anxieties, and the need-fear dilemma. Whether you're a mental health professional or someone seeking understanding, Dr. Ruffalo provides invaluable insights.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
In this episode, we dive into the use of sleep medications in psychiatry. Is insomnia a standalone condition or a symptom of deeper issues? We discuss our clinical approach to treating sleep disturbances in psychiatric patients, focusing on medications to the nuanced use of trazodone, gabapentin, and antihistamines. Along the way, we explore the intersections of sleep and psychiatric illnesses, and the role of medications in patient recovery.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
In part two of our conversation with Dr. Nancy McWilliams, we explore a diverse range of personality dynamics, from the socially expressive yet vulnerable histrionic style to the introspective and reserved schizoid personality. Dr. McWilliams offers unique insights into how cultural and social contexts shape personality types, especially the often misunderstood histrionic style, which she discusses from her own personal perspective. We also examine the attraction between histrionic and schizoid personalities, uncovering the push-pull dynamics that can both challenge and enrich these relationships. Rounding out the discussion, we turn to obsessive-compulsive personality, investigating its roots in control, morality, and perfectionism and differentiating it from clinical OCD. With practical tips for therapists, along with reflections on the importance of countertransference and empathy, this episode provides a rich, thoughtful journey into the diverse landscape of personality.One Fall on Spotify:
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We explore the evolution of psychosis diagnoses from the early DSM days to modern psychiatry, unpack the role of language in shaping delusions, and discuss how treatment has (and hasn’t) progressed. From Lacanian theories to real-world clinical challenges, this episode bridges the gap between theory and practice while tackling stigma head-on. Perfect for clinicians, patients, and anyone curious about the mind’s mysteries.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
In this episode, Dr. Nancy McWilliams explores the foundations of personality, tracing how our unique defenses and core life themes shape who we are and how we relate to others. She discusses the concept of personality as a tapestry woven from central themes rather than fixed traits, revealing how these themes serve as guiding narratives that influence our behaviors and relationships. The conversation takes a deep dive into the paranoid personality style, examining its key features of trust, betrayal, and sensitivity to perceived threats. Dr. McWilliams also discusses how early life experiences and family dynamics can lead individuals to develop certain defenses—particularly the powerful defenses found in paranoid personalities, such as projection and splitting. With her characteristic empathy, Dr. McWilliams shares insights on the therapeutic approaches that help individuals find greater balance and self-understanding, offering listeners a fresh perspective on the complexity and humanity behind personality and defense mechanisms.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
This episode is a continuation of our previous conversation on personality. We dive deep into the complex world of personality disorders and healthy personality traits. From the misconceptions that plague psychiatric diagnoses to the often-overlooked truths about how we develop emotionally… We discuss the difference between normal development and personality disorders, discuss the stigma surrounding diagnoses like borderline personality disorder, and explore how trauma shapes our sense of self, but doesn’t quite explain everything
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In this episode, we take a peak into the often-misunderstood world of personality disorders. We explore common misconceptions that psychiatrists and clinicians make when diagnosing and treating personality disorders, shedding light on why these errors happen and how to approach personality pathology in a more integrative, effective way. The conversation challenges the traditional views and advocates for a more nuanced understanding of self and others. Whether you're a clinician, mental health professional, or someone interested in psychology, this episode offers a nifty perspective on the complexities of personality, pathology, and the therapeutic journey.🔴PsychoFarm YouTube💡Anti-depressant Course📖 PsychoFarm's Treating Depression Book
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com -
In this episode, Dr. Fu rejoins us as we take a deep dive into the world of ADHD—beyond the usual headlines and social media buzz. We’ll talk about how ADHD is often misunderstood, misdiagnosed, and even overhyped. Join us as we explore why so many people are getting diagnosed, the real role of medication, and why it's dangerous to use 1 thing to explain behavior. We’ll also dig into how cultural trends and social media are shaping our views on ADHD, and why it’s essential to see the whole picture when it comes to mental health.
🔴PsychoFarm YouTube💡Anti-depressant Course📖 PsychoFarm's Treating Depression Book
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com - Montre plus
