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PODCAST

How to Be Patient

You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone engage with. From better understanding our patients’ (and our own) relationships with their conditions

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All Episodes

85:07

The Heart of Psychiatry

How to Be Patient ·

2025/06/23

This might be our nerdiest episode yet—and that’s saying something. In our Season 2 kickoff, Margaret and I sit down with Dr. Margo Funk, psychiatrist and QTC whisperer, to explore the strange, stressful overlap between psychiatry and cardiology. We talk about our worst fears on call, how to spot when an EKG is lying to you, and why it might be time to stop blaming Haldol and start looking at your T wave. There are metaphors involving horses, guns, Timberlake, and Kool-Aid. Somehow, it all makes

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48:49

How It Started, How It’s Going: Season 1 Wrap-Up

How to Be Patient ·

2025/05/26

Season 1: complete! In this wrap-up episode, Margaret and I reflect on what it’s been like building this show from scratch—while also being full-time psychiatry residents. We talk about favorite episodes, unexpected challenges, what we’re still figuring out, and what’s ahead for Season 2. We also answer listener questions about training, creativity, psychedelics, and the eternal search for balance when your brain wants art and your calendar says “clinic.” There’s some honesty, some gratitude, and a

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58:19

Couples and Sex Therapy: Myths and Truths (Part 2)

How to Be Patient ·

2025/05/19

In Part 2 of our conversation with Dr. Nikki Haddad, we went from couples therapy theory to Simpsons cosplay, and yes—it was as chaotic and illuminating as it sounds. Margaret and I roleplay Homer and Marge in a fictional session while Nikki breaks down what’s actually happening between us (emotionally, not just cartoonishly). Along the way, we talk about heteronormativity, escapism, parenting exhaustion, and the red flags that get mistaken for romance. It’s part improv, part therapy, part meltdown

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63:26

Couples and Sex Therapy: Myths and Truths (Part 1)

How to Be Patient ·

2025/05/12

In this episode, we sat down with Dr. Nikki Haddad—Margaret's residency best friend, couples and sex therapist, and one of the most thoughtful psychiatrists I know—to break down what makes romantic relationships so damn hard. We get into myths we’ve carried (and tried to shake), how sexual issues are rarely just about sex, and why our training in medicine doesn’t prepare us to talk about any of this. Nikki then walks us through the five developmental stages of a relationship and this is only Part 1

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56:44

Q&A from YOUR listener submissions

How to Be Patient ·

2025/05/05

We opened up the inbox and wow… y’all really came through. In this first-ever Q&A episode, Margaret and I answer your questions about coping during med school, surviving feedback, dealing with emotional exhaustion in residency, and why outpatient goodbyes feel like actual breakups. I also overshare about marathon training (again), Margaret brings the wisdom and the theater metaphors, and we all learn what bald eagles actually sound like. It’s a mix of serious, strange, and unexpectedly

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77:09

Is Trauma Stuck in My Hips?

How to Be Patient ·

2025/04/28

This week, I learned I have a pelvic floor. And yes, I realize I’m a doctor and should’ve known that already. Margaret and I talk with pelvic floor physical therapist and viral educator Dr. Alicia Jeffrey-Thomas, who somehow made me breathe through my butt on mic. We cover everything from incontinence and pelvic pain to TikTok fame, trauma-informed care, and the surprisingly emotional world of core stability. Alicia breaks down the science and the stigma behind one of the most misunderstood parts of

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4:35

Trying to Meditate: Part II

How to Be Patient ·

2025/04/24

In the last episode, Preston demonstrated to Margaret how to properly conduct a mindfulness meditation session. Due to popular demand, the sage spiritual guide is back.Takeaways: Preston can’t lead a meditation Margaret shouldn’t let him try — Watch on YouTube: @itspresro Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc. — Produced by Dr Glaucomflecken & Human Content Get in Touch: howtobepatientpod.com Music: “Peaceful, Reiki, Meditation, Calm, Healing Music [ NO COPYRIGHT ]” by Moon

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77:31

Our Favorite Coping Skills for Working in Stressful...

How to Be Patient ·

2025/04/21

In Episode 16, Preston and Margaret dive into the chaos of overnight residency, the reality of sleep deprivation, and how mindfulness can backfire when your brain just won’t sit still. From ruined meditations to hot girl walks through hospital hallways, they unpack what real-world coping actually looks like—before, during, and after the hardest moments. Takeaways: Coping doesn’t always look like calm. Sometimes it looks like sour gummy worms, a midnight hospital lap, or an espresso ritual that

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94:00

Alcohol: Examining Alcohol culture, history, and use...

How to Be Patient ·

2025/04/14

In Episode 15, Preston and Margaret open a bottle—of questions, stories, and science—about alcohol use disorder. What do we get wrong about “moderate” drinking? Why is detox more dangerous than most people realize? And how does alcohol quietly reshape identity, relationships, and the brain itself? With their signature blend of honesty and humor, they explore the unexpected ways drinking shows up in medicine, the myths that keep us stuck, and the messy, meaningful path to redefining

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83:57

Social Anxiety & the Loneliness Epidemic

How to Be Patient ·

2025/04/07

In Episode 14, Preston and Margaret dive into social anxiety disorder and the loneliness epidemic. From embarrassing childhood memories to awkward club encounters, they explore how social anxiety shows up in everyday life and how it differs from normal nerves. They also discuss the surgeon general’s definition of loneliness, the role of social media in increasing perceived judgment, and the neuroscience behind facial recognition, fear responses, and serotonin's impact on the amygdala

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87:38

Marathoning and Mental Health

How to Be Patient ·

2025/03/31

In this episode, Preston and Margaret take a deep dive into the science of running, exercise culture, and its impact on mental health. They explore the history of running, how it went from an obscure activity to a cultural phenomenon, and the physiological and psychological mechanisms that make it such a powerful mental health tool. They also unpack the identity crisis that can come with being an athlete, how running became the millennial version of church, and why dance might actually be a better

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91:01

Parasocial Relationships, Social Media, & How Art Can...

How to Be Patient ·

2025/03/24

In this episode Margaret takes the lead as she welcomes art therapist, psychotherapist, and author Amelia Knott to discuss the ethics of being online, parasocial relationships, and the impact of social media on mental health. We explore the blurred lines between personal and professional identities in digital spaces, the therapeutic power of art, and how social media fosters both connection and disconnection. Takeaways: Parasocial Relationships Feel Real—But Aren’t Always Balanced: The one-sided

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84:27

ADHD, Misinformation, and the Chaos of Online Mental...

How to Be Patient ·

2025/03/17

In this episode we are joined by Priyanka Patel, a pharmacist, content creator, and soon-to-be author, to discuss mental health misinformation, ADHD, and the challenges of navigating online discourse about mental health. Priyanka shares her personal journey with ADHD, the barriers she faced in getting a diagnosis, and how social media both helps and harms conversations about neurodivergence. Takeaways: Not All Mental Health Content is Created Equal: Social media is full of both helpful education

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68:00

Genetic Counseling (How to Approach the Unknown)

How to Be Patient ·

2025/03/10

In this episode we sit down with genetic counselor Julia Castro to demystify the world of genetic testing and counseling. They explore how genetic information can help (or sometimes confuse) patients, why more testing isn't always better, and the ethical dilemmas of knowing too much about your future health. Takeaways: Genetic Counseling is More Than Just Testing: It’s about helping patients navigate uncertainty, understand their risks, and make informed decisions about their health and their

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71:29

Cannabis and Coping: A Mixed Relationship

How to Be Patient ·

2025/03/03

In this episode Preston and Margaret explore the endocannabinoid system, cannabis, and its impact on mental health. They break down the science behind CB1 and CB2 receptors, explain why marijuana affects people so differently, and discuss the complex relationship between THC, CBD, and dopamine. Along the way, they tackle myths about cannabis use, addiction, and medical marijuana, shedding light on what we actually know—and what remains a mystery due to historical barriers to research

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96:21

Motivational Interviewing

How to Be Patient ·

2025/02/24

In this episode Preston and Margaret are joined by Dr. David Roberts to explore the fascinating world of motivational interviewing (MI)—a counseling technique designed to help patients navigate ambivalence and commit to meaningful change. Dr. Roberts shares insights from his years of experience training psychiatrists and therapists, breaking down MI into practical techniques that anyone can use to foster deeper, more effective conversations. We even do a fake therapy session with our producer Aron

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94:52

Treating Back Pain and Trending on Tik Tok

How to Be Patient ·

2025/02/17

In this episode Preston and Margaret welcome their first guest, neurosurgeon and content creator Dr. Betsy Grunch (aka Lady Spine Doc), for a deep dive into pain—how we treat it, how we misunderstand it, and how the system often fails those who experience it. Takeaways: Pain Is Not Just Physical: Chronic pain isn’t just about physical damage—it involves neurological, psychological, and emotional factors that make treatment complex. Back Surgery Isn’t Always the Answer: Failed back surgery syndrome

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79:18

Exercise, Nutrition and Mental Health

How to Be Patient ·

2025/02/10

In this episode Preston and Margaret take a deep dive into the complex relationship between exercise and mental health. They discuss the science behind how movement impacts the brain, debunk common myths about fitness, and explore the psychological barriers that prevent people from incorporating exercise into their lives. Takeaways: Exercise Impacts Mental Health Bi-Directionally: Movement not only improves mental health, but mental health conditions can also act as barriers to engaging in

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78:45

ADHD In the Media

How to Be Patient ·

2025/02/03

In this episode Preston and Margaret tackle one of the most talked-about topics in mental health today—ADHD. From the historical roots of the diagnosis to the impact of modern social media trends, they explore how our understanding of ADHD has evolved over time. They discuss the challenges of diagnosing ADHD in both children and adults, the role of social media in spreading information (and misinformation), and the real-life impact of the disorder. Takeaways: ADHD Has Deep Historical Roots: The

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82:07

Rapport Building

How to Be Patient ·

2025/01/27

In this episode Preston and Margaret explore the complex concept of rapport in healthcare. They reflect on the challenges of building meaningful connections with patients and the impact these relationships have on medical outcomes. From awkward early encounters in medical school to techniques they've developed as psychiatry residents, this episode unpacks what it means to truly connect. Takeaways: Rapport Is More Than Liking: Building rapport isn’t just about being liked; it’s about creating

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