The Psych Movie Minute

A special guest - child and adult psychiatrist Marianna Kessimian MD - joins the show for episode 34 to discuss this next minute of The Year of Spectacular Men (2017), where we have a conversation about an aspect of communication touched on in this minute that is so seemingly obvious that so few really can do it well - being present to listen and validate.  Thanks so much, Dr. Kessimian, for coming on the show!  You can learn more about her here: https://www.hartselleandassociates.com/marianna-kessimian-md 

In this next episode, we are picking up where we left off with episode 32, discussing major depressive disorder, continuing to talk about its features as well as some treatment options.  Although the character of Izzy does not undergo any formal treatment for depression in the film, The Year of Spectacular Men, she does come out of her depression over the course of the film as she learns more about herself and gains purpose in her life.  Ultimately (and this is for a future episode), we get hints as to why she was depressed in the first place - we'll come to that in a future episode so as to not give it away now.

In this next minute of our show, we tackle the subject of clinical depression, which is mentioned in the 2017 film, The Year of Spectacular Men. The main character, Izzy, demonstrates some of the symptoms through much of the film as she struggles to find her purpose.  This episode, we talk about some of the features often associated with depression.  To be continued next episode.

In this next episode of the show, we look at the next minute of the 2017 film, The Year of Spectacular Men, and touch on topics of sibling rivalry as well as being someone of mixed race or ethnicity.  One of the co-stars in the film, Avan Jogia, who is mixed himself, wrote a book of short stories and poems about hw subject called Mixed Feelings.

In this next episode, we're looking at minute 30 of 2017's The Year of Spectacular Men and discussing professional boundaries, which are sometimes a bit stricter in mental health than in some fields.  We talk about why, how it plays out, and some potential areas where boundaries might be loosened for specific reasons.

In this next episode of the show, we're joined by forensic child psychiatrist Anish Dube, MD, as we discuss the next minute of the 2017 film, The Year of Spectacular Men, where the main character, Izzy, is moving back home after college and grappling with that age-old question of what to do after a long period of schooling but what to do with one's life.  We touch on a number of existential mental health as well as societal issues and trends during the course of the episode, which was actually recorded almost a year ago (though we're just getting to it in the lineup now, in some ways, many things have not really changed much in this area).  The book, by the way, that Dr. Dube mentions in the course of the show is 21 Lessons for the 21st Century by Yuval Harari PhD. 

In the next minute of The Year of Spectacular Men and our show, we touch on some ideas to good communication - validation, not making assumptions, and the idea that almost all human communication is, in some way, clarifying inevitable misunderstandings between people.

In this next episode of the show, we look at the next minute of the 2017 film, The Year of Spectacular Men, where the main character, Izzy, meets up with her mother and her mother's partner after graduation.  When her mother mentions off-hand how much Izzy's college education cost, it sparks today's discussion on the cost of post-secondary school education (in the US) and a lot of the concerns and considerations that may generate from a mental health perspective.

In this next episode of the show, we look at the next minute of the 2017 film, The Year of Spectacular Men, where the main character, Izzy, mentioned her lack of direction for her future after college, leading to a discussion on the myriad factors that make it difficult to know what you want to do with your life in young adulthood.

In this next episode of the show, we look at the next minute of the 2017 film, The Year of Spectacular Men, where the main characters, real life sisters Izzy and Sabrina (Madelyn and Zoey Deutch) are in a pharmacy, and Sabrina responds to Izzy picking up a box of Monistat by pulling out wipes to sanitize everyone's hands and the box for good measure.  The topic of this episode is the obsessive compulsive continuum - looking at what are obsessions, compulsions, OCD, OC personality traits, and more.  

In this episode of our show, the main characters of the 2017 indie film, The Year of Spectacular Men, sisters Izzy and Sabrina are in a drug store looking for relief after an unexpected sexual encounter Izzy had with her ex-boyfriend - not plan B but Izzy ended up with a yeast infection :(  There is an impromptu discussion on sexual health in such cases as well as issues that sometimes arise in families with big events, like holidays and graduations, which can be stressful and lead to frazzled emotions.  

in today's episode, we go into the link between the gastrointestinal system and mental health symptoms, such as anxiety and depression, as the heroine of the 2017 movie, The Year of Spectacular Men, vomits in response to being repulsed by a particular situation with one of said spectacular men.  

In this next minute of the show, we look at minute 22 of The Year of Spectacular Men where the main character, Izzy experiences some disappointment about the failed start of a possible relationship with a classmate.  It gets to the idea of disappointment in general, why learning to deal with it is important in life, how this ties into the holidays and gift giving, and how to be there for people dealing with it in a nonjudgmental way.

In this next episode, where we're looking at minute 21 of The Year of Spectacular Men, Izzy is at a bar with her scene partner, Ross, and some of his friends, and we have a discussion on alcohol, its use in mental health contexts, and how to approach discussing alcohol use with a patient in a way that is nonjudgemental.

In today's episode, our guest from episode 19, Michael Carpenter, MD rejoins us as we talk about the next minute of The Year of Spectacular Men where the characters discuss summer plans, which can mean whole lot more for some than the idyllic, carefree summers of beaches and sunshine that folks of a previous generation sometimes refer to (which, let's be honest, may have never actually happened; nostalgia and all).  Still, if you're wondering why summers can sometimes be paradoxically difficult for kids or stressful for young adults, tune in!

In this next minute of the show, we are joined by special guest Michael Carpenter, MD, a child and adolescent psychiatrist practicing in Minnesota, as we talk about the next minute of The Year of Spectacular Men.  This episode is all about taking a sexual health history - something that sounds simple (and is, really) but can be more difficult than it should be due to a number of factors.  Thanks, Mike, for joining us on the show! 

Happy Halloween!  In this next segment of the show, we're watching the next minute of The Year of Spectacular Men from 2017 and talking about phobias (appropriate for Halloween, right?)

We are back after a summer hiatus!  In this next min of The Psych Movie Minute Podcast, we look at the next minute of The Year of Spectacular Men as the main character, Izzy, argues with her now ex-boyfriend, leading to a discussion about dysfunctional relationships and why sometimes people will stay in them despite all logical reasons otherwise.

In episode 16, as Sabrina and Izzy of The Year of Spectacular Men discuss their widowed mother returning back to dating, we discuss what happens what adult children grapple with that and discuss some of the developmental considerations that go into thinking about these kinds of complex scenarios.  For anyone in working in this space personally or professionally, books like What About the Kids? by Judith Wallerstein and Sandra Blakeslee (https://www.amazon.com/What-About-Kids-Raising-Children/dp/0786887516) can be quite helpful.

We are back!  (In our field, child and young adult psychiatry, our busiest times tend to be tied to when schools are busiest - e.g. around midterms, finals, and before major holidays; please excuse our absence as we tended to our day jobs :).  In this next minute of our show, we discuss minute 15 of The Year of Spectacular Men, when the two main characters discuss their mother's new relationship and sexual orientation, bringing to light the wider discussion on how adult children grapple with how they see their parents as they get older, especially when it comes to sensitive and often private topics.  

In this next minute of The Year of Spectacular Men, our heroine awakens on a strange couch spooning with her scene partner, not quite sure how she got there, surrounded by various recreational substances, leading to a discussion about substance use and how a nonjudgmental approach leading with curiosity first can sometimes do a lot of your diagnostic work for you and help figure out why patients gravitate towards certain substances.  By the way, we keep forgetting to mention, but we have set up some social media accounts that have extra details for these episodes - on Twitter (www.twitter.com/PsychMinute) and Instagram (www.instagram.com/psychmovieminute).  Check us out there!

In today's episode, sparked by a scene in The Year of Spectacular Men where one of the spectacular men uses marijuana, we touch on some thoughts about what happens when we are working someone using cannabis.  It's a huge topic, at times controversial, since cannabis itself has been around of thousands of years and has so many connotations, positive positive and negative.  We touch on some things psychiatrists think about as how marijuana affects mental health and the nervous system.  We also read a few segments from the book Marijuana: The Unbiased Truth about the World's Most Popular Weed by Kevin Hill MD.

In the next minute, we tackle the subject of narcissism as our hero, Izzy, navigates one of the relationships in The Year of Spectacular Men.  We also touch recognizing when you are in the presence of a narcissist and things to keep in mind to keep empathy for your patients with narcissistic tendencies.

In this next minute, Izzy walks by her apartment and overhears her ex-boyfriend commenting on her lack of follow-through, which prompts a discussion on the concept of ADHD and all manner of things that go into contribute to not being able to focus.  

In this next minute of The Year of Spectacular Men from 2017, the main character, Izzy, attempts to wake up with a cup of coffee, prompting a discussion on coffee and other stimulants, from over the counter forms, to recreational drugs, to prescriptions medications.  Joining us today is family physician Dr. Charity Kates, MD, who discusses how she thinks about and counsels patients when it comes to caffeine intake. 

In the next minute of The Year of Spectacular Men, our main character, Izzy, gets thrown out of the apartment she was sharing with her (now ex-) boyfriend, Aaron, and crashes at her sister's hotel.  She seems to have left somewhat of a mess, prompting a discussion on some of the things we consider as psychiatrists when confronted by patients with difficulties with impulse control.

In this next minute, when Izzy's boyfriend on screen in The Year of Spectacular Men says she needs therapy, it leads to a discussion on the nature and goals of couples' and family therapy.

In this next minute of the 2017 film, The Year of Spectacular Men, our main character, Izzy, mentions to her boyfriend that she is thinking of moving back home to California, leading to an argument (continued next episode) and prompting a discussion on brain development over the course of infancy, childhood, and adulthood.  The study Dr. Adams mentioned in the show about younger children being more likely to be diagnosed with ADHD in kindergarten is from the New England Journal of Medicine (Nov 2018) and is available here: https://www.nejm.org/doi/full/10.1056/NEJMoa1806828.  

Joining us for episode 6 is Dr. Stephanie Hartselle, a child and adult psychiatrist based in Providence, RI, as we discuss the next minute in the 2017 independent film, The Year of Spectacular Men.  In this minute, the main character, Izzy, reveals that her father died by suicide.  In the world of mental health, we discuss mortality in its various forms with patients very frequently, but it does not always mean it is without discomfort (for patients, for us, either in the learning process or in bringing it up - which we discuss in this episode).  It's an intense topic, and sometimes it can be hard to know what to do with the responses you may get.  But - preparation helps, as does assistance to help you not worry alone.  Some of the resources we find useful - 1.) The National Suicide Prevention Lifeline - 1-800-273-8255 and 2.) The Crisis Text Line - Text HOME to 741741.     

In this next minute, a comment that Izzy, the main character of The Year of Spectacular Men, makes about not knowing "where to go next" leads to a discussion about existential anxiety and some of the decisions students may make when considering what they want to do with their lives and some of the concerns parents may have for them.  (If you haven't seen the 1989 movie, Say Anything, you can see the dinner table scene we refer to in the episode here: https://www.youtube.com/watch?v=Pvuv2sn5fDQ).

In today's show, we're looking at the next minute of The Year of Spectacular Men where the main character, Izzy, dumps a bag of trail mix on her bag in class, leading to a discussion on inattention, a common issue in pediatrics and child mental health in general.  Our guest today is Kerry-Ann Williams, MD, who does her own weekly mental health show called Black Mental Health Matters.  If you are in the Boston area, you can listen live on Sundays at 1 PM on HEAT 98.1 FM, on the Urban Heat webpage, or over on Dr. Williams' Facebook page.

In this episode, we look at the next minute of The Year of Spectacular Men as on-screen sisters Izzy and Sabrina (who are sisters in real life) talk about how they've dealt with the loss of their father in the film, sparking a discussion about what it means to be in therapy.  Joining us today is avid sailor, teacher, trusted mentor, and child psychologist, Douglas Bernon, PhD, to discuss reflections on the therapeutic process and what is reasonable to achieve within that context. 

In the second minute of The Year of Spectacular Men, we meet Izzy's sister, Sabrina (Izzy and Sabrina are, of course, played by real-life sisters Madelyn and Zoey Deutch) and learn about the death of their father, supposedly due to an accident, leading to a discussion on grief, the loss of a loved one, and how that can sometimes affect mental health down the road. 

In this episode, we official start discussing the very first minute The Year of Spectacular Men and touch on the idea of stigma in mental health and how that plays out in various ways for both patients and mental health providers.

The past year (2020) has been challenging for so many reasons, but something that doesn't get discussed very often is the impact on our mental health.  While we think that should be discussed more openly, realistically, there are many barriers to being totally upfront about this aspect of life.  So, for the next 102 episodes, we'll be guiding you on an informal, conversation tour of the spectacularly diverse world of mental health through a spectacular movie - the 2017 independent film, The Year of Spectacular Men.  Each episode starting with episode 1 will go over one minute of the film and the mental health topics associated with that minute.  We are looking forward to making the journey with you.   Your hosts, Cathleen Adams, MD Joshua Blum, MD