Clear, engaging, and practical updates on clinical psychiatry.

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Psychopharmacology Episodes

How to Talk to Patients with Delusions

September 14, 2020 | Podcasts

Do antipsychotics treat all psychoses? And how do you talk to patients when they don’t work? Psychiatrist Michael Posternak shares his top tips. Plus: What the “Beads Task” tells us about the psychological underpinnings of delusional disorder. Published On: 9/13/2020 Duration: 15 minutes, 47 seconds Partial Transcript: Kellie: The one thin

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How to Minimize Lithium's Side Effects

September 7, 2020 | Podcasts

Nausea, tremor, cognition, and renal function. We bring you our top tips for managing these side effects, including when to use instant release vs. controlled release and how to optimize the serum level for patient safety. Published On: 9/7/2020 Duration: 20 minutes, 30 seconds Transcript: Lithium. The word conjures up thoughts of toxicity, danger

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Traumatic Brain Injury: An Interview with Jonathan Silver

August 17, 2020 | Podcasts

Traumatic Brain Injury (TBI) causes a host of psychiatric symptoms, and they don’t always respond to medications the way that other diagnoses do. In this interview, Jonathan Silver shares his top treatment tips on TBI. Dr. Silver is the co-editor of the APA’s the Textbook of Traumatic Brain Injury. Date Published: 8/17/2020 Duration: 15 minu

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Borderline Personality Disorder: Listen with Care [60 Sec Psych]

August 5, 2020 | Podcasts

Dialectical Behavior Therapy ─ DBT ─ has become the gold standard for borderline personality disorder, and other therapies are starting to go head-to-head with DBT in clinical trials. We reviewed one that fared well, Good Psychiatric Management, in our Summer issue and a new one just came out of Australia in a study by Carla J Walton and colle

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The Best SSRI - Part 1

July 27, 2020 | Podcasts

We search through the rubble of 1990's marketing to find out what makes the SSRIs different, and encounter along the way our word of the day: Zimelidine. Published On: 7/27/20 Duration: 10 minutes, 47 seconds Transcript: From the quest for the holy grail to the meaning of dreams, humankind has always had a thirst for unanswerable ques

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Celebrex for Bipolar Depression

July 1, 2020 | Podcasts

This week we’re podcasting from the International Society for Bipolar Disorders 2020 conference, where we’ve been scouring the virtual halls for all that is practical and newsworthy. The yield is high so tune in for a new episode every day. Today, new results on an anti-inflammatory medication in bipolar depression. Published On: 7/1/2020 Durat

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Will the Best Atypical Stand Up?

June 29, 2020 | Podcasts

Daily dispatches from the International Bipolar Disorders Conference. There are four atypical antipsychotics that treat bipolar depression, but which have the best balance of efficacy and tolerability? Published On: 6/29/2020 Duration: 5 minutes, 15 seconds Transcript: Will the Best Atypical Stand Up? This week we’re podcasting from

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The Strongest Meds for Treatment Resistant Depression [60 Sec Psych]

June 24, 2020 | Podcasts

Lithium, atypical antipsychotics, ketamine, thyroid… these consistently rank among the most effective medications for treatment resistant depression, but which is the strongest? Strawbridge R, Carter B, Marwood L, et al. Augmentation therapies for treatment-resistant depression: systematic review and meta-analysis. Br J Psychiatry. 2019;214(1):42

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3 Signs of Deviant Benzo Prescribing [60 Sec Psych]

June 20, 2020 | Podcasts

A group of French psychiatrists released two papers this month that looked into how often physicians prescribe benzodiazepines and hypnotics in ways that deviate from the guidelines. The result: 20-30% of these prescriptions deviated, and the rate was even higher in chronic medical and psychiatric disorders: 45-68%. But what I found most useful in the

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Can You Stop the Thyroid Med after Stopping Lithium? [60 Sec Psych]

June 17, 2020 | Podcasts

Hypothyrodism is fairly common on lithium, affecting about 14-17% of patients. Subclinical hypothyroidism is twice as common, and the risk is greater in the elderly. We know what to do about it ─ start thyroid supplement ─ but what hasn’t been clear is whether we should continue that supplement if lithium is stopped. Lieber I, Ott M, Öhlund L, et

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