Psychiatry Boot Camp

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  A Practical Guide to the Psychiatry Match with Dr. Lia Thomas 27.07.2026 1ชม. 16นาที

  In this Season 5 premiere of Psychiatry Boot Camp, Dr. Mark Mullen welcomes Dr. Lia Thomas, Associate Program Director at UT Southwestern, co-lead psychiatry specialty advisor for medical students at UTSW, and co-chair of the Psychiatry Residency Application Advisor Group for ADMSEP , for a comprehensive, practical review of the psychiatry residency match process.  Speaking from both the program director's and specialty advisor's perspectives, Dr. Thomas addresses the questions medical students and their advisors most frequently encounter: how many programs to apply to, how to strategically deploy the 10 available program signals, what program directors actually weigh when screening applications, and what can silently sink a candidacy even after a strong application earns an interview. The conversation proceeds systematically through each major component of the ERAS application, including clerkship grades, board scores, the personal statement, meaningful experiences, research, away rotations, letters of recommendation, and academic "red flags," before turning to interview strategy for the virtual recruitment environment, post-interview communication, letters of intent, and the distinct considerations for couples matching, DO students, and international medical graduates.  Throughout, Dr. Thomas emphasizes that the match is a job application process governed by holistic review, and that the highest-yield investment an applicant can make is to know their application, know their competitiveness, and work closely with an advisor who can help them tell a coherent narrative about who they are. Takeaways: Psychiatry is meaningfully more competitive than a decade ago but remains well below the most competitive specialties like dermatology; applicants should consider targeting around 50 program applications, with 30–40 being appropriate for most students, as exceeding 50 produces diminishing returns on interview yield relative to cost. Program signals should be deployed strategically rather than on prestige alone. Stacking geographic preference with program signals communicates a compellingly specific intent to train in a region, while burning signals on top-ranked programs the applicant is unlikely to competitively match at represents poor return on investment. When screening ERAS applications for interview invitations, most program directors weigh clerkship grades and meaningful experiences above board scores, and letters of recommendation are nearly last, as they are largely homogeneous documents that speak more to the letter writer than the applicant. Academic and professional leaves or red flags must be addressed head-on in the application with a clear account of what happened, what was learned, and how the applicant will be a better physician because of it. Defensiveness or excessive detail are both contraindicated, and applicants should review this language with a trusted advisor or dean before submitting. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Psychiatry's Most Controversial Topics: Dr. Mark Mullen's Season 4 Retrospective with Dr. Preston Roche 29.06.2026 1ชม. 12นาที

  In this season finale of Psychiatry Bootcamp, Dr. Mark Mullen assumes the role of guest as he is interviewed by guest host Dr. Preston Roche, co-host of How to Be a Patient, in a wide-ranging retrospective on Season 4. Drawing on listener questions, critical feedback, and audience-submitted comments curated from Spotify, TikTok, Instagram, and email, the episode revisits the season's most clinically significant and intellectually provocative conversations, including sports psychiatry, meaningful psychotherapy, problematic screen use, decisional capacity, DSM reform, TMS, physician-assisted suicide, complex PTSD, mental illness in the carceral system, involuntary treatment, and the role of artificial intelligence in the future of the field. Takeaways: The most important goal of psychotherapy is not symptom reduction but meaningful psychological change, the kind that reshapes a patient's self-understanding and relational patterns, a distinction that is largely absent from psychiatric residency training and deserves far greater clinical emphasis. Psychiatric diagnoses have clear on-ramps but almost no off-ramps; clinicians should communicate to patients that meeting criteria for a disorder at one point in time does not mean they will require lifelong treatment, and should revisit diagnostic labels rather than carrying them forward indefinitely. When conducting a decisional capacity assessment in a consultation-liaison setting, identifying all stakeholders and clarifying what the requesting team would actually do with the result often renders a formal capacity determination unnecessary and prevents unnecessary clinical and ethical conflict. Delivering a personality disorder diagnosis in a brief inpatient or consultation encounter risks doing more harm than good; offering psychoeducation about personality organization and a referral to evidence-based psychotherapy, such as dialectical behavior therapy, may better serve the patient without prematurely affixing a label. The Tarasoff doctrine, by requiring psychiatrists to disclose patient communications under specific threat conditions, may inadvertently suppress the very disclosures that would enable early intervention, particularly in patients at risk for suicide who avoid honesty with their treaters precisely because they fear the legal consequences of that honesty. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Inside Sports Psychiatry with Dr. David McDuff 15.06.2026 1ชม. 15นาที

