Adverse Early Life Experiences

11/25/21 • 27 min

In this episode, Dr. Virani and her guests, Dr. Qayyum and Dr. Conrad, focus on the impact of Adverse Child Experience (ACE) and Adverse Early Life Experiences (AELEs) on mental health and provide some insights through case discussions about the downstream impact of these experiences.

Subjects discussed

Inability to trust and build safe relations by victims of early childhood experiences

The effect of trauma on the social determinants of mental health as an adult

Post-traumatic growth

Unpredictable behavior of parents

The power of close good relationships for a victim of ACE.

This episode is the second in a series covering the social determinants of mental health.

Dr. Zheala Qayyum is the Training Director for the Child and Adolescent Psychiatry Fellowship Program and the Medical Director of the Emergency Psychiatry Services at Boston Children’s Hospital/Harvard Medical School. She also serves as an officer in the United States Army reserves medical corps

Dr. Rachel Conrad is a Child and Adolescent Psychiatrist at Brigham and Women’s Hospital. She is now director of the Child Psychiatry Track in the BWH/ HMS Psychiatry Residency Program.

Listen to this podcast on your favorite podcast platform or here

Other APA podcasts

Social Determinants of Mental Health book

Subjects discussed

Inability to trust and build safe relations by victims of early childhood experiences

The effect of trauma on the social determinants of mental health as an adult

Post-traumatic growth

Unpredictable behavior of parents

The power of close good relationships for a victim of ACE.

This episode is the second in a series covering the social determinants of mental health.

Dr. Rachel Conrad is a Child and Adolescent Psychiatrist at Brigham and Women’s Hospital. She is now director of the Child Psychiatry Track in the BWH/ HMS Psychiatry Residency Program.

Listen to this podcast on your favorite podcast platform or here

Other APA podcasts

Social Determinants of Mental Health book

Previous Episode

Social Exclusion and Isolation

In Eleanor Rigby, the Beatles lament about loneliness and isolation and challenge us to “look at all the lonely people”. In this episode, Dr. Virani invites Dr. Dolores Malaspina and Dr. Luca Pauselli to explore social exclusion and insolation and its effects on mental health through case studies. Join us on the first episode of a new season of Finding Our Voice covering the social determinants of mental health.

In this episode

Jumbo, the elephant, and isolation of caged animals

DSM-5 code 62.4

Social isolation and exclusion during the pandemic

Loneliness and schizophrenia study published in Psychiatric Research

Loneliness and its effect on the body

Biological pathways and the social determinants of mental health.

Dr. Dolores Malaspina is the chair of the research and education workgroup of the current Presidential taskforce on Social Determinants of Mental Health chaired by Dr. Dilip Jeste. Dr. Malaspina directs the Psychosis Program called Critical Connections at the Icahn SM Mount Sinai where she is a Professor of Psychiatry, Neuroscience, and Genetics & Genomics and the Vice-Chair for DEI. She was previously the Steckler Professor and Chairman of the NYU/Bellevue psychiatry departments, where she founded and directed a multidisciplinary program for research and training (Institute of Social and Psychiatric Initiatives- InSPIRES).

Dr. Luca Pauselli is a PGY3 in the Mount Sinai Morningside/West psychiatry residency program. Luca completed medical school and a residency in Italy.

This podcast is subject to the Terms of Use at www.psychiatry.org. The views and opinions expressed in this podcast are those of the individual speakers only and do not necessarily represent the views of the American Psychiatric Association, its officers, trustees, or members. The content of this podcast is provided for general informational purposes only and is not intended as, and shall not be understood or construed as, medical or any other type of professional advice nor does it represent any statement of the standard of care. We strongly recommend that any listener follow the advice of physicians directly involved in their care and contact their local emergency response number for any medical emergency. The information within this podcast is provided as-is and is not guaranteed to be correct, complete, or accurate.

Next Episode

Exposure to War, Violence, Shootings, and the Impact of Migration

Dr. Virani focuses on exposure to war, violence, shootings, and the impact of migration. These migrants are forced to flee from their homes due to threats of violence and death due to cultural or religious beliefs. Just as traumatic for these individuals is the ability to adapt and be accepted in their new homes.

Discussed in the episode:
Cultural Psychiatry
Pre-migration stressors
Post Migration stressors
Misdiagnosis of mental health issues in the migrant population
Tips for diagnosing and working with refugees
The emergence of compulsive symptoms years after trauma
The importance to individualize each case.
Trust in leaders of the community
Working with the religious communities to identify mental health issues

Today's guests

Dr. G. Eric Jarvis is an Associate Professor of Psychiatry at McGill University and Director of the Cultural Consultation Service, the First Episode Psychosis Program, and the Culture and Psychosis Working Group at the Jewish General Hospital.

Dr. Victor Pereira-Sanchez is a child, adolescent, and adult psychiatrist based in New York. He obtained his medical degree (MD) in 2014 at Universidad de Navarra, in Spain, where he also completed a clinical residency program in psychiatry in 2019 and received his Ph.D. in 2021.