Let's Get Psyched
By KUCR
Let's Get Psyched is produced by Elliot Fong in the studios of KUCR 88.3FM, on the campus of University of California, Riverside. Production assistants: Megan Aguilera and River Evans. Logo: Nathan Rogers, MD.
Let's Get PsychedFeb 13, 2020
#176 - The Sex Drug for Women with Dr. Anita Clayton
We asked one of the leading researchers of female sexuality and dysfunction about flibanserin. How does it work and how does it differ from medications for sexual dysfunction in men?
Hosts: Eyrn, Toshia, Al
Guest: Anita Clayton, MD
#175 - Fireside Chat on Challenging Issues in Clinical Supervision
We share our most challenging supervision experiences—both as a supervisor and trainee. Dr. Marshall Forstein emphasizes the importance of being vulnerable and having integrity in one’s communication.
Hosts: Eyrn, Toshia, Al
Guest: Marshall Forstein, MD
#174 - Fireside Chat on Clinical Supervision
In our new series called "Fireside Chat," we will feature more intimate conversations with former guests. Join us for our first episode of this series, where we invited psychiatrist Dr. Marshall Forstein back to discuss the complexities of both providing and receiving clinical supervision. Please be sure to catch the very end of the episode, when Dr. Forstein shares a special song he shared with us.
Hosts: Eyrn, Toshia, Al
Guest: Marshall Forstein, MD
#173 - Boundaries: Relationships in Therapy
How can a desire to please and/or be the one person to help someone with a long mental health history lead to problems? How should a clinician respond when a client believes they can only be helped by that clinician? How should a clinician respond when the client seems to be attracted to the clinician? We share our personal experiences.
Hosts: Eyrn, Toshia, Al, Yasmine
#172 - Boundaries: Self-Disclosure
We share our policies on sharing personal information with clients and when oversharing can cause problems. Is there an “appropriate” amount of self-disclosure or is less more? Are there situations where disclosing personal information can help a client achieve their goals?
Hosts: Eyrn, Toshia, Al, Yasmine
#171 - The Myth of 12-Step Programs
In his book, The Sober Truth, psychiatrist Lance Dodes shines a light on the poorly conducted research supporting the 12 Step approach to treating addiction. In this episode, Dr. Dodes discusses how a religious, one-size-fits-all approach came to shape our understanding of addiction and dominate self-help, residential, and intensive outpatient treatment programs in the United States.
Hosts: Eyrn, Al
Guest: Lance Dodes, MD
References: Dodes, Lance, and Zachary Dodes. The Sober Truth. Beacon Press, 2014.
#170 - Working with South Asian American Youth
Dr. Deepika Shaligram joins us to discuss her work, research, and passion in providing culturally sensitive care when working with South Asian American youth.
Hosts: Eyrn, Toshia, Al, Yasmine
Guest: Deepika Shaligram, MD
References:
- Shaligram D, Khan M, Adiba A, Anam S. Cultural Considerations for Working with South Asian Youth. Child Adolesc Psychiatr Clin N Am. 2022 Oct;31(4):789-803. doi: 10.1016/j.chc.2022.06.006. Epub 2022 Sep 7. PMID: 36182225.
- Sharma N, Shaligram D, Yoon GH. Engaging South Asian youth and families: A clinical review. Int J Soc Psychiatry. 2020 Sep;66(6):584-592. doi: 10.1177/0020764020922881. Epub 2020 May 25. PMID: 32449476.
- The Massachusetts Child Psychiatry Access Program: https://www.mcpap.com/
#169 - Culture-Bound Syndromes of Latinx Culture
We welcome Megan Aguilera to the “Let’s Get Psyched” team by asking her to discuss one of her special interests. Terms such as “susto” and “ataque de nervios” are frequently used in Latin America to describe a variety of emotional reactions and behaviors that are often similar—but distinct from—mental health conditions commonly seen by clinicians. Megan, a fourth year medical student at the University of Colorado Denver, helps us sort through how and when these terms are used while also sharing her understanding of these terms amongst her family and community.
Hosts: Eyrn, Toshia, Al
Guest: Megan Aguilera, MS4
#168 - The Keto Diet and Mental Illness with Dr. Chris Palmer (Part 3)
Join us for part three of our discussion with psychiatrist, Harvard Professor, and agent of change Dr. Chris Palmer. He lays out why it is important to distinguish between disorders of the brain and conditions with external causes when treating patients and how prescribing psychotropic medication without sufficient consideration of metabolism has led to worse outcomes. Finally, he shares his approach to prescribing and speculates on how appropriate consideration of mitochondrial functioning will change the field. Stick around for a special after show where there's a behind-the-scenes peak of the team considering the real-world implications of sharing Dr. Palmer's work.
Hosts: Eyrn, Toshia, Al
Guest: Chris Palmer, MD
Resources:
Brain Energy by Chris Palmer, MD
Kossoff, Eric, et al. Ketogenic Diet Therapies for Epilepsy and Other Conditions, 7th ed., Springer Publishing Company, 2021.
#167 - The Keto Diet and Mental Illness with Dr. Chris Palmer (Part 2)
Why are there higher rates of obesity, diabetes, and early deaths amongst people diagnosed with a mental disorder? Dr. Chris Palmer joins us to advance the idea that mental disorders are actually metabolic disorders of the brain. After integrating research from several fields and sources, he claims that understanding metabolism at the cellular level is “the only way to connect the dots in the mental health field.” Please consult your doctor before applying any treatments discussed on this podcast.
