Psychiatry Boot Camp

Functional Neurological Disorder (FND) sits at the crossroads of neurology and psychiatry and for many clinicians, it’s still one of the most challenging diagnoses to understand, explain, and treat. In this episode, I’m joined by Dr. Caitlin Adams, psychiatrist at Massachusetts General Hospital, for a deep dive into how to recognize, diagnose, and manage FND using a modern, evidence-based, and patient-centered approach.We trace the evolution of the diagnosis from hysteria to conversion disorder to today’s understanding of FND and explore what neuroscience now tells us about how these symptoms arise. Dr. Adams breaks down the myths around voluntary control, shows how to make a positive diagnosis based on key exam findings like Hoover’s sign, tremor variability, and seizure features distinguishing PNES from epilepsy, and shares how to communicate the diagnosis in a way that reduces stigma and builds engagement. We also unpack the biopsychosocial model of FND: the predisposing, precipitating, and perpetuating factors that keep symptoms alive and how to intervene through cognitive behavioral therapy (CBT), specialized physical therapy, mindfulness, and psychodynamic approaches. Takeaways: FND is a positive diagnosis, not a diagnosis of exclusion. Key findings like Hoover’s sign and tremor variability distinguish functional from organic presentations.Symptoms are not “faked.” FND symptoms are involuntary and arise from disrupted brain networks controlling movement, sensation, and perception.How you explain the diagnosis matters. Patients do better when clinicians validate symptoms, offer clear language, and emphasize that FND is common and treatable.Treatment is multidisciplinary. Evidence-based care combines psychoeducation, CBT, and physiotherapy that retrains motor and sensory patterns.Chronic cases require flexibility. Reassess the diagnosis, re-engage the patient, and adjust treatment around functional goals, not full symptom elimination. Key References:   ​Incidence and prevalence of functional neurological disorder: a systematic review (Finkelstein 2025)   ​Neurosymptoms.org   ​Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial- (Goldstein 2020)  ​FND Hope   ​Overcoming Functional Neurological Symptoms Workbook (Williams)  SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Pregnancy and postpartum are times of profound change and nowhere is that complexity more visible than in psychiatry. In this episode, Dr. Christina Wichman, Professor of Psychiatry and Obstetrics & Gynecology, Medical Director of The Periscope Project, and Director of Women’s Mental Health at the Medical College of Wisconsin, joins us for a deep dive into reproductive psychiatry. Co-hosted by Erica Browne, an M4 at Saint Louis University School of Medicine, this conversation explores how to care for both mother and baby with empathy, evidence, and balance. We walk through distinctions between baby blues, perinatal depression, and major depressive disorder, discuss how to identify red flags for perinatal psychosis, and explore the ethical and clinical nuances of treating psychiatric illness during pregnancy and lactation. Dr. Wichman explains how to approach risk–benefit decisions around psychotropic medications, highlights validated screening tools, and offers real-world strategies for supporting patients who face barriers to care. We also spotlight The Periscope Project, a pioneering model for connecting clinicians with reproductive psychiatry expertise—and discuss how the field is expanding training, access, and awareness for the next generation of women’s mental health specialists.Takeaways:Pregnancy changes everything, but not always for the worse. Psychiatric treatment during pregnancy can and should be individualized, balancing the safety of both mother and baby.Know the distinctions. Baby blues typically resolve within two weeks; perinatal depression lasts longer, while postpartum psychosis requires urgent evaluation.Medication decisions are about risk versus risk. Untreated psychiatric illness carries real dangers, sometimes greater than the medications themselves.Access matters. Programs like The Periscope Project expand reproductive psychiatry consultation to clinicians everywhere, improving outcomes system-wide.The future is integrated care. Psychiatrists, OB-GYNs, and primary care providers working together can transform perinatal mental health into standard, not specialized, care. Key References & Clinical Resources ⁠The Periscope Project⁠ – A perinatal psychiatry consultation and resource program based in Wisconsin. ⁠National Access Programs – Lifeline for Moms⁠ – A directory of statewide perinatal mental health access programs. ⁠National Curriculum in Reproductive Psychiatry (NCRP)⁠ – Free, evidence-based training for clinicians in reproductive psychiatry. ⁠MGH Center for Women’s Mental Health⁠ – Clinical and research resource for perinatal and reproductive psychiatry. ⁠MotherToBaby⁠ – Trusted information on medication and other exposures during pregnancy and breastfeeding. ⁠Pharmacologic Treatments for Mania (Kishi 2021)⁠ – Meta-analysis regarding antimanic effects of selective estrogen receptor modulators. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Eating disorders are among the most lethal conditions in psychiatry and some of the most misunderstood. In this episode, I’m joined by Dr. Patricia Westmoreland and Dr. Anne O’Melia, two internationally recognized experts with eight combined board certifications spanning psychiatry, internal medicine, pediatrics, and consultation-liaison psychiatry. Together, we take a deep dive into the medical, psychiatric, ethical, and forensic complexities of eating disorders, especially as they appear in the general medical hospital. We talk through how to recognize eating disorders in patients who may not even identify as ill, when to intervene, and what the thresholds for medical stabilization really look like. We also explore the psychological underpinnings, how control, trauma, and insight all intersect, and the delicate balance between autonomy and safety when capacity is limited. Takeaways: Eating disorders are both psychiatric and medical emergencies. Anorexia nervosa has one of the highest mortality rates of any psychiatric illness, surpassed only by opioid use disorder.Early recognition saves lives. Common signs include unexplained bradycardia, electrolyte disturbances, fatigue, hypoglycemia, or rapid weight loss, even in patients who deny an eating disorder.Patients often lack insight. Many individuals with severe anorexia are highly intelligent but unable to apply their knowledge to themselves, leading to deceptive presentations of “capacity.”Treatment is multidisciplinary and stepwise. Levels of care range from outpatient and intensive outpatient programs to residential, psychiatric inpatient, and medical stabilization units, depending on weight, vitals, and lab findings.Recovery is possible and expected. Full restoration of nutrition and function can reverse nearly every medical complication of starvation, and with the right care, patients can go on to live full, independent lives. Key References: 1. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders (Crone 2023) 2. Ethical Challenges in the Treatment of Patients With Severe Anorexia Nervosa (Westmoreland 2024) SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, I sit down with Dr. Mira Zein, clinical associate professor at Stanford and co-author of the APA Resource Document on Decisional Capacity Determinations, to break down one of the most frequent and misunderstood consults in psychiatry.We go deep into the Appelbaum–Grisso criteria and discuss how they apply to real-world cases where the answer isn’t always clear. Dr. Zein walks us through difficult scenarios, from life-saving refusals to medically complex delirium cases, highlighting how to think, document, and communicate clearly when capacity is in question. This episode will help you shine on rounds, guide your primary team through their own assessments, and remind you that capacity isn’t about saying “yes” or “no”, it’s about respecting autonomy while protecting patients at their most vulnerable. Takeaways: Capacity is decision-specific and time-specific. It’s not a global judgment, and it can fluctuate with illness, treatment, or environment.The Appelbaum–Grisso framework defines the process. Every evaluation should include communication, understanding, appreciation, and reasoning.Primary teams can and should do their own assessments. Psychiatrists are consultants, not gatekeepers; the best work happens through collaboration.Delirium, dementia, and psychosis are common culprits. Each affects different aspects of capacity, requiring tailored interventions and re-evaluation.Documentation is key. Define the specific decision, describe your assessment of each criterion, and explain your reasoning clearly for the record. Key resources: 1) APA Resource Document on Decisional Capacity Determinations in Consultation-Liaison Psychiatry: A Guide for the General Psychiatrist (2019) 2) Seminal Article on Appelbaum-Grisso Criteria (Appelbaum 1988) 3) Evaluating Capacity: Appelbaum’s Framework Interpreted Diagrammatically (Bari 2023) SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Organ transplantation isn’t just a medical miracle, it’s a psychological marathon. In this episode, I talk with Dr. Paula Zimbrean, Yale psychiatrist and pioneer in Transplant Psychiatry, about what really happens when mind and medicine intersect at the edge of life and death. We walk through the evolution of psychiatry’s role on transplant teams,  from risk gatekeeping to long-term integration, and explore what pre-transplant evaluations truly aim to uncover. Dr. Zimbrean shares how to assess risk, capacity, and motivation in patients preparing for transplant, and what it means to treat not just the organ recipient, but their family and support system as well. We also discuss the unseen emotional toll of the transplant journey, from steroid-induced mood changes to post-traumatic stress symptoms, and why empathy is as vital as immunosuppression. Takeaways: Transplant psychiatry has evolved. It began with managing post-op delirium and psychosis, but now focuses on enhancing long-term outcomes through integrated psychiatric care.Pre-transplant evaluations go beyond “yes” or “no.” They assess diagnosis, prognosis, capacity, adherence potential, and the patient’s understanding of lifelong treatment demands.Psychiatrists aren’t gatekeepers, they’re collaborators. The goal is to identify modifiable risks, optimize mental health, and align medical decisions with patient values.The journey is psychologically intense. From waiting list uncertainty to post-op PTSD and steroid-induced mood shifts, every stage requires active psychiatric support.The future is integration. As patients live longer post-transplant, psychiatry’s role will increasingly involve ongoing care, research, and improving quality of life beyond survival. Selected references: Transplant Psychiatry: A Case-Based Approach to Clinical Challenges Transplant Psychiatry: An Introduction SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

A season on consultation-liaison psychiatry would not be complete without an episode on suicide risk assessment! Dr. Black: "I say without exaggeration that this podcast, in which Dr. Mullen and I discuss suicide risk assessment, is one of the professional things in life that I am most proud of." WOW! That's quite the claim from one of the world's foremost psychiatrists about a podcast episode. Take a listen and see what you think! Dr. Tyler Black, a suicidologist and child psychiatrist at British Columbia Children's Hospital, walks through common suicide myths, structuring the suicide risk assessment interview, common motivations for suicide, clinical decision making, best practices for documentation, and what works in preventing suicide. Selected references: ⁠Changeability, confidence, common sense and corroboration: comprehensive suicide risk assessment (O'Connor 2004)⁠ SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, I talk with Dr. George Grossberg, a pioneer in geriatric psychiatry, about the neuropsychiatric symptoms of dementia and what they look like, why they happen, and how to approach them with empathy and strategy. We walk through the most common behavioral disturbances in dementia, including apathy, depression, psychosis, and agitation. Dr. Grossberg shares how to think through these cases, when to reach for medication, when to hold back, and how to anchor every decision in an understanding of who the patient truly is. Takeaways: Neuropsychiatric symptoms are nearly universal in dementia. Expect them, don’t be surprised by them.Apathy and depression aren’t the same. Treating apathy like depression often fails; gentle engagement works better than antidepressants.Start with environment and empathy. Music, structure, exercise, and caregiver education should come before medication.Use medication sparingly and strategically. When needed, match the drug to the symptom, and always reassess risk versus relief.Knowing the person changes everything. Understanding a patient’s history, preferences, and rhythms is as therapeutic as any pharmacologic plan. Selected References: ⁠Progress in Pharmacologic Management of Neuropsychiatric Syndromes in Neurodegenerative Disorders: A Review (Cummings 2024) Neuropsychiatric Symptoms of Dementia and their nonpharmacological and pharmacological management (Tampi 2022)⁠ Management of BPSD Algorithm (Chen with Osser 2021)⁠ Atypical Antipsychotics for Aggression and Psychosis in Alzheimer's disease (Ballard 2006) Efficacy and Adverse Effects of Atypical Antipsychotics for Dementia (Schneider 2006) Sequential Drug Treatment Algorithm for Agitation and Aggression in Alzheimer's and Mixed Dementia (Davies 2018) SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Catatonia isn’t just mysterious, it’s one of the most treatable yet misunderstood syndromes in psychiatry. In this episode, I continue my conversation with Dr. Mark Oldham, diving deep into what to actually do when you suspect catatonia. We talk through the Lorazepam challenge, what a “positive” response really means, and why sometimes a single dose can look like a miracle. We also dig into the gray zones—how to approach patients who don’t respond, when to move to ECT, and what to do when catatonia overlaps with delirium or psychosis. Dr. Oldham shares his framework for identifying special cases, from benzodiazepine withdrawal to clozapine discontinuation, and explains why history-taking, not algorithms, is psychiatry’s most powerful diagnostic tool. Takeaways: Start simple, but think deeply. Lorazepam remains first-line for catatonia, but the absence of RCTs means clinical reasoning still leads the way. ECT is definitive and underused. For refractory or malignant catatonia, ECT is often curative, but access and consent barriers remain a major challenge. Not all catatonia is the same. Withdrawal states, chronic schizophrenia, and periodic catatonia each demand tailored interventions. Delirium and catatonia can coexist. Treat both cautiously, start low, go slow, and always look for autoimmune or neurological causes. History is your best guide. Behind every catatonic presentation is a story, missing it can mean missing the cure. Selected references: ⁠British Association for Psychopharmacology Guidelines⁠ ⁠⁠Rochester Catatonia Assessment Resources⁠⁠ ⁠NEJM Review on Catatonia⁠ ⁠Nature Review on Catatonia⁠ ⁠Schizophrenia Research Volume on Catatonia⁠ ⁠Describing the Features of Catatonia (Oldham)⁠ SUPPORT OUR PARTNERS: ⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠Beat the Boards⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠Sales@Human-Content.Com⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

When a patient stops moving, stops speaking, or stares through you like you’re not there, it’s easy to miss what’s really happening. In this episode, I’m joined again by Dr. Mark Oldham, one of the leading voices on catatonia, to break down what this strange, often misunderstood syndrome actually looks like in the real world. We walk through the diagnostic features step-by-step, how to assess, what to ask, and what’s too often overlooked. From the history of the disorder to modern DSM confusion, from the meaning of “waxy flexibility” to the haunting truth about patients who are fully aware but trapped inside their bodies, this conversation will completely change the way you think about motor symptoms and psychiatric emergencies. Takeaways: Catatonia is common, but underrecognized. It’s not just “psychiatric immobility.” It spans a spectrum from stupor to hyperactivity. Diagnosis starts with curiosity. Learn to test for features like mutism, posturing, and negativism systematically. Many patients are aware. Always treat them with dignity and assume comprehension, even when they can’t respond. It’s treatable and rapidly reversible. A single dose of lorazepam can sometimes unlock a frozen mind and body. Malignant catatonia kills. When autonomic instability appears, it’s a medical emergency that demands immediate escalation and often ECT. Selected references: British Association for Psychopharmacology Guidelines ⁠Rochester Catatonia Assessment Resources⁠ NEJM Review on Catatonia Nature Review on Catatonia Schizophrenia Research Volume on Catatonia Describing the Features of Catatonia (Oldham) SUPPORT OUR PARTNERS: ⁠⁠SimplePractice.com/bootcamp⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠Beat the Boards⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠Sales@Human-Content.Com⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, further explores delirium. This episode covers the pathophysiology of delirium including predisposing and precipitating factors, neurocircuitry, and neurotransmitters. We then discuss conceptual frameworks for management of delirium, the importance of identifying and addressing the underlying cause, and strategies for managing specific neuropsychiatric disturbances in delirium. References can be found on the ⁠episode website.⁠ SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, introduces us to delirium. This episode covers the epidemiology, clinical features, and diagnosis of delirium. References can be found on the ⁠episode website.⁠ SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

When you think about core topics in consultation-liaison psychiatry, “supportive psychotherapy” probably isn’t the first thing that comes to mind. But maybe it should be. In this episode, I sit down with Dr. John C. Markowitz, Columbia psychiatrist, researcher, and co-author of Supportive Psychotherapy: A Guide, to talk about the therapy that “gets no respect.” Dr. Markowitz explains how this deceptively simple approach, built on empathy, affect, and alliance, rivals more “sophisticated” treatments for depression. We explore why the most powerful interventions often come down to being present, listening well, and helping patients feel understood. And we talk about the threat facing psychotherapy itself and what we stand to lose if psychiatrists give it up. Takeaways: Supportive psychotherapy works and evidence shows it can be just as effective as CBT or IPT for depression. Common factors like alliance, empathy, affect focus, and ritual account for much of what makes any therapy succeed. Following affect matters emotions are uncomfortable, but they’re not dangerous, and they guide the healing process. Less is often more letting patients lead, listening actively, and resisting the urge to “fix” can create deeper insight. Psychotherapy is under siege and preserving its human core may be psychiatry’s most important act of resistance. Selected references: What is Supportive Psychotherapy? (Markowitz 2014) Brief Supportive Psychotherapy (2022) Psychiatrist Effects in the Psychopharmacological Treatment of Depression (McKay 2006) SUPPORT OUR PARTNERS: ⁠⁠SimplePractice.com/bootcamp⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠Beat the Boards⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠Sales@Human-Content.Com⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to Season 3 of Psychiatry Bootcamp. This time, I’m stepping into the world of consultation-liaison psychiatry. The bridge between medicine and meaning. To kick things off, I’m joined by the legendary Dr. Allen Frances, former chair of the DSM-IV Task Force and Duke Psychiatry, who reminds us that the briefest interactions can be the most transformative. We talk about what really happens when you walk into a hospital room: the loneliness, the fear, the need to be seen. Dr. Frances shares why “magic moments” aren’t superstition, but the heart of good medicine, and how to create hope in patients who’ve all but lost it. Takeaways: Every patient encounter is a chance for transformation, even a 15-minute consult can change a life. Consult psychiatry lives between medicine and therapy and requires both logic and empathy. Corrective emotional experiences can happen in moments, not months, when vulnerability meets presence. Demoralization is the real danger, hope and understanding are often the most powerful treatments. The “magic moment” is simply humanity made visible and it’s what patients remember long after the diagnosis. SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠Beat the Boards⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:Sales@Human-Content.Com Connect with HumanContent on Socials: @humancontentpods Produced by: Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for supporting the show! Please leave a rating and review. Email me: psychiatrybootcamppodcast@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Sameer Jauhar, Senior Clinical Lecturer in Affective Disorders and Psychosis at the Institute of Psychiatry, Psychology and Neuroscience, King's College, London, and as a Consultant Psychiatrist at Maudsley NHS Foundation Trust, introduces us to schizophrenia. Explore core clinical features of schizophrenia and what is known about the neuroscience of schizophrenia. We'll also discuss psychopharmacological and psychosocial treatment approaches, rooted in Dr. Jauhar's humanistic approach. This episode is intended to supplement Dr. Jauhar's Lancet Seminar on Schizophrenia (2022). Connect with Dr. Jauhar: @SameerJauhar Support our partners: SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠⁠⁠Beat The Boards⁠⁠⁠ (enter referral code BOOTCAMP at checkout) Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Laura Watkins, Clinical Psychologist and Assistant Professor of Psychiatry at Emory University School of Medicine, introduces us to post-traumatic stress disorder (PTSD). We walk though the diagnostic criteria and discuss how these symptoms can impact a person's day-to-day life. We then learn to conceptualize PTSD in terms of both classical and operant conditioning. Finally, we explain evidence based psychotherapies for PTSD and conclude with a primer on psychopharmacology for PTSD. Essential references: 1) Osser Psychopharmacology Algorithm for PTSD 2) Clinical Guidelines for PTSD (United States Department of Veteran's Affairs and Department of Defense) 3) This American Life: Ten Sessions SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. John Walkup, Chair of the Pritzker Department of Psychiatry and Behavioral Health at Ann and Robert H. Lurie Children’s Hospital of Chicago, Professor of Psychiatry at Northwestern Feinberg School of Medicine, and president-elect of the American Academy of Child and Adolescent Psychiatry, introduces us to anxiety disorders. We discuss the phenomenon of normal, adaptive anxiety and contrast this with symptomatology that may warrant a diagnosis of an anxiety disorder. We learn to appreciate anxiety disorders from a developmental lens, discuss clinical pearls for building a therapeutic alliance with anxious patients, and explore psychotherapies for anxiety disorders. We also discuss psychopharmacological considerations for both SSRIs and benzodiazapines. SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Roger McIntyre, Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, returns to introduce depressive disorders. We differentiate normal "low mood" from conditions that warrant a psychiatric diagnosis. We discuss historical subtypes of depression and the current DSM specifiers for major depressive disorder. We review epidemiology, discuss the neurophysiology of depressive disorders, and then dive into treatment options. SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Lois Choi-Kain, Director of the Gunderson Personality Disorders Institute at McLean Hospital and Associate Professor of Psychiatry at Harvard Medical School, introduces us to borderline personality disorder (BPD). We discuss the prevalence, naturalistic course, and treatments for BPD. We explore BPD using the “Good Psychiatric Management” (GPM) model, which is intended to empower clinicians of all disciplines to manage patients with BPD effectively. We discuss the principles of GPM and walk through some examples of how it might be used in the clinical setting.  Book: Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide (Check your academic library!)  References:  (11:30) Grant BF, Chou SP, Goldstein RB, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2008;69(4):533-545.  (12:30) Trull TJ, Jahng S, Tomko RL, Wood PK, Sher KJ. Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J Pers Disord. 2010;24(4):412-426.  (15:00) Gregory R, Sperry SD, Williamson D, Kuch-Cecconi R, Spink GL Jr. High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality. J Pers Disord. 2021;35(5):776-787.  (20:45) Kernberg O. Borderline personality organization. J Am Psychoanal Assoc. 1967;15(3):641-685.  (29:30) Choi-Kain LW, Finch EF, Masland SR, Jenkins JA, Unruh BT. What Works in the Treatment of Borderline Personality Disorder. Curr Behav Neurosci Rep. 2017;4(1):21-30.  (33:00) Skodol AE, Gunderson JG, Shea MT, et al. The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications. J Pers Disord. 2005;19(5):487-504. (33:00) Temes CM, Zanarini MC. The Longitudinal Course of Borderline Personality Disorder. Psychiatr Clin North Am. 2018;41(4):685-694.  SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Roger McIntyre,  Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, introduces us to bipolar disorders. We discuss the key clinical features of bipolar disorders, the relationship between bipolar disorders and circadian rhythm, known pathogenesis, and some first line treatment options. We also contextualize the difference between "type I" and "type II" bipolar disorder, and explore the relationship between bipolar disorder and traumatic life experiences. For more: Bipolar Disorders (Lancet Seminar) SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices