Join David Puder as he covers different topics on psychiatry and psychotherapy. He will draw from the wisdom of his mentors, research, in-session therapy and psychiatry experience, and his own journey through mental health to discuss topics that affect mental health professionals and popsychology enthusiasts alike. Through interviews, he will dialogue with both medical students, residents and expert psychiatrists and psychotherapists, and even with people who have been through their own mental health journey. This podcast was created to help others in their journey to becoming wise, empathic, genuine and connected in their personal and professional lives.
Beginning the Treatment with Jonathan Shedler, PhD
Dr. Jonathan Shedler is well known for his work on the efficacy of psychodynamic therapy. He has highlighted the importance of the initial phase of therapy in establishing a foundation for successful treatment. Dr. Shedler strongly believes the consultation phase is crucial to developing a working alliance between client and therapist and building a treatment frame and structure. Without this foundation, there is no mutual understanding about the goal or the purpose of treatment, and psychotherapy should not move forward. Join us in this episode as Dr. Shelder discusses how to create a firm starting foundation in clinical practice.
Adverse Childhood Experiences Part 2: Measurement, Impact on Future Mental Health, Dissociation, and Timing of Trauma
In this week’s episode of the podcast, we will continue our discussion regarding adverse childhood experiences (ACEs) and their influence on the development of future mental health disorders. The greatest predictive factor of the relationship between ACEs and future mental health disorders has to do with the severity, duration, and number of traumatic events. We’ll explore the Childhood Trauma Questionnaire and the data of how ACEs increase the risk of certain personality disorders and psychiatric conditions. Link to blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-204-adverse-childhood-experiences-part-2-measurement-impact-on-future-mental-health-dissociation-and-timing-of-trauma
Adverse Childhood Experiences and Their Lasting Impact on Health: A Comprehensive Guide
In today's episode post, we embark on an in-depth exploration of adverse childhood experiences (ACEs) and their profound impact on adult mental and physical health. The CDC defines ACEs as, “potentially traumatic events that occur in childhood.” ACEs include (but are not limited to) physical, emotional, sexual abuse, neglect, household dysfunction, such as domestic violence or parental substance abuse. We'll investigate how these early negative events are critical predictors of adult psychiatric diagnoses, including substance use disorders (SUDs), depression, anxiety, PTSD, psychosis, and personality disorders. Our analysis extends to the intricate ways ACEs affect an individual's physiology and psychology. This episode will be the first of a mini-series of several episodes surrounding the impact of ACEs and how we can treat patients who experienced trauma. Link to Blog here
Cognitive Behavior Therapy (CBT) with Dr. Judith Beck
In today’s episode of the podcast, we interview Dr. Judith Beck, a prominent figure in the field of psychology and author of the highly regarded textbook, Cognitive Behavior Therapy: Basics and Beyond, which is a staple in the academic journey of many students in psychiatry, psychology, counseling, social work, and psychiatric nursing. This book, translated into 20 languages, is a key resource in the U.S. as well as globally. Dr. Beck serves as the president of the Beck Institute for Cognitive Behavior Therapy, which she co-founded with her late father, Dr. Aaron Beck, who is considered the father of CBT. The Beck Institute is a non-profit organization based in Philadelphia. In addition to her leadership role, she is a Clinical Professor of Psychology in Psychiatry at the University of Pennsylvania, where she educates residents.
Psychotic Depression with Dr. Cummings
The underreporting of psychotic symptoms by patients in depression is a significant concern, frequently driven by the fear of consequences like hospitalization or the stigma of embarrassment. We'll discuss the history, the differential to consider when thinking of psychotic depression, mechanisms, and treatment. Notably, individuals with psychotic depression face a suicide rate double that of their non-psychotic counterparts. A recent cohort study by Paljärvi in 2023 revealed a stark contrast: deaths due to suicide were 2.6% in the psychotic depression cohort, compared to 1% in the non-psychotic group. Alarmingly, most suicides occurred within the first two years following diagnosis. People who suffer from psychotic depression often do not report their psychotic symptoms, leading to inadequate response to normal depression treatments. With 6-25% of individuals with major depressive disorder (MDD) exhibiting psychotic features, it is imperative to understand and address these unique challenges. Join us as we unravel the complexities of this underrecognized aspect of mental health.
200 Episodes Later: A Journey Through Psychiatry with Dr. Puder
Join us today on the 200th episode of the podcast, as Dr. Puder sits down with Dr. Mark Mullen to discuss the podcast, answer some questions about his personal journey in psychiatry, and reflect on some of his favorite episodes. Dr. Mark Mullen is a 4th year psychiatry resident at Creighton University in Omaha, Nebraska, and the host of his own podcast, Psychiatry Bootcamp.
Motivational Interviewing with William Miller
Motivational interviewing serves as a versatile enhancement to various professional practices, whether it’s behavioral therapy, medication counseling, classroom teaching, or sports coaching. In the words of Dr. William Miller, “It’s a way of being with people to help people make changes.” This method emphasizes a collaborative and empathetic interaction style, focusing on empowering individuals to drive their own change, making it a valuable asset in any change or growth-oriented setting.
Connection and Supervision in Medical Education: Exploring the utility of the Connection Index in postgraduate psychiatry training
What causes burnout among residents? There are many factors associated with burnout supported in the literature. We can break them down into environmental factors, personal factors, and non-modifiable factors. In this episode, we dive into the major factors of resident burnout and how the connection index can improve resident morale.
Sick Enough: Dr. Jennifer Gaudiani On Eating Disorders
In today's episode of the podcast, we talk with Dr. Jennifer Gaudiani (Dr. G), internationally renowned author of the book, Sick Enough: A Guide to the Medical Complications of Eating Disorders, and founder of the Gaudiani Clinic in Denver, Colorado. We deconstruct common myths and misconceptions about eating disorders, exercise, metabolic processes and why the term “sick enough” is such an apt title for a text and discussion on this group of complex and life-threatening mental health conditions.
Dr. Christopher Browning- "Ordinary Men" of the Holocaust
In this interview with historian Dr. Christopher Browning, we discuss his book, Ordinary Men: Reserve Police Battalion 101 and the Final Solution in Poland. An internationally renowned author and researcher, Dr. Browning is also a professor emeritus of history at the University of North Carolina at Chapel Hill (UNC). He is an internationally recognized expert on the Holocaust and Nazi Germany and has authored over 75 publications. His focus on Battalion 101 emerged during his research of the Holocaust, when he discovered that this battalion was unlike any other in the German army or police force—it was comprised of ordinary, middle-aged men, not trained soldiers. Despite this fact, they assimilated into the Nazi practices of mass murder with disturbing ease. Dr. Browning examines the psychological and cultural influences that impacted this seeming phenomenon and offers poignant insights from existing historical documents. We want to thank Jeremiah Stokes, Ed.D., LMHC for being part of this episode and helping with write up available on psychiatrypodcast.com
Dr. Robert Sapolsky: Baboons, Stress Research, Connection and Determinism
In today’s episode of the podcast, we are joined by neuroscientist and primatologist, Dr. Robert Sapolsky, to discuss his work with baboons, stress, and his own mental health journey. Dr. Sapolsky is professor of biology, neurology, and neuroscience at Stanford University, as well as an author of several books including, A Primate's Memoir: A Neuroscientist’s Unconventional Life Among the Baboons, Why Zebras Don’t Get Ulcers, and Determined. He has spent extensive time studying baboons in Kenya over the course of his career, a passion he attributes to his extensive time spent in the American Natural History Museum in New York. Joining our conversation is Alexander Horwitz, M.D., a 4th-year psychiatry resident who previously enlightened us on serotonin syndrome in an earlier episode.
Dr. Sue Johnson: Attunement, Attachment and the Development of Emotionally Focused Therapy
In today’s episode of the podcast, I interview Dr. Sue Johnson, founder of Emotionally Focused Therapy, an intervention for relationships aimed at resolving distress by helping clients become attuned within a secure attachment bond. She has also written countless books and articles, a personal favorite being Hold Me Tight. She was the first person to teach me about the still face experiment in 2013. I, myself, have had the personal benefit of being in EFT with my wife for the past year. I remember watching a video of Sue doing therapy, and I thought, there is some sort of symphony happening here, and I really want to learn how to play the notes. I wanted this session to pull out as many practical pearls as possible from Dr. Johnson, more of the “how” of the process of helping people reconnect.
Buprenorphine and Opioid Use Disorder Management with Dr. Neal Christopher
We are joined again by Dr. Neal Christopher, who is currently the Vice Chair and Associate Medical Director of Arrowhead Regional Medical Center and the Psychiatry and Addiction Consultant for the San Bernardino County Department of Public Health. Dr. Christopher has previously appeared on the Psychiatry and Psychotherapy Podcast in episode 063, “Interviewing Well For Psychiatry Residency & Beyond,” and episode 103, “Acceptance and Commitment Therapy with Dr. Steven Hayes.” In this week’s episode, Dr. Puder and Dr. Christopher discuss the recent elimination of the X-Waiver and what it means for providers, the mechanism and efficacy of buprenorphine, and practical tips for prescribing buprenorphine and supporting patients on their road to recovery from opioid use disorder. This episode continues our podcast series on addiction, designed to meet the one-time, 8-hour training requirement introduced by the Consolidated Appropriations Act of 2023. This mandate applies to all providers registered with the Drug Enforcement Administration (DEA), and our series primarily focuses on the treatment and management of patients with substance use disorders.
Inpatient Child & Adolescent Psychiatry: Dr. Bender's Journey Through Curiosity and Connection
In the realm of Child and Adolescent Psychiatry, especially within an inpatient psychiatric setting, a narrative-driven and curiosity-based approach has proven invaluable. Each child who is admitted is navigating a crisis, making it imperative to deeply understand their unique situation to chart an effective treatment plan. This goes beyond clinical observations; it's about immersive engagement with both the patient and their family, diving into their lived experiences to piece together a holistic patient narrative. Through collective efforts, the capacity to deeply connect with and understand every patient and their families is enhanced.
Body Dysmorphic Disorder: A Guide for Therapists and Mental Health Professionals with Dr. Katharine Phillips
Body dysmorphic disorder (BDD) remains one of the most intriguing yet under-acknowledged psychiatric conditions of our time. Characterized by an obsessive focus on perceived physical flaws or defects, often invisible to others, this disorder manifests in ways that can profoundly affect an individual's daily life, self-esteem, and overall well-being. Through an exploration of its origins, symptoms, and prevalent treatments, this article aims to equip mental health professionals with a comprehensive understanding of BDD. We also shed light on the invaluable contributions of renowned experts in the field, most notably Dr. Katharine Phillips, whose pioneering research and clinical practices have transformed the way we approach, diagnose, and treat this complex condition. As the quest for insight and effective interventions continues, understanding BDD becomes pivotal for therapists and clinicians dedicated to holistic patient care. Financial Disclosure for Katharine A. Phillips, M.D. Fabday LLC (presentation for providers of aesthetic treatment, honorarium) CeraVe/Roxane S. Chabot DBA RBC Consultants (psychodermatology advisory board, honorarium)
Schizophrenia Treatment: Clozapine, LAIs, Technology and Equity with John Kane, MD and Lauren Hanna, MD
John M. Kane, MD. is Professor of Psychiatry and Molecular Medicine at The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Dr. Kane earned his medical degree from New York University in New York, New York, and completed his internship and residency in Psychiatry at The Zucker Hillside Hospital. He is a diplomate of the American Board of Psychiatry and Neurology. Dr. Kane is the recipient of many awards, including the Lieber Prize, The APA’s Kempf Award and Foundations Prize, the New York State Office of Mental Health Lifetime Achievement Award, and the Dean Award from the American College of Psychiatrists. He has served as President of the American Society of Clinical Psychopharmacology, the Psychiatry Research Society and the Schizophrenia International Research Society. Dr. Kane has been the principal investigator on 23 NIH grants focusing on schizophrenia, psychobiology and treatment, recovery, and improving the quality and cost of care. He is the author of over 900 peer-reviewed papers and serves on the editorial boards of numerous journals.
Non-Violent Communication with Matthew Lederman
In this week’s episode, we have a conversation with Dr. Matthew Lederman, a board-certified internal medicine physician and CNVC Certified Trainer of Nonviolent Communication, as well as a prominent contributor behind the documentary Forks Over Knives. Dr. Lederman and his wife, Dr. Alona Pulde, recently published a book called, Wellness to Wonderful: 9 Pillars for Living Healthier, Longer, and with Greater Joy, and this conversation today revolves around the topic of nonviolent communication.
Depersonalization and Derealization
In this week’s episode of the podcast, we are joined by registered mental health nurse, Paul Molyneux, to discuss depersonalization/derealization disorder and his personal experiences and recovery from the disorder.
Best Diet For Mood Update 2023
In today's episode of the podcast, we will explore the significant connections between our dietary choices and our mental well-being. We will discuss practical steps to incorporate diet as part of mental health treatment and maintenance. This episode is the perfect starting point to discover how nutrition can play a role in supporting mental wellness, whether it is new information or an enhancement of current approaches. Link for blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-187-best-diet-for-mood-update-2023
Using Deliberate Practice to Improve Psychotherapy Results with Dr. Scott Miller
Dr. Miller’s first appearance on the Psychiatry and Psychotherapy Podcast was in episode 077, “Getting Better Results from your Patients as a Psychotherapist,” during which we discussed his book, Better Results. We explored the methodology behind improving outcomes in therapy through targeted development of what Dr. Miller has dubbed the Common Factors, which include therapy structure, hope and expectancy, working alliance, client factors, and therapist factors. In this episode, Dr. Miller returns to expand upon our prior conversation with a focus on how therapists can use deliberate practice to improve their efficacy. We discuss Dr. Miller’s new book, The Field Guide to Better Results, a companion to Better Results, which was recently published in May, 2023. Link to blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/186-using-deliberate-practice-to-improve-psychotherapy-results-with-dr-scott-miller
Narcissism with Jonathan Shedler, PhD
In this episode of the podcast, we are joined by Dr. Jonathan Shedler to discuss narcissistic personality disorder. Dr. Shedler is a psychologist, consultant, clinical educator, researcher, and author with over 100 scholarly publications. His article, “The Efficacy of Psychodynamic Psychotherapy,” has garnered worldwide recognition for establishing evidence-based support of psychodynamic psychotherapy. Link to Blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/185-narcissism-with-jonathan-shedler
Pregnancy Planning for Patients Taking Psychiatric Medications or with a Mental Health History
In this episode, Dr. David Puder, Dr. Kristin Lasseter, and medical student Cara Jacobson discuss treatment of psychiatric illness in the peripartum period. Dr. Kristin Yeung Lasseter is a renowned reproductive psychiatrist who has dedicated her career to the intersection of mental health and reproductive medicine. As the founder of Reproductive Psychiatry and Counseling, Dr. Lasseter has been instrumental in expanding access to reproductive psychiatry services in Texas but also worldwide through her teaching and online presence. Through her steadfast devotion to comprehending the singular hurdles faced by individuals as they navigate the reproductive journey, she has garnered immense respect within the field. Dr. Kristin Yeung Lasseter's profound contributions to advancing women's mental health in Central Texas have been recognized through the prestigious Association of Women Psychiatrists Symonds Fellowship in 2018. Through her expertise, compassion, and advocacy, she is transforming lives and dismantling the stigma associated with perinatal mental health. Of note, this episode, and the article below is for information purposes only and we recommend talking with a specialist doctor when considering what is the risk and benefits of particular medications in an individual's specific situation. Link to blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-184-pregnancy-planning-for-patients-taking-psychiatric-medications-or-with-a-mental-health-history
Xylazine, Methamphetamines, Bath Salts, and Spice with Dr. Cummings
I am thrilled to continue our podcast series on addiction, designed to meet the one-time, 8-hour training requirement introduced by the Consolidated Appropriations Act of 2023. This mandate applies to all practitioners registered with the Drug Enforcement Administration (DEA), and our series primarily focuses on the treatment and management of patients with substance use disorders. Link to blog here.
Opioid Use Disorder with Dr. Cummings
This week’s episode is on opioid use disorder and is the second in our series on addiction. We are once again joined by Dr. Michael Cummings. Dr. Puder and Dr. Cummings discuss the history of opioids, the neurobiology of addiction, risk factors for opioid use disorder, and treatment options. Link to blog here.
Alcohol Use Disorder with Dr. Cummings
In this week’s episode of the podcast, we interview Dr. Michael Cummings, a psychiatrist, researcher, and associate professor at Loma Linda University. This podcast is the first of a series on addiction and the focus of this week’s episode is on alcohol use disorder. In this episode, Dr. Puder and Dr. Cummings dive into the history of alcohol use, vulnerabilities and mechanisms responsible for the development of alcohol use disorder and its related neurobiological circuits, and common pharmacological, psychotherapeutic, and behavioral interventions and treatments for alcohol use disorder. Link to blog here.
Psychotherapy for Psychosis with Dr. Michael Garrett
In this week's episode of the podcast, we interview Dr. Michael Garrett, Professor Emeritus of Clinical Psychiatry and former Vice Chair and Director of Psychotherapy Education at SUNY Downstate Medical Center, Brooklyn, NY. He also wrote a book called, Psychotherapy for Psychosis: Integrating Cognitive-Behavioral and Psychodynamic treatment. He is husband to the prior beloved presenter, Dr. Nancy McWilliams. In this episode, we will discuss how psychotherapy can be effective for patients experiencing psychosis. Full blog here.
Exercise & Mental Health 2023 Update
In a previous episode of the podcast, we discussed exercise for the brain, reviewing the pathophysiology between exercise and dementia, the pathophysiological mechanisms associated between low skeletal muscle mass and cognitive function, exercise as a treatment, and cardiorespiratory fitness and its relationship to all-cause mortality. In today’s episode, we look at the extensive research available on these subjects. Link to blog here.
Red Face: Social Anxiety with Russell Norris
From childhood, Russell experienced intense social anxiety to the point that, on more than one occasion, he discontinued certain extracurricular activities and socially normal gatherings to avoid it. Red Face is a narrative of his struggles with this social anxiety, the accompanying idiopathic craniofacial erythema (uncontrollable blushing), and the many successful and unsuccessful coping mechanisms he has attempted over the years. In today's episode, Russell shares his experience with social anxiety, which started at a young age and continued into adulthood. He will share what he does to overcome the often debilitating fear. Link to blog here.
How Anxiety Can Lead to Growth
In this week’s episode of the podcast, we interview Dr. Kirk Schneider, a psychologist, psychotherapist, and author of, Life-enhancing Anxiety: Key to a Sane World. Dr. Schneider is a practicing psychotherapist and director of the Existential-Humanistic Institute, a psychotherapy training institute. As a former mentee of the great existential psychologist Rollo May and a self-described existential-integrative psychotherapist, he has made significant contributions to the fields of humanistic psychology and existential psychology throughout his career. Link to blog here.
Microdosing LSD & Psilocybin: The Future of Psychiatry or Placebo?
The idea of using psychedelics to treat psychiatric symptoms has been approaching mainstream popularity thanks to podcasters like Joe Rogan, Tim Ferris, and Sam Harris. As interest in these substances continues to grow, so does the size of the online communities centered around this topic. While there is undoubtedly value in recognizing some of the claims being made about microdosing, it’s important to recognize where the literature currently stands and to identify where there are gaps in understanding. In this episode, Dr. David Puder and Liam Browning discuss the state of Microdosing in current research. Link to blog here.