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PODCAST

Psychopharmacology and Psychiatry Updates

Psychopharmacology Institute

Practical psychopharmacology updates for mental health clinicians. Useful for psychiatry / mental health professionals. Expert interviews and soundbites from CME presentations. Practical and free of commercial bias. Not sponsored by any pharmaceutical company.

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All Episodes

13:04

Breastfeeding and Estimating Infant Drug Exposure

Psychopharmacology and Psychiatry Updates ·

2021/12/13

This episode discusses drug use in breastfeeding and how to estimate infant exposure with the milk-to-plasma ratio and the relative infant dose. Learn when these calculations can be helpful. Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D.; Lorena Rodríguez M.D. Learn more about our memberships here Earn 1 CME: Understanding the Use of Psychotropic Drugs in Lactation Estimating Infant Exposure

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10:34

A Method for Tapering Antipsychotics

Psychopharmacology and Psychiatry Updates ·

2021/12/08

When tapering antipsychotics, conceptualize the process as "finding a new minimum effective dose." This could take months, likely years. This episode features some dose examples. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D., Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 29 A Method for Tapering Antipsychotic Treatment That May Minimize the Risk of Relapse

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13:07

Management of Psychiatric Comorbidities With Alcohol...

Psychopharmacology and Psychiatry Updates ·

2021/12/03

This episode discusses the prevalence and management of psychiatric comorbidities with alcohol use disorder. Learn some strategies for treating alcohol use disorder and comorbid depressive and anxiety disorders. Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D., Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: What Clinicians Need to Know About Alcohol Use Disorder Psychiatric Comorbidities With Alcohol Use Disorder: Prevalence and Management

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18:39

Tips for Treating Perimenopausal Depression

Psychopharmacology and Psychiatry Updates ·

2021/11/28

If your patient has perimenopausal depression, what are the treatment options? This podcast explains different treatment options, such as antidepressants, hormone therapy, and psychotherapy. It also addresses some strategies for managing vasomotor symptoms. Guest: Vivien Burt, M.D.; Interviewer: Mohan Gautam, D.O. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Blue Moods and Hot Flashes: Treating Perimenopausal Depression -

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15:48

Naltrexone, Acamprosate, and Disulfiram for Alcohol Use ...

Psychopharmacology and Psychiatry Updates ·

2021/11/23

This episode discusses medications for alcohol use disorder, such as naltrexone, acamprosate, and disulfiram. It explains their clinical effects, the goals and benefits of treatment, side effects, liver function monitoring, precautions, contraindications, and dosing. Finally, it emphasizes the patient factors to consider when choosing a treatment. Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D., Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: What Clinicians Need to

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10:15

Subclinical Hypothyroidism in Depressed Adolescents

Psychopharmacology and Psychiatry Updates ·

2021/11/18

From the various references cited in this episode, the metamessage is clear: Thyroid hormone belongs in the treatment toolkit of psychiatric specialists, and monitoring of TSH is our responsibility. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 28 Increased Prevalence of Subclinical Hypothyroidism and Thyroid Autoimmunity in Depressed Adolescents: Results From a Clinical Cross-Sectional Study in

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07:33

Principles for Managing Alcohol Use Disorder

Psychopharmacology and Psychiatry Updates ·

2021/11/13

This episode discusses the 3 approaches in the treatment of substance use disorders: Medications for alcohol use disorder, counseling, and 12-Step facilitation. Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D., Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: What Clinicians Need to Know About Alcohol Use Disorder Clinical Principles on Managing Alcohol Use Disorder

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08:36

ECT for Depressed Patients With Borderline...

Psychopharmacology and Psychiatry Updates ·

2021/11/08

Previous recommendations and even APA guidelines have suggested that electroconvulsive therapy for depression is not as effective for patients with borderline personality disorder as it is for those without. This retrospective analysis of data from McLean Hospital suggests this assumption is not correct. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 28 Treatment Outcomes of Electroconvulsive Therapy

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08:58

Assessing and Treating Alcohol Withdrawal

Psychopharmacology and Psychiatry Updates ·

2021/11/03

This episode discusses alcohol withdrawal symptoms and consequences, including delirium tremens, management of alcohol withdrawal, and when to use symptom-triggered therapy or fixed-dose regimens. Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D., Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: What Clinicians Need to Know About Alcohol Use Disorder Consequences of Alcohol Use Disorder: Withdrawal

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18:42

Lab Tests in Psychopharmacology

Psychopharmacology and Psychiatry Updates ·

2021/10/29

Laboratory testing is essential in the practice of psychopharmacology. For example, which parameters should be monitored in patients taking carbamazepine, TCAs, atypical antipsychotics, or esketamine? Guest: Sandra Jacobson, M.D.; Interviewer: Mohan Gautam., D.O. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Laboratory Testing in the Practice of Psychopharmacology - Interview with Sandra A. Jacobson, M.D.

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09:09

Technology-Facilitated Adherence Enhancement and...

Psychopharmacology and Psychiatry Updates ·

2021/10/24

This episode discusses technology-facilitated adherence enhancement, including text messaging, a wireless system to track adherence, and the evidence of technology-facilitated adherence for patients with bipolar disorder. It also addresses an ecological momentary intervention and the involvement of family in treatment adherence. Faculty: Martha Sajatovic, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Psychotropic Drug Adherence

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09:48

Drug-Induced Hyperthermic Syndromes in Psychiatry

Psychopharmacology and Psychiatry Updates ·

2021/10/19

When a patient presents with markedly elevated temperature and altered mental status, is it neuroleptic malignant syndrome or serotonin syndrome? If you do not have a medication list, some clinical signs may help. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 27 Drug-Induced Hyperthermic Syndromes in Psychiatry

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08:34

How to Improve Adherence: Targeting Reasons for...

Psychopharmacology and Psychiatry Updates ·

2021/10/14

This episode discusses how to improve psychotropic drug adherence by targeting the reasons for nonadherence. It also discusses a 3-tiered approach to enhancing adherence, a patient questionnaire to evaluate the reasons for not taking medications, the top reasons for poor antipsychotic adherence, and the positive aspects of taking medications. Finally, it explains other approaches to improve adherence, such as simplifying the dosing regimen. Faculty: Martha Sajatovic, M.D. Hosts: Jessica Diaz, M.D.;

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09:41

Esketamine: Postmarketing Safety Concerns

Psychopharmacology and Psychiatry Updates ·

2021/10/09

How risky is esketamine? In this episode, we examine the safety of esketamine using postmarketing data that have been reported since the drug was approved and released. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 27 Postmarketing Safety Concerns With Esketamine: A Disproportionality Analysis of Spontaneous Reports Submitted to the FDA Adverse Event Reporting System

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10:27

Nonadherence: Adverse Drug Reactions and Measuring...

Psychopharmacology and Psychiatry Updates ·

2021/10/04

This episode discusses an algorithm for assessing adherence; the reasons for suboptimal adherence, including adverse drug reactions; measuring perceived side effects with the FIBSER scale; and how to help individuals communicate with providers about side effects. Faculty: Martha Sajatovic, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Psychotropic Drug Adherence Nonadherence: Adverse Drug Reactions, Measuring Perceived Side Effects With

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16:57

Neurocovid: Pharmacologic Recommendations for...

Psychopharmacology and Psychiatry Updates ·

2021/09/29

Delirium has been frequently found in patients who test positive for COVID-19. It has additional features that we do not typically see in ordinary delirium. The critical question is: How do you manage these patients? Guest: Scott Beach, M.D. Interviewer: Wegdan Rashad, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Neurocovid: Pharmacological recommendations for delirium associated with COVID-19 - Interview with Scott R. Beach, M.D.

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12:30

How to Assess Psychotropic Drug Adherence

Psychopharmacology and Psychiatry Updates ·

2021/09/24

This episode discusses the assessment of adherence: Self-report, electronic medication monitoring systems, rating scales, medication possession ratio, questions for assessing medication adherence, and the recommended frequency of adherence monitoring. Faculty: Martha Sajatovic, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Psychotropic Drug Adherence Assessing Adherence: Self-Report, Rating Scales, Medication Refills, Automated Pill-Taking

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09:50

Citalopram for Acute and Preventive Efficacy in...

Psychopharmacology and Psychiatry Updates ·

2021/09/19

A new randomized trial suggests that the efficacy of antidepressants for the treatment of bipolar depression is no greater than placebo. This tips the meta-analytic balance scale, which already pointed in this direction. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 26 Citalopram for Acute and Preventive Efficacy in Bipolar Depression (CAPE-BD): A Randomized, Double-Blind, Placebo-Controlled

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08:15

Delirium, Catatonia, and COVID-19

Psychopharmacology and Psychiatry Updates ·

2021/09/14

This podcast offers a discussion on catatonia and delirium as well as treatments for their co-occurrence. Treatments discussed include benzodiazepines, amantadine, and memantine. We also address the management of COVID-19 delirium with antipsychotics. Faculty: Scott Beach, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Management of Delirium Special Considerations in Delirium: Catatonia and COVID-19

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08:10

Effects of Psilocybin-Assisted Therapy on Major...

Psychopharmacology and Psychiatry Updates ·

2021/09/09

Is psilocybin a potential treatment for major depression? There's certainly been a lot of press coverage, but to date, the reports are largely open trials in a variety of conditions, including OCD, substance use, PTSD, and patients with cancer and psychological distress. Against that backdrop, a randomized trial of psilocybin for major depression is an exciting new step. Faculty: Jim Phelps, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs:

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