Clear, engaging, and practical updates on clinical psychiatry.

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Episodes

Duty to Warn: Antidepressants in Children and Adolescents

March 1, 2021 | Podcasts

For nearly 17 years, since the FDA black box warning about suicidality with antidepressants, our community has been quoting data that downplays this concern. We were wrong. We were deceived. Antidepressants can be lifesaving, but there really is a duty to warn. In this episode, Doctors Martha Ignaszewski and Glen Spielmans talk with us about what w

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How Buspirone Mixed with Melatonin to Make an Antidepressant

February 22, 2021 | Podcasts

In 2012, psychiatrists at Harvard’s Massachusetts General Hospital discovered a novel antidepressant. It seemed to improve depression and cognition without causing any significant side effects. There was only one problem. The ingredients were practically free, and there was no way that was going to sell. Published On: 2/21/2021 Duration: 19 mi

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When Depression Gets Worse on an Antidepressant

February 14, 2021 | Podcasts

Bupropion and restless legs syndrome: a randomized controlled trialWhen a patient complains that their mood got worse on an antidepressant, it doesn’t necessarily mean they are sensitive to medications. In this episode, we detail 6 other reasons why depression can get worse on an antidepressant. Published On: 2/15/21 Duration: 22 minutes, 42 sec

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The Antidepressant Calendar: How to “Just Do It”

February 1, 2021 | Podcasts

Behavioral activation came about in the 1990’s as a challenge to the CBT model of depression. The basic strategy behind this therapy blends well with brief medication visits, and we explain how to use it in this professional guide. Check out the patient companion to this edition in the Pocket Psychiatrist podcast. Published On: 2/1/2021 Durati

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Cognitive Enhancers: The Brain on Chess

January 11, 2021 | Podcasts

The Queen’s Gambit is Netflix’s critically acclaimed series about a chess prodigy who gets “a little help from her friends.” In this episode we find out what they got right, and wrong, about psychiatric meds and cognitive enhancement. Published On: 1/11/2020 Duration: 29 minutes Transcript: Dr. Aiken: Cognitive problems are one

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Rebuilding Life after Bipolar

January 4, 2021 | Podcasts

Brett Stevens has lived through the worst of bipolar and come out standing. Here’s what he did to get his life back. This is the first edition of The Pocket Psychiatrist, a monthly series you can share with your patients through a separate podcast stream. Published On: 1/4/2021 Duration: 15 minutes, 24 seconds Transcript: Last year, we put o

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Retracted

December 21, 2020 | Podcasts

Retractions are on the rise in medical research, and we get to the bottom of it with Ivan Oransky, cofounder of RetractionWatch.com. Published On: 12/21/2020 Duration: 25 minutes, 12 seconds Rough Transcript: Can you personalize antidepressant selection, use antipsychotics in dementia, or treat adolescent OCD with brain surgery? Yes, you can….

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CBT-Insomnia: A patient guide

December 7, 2020 | Podcasts

Cognitive behavioral therapy treats insomnia as well as a sleep med, and it also improves depression and immune function. This special patient podcast introduces the first steps of the therapy, and shows you how to find the full therapy if more help is needed. CBT-insomnia resources: Apps: CBT-i Coach, Somyrst. Books: Depression and Bipolar Workbook

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Probiotics in Depression: A New Study [60 Sec Psych]

December 5, 2020 | Podcasts

Depression and anxiety improve when healthy bacteria are added – whether through diet or probiotics – according to several dozen small randomized controlled trials. However, only a handful of those trials involved full clinical depression. This study adds to that count, but with a different result. [Link] The probiotic used in the study was: Omni

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Ritalin, Provigil, and Caffeine Compared [60 Sec Psych]

December 2, 2020 | Podcasts

About 1 in 50 US adults use stimulants like amphetamines (Adderall), methylphenidate (Ritalin), and modafinil (Provigil) without a prescription, and 80% of them take the drugs to enhance cognition, not to get high. The ethics of all this are vexing, but putting that aside, how well does the practice work? And how does it compare to drug that most of

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