The Psychiatrists Guide: Recent Episodes
Rafael Coira, MD, JD and James Sherer, MD
Two psychiatrists on an odyssey to destigmatize mental health and push the boundaries of our understanding of the mind.
What exactly is ADHD? Here's a broad overview.
https://www.sherer.health/
https://www.coirainstitute.org/
Radically Open Dialectical Behavior Therapy (RODBT) is a new exciting transdiagnostic therapeutic approach to treating disorders of overcontrol. In this episode we introduce the basic concepts of RODBT and explain why it's so important for us to know about it.
https://www.radicallyopen.net/what-is-ro-dbt-and-who-is-it-for.html
https://www.amazon.com/Radically-Open-Workbook-Eating-Disorders/dp/1684038936/ref=sr_1_fkmr3_1?crid=13XQPQL19LJ7V&keywords=robot+eating+disorders+simic&qid=1675848758&sprefix=rodbt+eating+disorders+simic%2Caps%2C51&sr=8-1-fkmr3
We interview Child & Adolescent Psychiatrist and from Ukraine about the effects of the Russian Invasion on the children in her country, what they're doing to fight back and what we can do to help.
Please check out:
https://voices.org.ua/en/
https://www.youtube.com/channel/UCAyigSe_AVjmW1WMdv5eM8g/featured
https://www.facebook.com/voicesofchildren.eng/
https://www.instagram.com/voices_of_children/
https://twitter.com/voices_org_ua
Natalya Mosyak is the Leader of the Project "Care for children with RSA in times of war" and a member of the expert council, the Voices of Children Fund ,Trainer of programs for psychologists under the "Children and War" program, the "Support Group Program" program, and the "Children and Grief" program.
A child psychiatrist (Raf) and an addiction psychiatrist (James) discuss how to go approach diagnosing ADHD in adults and James shares his own experiences living with ADHD.
We discuss the evidence linking Internet Gaming Disorder and ADHD as well as the differences between the two diagnoses.
We discuss DBT skills that we can all learn and use to make friends.
Linehan, M., M., (2014). DBT Training Manual. New York, NY: The Guilford Press.
We interview Katherine Termini, MD about her stunning act of coming out about her struggles with suicide and mental health on one of medicine's biggest stages.
Read the extraordinary article at: https://jamanetwork.com/journals/jama/fullarticle/2781853
Please note that Katherine Termini’s words represent her own opinions and do not represent the opinions, views or policies of Vanderbilt University Medical Center.
We discuss a memorable case of Anorexia Nervosa, how it is diagnosed and how to treat it.
We discuss the data behind the first ever Video Game FDA approved as a treatment for a medical condition.
https://www.endeavorrx.com/
Does tryptophan laden turkey make you sleepy? We'll explore.
Int J Tryptophan Res. 2009 Mar 23;2:45-60. doi: 10.4137/ijtr.s2129.
he American Journal of Clinical Nutrition, Volume 85, Issue 2, February 2007, Pages 426–430, https://doi.org/10.1093/ajcn/85.2.426
Why do we love fear? Plus our favorite horror films, Halloween candy and more.
The Biology of Fear:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595162/
(Why) Do You Like Scary Movies? A Review of the Empirical Research on Psychological Responses to Horror Films:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813198/
What is Bipolar Disorder and what isn't it?
Mason BL, Brown ES, Croarkin PE. Historical Underpinnings of Bipolar Disorder Diagnostic Criteria. Behav Sci (Basel). 2016;6(3):14. Published 2016 Jul 15. doi:10.3390/bs6030014
Covid 19 update and what do previous pandemics tell us about psychiatry during times of crisis.
James returns from the front lines and we reflect our experiences with being tested, having the military deployed to our hospital and more.
In this episode we debate whether life as we know it could be a simulation. Surprise special guest Shannon McPartland weighs in on the conversation.
In this special Thanksgiving edition of The Psychiatrists Guide, we give thanks to you and discuss the science of gratefulness and investigate the legend of Tryptophan.
Can antidepressants change your brain in a bad way? In this episode we define neuroplasticity, discuss the effect of stress on the brain, explain how antidepressants change the structure of the brain, and consider whether that effect can hurt you?
In this episode we go further into the evidence behind CBD for several other conditions, including addiction, dementia, psychosis and more.
On this episode we discuss the history behind CBD. We delve into the research that supports or doesn't support the use of CBD for pain, anxiety, insomnia and more. And we discuss the approved indications of medications derived from CBD that are on the market today.
In this episode we discuss new research that links the use of certain antidepressants and the development of dementia. Check out the referenced paper here: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2736353 And check out Technodrome1 at https://www.instagram.com/technodrome1/?hl=en
In this episode we interview Dr. Senthil Rajaram, Geriatric Psychiatry Fellow at UPenn about mental health apps.
Some of the Apps mentioned in this episode:
T2 Mood Tracker https://apps.apple.com/us/app/t2-mood-tracker/id428373825
Virtual Hope Box https://apps.apple.com/us/app/virtual-hope-box/id825099621
PTSD Coach https://apps.apple.com/us/app/ptsd-coach/id430646302
On this episode we discuss the origins Goldwater Rule, which stops psychiatrists from diagnosing public figures, and how it applies in the era of Donald Trump. Should psychiatrists warn the public about someone they think is dangerous?
Please read Dr. Stone's Article: https://www.lawfareblog.com/psychiatrists-goldwater-rule-trump-era
Are e-cigarettes safer than regular cigarettes? Can they help you stop smoking? Drs. Coira and Sherer discuss the latest evidence.
James Sherer, MD and Rafael Coira, MD, JD discuss the diagnosis and treatment of video game addiction. James recaps his panel at PACS East and we share our experiences with games growing up.
Sources:
1. Zajac K, Ginley M, Chang R, Petry N. Treatments for Internet Gaming Disorder and Internet Addiction: A Systematic Review. Psychology of Addictive Behaviors. 2017, Vol. 31, No. 8, 979–994
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King D, Delfabbro P. Internet Gaming Disorder Treatment: A Review of Definitions of Diagnosis and Treatment Outcome. Journal of Clinical Psychology. 2014, 40: 942-955
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Gonzalez-Bueso V, Santamaria J, Fernandez D, Merino L, Montero E, Ribas J. Association between Internet Gaming Disorder or Pathological VideoGame Use and Comorbid Psychopathology: A Comprehensive Review. Int J Environ Res Public Health. 2018, Apr; 15(4):668
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Greenfield D. Treatment Considerations in Internet and Video Game Addiction. Child and Adolescent Psychiatric Clinics of North America. 2018, Vol. 27, No. 2, 327-344
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Han D.H., Hwang J.W., and Renshaw P.F.: Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Exp Clin Psychopharmacol 2010; 18: pp. 297-304
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Han D.H., and Renshaw P.F.: Bupropion in the treatment of problematic online game play in patients with major depressive disorder. J Psychopharmacol 2012; 26: pp. 689-696
7.Bullock SA, Potenza MN. Pathological gambling: neuropsychopharmacology and treatment. Curr Psychopharmacol. 2012;1:67–85.
8.Kim SW, Grant JE, Adson DE, Shin YC. Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biol Psychiatry. 2001;49:914–21.
9.Grant JE, Odlaug BL, Potenza MN, Hollander E, Kim SW. Nalmefene in the treatment of pathological gambling: multicentre, double-blind, placebo-controlled study. Br J Psychiatry. 2010;197:330–1.
In March 2019, the FDA cleared a pair of headphones called Cervella which promises to treat depression, anxiety and insomnia. What's the science behind this and other cranial electrotherapy stimulation devices and do they work?
Episode Artwork derived from a work by Andreashorn and is licensed under the Creative Commons Attribution-Share Alike 4.0 International license https://creativecommons.org/licenses/by-sa/4.0/deed.en
Sources:
Shekelle PG, Cook IA, Miake-Lye IM, Booth MS, Beroes JM, Mak S. Benefits and Harms of Cranial Electrical Stimulation for Chronic Painful Conditions, Depression, Anxiety, and Insomnia: A Systematic Review. Ann Intern Med. ;168:414–421. doi: 10.7326/M17-1970 (https://annals.org/aim/article-abstract/2672602/benefits-harms-cranial-electrical-stimulation-chronic-painful-conditions-depression-anxiety?doi=10.7326%2fM17-1970)
Feusner JD, Madsen S, Moody TD, et al. Effects of cranial electrotherapy stimulation on resting state brain activity. Brain Behav. 2012;2(3):211–220. doi:10.1002/brb3.45
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3381625/)
Rafael Coira, MD, JD and James Sherer, MD discuss the new FDA approval of the Esketamine nasal spray for treatment of depression. Marketed under the trade name Spravato, Esketamine promises to reverse depression in one day, but what are the risks of taking a medication derived from the drug PCP?
Psychiatrists, Rafael Coira, MD, JD and James Sherer, MD discuss the neurophysiology of sleep and how to improve it.
Rafael Coira, MD, JD and James Sherer, MD discuss the history, causes, features and treatment of PTSD.
Two psychiatrists discuss the neurochemistry of love, the science behind chocolate, the neurobiology of motherhood, dealing with loss and more.
Rafael Coira, MD, JD and James Sherer, MD discuss tips to staying motivated to keep your New Years resolution and help you lose weight including psychotherapy, medication, surgical options and more.