Psychiatry & Psychotherapy Podcast

Inaccurate diagnosis of schizophrenia and/or missed diagnosis of affective disorders can lead to inappropriate and inadequate treatment; worsened outcomes can follow. Because schizophrenia is a complex condition with a broad range of signs and symptoms that also occur in other mental disorders, it can be difficult to differentiate it from other serious mental disorders, especially mood disorders. Notably, these other conditions should actually be ruled out before arriving at a diagnosis of schizophrenia. In this episode, Danielle Hairston, M.D. and Chantel Fletcher join the podcast to discuss the issue of overdiagnosis of schizophrenia in Black male patients, especially.

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In this first episode, I talk about my approach to seeing a new patient for the first time. I go over the importance of empathy and psychological safety in the first interview. I then go into how to do some of the components of a psychiatric history. I go into details on what parts are important and why. Please see my resource page for a full PDF of my notes and also the PDF of the document I give to patients prior to their first appointment with me.

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Editor: Arvy Wuysang

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In this episode of the podcast, we interview Dr. Herbert Harman, a psychiatrist who works as a practice line director for Vituity. We will be discussing “moral injury”, an emerging term defined as “perpetuating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations” (Griffin et al., 2019). Moral injury is similar to PTSD but has distinct differences. While it is often seen in military settings, various front-line careers also present opportunities for moral injury, including psychiatry.

Schema therapy is a model of psychotherapy that was originally designed for chronic mental health problems. It comes from the Cognitive Behavioral Therapy (CBT) tradition, but also integrates different arms of psychotherapy, such as elements from the Gestalt tradition, and also aspects of object relations theory. In this episode, we have an in-depth discussion about schema therapy, which has proven to be effective in treating borderline personality disorder (BPD), with Australian schema therapist, Andrew Phipps.

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In this episode, Dr. Puder interviews Jonathan Shedler, Ph.D. Their conversation covers the ideal length of therapy treatment, the efficacy of psychodynamic therapy, and the role of psychodynamic processes in multiple therapeutic modalities.

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