  In this episode of Psychiatry Bootcamp, Dr. Mark Mullen welcomes Dr. David McDuff, the "grandfather" of sports psychiatry, to examine the origins, clinical framework, and practical application of this rapidly evolving subspecialty. Dr. McDuff brings more than three decades of experience as team psychiatrist for the Baltimore Orioles and Baltimore Ravens, alongside service on the International Olympic Committee's Mental Health Working Group, to offer a uniquely authoritative perspective on mental health care in elite sport. Takeaways: The sports psychiatrist functions as an embedded, on-site clinician whose brief, informal interactions in training rooms and on practice fields carry genuine therapeutic weight, producing athlete utilization rates of 25–35%, five to seven times the standard employee assistance program benchmark. Dr. McDuff treats the athlete's brain as neurobiologically sensitive, initiating all psychiatric medications at or below the lowest standard doses and preferring slow-titration combination pharmacotherapy over high-dose monotherapy to maximize adherence and harness placebo effect. Common therapeutic factors like engaging a support system can be especially effective in athletes and especially difficult to initiate due to stimga. Therapeutic use exemptions do not require a prior trial of non-stimulant agents, stimulants remain guideline-concordant first-line treatment for ADHD in athletes, and withholding them without clinical justification constitutes a lower standard of care. Clinicians seeking formal training in sports psychiatry can pursue a 27-module certificate through the International Society of Sports Psychiatry (https://sportspsychiatry.org/) or board certification through the American Board of Sport and Performance Psychiatry, which now offers three distinct pathways for medical students, residents, and experienced clinicians. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Meaningful Psychotherapy: Psychoanalytic Principles in Modern Psychotherapy with Dr. Jonathan Shedler 01.06.2026 1ชม. 7นาที

  In this profound episode of Psychiatry Boot Camp, host Dr. Mark Mullen sits down with world-renowned researcher and clinician Dr. Jonathan Shedler. Moving beyond the "alphabet soup" of modern modalities, Dr. Shedler argues for a return to the foundational psychoanalytic principles that constitute the "trunk and roots" of all effective talk therapy.  The discussion challenges the standard medical model of "diagnose and prescribe," urging psychiatrists to unlearn passive history-taking in favor of a collaborative partnership that traverses into the unknown. From critiquing the superficiality of "therapy speak" and the "first aid" nature of short-term institutional treatments to highlighting the vital roles of personal therapy and high-quality supervision, Dr. Shedler offers a rigorous roadmap for practitioners seeking to restore the soul of psychiatry. Takeaways: Traversing the Unknown: Real psychological change requires both patient and therapist to abandon familiar, repetitive patterns and enter an unscripted, shared space of discovery.Partnership vs. Procedure: Meaningful therapy is a collaborative partnership where the clinician is not an all-knowing expert performing a procedure on a passive patient, but a participant-observer figuring out the problem together.Aptitude and Experience: Developing clinical expertise requires three pillars: inherent aptitude for the work, the clinician’s own personal psychotherapy, and high-quality, non-administrative clinical supervision.The "Fever" Metaphor: Symptoms like depression and anxiety are non-specific responses to underlying difficulties; meaningful treatment identifies the cause of the "fever" rather than just providing symptom-suppressing "aspirin".The Danger of Therapy Speak: Popular cliches like "your feelings are valid" or "toxic narcissist" often act as intellectual defenses that bypass the hard work of understanding specific, particular experiences.Dose and Duration: Research suggests that meaningful, life-shifting psychological change typically begins around six months of weekly treatment, contrasting sharply with the 12-session models common in institutional settings. SUPPORT OUR PARTNERS: Head to cozyearth.com and use my code BOOTCAMP for up to 30% off — but only for a limited time. This exclusive offer runs from May 18th through June 1st only, so don't wait. Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  BONUS: Call for Submissions: Shaping the Season Four Final Forum 25.05.2026 1นาที

  In this brief bonus segment of Psychiatry Boot Camp, host Dr. Mark Mullen steps into the feed with a direct request from you...the listenters. As Season Four approaches its conclusion, the platform is shifting its final episode to a peer-responsive format driven entirely by listener inputs. Dr. Mullen notes that the season has featured highly controversial topics and that he frequently abandoned an unbiased stance to take explicit clinical positions. Psychiatrists, residents, and mental health professionals are invited to submit their critiques, follow-up questions on any covered material, or general psychiatry queries to be read and answered on the air. Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Identifying and Addressing Problematic Screen Use with Dr. Justin Romano 18.05.2026 1ชม. 3นาที