Hosts: Eyrn, Toshia, Al
Guest: Chris Palmer, MD
Resources:
Brain Energy by Chris Palmer, MD
Kossoff, Eric, et al. Ketogenic Diet Therapies for Epilepsy and Other Conditions, 7th ed., Springer Publishing Company, 2021.
#166 - The Keto Diet and Mental Illness with Dr. Chris Palmer (Part 1)
We talk to Harvard professor and psychiatrist Dr. Chris Palmer about how mitochondrial functioning and nutrition can open up new approaches to treatment. Dr Palmer shares a compelling personal account of mental illness, homelessness, ineffective therapy, and a quest to find treatment. This led to his exciting research on dietary changes and brain functioning.
Hosts: Eyrn, Toshia, Al
Guest: Chris Palmer, MD
Resources:
Brain Energy by Chris Palmer, MD
Kossoff, Eric, et al. Ketogenic Diet Therapies for Epilepsy and Other Conditions, 7th ed., Springer Publishing Company, 2021.
#165 - Lessons From the BDSM and Kink Communities
There are many biases and misconceptions associated with BDSM and non-conventional sex practices associated with the kink community. We tackle these controversial topics with therapist Nina Ruedas. We learn about these communities while also discussing boundaries and how to maintain safety in a non-conventional relationship.
Hosts: Eyrn, Toshia, Al
Guest: Nina Ruedas, MS, LMFT
#164 - Sex Therapy 101
We asked Palm Springs-based therapist Nina Ruedas to share what she sees as common misconceptions and the most important components of sex therapy. She also discusses the most common issues addressed in sex therapy.
Hosts: Eyrn, Toshia, Al
Guest: Nina Ruedas, MS, LMFT
References:
#163 - Protest, Trauma, and Hope in Iran (Part 2)
Dr. Noshene Ranjbar joins us again. In this episode, Dr. Ranjbar draws on parallels between current events in Iran and her work with providing mental health care for Native Americans in the United States. We explore how a field, such as psychiatry, can meet a community’s needs while also providing adequate care for those that need it.
Hosts: Eyrn, Toshia, Al
Guest: Noshene Ranjbar, MD, Yasmine Dakhama, MS4
References:
- Learn more about the Farsi-speaking Empowerment and Trauma Relief Program for Iranians: https://cmbm.org/our-work/farsi-speaking-scholarships/
- Learn more about Dr. Ranjbar’s recent work:
- Ranjbar, MD. Noshene E., MD. Matt Erb, MD. Julie Mari Tomkins, MD. Krishna Taneja, and MD. Amelia Villagomez, Implementing a Mind-Body Skills Group in Psychiatric Residency Training, 2021.
- Ranjbar, N., M. Erb, O. Mohammad, and F. A. Moreno, "Trauma-Informed Care and Cultural Humility in the Mental Health Care of People From Minoritized Communities.", Focus (Am Psychiatr Publ), vol. 18, issue 1, pp. 8-15, 2020 Jan. PMCID: PMC7011220 PMID:
#162 - Protest, Trauma, and Hope in Iran (Part 1)
Born and raised in Tehran, Iran until immigrating to the US in adolescence, Dr. Noshene Ranjbar is an Associate Professor of Psychiatry at the University of Arizona. As a faculty member with The Center for Mind-Body Medicine (CMBM), she created a Farsi-speaking Empowerment and Trauma Relief Program, which mentors Farsi-speaking individuals in an evidence-based small group model of self-care and trauma/stress relief. In this episode we discuss recent events in Iran, its impact at the individual and community level and what role psychiatrists can play in helping address subsequent trauma.
Hosts: Eyrn, Toshia, Al
Guest: Noshene Ranjbar, MD, Yasmine Dakhama, MS4
References:
- Learn more about the Farsi-speaking Empowerment and Trauma Relief Program for Iranians: https://cmbm.org/our-work/farsi-speaking-scholarships/
- Learn more about Dr. Ranjbar’s recent work:
- Ranjbar, MD. Noshene E., MD. Matt Erb, MD. Julie Mari Tomkins, MD. Krishna Taneja, and MD. Amelia Villagomez, Implementing a Mind-Body Skills Group in Psychiatric Residency Training, 2021.
- Ranjbar, N., M. Erb, O. Mohammad, and F. A. Moreno, "Trauma-Informed Care and Cultural Humility in the Mental Health Care of People From Minoritized Communities.", Focus (Am Psychiatr Publ), vol. 18, issue 1, pp. 8-15, 2020 Jan. PMCID: PMC7011220 PMID:
#161 - Clinically Addressing Social Media Use
Psychiatrist and researcher, Dr. Paul Weigle, joins us once again to share his expertise on clinical assessment of social media use and the issue of patients diagnosing themselves. He also provides suggestions for what parents can do to prevent social media use from becoming a problem and how to talk to their child if it is.
Hosts: Eyrn, Toshia
Guest: Paul Weigle, MD
Resources:
Raising a Screen-Smart Kid: Embrace the Good and Avoid the Bad in the Digital Age by Julianna Miner
TrevorSpace by the Trevor Project: https://www.thetrevorproject.org/visit-trevorspace/
#160 - Social Media and Adolescents
The San Mateo County Office of Education in California filed a federal lawsuit against social media companies over social media's harmful effects on students. We asked psychiatrist and expert Dr. Paul Weigle to speak to us about the impact of social media on children and adolescents. He also shares his opinion on the role of parents and legislation in limiting the risks.
Hosts: Eyrn, Toshia
Guest: Paul Weigle, MD
#159 - Clinical Interviewing Strategies with Dr. Shawn Shea (Part 2)
Dr. Shawn Christopher Shea shares several techniques of clinical interviewing he developed and adapted from other disciplines that can be life changing for the patient and the clinician. We are enthralled once again.
Hosts: Eyrn, Toshia, Al
Guest: Shawn Christopher Shea, MD
Resources:
#158 - Clinical Interviewing Strategies with Dr. Shawn Shea (Part 1)
Dr. Shawn Christopher Shea joins us for Part 1 of clinical interviewing strategies. He has developed an extensive training program and has taught thousands of clinicians to achieve mastery in the art and technical skill of clinical interviewing. He is a thoroughly engaging speaker who takes seriously his role as a healer with the opportunity to save people's lives.
Hosts: Eyrn, Toshia, Al
Guest: Shawn Christopher Shea, MD
Resources:
#157 - The CASE Approach to Suicide Assessment with Dr. Shawn Shea
Early in his career, Dr. Shea discovered that two clinicians interviewing the same patient managed to gather vastly different information relevant to the patient's suicide risk. It led to the development of the Chronological Assessment of Suicide Events to reliably arrive at the patient's actual intent and risk for suicide.
Hosts: Eyrn, Toshia, Al
Guest: Shawn Christopher Shea, MD
Resources:
https://suicideassessment.com/
CASE Approach online courses
#156 - Sex Trafficking Case Studies
Warning: This episode involves discussions of abuse, violence, and victimization. It may not be suitable for children and may trigger powerful emotions and/or memories of trauma. Support is available through the National Human Trafficking Hotline at 888-373-7888 and online at thisishumantrafficking.com.
We have a very powerful discussion on the tactics used by sex traffickers and the path to justice from the perspective of FBI Victim Specialist Anne Darr. We developed this show with Anne Darr to promote awareness during National Human Trafficking Prevention Month. We hope it educates listeners on the challenges and complexities around investigating and uncovering such crimes. Sex trafficking is a serious national and global problem, which has led to millions of victims. We are deeply thankful for the work of Anne Darr and her commitment to helping people escape from sex trafficking and reclaim their life. With contribution from UCR psychology intern, DeAndrea Knight.
Hosts: Eyrn, Toshia, Al
Guest: FBI Victim Specialist Anne Darr, M.A. NCC
#155 - How to Spot Sex Trafficking
Warning: This episode involves discussions of abuse, violence, and victimization. It may not be suitable for children and may trigger powerful emotions and/or memories of trauma. Support is available through the National Human Trafficking Hotline at 888-373-7888 and online at thisishumantrafficking.com.
For National Human Trafficking Prevention Month, Victim Specialist at the Denver Division of the FBI, Anne Darr, joins us to talk about how to notice victims of sex trafficking and the vulnerabilities that perpetrators exploit. She also discusses a phenomenon similar to "Stockholm Syndrome," in which victims of trafficking appear to support the people harming them.
Hosts: Eyrn, Toshia, Al
Guest: FBI Victim Specialist Anne Darr, M.A. NCC
#154 - Humanism in Medicine with Dr. Harvey Chochinov
Dr. Chochinov returns to the show to dive into the patient dignity question, the platinum rule, and how biases in the healthcare system can impact both patients and providers.
Hosts: Eyrn, Toshia
Guests: Harvey Max Chochinov, MD, PhD, FRCPC, Yasmine Dakhama, MS4
References:
Chochinov HM. The platinum rule: a new standard for person-centered care. J Palliat Med. 2022;25(6):854-856. doi:10.1089/jpm.2022.0075
Chochinov HM. The Platinum Rule: A New Standard for Person-Centered Care. J Palliat Med. 2022 Jun;25(6):854-856. doi: 10.1089/jpm.2022.0075. Epub 2022 Feb 25. PMID: 35230173; PMCID: PMC9145569.
Chochinov HM, McClement S, Hack T, Thompson G, Dufault B, Harlos M. Eliciting Personhood Within Clinical Practice: Effects on Patients, Families, and Health Care Providers. J Pain Symptom Manage. 2015 Jun;49(6):974-80.e2. doi: 10.1016/j.jpainsymman.2014.11.291. Epub 2014 Dec 17. PMID: 25527441.
Chochinov HM. Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care. BMJ. 2007 Jul 28;335(7612):184-7. doi: 10.1136/bmj.39244.650926.47. PMID: 17656543; PMCID: PMC1934489.
#153 - Dignity Therapy with Dr. Harvey Chochinov
We explore Dr. Harvey Max Chochinov's work on dignity therapy, its application in practice, and ways we can enhance humanism in medicine. Dr. Chochinov is a psychiatrist and researcher in palliative and end-of-life care. Our discussion also touches on burnout and systemic challenges the field of medicine faces.
Hosts: Eyrn, Toshia
Guests: Harvey Max Chochinov, MD, PhD, FRCPC, Yasmine Dakhama, MS4
References:
Website to learn more about online dignity therapy training workshops: https://dignityincare.ca/en/
Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Dignity therapy: a novel psychotherapeutic intervention for patients near the end of life. J Clin Oncol. 2005 Aug 20;23(24):5520-5. doi: 10.1200/JCO.2005.08.391. PMID: 16110012.
#152 - Pharmaceutical Research Tricks with Dr. Daniel Carlat
Be on the lookout for outcome manipulation! Pharmaceutical companies are important innovators, but they are businesses first. In this episode, renowned pharmaceutical critic, Dr. Daniel Carlat, gives us tips on spotting common research methods used to bias findings.
Hosts: Al, Toshia
Guests: Daniel Carlat, MD, Yasmine Dakhama, MS4
#151 - From Dr. Drug Rep to Psych’s Biggest Pharma Critic with Dr. Daniel Carlat
Renowned psychiatry professor Dr. Daniel Carlat details his journey from pharmaceutical spokesperson to receiving legal threats from pharmaceutical companies. Dr. Carlat gets candid about his transformation and his doubts along the way.
Hosts: Al, Toshia
Guests: Daniel Carlat, MD, Yasmine Dakhama, MS4
#150 - Clinically Addressing Gun Violence Risk
Dr. Rebecca Capasso returns to the show to discuss assessment of violence and what to do when the patient has access to a gun. What are the important questions to ask? When should confidentiality be breached to ensure safety?
Hosts: Eyrn, Toshia
Guests: Rebecca Capasso, MD, Imaan Alaidroos, MD
References:
Psychiatrists 4 Gun Violence Prevention website: https://www.psychgvp.org/
Baxley F, Miller M. Parental Misperceptions About Children and Firearms. Arch Pediatr Adolesc Med. 2006;160(5):542–547. doi:10.1001/archpedi.160.5.542
Salhi C, Azrael D, Miller M. Parent and Adolescent Reports of Adolescent Access to Household Firearms in the United States. JAMA Netw Open. 2021;4(3):e210989. doi:10.1001/jamanetworkopen.2021.0989
American Foundation for Suicide Prevention- Teens and Suicide: What Parents Should Know
#149 - Psychiatrists 4 Gun Violence Prevention
As mass shootings continue to horrify our communities, we seek explanations. Politicians seem to believe that mental health experts have the solution. Do we? Gun violence is 20-25 times higher in the United States than in other higher income countries. What accounts for that difference? Spokesperson for Psychiatrists 4 Gun Violence Prevention and adult inpatient psychiatrist, Dr. Rebecca Capasso, joins us to provide answers and to discuss the work her group is doing.
Hosts: Eyrn, Toshia
Guests: Rebecca Capasso, MD, Imaan Alaidroos, MD
References:
Psychiatrists 4 Gun Violence Prevention website: https://www.psychgvp.org/
Statement from the American Psychiatric Association on Firearm Violence: https://www.psychiatry.org/news-room/news-releases/apa-statement-on-firearm-violence
APA Position Statement on Firearm Access, Acts of Violence and the Relationship to Mental Illness and Mental Health Services: https://www.psychiatry.org/getattachment/8b32e119-1995-4ac6-bc66-5c3972cb221f/Position-Firearm-Access-Acts-of-Violence-and-the-Relationship-to-Mental-Health.pdf
#148 - Implementing a School-Based Intervention for Autistic Students
Psychologist Dr. Judy Reaven returns to the show to share her evidence-based program to help teachers, school administrators, and parents provide an education constructed to help students with autism thrive in the classroom. Dr. Reaven developed the Facing Your Fears program for children with ASD and anxiety.
Hosts: Eyrn, Toshia, Al
Guest: Judy Reaven, PhD
#147 - Masking and Camouflaging in the Autism Community
Adaptation to a neurotypical environment comes in many forms. But what is meant by "masking" or "camouflaging" within the autism community? We invite autism intervention expert, Dr. Judy Reaven, to provide some insight into these concepts and how one's identity is shaped by these experiences.
Hosts: Eyrn, Toshia, Al
Guest: Judy Reaven, PhD
#146 - Why We Grieve with Dr. M. Katherine Shear
Join us as we discuss the reasons for grief and healthy ways to manage it with Dr. M. Katherine Shear, a leading expert on grief and therapeutic interventions for the bereaved. We also discuss important cultural differences in the expression of grief.
Hosts: Eyrn, Al
Guests: M. Katherine Shear, MD, Yasmine Dakhama, MS4
References:
Support the GRIEF Act: https://www.hospiceactionnetwork.org/take-action/#/
#145 - Prolonged Grief Disorder Therapy with Dr. M. Katherine Shear
Dr. Shear returns to the show for a deep dive into the evidenced-based therapy she and her colleagues developed. Given the enormous losses from the pandemic and the DSM 5-TR Committee's recent decision to add Prolonged Grief as an identifiable disorder, our interview of her is certainly timely.
Hosts: Eyrn, Toshia
Guests: M. Katherine Shear, MD, Yasmine Dakhama, MS4
#144 - Spotlight on Mental Health Care in Morocco
In our final episode with Dr. Roukaya Benjelloun, she highlights various psychiatric subspecialties and considers the future direction of psychiatry in the country. Dr. Benjelloun is Department Chair of Mental Health at Mohammed VI University of Health Sciences, Psychiatry Residency Program Director, and Associate Professor of Psychiatry in Casablanca, Morocco.
Hosts: Toshia, Alan
Guests: Roukaya Benjelloun, MD, Yasmine Dakhama, MS4
References:
1. Benjelloun R, Otheman Y, El Kettani C. Consultation liaison psychiatry for COVID-19 inpatients: A novel care delivery program in Morocco. Curr Psychol. 2022;41(8):5731-5733. doi: 10.1007/s12144-020-01200-6. Epub 2020 Nov 16. PMID: 33223784; PMCID: PMC7669262.
2. Barrimi M, Serraj K, Rammouz I, Alouane R, Messaoudi N, Bellaoui M. Prevalence of and Risk Factors for Suicide Attempts Among Patients With Severe Psychiatric Disorders in Eastern Morocco. Crisis. 2021 Oct 22. doi: 10.1027/0227-5910/a000825. Epub ahead of print. PMID: 34674543.
3. Mekki-Berrada A. 'Ayn mika: Traumatic experience, social invisibility, and emotional distress of sub-Saharan women with precarious status in Morocco. Transcult Psychiatry. 2019 Dec;56(6):1170-1190. doi: 10.1177/1363461518757798. Epub 2018 Mar 8. PMID: 29516775.
4. Zandi T, Havenaar JM, Limburg-Okken AG, van Es H, Sidali S, Kadri N, van den Brink W, Kahn RS. The need for culture sensitive diagnostic procedures: a study among psychotic patients in Morocco. Soc Psychiatry Psychiatr Epidemiol. 2008 Mar;43(3):244-50. doi: 10.1007/s00127-007-0290-0. Epub 2007 Nov 30. PMID: 18060339.
5. Zarrouq B, Abbas N, Hilaly JE, Asri AE, Abbouyi S, Omari M, Malki H, Bouazza S, Moutawakkil SG, Halim K, Ragala ME. An investigation of the association between religious coping, fatigue, anxiety and depressive symptoms during the COVID-19 pandemic in Morocco: a web-based cross-sectional survey. BMC Psychiatry. 2021 May 22;21(1):264. doi: 10.1186/s12888-021-03271-6. PMID: 34022849; PMCID: PMC8140317.
#143 - Spotlight on Cultural Psychiatry in Morocco (Part 2)
In our second episode of this three-part series, Dr. Benjelloun joins us as we dive further into our discussion on culture and cultural sensitivity as it relates to psychiatric practice in Morocco. Dr. Roukaya Benjelloun is Department Chair of Mental Health at Mohammed VI University of Health Sciences, Psychiatry Residency Program Director, and Associate Professor of Psychiatry in Casablanca, Morocco.
Hosts: Toshia, Alan
Guests: Roukaya Benjelloun, MD, Yasmine Dakhama, MS4
References:
1. Benjelloun R, Otheman Y, El Kettani C. Consultation liaison psychiatry for COVID-19 inpatients: A novel care delivery program in Morocco. Curr Psychol. 2022;41(8):5731-5733. doi: 10.1007/s12144-020-01200-6. Epub 2020 Nov 16. PMID: 33223784; PMCID: PMC7669262.
2. Barrimi M, Serraj K, Rammouz I, Alouane R, Messaoudi N, Bellaoui M. Prevalence of and Risk Factors for Suicide Attempts Among Patients With Severe Psychiatric Disorders in Eastern Morocco. Crisis. 2021 Oct 22. doi: 10.1027/0227-5910/a000825. Epub ahead of print. PMID: 34674543.
3. Mekki-Berrada A. 'Ayn mika: Traumatic experience, social invisibility, and emotional distress of sub-Saharan women with precarious status in Morocco. Transcult Psychiatry. 2019 Dec;56(6):1170-1190. doi: 10.1177/1363461518757798. Epub 2018 Mar 8. PMID: 29516775.
4. Zandi T, Havenaar JM, Limburg-Okken AG, van Es H, Sidali S, Kadri N, van den Brink W, Kahn RS. The need for culture sensitive diagnostic procedures: a study among psychotic patients in Morocco. Soc Psychiatry Psychiatr Epidemiol. 2008 Mar;43(3):244-50. doi: 10.1007/s00127-007-0290-0. Epub 2007 Nov 30. PMID: 18060339.
5. Zarrouq B, Abbas N, Hilaly JE, Asri AE, Abbouyi S, Omari M, Malki H, Bouazza S, Moutawakkil SG, Halim K, Ragala ME. An investigation of the association between religious coping, fatigue, anxiety and depressive symptoms during the COVID-19 pandemic in Morocco: a web-based cross-sectional survey. BMC Psychiatry. 2021 May 22;21(1):264. doi: 10.1186/s12888-021-03271-6. PMID: 34022849; PMCID: PMC8140317.
#142 - Spotlight on Cultural Psychiatry in Morocco (Part 1)
Culture’s impact on the practice of psychiatry can have many implications as it relates to stigma, access to treatment, diagnostic clarity, and treatment planning. In this episode, we invited Moroccan psychiatrist, Dr. Roukaya Benjelloun, and American-Moroccan medical student, Yasmine Dakhama, to guide our discussion on the interplay between culture and psychiatry in Morocco. Dr. Roukaya Benjelloun is the Department Chair of Mental Health at Mohammed VI University of Health Sciences, Psychiatry Residency Program Director, and Associate Professor of Psychiatry in Casablanca, Morocco. In collaboration with a research team, Yasmine conducted medical anthropological research assessing the psychosocial, cultural, and economic factors implicated in kidney transplantation in the Sous-Massa region of Morocco in 2021.
Hosts: Toshia, Alan
Guests: Roukaya Benjelloun, MD, Yasmine Dakhama, MS4
References:
1. Benjelloun R, Otheman Y, El Kettani C. Consultation liaison psychiatry for COVID-19 inpatients: A novel care delivery program in Morocco. Curr Psychol. 2022;41(8):5731-5733. doi: 10.1007/s12144-020-01200-6. Epub 2020 Nov 16. PMID: 33223784; PMCID: PMC7669262.
2. Barrimi M, Serraj K, Rammouz I, Alouane R, Messaoudi N, Bellaoui M. Prevalence of and Risk Factors for Suicide Attempts Among Patients With Severe Psychiatric Disorders in Eastern Morocco. Crisis. 2021 Oct 22. doi: 10.1027/0227-5910/a000825. Epub ahead of print. PMID: 34674543.
3. Mekki-Berrada A. 'Ayn mika: Traumatic experience, social invisibility, and emotional distress of sub-Saharan women with precarious status in Morocco. Transcult Psychiatry. 2019 Dec;56(6):1170-1190. doi: 10.1177/1363461518757798. Epub 2018 Mar 8. PMID: 29516775.
4. Zandi T, Havenaar JM, Limburg-Okken AG, van Es H, Sidali S, Kadri N, van den Brink W, Kahn RS. The need for culture sensitive diagnostic procedures: a study among psychotic patients in Morocco. Soc Psychiatry Psychiatr Epidemiol. 2008 Mar;43(3):244-50. doi: 10.1007/s00127-007-0290-0. Epub 2007 Nov 30. PMID: 18060339.
5. Zarrouq B, Abbas N, Hilaly JE, Asri AE, Abbouyi S, Omari M, Malki H, Bouazza S, Moutawakkil SG, Halim K, Ragala ME. An investigation of the association between religious coping, fatigue, anxiety and depressive symptoms during the COVID-19 pandemic in Morocco: a web-based cross-sectional survey. BMC Psychiatry. 2021 May 22;21(1):264. doi: 10.1186/s12888-021-03271-6. PMID: 34022849; PMCID: PMC8140317.
#141 - Neuropsychiatric Complications of Covid-19 (Part 2)
As we see more patients who have had Covid-19, we ask psychiatrist, Dr. Imaan Alaidroos, to speak with us about the neuropsychiatric impact of the disease. In this episode, Dr. Alaidroos outlines the treatments that are currently being studied for the neuropsychiatric symptoms of Covid-19. We also chat about the implications of these symptoms for the field of mental health.
Hosts: Alan, Toshia
Guest: Imaan Alaidroos, MD
References:
7. Qureshi, A. I., Baskett, W. I., Huang, W., Shyu, D., Myers, D., Raju, M., Lobanova, I., Suri, M., Naqvi, S. H., French, B. R., Siddiq, F., Gomez, C. R., & Shyu, C. R. (2021). Acute Ischemic Stroke and COVID-19: An Analysis of 27 676 Patients. Stroke, 52(3), 905–912. https://doi.org/10.1161/STROKEAHA.120.031786
8. Helms J, Kremer S, MerdjiH, Clere-JehlR, Schenck M, KummerlenC, et al. Neurologic features in severe SARS-CoV-2 infection. N EnglJ Med. 2020;382:2268–2270. doi: 10.1056/NEJMc2008597.
9. FerrandoSJ, KlepaczL, Lynch S, TavakkoliM, DornbushR, BaharaniR, Smolin Y, Bartell A. COVID-19 psychosis: a potential new neuropsychiatric condition triggered by novel coronavirus infection and the inflammatory response? Psychosomatics. 2020;61:551–555. doi: 10.1016/j.psym.2020.05.012.
10. Parra A, JuanesA, LosadaCP, Álvarez-SesmeroS, Santana VD, Martí I, et al. Psychotic symptoms in COVID-19 patients. A retrospective descriptive study. Psychiatry Res. 2020;291:113254. doi: 10.1016/j.psychres.2020.113254.
11. Farooq, S., Tunmore, J., Wajid Ali, M., & Ayub, M. (2021). Suicide, self-harm and suicidal ideation during COVID-19: A systematic review. Psychiatry research, 306, 114228. https://doi.org/10.1016/j.psychres.2021.114228
12. Stefano, G. B., Büttiker, P., Weissenberger, S., Ptacek, R., Wang, F., Esch, T., Bilfinger, T. V., & Kream, R. M. (2021). Biomedical Perspectives of Acute and Chronic Neurological and Neuropsychiatric Sequelae of COVID-19. Current neuropharmacology, 10.2174/1570159X20666211223130228. Advance online publication. https://doi.org/10.2174/1570159X206662112231
13. de Erausquin, G. A., Snyder, H., Carrillo, M., Hosseini, A. A., Brugha, T. S., Seshadri, S., & CNS SARS-CoV-2 Consortium (2021). The chronic neuropsychiatric sequelae of COVID-19: The need for a prospective study of viral impact on brain functioning. Alzheimer's & dementia : the journal of the Alzheimer's Association, 17(6), 1056–1065. https://doi.org/10.1002/alz.12255
14. PashaeiY. Drug repurposing of selective serotonin reuptake inhibitors: Could these drugs help fight COVID-19 and save lives? J. Clin. Neurosci. 2021;88:163–172. doi: 10.1016/j.jocn.2021.03.010.
15. Dąbrowska, E., Galińska-Skok, B., & Waszkiewicz, N. (2021). Depressive and Neurocognitive Disorders in the Context of the Inflammatory Background of COVID-19. Life (Basel, Switzerland), 11(10), 1056. https://doi.org/10.3390/life11101056
Kępińska AP, Iyegbe CO, Vernon AC, Yolken R, Murray RM, Pollak TA. Schizophrenia and Influenza at the Centenary of the 1918-1919 Spanish Influenza Pandemic: Mechanisms of Psychosis Risk. Front Psychiatry. 2020 Feb 26;11:72. doi: 10.3389/fpsyt.2020.00072. PMID: 32174851; PMCID: PMC7054463.
#140 - Neuropsychiatric Complications of Covid-19 (Part 1)
As we see more patients who have had Covid-19, we ask psychiatrist, Dr. Imaan Alaidroos, to speak with us about the neuropsychiatric impact of the disease. In this episode, Dr. Alaidroos explains the mechanisms behind the neuropsychiatric symptoms and the specific neuropsychiatric symptoms that have been associated with Covid-19.
Hosts: Alan, Toshia
Guest: Imaan Alaidroos, MD
References:
1.Méndez, R, Balanzá-Martínez, V, Luperdi, SC, Estrada, I, Latorre, A, González-Jiménez, P, Feced, L, Bouzas, L, Yépez, K, Ferrando, A, Hervás, D, Zaldívar, E, Reyes, S, Berk, M, Menéndez, R (La Fe University and Polytechnic Hospital, Valencia; Health Research Institute La Fe, Valencia; University of Barcelona, Barcelona, University of Valencia, CIBERSAM, Valencia; La Fe University and Polytechnic Hospital, Valencia; University of Valencia, Valencia; Health Research Institute La Fe, Valencia, Spain; Barwon Health, Deakin University, Geelong; The University of Melbourne, Melbourne, Victoria, Australia; Center for Biomedical Research Network in Respiratory Diseases (CIBERES), Madrid, Spain). Short-term neuropsychiatric outcomes and quality of life in COVID-19 survivors. J Intern Med 2021; 290: 621– 631.
2.Nakamura, Z. M., Nash, R. P., Laughon, S. L., & Rosenstein, D. L. (2021). Neuropsychiatric Complications of COVID-19. Current psychiatry reports, 23(5), 25. https://doi.org/10.1007/s11920-021-01237-9
3.Banerjee, D., & Viswanath, B. (2020). Neuropsychiatric manifestations of COVID-19 and possible pathogenic mechanisms: Insights from other coronaviruses. Asian journal of psychiatry, 54, 102350. https://doi.org/10.1016/j.ajp.2020.102350
4.Borah, P., Deb, P. K., Chandrasekaran, B., Goyal, M., Bansal, M., Hussain, S., Shinu, P., Venugopala, K. N., Al-Shar'i, N. A., Deka, S., & Singh, V. (2021). Neurological Consequences of SARS-CoV-2 Infection and Concurrence of Treatment-Induced Neuropsychiatric Adverse Events in COVID-19 Patients: Navigating the Uncharted. Frontiers in molecular biosciences, 8, 627723. https://doi.org/10.3389/fmolb.2021.627723
5.Jansen van Vuren, E., Steyn, S. F., Brink, C. B., Möller, M., Viljoen, F. P., & Harvey, B. H. (2021). The neuropsychiatric manifestations of COVID-19: Interactions with psychiatric illness and pharmacological treatment. Biomedicine & pharmacotherapy = Biomedecine& pharmacotherapie, 135, 111200. https://doi.org/10.1016/j.biopha.2020.111200
6.Roy, D., Ghosh, R., Dubey, S., Dubey, M. J., Benito-León, J., & Kanti Ray, B. (2021). Neurological and Neuropsychiatric Impacts of COVID-19 Pandemic. The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 48(1), 9–24. https://doi.org/10.1017/cjn.2020.173
#139 - Prolonged Grief Disorder with Dr. M. Katherine Shear
Prolonged Grief Disorder has recently been formally added to the DSM-5-TR. But are mental health professionals pathologizing a normal part of the human experience? We invited psychiatrist, researcher, and Director of the Center for Prolonged Grief at Columbia University School of Social Work, Dr. Katherine Shear, to discuss the differences between grief as a disorder and grief as a normal reaction. Besides being at the forefront of the movement to include prolonged grief as a disorder, she has also developed a therapy to help those suffering from overwhelming, extended grieving.
Hosts: Eyrn, Toshia, Joshua, Alan
Guest: Katherine Shear, MD
#138 - The Controversy Around Evolutionary Psychology
How is human psychology an evolutionary adaptation? The field of evolutionary psychology attempts to answer this question and the result is frequently controversial. Dr. Phuong Vo joins the discussion to help us take a more critical approach to these theories.
Hosts: Eyrn, Toshia, Joshua
Guest: Phuong Vo, MD, MS
#137 - Evolutionary Principles of Depression
Depression is an extremely common and debilitating condition. Are there situations where depression could have actually helped humans survive? Along with Dr. Phuong Vo, who completed her masters in Evolutionary Medicine, we work through a number of theories on how being depressed could sometimes be adaptive.
Hosts: Eyrn, Toshia, Joshua
Guest: Phuong Vo, MD, MS
#136 - Navigating the Era of "Open Notes" (Part 3)
On April 21, 2021 the “21st Century Cures Act” mandated that all healthcare providers grant clients/patients access to their chart “without delay” and without charge. Make sure you listen to all 3 episodes as we have noted psychiatrist and trainer in medical record keeping, Dr. Tony Thrasher, to answer our questions. In this episode, Dr. Thrasher outlines exceptional situations when the provider can keep notes private. We also discuss the importance of reviewing the prognosis with patients.
Hosts: Eyrn, Toshia, Alan
Guest: Tony Thrasher, MD, DFAPA
#135 - Navigating the Era of "Open Notes" (Part 2)
On April 21, 2021 the “21st Century Cures Act” mandated that all healthcare providers grant clients/patients access to their chart “without delay” and without charge. Make sure you listen to all 3 episodes as we have noted psychiatrist and trainer in medical record keeping, Dr. Tony Thrasher, to answer our questions. In this episode, we discuss our takes on using "woke language" in our documentation.
Hosts: Eyrn, Toshia, Alan
Guest: Tony Thrasher, MD, DFAPA
#134 - Navigating the Era of “Open Notes” (Part 1)
On April 21, 2021 the “21st Century Cures Act” mandated that all healthcare providers grant clients/patients access to their chart “without delay” and without charge. While providing access to one’s chart usually works very smoothly for medical treatment, it’s a different story for psychiatric and psychological treatment. For example, it’s common for a client to lack insight about themselves—that’s a big reason for going to therapy. So how will the treatment be affected when the client reads about how their psychologist or psychiatrist thinks they don’t know what the problem actually is? Make sure you listen to all 3 episodes as we have noted psychiatrist and trainer in medical record keeping, Dr. Tony Thrasher, to help us answer these questions. In this episode, Dr. Thrasher suggests creative ways to use the open note as a clinical tool that promotes transparency and mutual understanding between doctor and patient.
Hosts: Eyrn, Toshia, Alan
Guest: Tony Thrasher, MD, DFAPA
#133 - Ongoing Mental Health Care Challenges Faced by the Autism Community
Since the inception of Obama Care, services for people with autism have expanded considerably—but perhaps not equally—in the United States. We talk to experts in autism, Dr. Barry Prizant and Dr. Alice Kuo about what to look for in an effective treatment and a treatment provider. They also discuss the obstacles that come from differences in income and insurance.
Hosts: Eyrn, Toshia
Guests: Alice Kuo, MD, PhD, MBA, Barry Prizant, PhD, CCC-SLP
References:
SCERTS model: https://scerts.com/
#132 - Autism and the Arts with Dr. Barry Prizant
Diagnoses of autism are on the rise in the United States. Portrayals of autism are increasingly visible in the media and television. But what is most important to know in understanding people with autism? We invite autism expert and author of “Uniquely Human: A Different Way of Seeing Autism,” Dr. Barry Prizant, to share his perspective. We discuss using music and theater as a way for the autism community to connect with others, develop important skills, and actively engage.
Hosts: Eyrn, Toshia
Guest: Barry Prizant, PhD, CCC-SLP
References:
SCERTS model: https://scerts.com/
The Miracle Project: https://themiracleproject.org/
The Spectrum Theatre Ensemble: https://www.stensemble.org/
Uniquely Human the Podcast: https://podcasts.apple.com/us/podcast/uniquely-human-the-podcast/id1532460901
#131 - Spotlight on Child and Adolescent Mental Health Care in Ukraine
We asked child and adolescent psychiatrist Dr. Linda Schmidt to join us again, this time for a discussion on her experiences training mental health professionals in Ukraine before the war. She shares the challenges of practicing psychiatry in Ukraine and the treatment available to the population.
Hosts: Eyrn, Toshia, Alan
Guest: Linda Schmidt, MD
References:
Circle of Family Foundation: https://k-s.org.ua/resilience_for_ukraine/
#130 - Spotlight on Mental Health Care in Ukraine
The ongoing war in Ukraine has been devastating to every aspect of life there. Prompt and effective mental health care is desperately needed now and for the years ahead. In this episode we invited psychiatrist Dr. Linda Schmidt to join our discussion on psychiatric services before the war and to share some insights into current conditions. Since 2015, Dr. Schmidt has traveled several times to Ukraine for the purpose of providing training for mental health professionals and has also worked to increase humanitarian aid to the region.
Hosts: Eyrn, Toshia, Alan
Guest: Linda Schmidt, MD
References:
Circle of Family Foundation: https://k-s.org.ua/resilience_for_ukraine/
#129 - The Suicide Pod
Founder of the pro-euthanasia group Exit International and former physican, Phillip Nitschke, has created the Sarco suicide pod. Dr. Nitschke (who also has a PhD in Physics) is planning to make the plans accessible for 3-D printing to "democratize" euthanasia technology. Is this a step towards making suicide a human rights issue or an international public health nightmare? Listen to our interview with Dr. Nitschke and decide for yourself.
Hosts: Eyrn, Toshia, Alan
Guest: Philip Nitschke, PhD, MBBS
References:
Berman, Athey, A., & Nestadt, P. (2021). Effectiveness of restricting access to a suicide jump site: a test of the method substitution hypothesis. Injury Prevention, 28(1), 90–92. https://doi.org/10.1136/injuryprev-2021-044240.
Kposowa, Hamilton, D., & Wang, K. (2016). Impact of Firearm Availability and Gun Regulation on State Suicide Rates. Suicide & Life-Threatening Behavior, 46(6), 678–696. https://doi.org/10.1111/sltb.12243.
#128 - The World's Foremost Advocate for Assisted Suicide
Dr. Philip Nitschke is an Australian physician who campaigned successfully for the world's first assisted suicide law. He went on to found the non-profit, pro-euthanasia organization, Exit International. How did a physician trained under the medical ethics of beneficence and non-maleficence decide to make euthanasia and assisted suicide his life's work? Listen to our interview with him and decide where you stand.
Hosts: Eyrn, Toshia, Alan
Guest: Philip Nitschke, PhD, MBBS
References:
Owens D, Horrocks J, House A. Fatal and non-fatal repetition of self-harm. Systematic review. Br J Psychiatry. 2002 Sep;181:193-9. doi: 10.1192/bjp.181.3.193. PMID: 12204922.
Seiden RH. Where are they now? A follow-up study of suicide attempters from the Golden Gate Bridge. Suicide Life Threat Behav. 1978 Winter;8(4):203-16. PMID: 217131.
#127 - Moral Development and Its Relation to Violence
In 1958 Dr. Lawrence Kohlberg proposed that every human being develops according to predictable stages of moral development. This proved controversial as his research was based only on boys and did not seem to fit certain cultures. We asked Dr. Bandy X. Lee, an expert in the psychological and social causes of violence, for a discussion of how one's moral stage influences one's propensity for violence.
Hosts: Eyrn, Toshia, Alan
Guest: Bandy X. Lee, MD, MDiv
References: