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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

14:50

Dopamine and Depression: Clinical Considerations

Psychopharmacology and Psychiatry Updates ·

2021/09/04

This podcast features a discussion on the need to highlight anhedonia and anergia as core symptoms of depression. We also cover the clinical utility of MAOIs in treating patients with melancholic or biological depression and Parkinson's disease. Guest: Ken Gillman, 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: Dopamine and Depression: Clinical Considerations - Interview with Ken Gillman, M.D.

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19:16

Haloperidol, Chlorpromazine, and Atypical...

Psychopharmacology and Psychiatry Updates ·

2021/08/30

This podcast offers a discussion on the use of antipsychotics for managing delirium. Topics covered include: Choosing an antipsychotic, the advantages of IV haloperidol, different dosing strategies, and concerns regarding QT prolongation. We also examine chlorpromazine, olanzapine, quetiapine, and aripiprazole for managing delirium. 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 Haloperidol,

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10:02

New Somatic Treatments for Child and Adolescent...

Psychopharmacology and Psychiatry Updates ·

2021/08/25

First-line treatments for child and adolescent depression are cognitive–behavioral therapy, interpersonal therapy, fluoxetine, and escitalopram. What works besides routine first-line approaches? This episode discusses options to consider: Pharmaceuticals, nutraceuticals, somatomotor techniques (e.g., yoga), and neuromodulatory tools (e.g., ECT and TMS). 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. 25

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04:56

Management of Delirium: Nonpharmacologic Strategies

Psychopharmacology and Psychiatry Updates ·

2021/08/20

This episode discusses nonpharmacologic management strategies for delirium, such as the ones included in the ABCDE bundle. 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 Management of Delirium: Nonpharmacologic Strategies

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09:18

Emerging Complementary and Integrative Therapies for...

Psychopharmacology and Psychiatry Updates ·

2021/08/15

Are there any alternative medicine treatments that might be useful for your geriatric patients? We examine the evidence base for diet, herbal and nutritional supplements, and mind–body therapies for the prevention of dementia and the treatment of depression. 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. 25 Emerging Complementary and Integrative Therapies for Geriatric Mental Health

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10:20

Delirium: Assessment, Consequences, and Sequelae

Psychopharmacology and Psychiatry Updates ·

2021/08/10

This episode discusses the assessment of delirium. This includes: EEG and neurological exam, cognitive dysfunctions present in delirium, recommended testing, differential diagnoses, and the consequences of delirium. 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 Delirium: Assessment, Consequences and Sequelae

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08:22

In Search of a Dose-Response Relationship in SSRIs

Psychopharmacology and Psychiatry Updates ·

2021/08/05

A meta-analysis of antidepressant doses and responses finds no evidence of improved outcomes with higher doses, just more side effects. However, this conclusion is based on fixed-dose comparison studies, which do not mirror the way we practice. Here we'll compare the lack of evidence for a dose-response relationship to your clinical practice. Faculty: Jim Phelps Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 24 In Search of a

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08:10

Valproate/Divalproex: Metabolism, Kinetics, and Warnings

Psychopharmacology and Psychiatry Updates ·

2021/07/31

This episode discusses valproate kinetics and sublinear kinetics, valproic acid levels, its absolute contraindications, and what to consider when using the package insert. Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues Valproate/Divalproex: Metabolism, Kinetics, and Warnings

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14:36

Managing Drug-Induced Movement Disorders

Psychopharmacology and Psychiatry Updates ·

2021/07/26

A practical discussion on akathisia, extrapyramidal symptoms (EPS), tardive syndromes, and acute dystonia. Guest: Gregory Pontone, 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: Drug-Induced Movement Disorders: The Clinical Essentials - Interview with Gregory Pontone, M.D.

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07:07

Drug Metabolism: The Importance of Child-Pugh...

Psychopharmacology and Psychiatry Updates ·

2021/07/21

This episode discusses the Child-Pugh scale to assess hepatic impairment. It also covers the FDA's position on the inclusion of drug metabolism data for various Child-Pugh stages and cirrhosis. Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues The Importance of Child-Pugh Classification for Staging Hepatic Impairment

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07:59

Impact of Smoking Behavior on Clozapine Blood Levels

Psychopharmacology and Psychiatry Updates ·

2021/07/16

Clozapine blood levels can be influenced by many factors. These include dose, gender, age, body weight, caffeine, medications, and of course, smoking. How much is the reduction in clozapine levels actually due to cigarette smoking? 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. 24 Impact of Smoking Behavior on Clozapine Blood Levels—A Systematic Review and Meta-Analysis

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12:27

The Child-Pugh Scale in Psychiatry

Psychopharmacology and Psychiatry Updates ·

2021/07/11

This episode discusses the Child-Pugh Rating Scale and how to interpret it, two clinical cases, and the use of paliperidone and lurasidone in patients with hepatic impairment (Child-Pugh C). Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues Rating Scales for Hepatic Dysfunction: Child-Pugh

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09:50

Managing Neuroleptic Malignant Syndrome: An...

Psychopharmacology and Psychiatry Updates ·

2021/07/06

How should we approach the management of neuroleptic malignant syndrome? What is the role of bromocriptine, dantrolene, and ECT? 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. 23 The Neuroleptic Malignant Syndrome—A Systematic Case Series Analysis Focusing on Therapy Regimes and Outcome

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12:26

Psychotropics and Hepatic Issues: Nonalcoholic Fatty...

Psychopharmacology and Psychiatry Updates ·

2021/07/01

How important are ALT and AST abnormalities when prescribing psychotropics? Should you adjust dosing in patients with elevated ALT and AST? Does inflammation alter drug kinetics? Faculty: Jonathan Meyer, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Use of Psychotropics in Patients With Hepatic Issues Diagnosis and Impact on Drug Metabolism of Nonalcoholic Fatty Liver Disease: Steatosis and Nonalcoholic Steatohepatitis

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06:46

Alzheimer's Disease: Can We Lower the Risk?

Psychopharmacology and Psychiatry Updates ·

2021/06/26

This meta-analysis is a useful reminder of risk factors to look for in your patients. You can also help them understand the long-term risks of Alzheimer's disease. 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. 23 Evidence-Based Prevention of Alzheimer's Disease: Systematic Review and Meta-Analysis of 243 Observational Prospective Studies and 153 Randomised Controlled Trials

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06:13

Binge Eating Disorder: Diagnosis and Treatment

Psychopharmacology and Psychiatry Updates ·

2021/06/21

How can you assess binge eating disorder? Which is the preferred screening instrument? What is the role of SSRIs, TCAs, and duloxetine? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Binge Eating Disorder (BED): Diagnosis and Treatment Overview

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14:34

Unipolar Depression: A Psychopharmacology Algorithm

Psychopharmacology and Psychiatry Updates ·

2021/06/16

What are the best treatment options for severe depression with melancholic features? Can you augment tricyclics? What is the preferred option for depression with mixed features? Guest: David Osser, M.D. Interviewer: Mohan Gautam, D.O. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.75 CMEs: An Algorithm for the Psychopharmacology of Unipolar Nonpsychotic Depression - Interview with David Osser, M.D.

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08:04

Bulimia Nervosa: Diagnostic and Treatment Essentials

Psychopharmacology and Psychiatry Updates ·

2021/06/11

When should you suspect bulimia nervosa? What is the role of antidepressants, topiramate, and ondansetron? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Bulimia Nervosa (BN): Diagnosis and Treatment Overview

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08:11

Primary Insomnia: Zolpidem, Behavioral Therapy and CBT-I

Psychopharmacology and Psychiatry Updates ·

2021/06/06

What are the best treatment options for primary insomnia? What is the role of behavioral therapy and zolpidem? 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. 22 Effectiveness of Sequential Psychological and Medication Therapies for Insomnia Disorder: A Randomized Clinical Trial

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10:20

Anorexia Nervosa: Diagnosis and Treatment

Psychopharmacology and Psychiatry Updates ·

2021/06/03

What diagnostic considerations should we keep in mind with anorexia nervosa? What are the most effective medications? Does zinc depletion play a role? Faculty: Timothy D. Brewerton, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Psychopharmacology of Feeding and Eating Disorders Never Too Thin: Anorexia Nervosa (AN) Diagnosis and Overview of Pharmacological Treatment

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