  In this episode of Psychiatry Boot Camp, host Dr. Mark Mullen is joined by Dr. Justin Romano, a child and adolescent psychiatrist and host of the Millennial Mental Health Channel.  Dr. Romano explores the burgeoning crisis of screen dependence and technology addiction, drawing parallels between cell phone use and traditional substance use disorders. The discussion highlights how addictive design, powered by algorithms and AI, hijacks the dopamine reward pathways in children’s plastic, developing brains. Dr. Romano provides a sobering look at societal consequences, from the rise of "technology a-motivation syndrome" and extreme emotional dysregulation in schools to the isolation of the "loneliest generation".  Moving beyond diagnosis, the episode offers concrete family strategies, such as the "DJ Khaled approach", and a call for robust public health policies to hold tech companies accountable for the digital wellbeing of the next generation. Takeaways: Addiction by Design: Smartphones and social media apps are psychologically engineered to be as addictive as possible, utilizing dopamine hits to create dependency similar to gambling.Vulnerability of Developing Brains: Children are at higher risk because their frontal lobes are not fully developed, making it harder to resist the allure of screens and predisposing them to lifelong addiction patterns.Loneliness and Sedentary Trends: Despite being "connected," Gen Z is the loneliest generation in history, often substituting deep, in-person relationships with superficial online interactions that lead to isolation and physical inactivity.Technology A-Motivation Syndrome: Excessive screen time (often 8+ hours daily) can lead to a lack of drive for real-world hobbies, interests, or social engagement.The "DJ Khaled" Clinical Strategy: Clinicians can ally with patients by framing tech companies, not parents, as the "they" that "doesn't want you to win," helping to reduce power struggles and promote self-regulation.Parental Role Modeling: A major modulator of a child's emotional regulation is their parents' own screen use; even 45 minutes of daily screen-free family time can improve outcomes. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Head to cozyearth.com and use my code BOOTCAMP for up to 30% off — but only for a limited time. This exclusive offer runs from May 18th through June 1st only, so don't wait. Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Decisional Capacity: Rethinking the Standard of Care with Dr. Omar Mirza 04.05.2026 1ชม. 11นาที

  In this provocative episode of Psychiatry Boot Camp, Dr. Omar Mirza discusses the limitations and potential harms of the standard Applebaum-Grisso criteria for decisional capacity.  Dr. Mirza argues that the current medicalized focus on cognitive abilities (understanding, appreciation, reasoning) can inadvertently subvert patient autonomy. The conversation traces the legal evolution of informed consent, from Schloendorff to the Nuremberg Code, and introduces radical alternative frameworks: Dr. Jacob Appell’s Values-Based Assessment and Dr. Mirza’s own "FREE WILL" model.  This episode challenges clinicians to view the capacity assessment not as a benign measurement, but as a potent intervention with significant risks, advocating for a humble, approach that prioritizes the "dignity of risk" over institutional paternalism. Takeaways: Shift from Assessment to Intervention: Capacity evaluations should be reconceptualized as "challenges" or "interventions" rather than benign measurements, acknowledging their potential to damage the therapeutic alliance and cause iatrogenic harm. Values Over Cognition: The traditional cognitive model fails to account for a patient’s personal values; a Values-Based Assessment investigates discordance between a choice and a patient's longitudinal values rather than just their ability to justify the choice. The "Respectable Minority" Rule: Medicolegally, physicians may meet the standard of care by following a "respectable minority" opinion, allowing for the use of emerging, viable alternative models to the dominant Applebaum standards. Addressing Power Asymmetry: Capacity assessments often function as a "colonial act" or a "flex of power" that only exists within hospital boundaries, disproportionately impacting those with lower socioeconomic status or different cultural perspectives. The "FREE WILL" Framework: A mnemonic for clinicians to navigate the legal (Foundation, Reason, Everyone, Expectation) and clinical (Want, Investigation, Listen, Logical solution) levers of capacity.Dignity of Risk: Respecting autonomy means allowing for "unwise" or risky decisions that are consistent with a patient's identity. REFERENCES: The CL Psychiatrist: Decisional Capacity: Autonomy vs. Beneficence (Graphic Novel by Dr. Mirza): https://www.amazon.com/CL-Psychiatrist-Decisional-Capacity-Beneficence/dp/0990827763 Zürcher T, Elger B, Trachsel M. “The Notion of Free Will and Its Ethical Relevance for Decision-Making Capacity.”: https://pubmed.ncbi.nlm.nih.gov/31068168/ Mirza OF, Appel JM. “Capacity Reconceptualized: From Assessment Tool to Clinical Intervention.”: https://pubmed.ncbi.nlm.nih.gov/36825923/ Appelbaum PS. “Assessment of Patients’ Competence to Consent to Treatment.” PubMed: https://pubmed.ncbi.nlm.nih.gov/17978292/ Perske R. “The Dignity of Risk and the Mentally Retarded.”: https://pubmed.ncbi.nlm.nih.gov/5059995/ SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Six Critical Suggestions for DSM-6 with Dr. Awais Aftab 20.04.2026 1ชม. 6นาที

  In this second part of a special double feature, Dr. Awais Aftab, MD, Clinical Associate Professor at Case Western Reserve University, presents a rigorous framework for the next iteration of the Diagnostic and Statistical Manual of Mental Disorders.  Dr. Aftab details six specific structural reforms for the DSM-6, beginning with a conceptual clarification of "mental disorder" to distinguish between biological dysfunction and socio-cultural atypicality. The discussion challenges the arbitrary nature of current diagnostic thresholds and the "equalizing" effect of the manual that obscures the empirical weight of different conditions.  Dr. Aftab advocates for the inclusion of the Hierarchical Taxonomy of Psychopathology (HiTOP) as an alternative dimensional model and calls for radical transparency regarding pharmaceutical industry ties within the APA task forces. This episode serves as a high-level roadmap for clinicians and researchers seeking a more scientifically valid and clinically honest diagnostic system. Takeaways: Conceptual Precision: The DSM must explicitly define "dysfunction" to prevent muddled debates about whether psychiatry is medicalizing normal suffering or identifying biological breakdowns.Empirical Indexing: All diagnoses should be accompanied by an indicator of their empirical validation to avoid treating disparate conditions, like schizophrenia and intermittent explosive disorder, as having equal scientific standing.Threshold Rationalization: Diagnostic cutoffs (e.g., 5 out of 9 symptoms) should be optimized based on data regarding treatment response and functional outcomes rather than historical "vibes" or consensus.Dimensional Integration: Including HiTOP in the DSM appendix would recognize robust statistical evidence that mental health problems exist on spectra (e.g., internalizing, externalizing) rather than as discrete categorical "packets".Closing Schema Gaps: The manual should shift toward dimensional descriptions to accommodate the high volume of "unspecified" patients who fall through the "holes" of current categorical schemas.Public Accountability: To maintain professional legitimacy, the APA should remove paywalls for diagnostic criteria and provide full public transparency regarding industry associations among task force members. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Scientific Pluralism and the Evolution of Psychiatric Classification with Dr. Awais Aftab 06.04.2026 46นาที

  In this episode of Psychiatry Boot Camp, host Dr. Mark Mullen sits down with Dr. Awais Aftab, MD, a psychiatrist and Clinical Associate Professor at Case Western Reserve University. Dr. Aftab, well-known for his "Psychiatry at the Margins" Substack and "Conversations in Critical Psychiatry" series, explores the necessity of "conceptual competence" in modern practice. The discussion delves into the "Psychiatric Psychodrama," analyzing how material inequalities fuel polarized culture wars between "repenting" and "repressing" psychiatric factions. Dr. Aftab further defines scientific pluralism, challenging the 20th-century hope for a unified, reductive biological model of mental illness. Finally, the conversation examines the "Rumpelstiltskin Effect", the therapeutic impact of the diagnostic ritual, while cautioning against the iatrogenic risks of internalized stigma and essentialist misunderstandings. Takeaways: Conceptual Competence: Clinicians must understand the underlying philosophical assumptions and vocabulary inherent in psychiatric research and diagnosis to avoid muddled practice. Psychiatric Psychodrama: Much of the field’s internal conflict is driven by material inequalities and resource scarcity, often manifesting as a "culture war" between those who pathologically condemn the field and those who minimize its failures. Scientific Pluralism: Psychiatry lacks a single, unitary scientific method; instead, it relies on a "dappled" worldview where biological, psychological, and social explanations function at different, non-reducible levels.The Rumpelstiltskin Effect: Receiving a formal diagnosis can provide immense relief by shifting a patient’s narrative from one of moral blame to a technical, medical framework. Essentialist Risks: Over-identifying with a diagnosis as a fixed, unchangeable "essence" can lead to self-fulfilling prophecies of impairment and avoidance, highlighting the need for nuanced patient communication. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  TMS for Treatment-Resistant Depression: A Clinical Guide with Dr. Owen Muir 23.03.2026 1ชม. 21นาที

  In this episode of Psychiatry Boot Camp, Dr. Mark Mullen speaks with Dr. Owen Muir, psychiatrist, entrepreneur, and Chief Medical Officer of Radial Health, about the growing role of transcranial magnetic stimulation (TMS) in psychiatric treatment.The discussion explores how TMS works as a form of noninvasive neuromodulation, using focused magnetic fields to influence neural circuits implicated in depression and other psychiatric conditions. Dr. Muir reviews the evidence supporting TMS for treatment-resistant depression, explains the FDA clearance pathway for neuromodulation devices, and discusses how stimulation parameters, coil positioning, and treatment protocols affect clinical outcomes.The conversation also addresses the broader implications of neuromodulation in psychiatry, including emerging indications, technological innovation, and how clinicians can integrate TMS into modern psychiatric practice. This episode provides a practical and conceptual overview of one of the fastest-growing treatment modalities in mental health care. Takeaways: TMS is a noninvasive neuromodulation technique that uses magnetic fields to induce electrical activity in targeted cortical regions.The primary FDA-cleared indication is treatment-resistant major depressive disorder, though research continues for other conditions including OCD and PTSD.Treatment protocols depend on stimulation parameters, including frequency, location (often the dorsolateral prefrontal cortex), and session scheduling.The FDA device clearance process differs from pharmaceutical approval, relying heavily on device equivalence and clinical safety data.Neuromodulation represents a growing frontier in psychiatry, complementing pharmacotherapy and psychotherapy in the treatment of complex mood disorders. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Physician Assisted Suicide: Clinical, Legal, and Ethical Implications for Psychiatry with Dr. Mark Komrad 09.03.2026 1ชม. 13นาที

  In this episode of Psychiatry Boot Camp, Dr. Mark Mullen speaks with psychiatrist and medical ethicist Dr. Mark Komrad about physician-assisted suicide and euthanasia, focusing particularly on their implications for psychiatric practice. The discussion reviews the terminology, legal frameworks, and international trends surrounding assisted death, including developments in Belgium, the Netherlands, Canada, and multiple U.S. states. Dr. Komrad outlines concerns regarding capacity assessments, the expansion from terminal illness to psychiatric suffering, and the ethical tensions between autonomy and the physician’s role as healer.The episode also examines countertransference, projective identification, and the clinical dynamics that arise when treating chronically suicidal patients in jurisdictions where assisted death is permitted. Position statements from the American Medical Association and the American Psychiatric Association are reviewed, along with questions of conscientious objection Takeaways: Terminology matters. Major professional organizations continue to prefer the term “physician-assisted suicide,” reflecting ongoing ethical debate about whether these practices are distinct from suicide prevention work.Capacity assessment standards remain variable. In many jurisdictions, evaluations are left largely to physician (or provider) discretion without standardized psychiatric frameworks.Expansion beyond terminal illness is occurring internationally. Countries that initially limited eligibility to end-of-life conditions have broadened criteria to include chronic disability and, in some regions, primary psychiatric diagnoses. Borderline personality disorder and mood disorders are disproportionately represented in psychiatric assisted death cases in some European jurisdictions.Countertransference and projective identification are clinically relevant. Physicians must remain vigilant about how therapeutic fatigue and induced hopelessness can influence decision-making in chronically suicidal patients.Key professional organizations in the United States maintain opposition to physician assisted suicide. The AMA and APA have articulated clear ethical boundaries regarding the role of physicians and psychiatrists in assisted death.  SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Complex PTSD, Borderline Personality Disorder, and Diagnostic Validity with Dr. Mark L. Ruffalo 23.02.2026 1ชม. 3นาที

  In this episode of Psychiatry Bootcamp, Dr. Mark Mullen is joined by Dr. Mark Ruffalo for an in-depth examination of complex post-traumatic stress disorder (C-PTSD), a construct widely discussed in academic and public discourse, but not currently recognized as a distinct DSM diagnosis.The conversation situates C-PTSD within the historical and theoretical landscape of psychiatry, tracing its origins to Judith Herman’s work and examining its proposed relationship to borderline personality disorder and classical PTSD. Dr. Ruffalo explores core questions of diagnostic validity versus reliability, drawing on foundational psychiatric theory, communication models such as the double bind, and contemporary critiques of the DSM’s proliferation of categories.Listeners will gain a framework for understanding why diagnostic labels matter, how trauma-informed care can coexist with diagnostic rigor, and the potential clinical consequences of adopting constructs without clear discriminant validity. The episode emphasizes careful formulation, treatment matching, and ethical responsibility in an era of expanding diagnostic language.  Takeaways: Complex PTSD lacks consensus diagnostic criteria, raising concerns about discriminant validity when compared with borderline personality disorder and PTSD.Diagnostic reliability is not the same as validity, a central limitation of DSM-based classification systems.Borderline personality disorder encompasses heterogeneous pathways, including, but not limited to, trauma exposure.Mislabeling can lead to mismatched treatment, particularly when trauma-focused approaches obscure underlying personality pathology.Thoughtful diagnosis strengthens, rather than harms, therapeutic alliance when delivered with empathy, dimensional framing, and attention to prognosis.  SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Severe Mental Illness Behind Bars: A Breakdown in Care with Jesse Bogan 09.02.2026 1ชม. 6นาที

  In this episode of Psychiatry Bootcamp, Dr. Mark Mullen speaks with Jesse Bogan, journalist with The Marshall Project, about a profound and often invisible failure at the intersection of psychiatry and the criminal legal system: the prolonged incarceration of individuals found incompetent to stand trial without access to timely psychiatric treatment.Using Missouri as a case study, the conversation traces how defendants with severe mental illness can spend months to years in jail awaiting competency evaluations and restoration, despite legal mandates requiring prompt assessment and care. Jesse shares detailed reporting on systemic delays, limited forensic bed capacity, underfunded community mental health services, and pilot programs that have failed to meet the clinical needs of profoundly ill patients.The episode examines ethical and constitutional implications, including potential violations of the Sixth Amendment right to a speedy trial, and highlights the human cost of untreated psychosis, mania, and depression in carceral settings. This discussion challenges clinicians to confront how structural failures transform jails into default psychiatric holding facilities and asks what role psychiatry must play in reform. Takeaways: Incompetency to stand trial creates legal limbo. Defendants may be jailed for years while their criminal cases are paused, awaiting psychiatric treatment that is legally required but operationally unavailable.Jails are not treatment settings. Severe mental illness often worsens during prolonged incarceration, reducing the likelihood of competency restoration and increasing morbidity and mortality.Systemic underfunding drives criminalization. Gaps in outpatient care, involuntary treatment mechanisms, and forensic infrastructure funnel untreated patients into the justice system.Competency restoration programs have limits. Jail-based and mobile models often fail for patients who are too psychotic or disorganized to engage meaningfully in treatment.This is a national problem. While Missouri is highlighted, similar backlogs and constitutional concerns exist across the United States and internationally. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Involuntary Psychiatric Treatment in Modern Psychiatry with Dr. Dinah Miller 26.01.2026 1ชม. 1นาที

  In this episode of Psychiatry Bootcamp, Dr. Mark Mullen is joined by Dr. Dinah Miller, psychiatrist, writer, and author of Committed: The Battle Over Involuntary Psychiatric Care, for a rigorous examination of civil commitment and involuntary treatment in modern psychiatry. The conversation explores the legal structures underlying involuntary hospitalization, medication over objection, and outpatient civil commitment, while highlighting the profound ethical tensions between patient autonomy, public safety, and clinical responsibility. Dr. Miller traces the historical evolution of involuntary care, examines why state systems vary so widely, and explains why outcomes data remain limited and difficult to interpret. Listeners will gain a framework for understanding the competing advocacy groups shaping policy, the real-world consequences of emergency department boarding and bed shortages, and the psychological impact involuntary care can have on patients long after discharge. The episode also addresses language, stigma, and how psychiatrists can practice humane, ethically grounded care even when coercion is unavoidable. This is a sober, thoughtful discussion of one of psychiatry’s most challenging responsibilities. Takeaways: Civil commitment is distinct from forensic commitment, yet often conflated in public discourse and policy discussions. Evidence linking involuntary treatment to improved public safety is limited, in part due to ethical and methodological constraints on research. System failures (bed shortages, ED boarding, lack of housing) amplify the harms of coercive care, even when clinically justified. Outpatient commitment models vary widely, with New York’s AOT program offering one of the most studied but resource-intensive approaches. How psychiatrists communicate, document, and set boundaries during involuntary care profoundly affects patient trust and future engagement. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Cozy Earth: Start the New Year off right and give your home the luxury it deserves, and make home the best part of life. Head to http://www.cozyearth.com and use my code BOOTCAMP for up to 20% off. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth right here! Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Artificial Intelligence and the Future of Psychiatry with Dr. Allen Frances 12.01.2026 47นาที

  Psychiatry stands at the threshold of one of its greatest disruptions,  the rise of artificial intelligence. In this episode, Dr. Mark Mullen speaks with Dr. Allen Frances, Professor Emeritus and former Chair of Psychiatry at Duke University and Chair of the DSM-IV Task Force, about the clinical, ethical, and societal implications of AI’s rapid entry into mental health care. Drawing from his recent paper in the British Journal of Psychiatry (August 2025), Dr. Frances explores how psychotherapy chatbots have already become the world’s most widely used form of therapy, often beneficial for mild distress but profoundly dangerous for severe mental illness. The discussion examines where chatbots outperform human therapists, where they fail catastrophically, and how clinicians can adapt their practices in anticipation of hybrid human-AI models. Dr. Frances also warns of broader threats, privacy loss, manipulation, and the potential use of AI for political or psychological control This conversation challenges clinicians to approach AI with both curiosity and caution, recognizing its utility while defending the irreplaceable humanity of psychiatric care. Takeaways: AI in psychiatry is no longer hypothetical. Over one billion people now engage with chatbots for therapy or companionship, exceeding all human clinicians combined. Clinical utility is bifurcated. AI can enhance care for mild distress but poses major risks for psychosis, suicidality, and eating disorders. Validation over truth. Chatbots are programmed to please users, not challenge delusions,  amplifying psychosis, mania, and self-harm behaviors. Privacy and ethics lag behind innovation. Conversations with chatbots may not be confidential, raising serious HIPAA and legal concerns. Hybrid models are inevitable. Future psychiatrists must integrate AI tools safely, focus on severely ill populations, and preserve the relational aspects machines can’t replicate. References: AI Chatbots: The Good, the Bad, and the Ugly (Frances' column in Psychiatric Times): https://www.psychiatrictimes.com/series/ai-chatbots-the-good-the-bad-and-the-ugly Warning: AI Chatbots will soon dominate psychotherapy (Frances' feature in the British Journal of Psychiatry): https://www.cambridge.org/core/services/aop-cambridge-core/content/view/DBE883D1E089006DFD07D0E09A2D1FB3/S0007125025103802a.pdf/warning_ai_chatbots_will_soon_dominate_psychotherapy.pdf SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to cozyearth.com they are doing a BOGO pajama promo. Just use my Code: BOOTCAMPBOGO Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Beyond Boot Camp: Conversations on Psychiatry's Future (Season 4 Trailer) 29.12.2025 1นาที

  Welcome to Season 4! Join Dr. Mark Mullen and expert guests as we explore AI in psychotherapy, emerging treatments, and the ethical, clinical questions reshaping psychiatric care, and MUCH more. To share topic ideas, ask questions, and get more of the pod, visit psychiatrybootcamp.com Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Malingering and Factitious Disorder: An Approach to Clinical Deception with Dr. Nicholas Kontos 04.08.2025 1ชม. 23นาที

  In this episode, I speak with Dr. Nicholas Kontos, Program Director of the Consultation–Liaison Psychiatry Fellowship at Massachusetts General Hospital, about one of the field’s most challenging topics: malingering and factitious disorder. We discuss how to move beyond the impulse to “catch deception” and instead adopt a framework of clinical curiosity, empathy, and ethical clarity. Dr. Kontos introduces the concept of “thinking dirty”, the disciplined consideration of complex motives such as safety, shelter, or secondary gain, while preserving therapeutic respect. The conversation covers practical strategies for differential diagnosis, documentation, and the therapeutic discharge, reframing it as a compassionate boundary rather than a punishment.  Takeaways: Clinicians must be willing to consider non-altruistic motives (sex, money, drugs, safety, attention) without moral judgment. This mindset sharpens diagnostic reasoning while maintaining therapeutic respect.The classical distinction between factitious disorder and malingering is often clinically unstable. Both exist on a behavioral spectrum shaped by unmet needs, structural deprivation, and adaptive strategiesProperly framed, discharge is not punitive but restorative, a boundary that ends maladaptive cycles while affirming the patient’s moral agencyThe note itself is a clinical act. A comprehensive chart review, clear description of inconsistencies, and transparent reasoning both protect the patient and clarify physician thought Effective care balances compassion with stewardship of finite resources. Clinicians serve both patient and system by refusing to reinforce maladaptive behavior while still honoring human dignity Teaching Psychiatric Trainees to “Think Dirty”: Addressing Hidden Motivations in the Consultation Setting (Beach, 2017) The Therapeutic Discharge I: An Approach to the Management of Deceptive Suicidality (Kontos, 2017) The Therapeutic Discharge II: An Approach to Documentation in the Setting of Feigned Suicidal Ideation (Kontos, 2018) SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Functional Neurological Disorders: Modern Diagnosis & Evidence-Based Management | Dr. Caitlin Adams 28.07.2025 53นาที

  Functional Neurological Disorder (FND) sits at the crossroads of neurology and psychiatry and for many clinicians, it’s still one of the most challenging diagnoses to understand, explain, and treat. In this episode, I’m joined by Dr. Caitlin Adams, psychiatrist at Massachusetts General Hospital, for a deep dive into how to recognize, diagnose, and manage FND using a modern, evidence-based, and patient-centered approach.We trace the evolution of the diagnosis from hysteria to conversion disorder to today’s understanding of FND and explore what neuroscience now tells us about how these symptoms arise. Dr. Adams breaks down the myths around voluntary control, shows how to make a positive diagnosis based on key exam findings like Hoover’s sign, tremor variability, and seizure features distinguishing PNES from epilepsy, and shares how to communicate the diagnosis in a way that reduces stigma and builds engagement. We also unpack the biopsychosocial model of FND: the predisposing, precipitating, and perpetuating factors that keep symptoms alive and how to intervene through cognitive behavioral therapy (CBT), specialized physical therapy, mindfulness, and psychodynamic approaches. Takeaways: FND is a positive diagnosis, not a diagnosis of exclusion. Key findings like Hoover’s sign and tremor variability distinguish functional from organic presentations.Symptoms are not “faked.” FND symptoms are involuntary and arise from disrupted brain networks controlling movement, sensation, and perception.How you explain the diagnosis matters. Patients do better when clinicians validate symptoms, offer clear language, and emphasize that FND is common and treatable.Treatment is multidisciplinary. Evidence-based care combines psychoeducation, CBT, and physiotherapy that retrains motor and sensory patterns.Chronic cases require flexibility. Reassess the diagnosis, re-engage the patient, and adjust treatment around functional goals, not full symptom elimination. Key References:   ​Incidence and prevalence of functional neurological disorder: a systematic review (Finkelstein 2025)   ​Neurosymptoms.org   ​Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial- (Goldstein 2020)  ​FND Hope   ​Overcoming Functional Neurological Symptoms Workbook (Williams)  SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Perinatal Psychiatry: Risk, Ethics, and Clinical Decision-Making with Dr. Christina Wichman 21.07.2025 1ชม. 2นาที

  Pregnancy and postpartum are times of profound change and nowhere is that complexity more visible than in psychiatry. In this episode, Dr. Christina Wichman, Professor of Psychiatry and Obstetrics & Gynecology, Medical Director of The Periscope Project, and Director of Women’s Mental Health at the Medical College of Wisconsin, joins us for a deep dive into reproductive psychiatry. Co-hosted by Erica Browne, an M4 at Saint Louis University School of Medicine, this conversation explores how to care for both mother and baby with empathy, evidence, and balance. We walk through distinctions between baby blues, perinatal depression, and major depressive disorder, discuss how to identify red flags for perinatal psychosis, and explore the ethical and clinical nuances of treating psychiatric illness during pregnancy and lactation. Dr. Wichman explains how to approach risk–benefit decisions around psychotropic medications, highlights validated screening tools, and offers real-world strategies for supporting patients who face barriers to care. We also spotlight The Periscope Project, a pioneering model for connecting clinicians with reproductive psychiatry expertise—and discuss how the field is expanding training, access, and awareness for the next generation of women’s mental health specialists.Takeaways:Pregnancy changes everything, but not always for the worse. Psychiatric treatment during pregnancy can and should be individualized, balancing the safety of both mother and baby.Know the distinctions. Baby blues typically resolve within two weeks; perinatal depression lasts longer, while postpartum psychosis requires urgent evaluation.Medication decisions are about risk versus risk. Untreated psychiatric illness carries real dangers, sometimes greater than the medications themselves.Access matters. Programs like The Periscope Project expand reproductive psychiatry consultation to clinicians everywhere, improving outcomes system-wide.The future is integrated care. Psychiatrists, OB-GYNs, and primary care providers working together can transform perinatal mental health into standard, not specialized, care. Key References & Clinical Resources ⁠The Periscope Project⁠ – A perinatal psychiatry consultation and resource program based in Wisconsin. ⁠National Access Programs – Lifeline for Moms⁠ – A directory of statewide perinatal mental health access programs. ⁠National Curriculum in Reproductive Psychiatry (NCRP)⁠ – Free, evidence-based training for clinicians in reproductive psychiatry. ⁠MGH Center for Women’s Mental Health⁠ – Clinical and research resource for perinatal and reproductive psychiatry. ⁠MotherToBaby⁠ – Trusted information on medication and other exposures during pregnancy and breastfeeding. ⁠Pharmacologic Treatments for Mania (Kishi 2021)⁠ – Meta-analysis regarding antimanic effects of selective estrogen receptor modulators. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices
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  Assessment And Management Of Eating Disorders with Dr. Patricia Westmoreland and Dr. Anne O’Melia 14.07.2025 1ชม. 18นาที

  Eating disorders are among the most lethal conditions in psychiatry and some of the most misunderstood. In this episode, I’m joined by Dr. Patricia Westmoreland and Dr. Anne O’Melia, two internationally recognized experts with eight combined board certifications spanning psychiatry, internal medicine, pediatrics, and consultation-liaison psychiatry. Together, we take a deep dive into the medical, psychiatric, ethical, and forensic complexities of eating disorders, especially as they appear in the general medical hospital. We talk through how to recognize eating disorders in patients who may not even identify as ill, when to intervene, and what the thresholds for medical stabilization really look like. We also explore the psychological underpinnings, how control, trauma, and insight all intersect, and the delicate balance between autonomy and safety when capacity is limited. Takeaways: Eating disorders are both psychiatric and medical emergencies. Anorexia nervosa has one of the highest mortality rates of any psychiatric illness, surpassed only by opioid use disorder.Early recognition saves lives. Common signs include unexplained bradycardia, electrolyte disturbances, fatigue, hypoglycemia, or rapid weight loss, even in patients who deny an eating disorder.Patients often lack insight. Many individuals with severe anorexia are highly intelligent but unable to apply their knowledge to themselves, leading to deceptive presentations of “capacity.”Treatment is multidisciplinary and stepwise. Levels of care range from outpatient and intensive outpatient programs to residential, psychiatric inpatient, and medical stabilization units, depending on weight, vitals, and lab findings.Recovery is possible and expected. Full restoration of nutrition and function can reverse nearly every medical complication of starvation, and with the right care, patients can go on to live full, independent lives. Key References: 1. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders (Crone 2023) 2. Ethical Challenges in the Treatment of Patients With Severe Anorexia Nervosa (Westmoreland 2024) SUPPORT OUR PARTNERS: ⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠⁠⁠Beat the Boards⁠⁠⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠Human Content⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices