Shows
PAFMG Psychiatry for Primary Care ProvidersBlack Mental Health- How can we improve? with Nana Adabie, NP2024-02-2809 minPAFMG Psychiatry for Primary Care ProvidersADHD Deep Dive part 2 with Robert Imada, NP2023-12-1437 minPAFMG Psychiatry for Primary Care ProvidersMagnesium for Anxiety and Sleep Management with Dr. Gina Serraiocco2023-12-1415 minPAFMG Psychiatry for Primary Care ProvidersADHD Deep Dive part 1 with Robert Imada, NP2023-11-1122 minPAFMG Psychiatry for Primary Care ProvidersSeasonal Affective Disorder with Nana Adabie, NP2023-10-2509 minPAFMG Psychiatry for Primary Care ProvidersIOP/PHP with Nana Adabie2023-09-0608 minPAFMG Psychiatry for Primary Care ProvidersAntidepressants and Sexual Dysfunction with Nana Adabie, NP2023-09-0605 minPAFMG Psychiatry for Primary Care ProvidersNon-suicidal self-injury (NSSI)2023-06-1605 minPAFMG Psychiatry for Primary Care ProvidersPrescribing for the Geriatric population with Melissa Bregante, PMHNP-BC2023-06-1417 min
PAFMG Psychiatry for Primary Care ProvidersEffexor and PristiqIn my last episode of the podcast we talk through these 2 great SNRIs. 2022-12-1017 minPAFMG Psychiatry for Primary Care Providers3 ACT skills that take less than 5 minutesErin Hohengarten, LCSW, is an expert in Acceptance and Commitment Therapy (ACT). She teaches us 3 ACT skills that can help our patients move forward and they each take less than 5 minutes. 2022-11-2512 min
PAFMG Psychiatry for Primary Care ProvidersLithiumLithium is one of our gold standard treatments in psychiatry. It is a highly effective medicine but can be difficult to manage. In this podcast we review when and how to use Lithium.Photo credit: "003 Lithium - Periodic Table of Elements" by Science Activism is licensed under CC BY 2.0.2022-11-1217 minPAFMG Psychiatry for Primary Care ProvidersPsychiatric EmergenciesWe discuss 2 common psychiatric emergencies, suicidal thoughts and mania, as well as medical emergencies in psychiatric patients. Resources mentioned in the podcast can be found at:https://sutterhealth.sharepoint.com/sites/BehavioralHealthResourcesandEducation2022-10-2916 min
PAFMG Psychiatry for Primary Care ProvidersNon-Stimulants for ADHDIn this episode we discuss Atomoxetine (Strattera), Guanfacine (Intuniv, Tenex), Clonidine and Viloxazine (Qelbree) for ADHD. Photo credit: "Mr. ADHD by Roger Hargreaves" by dullhunk is licensed under CC BY 2.0.2022-10-1516 min
PAFMG Psychiatry for Primary Care ProvidersCase Conference with Kelly Look: Pediatric ADHD and co-morbiditiesIn this episode we discuss 2 fraternal twins, one with ADHD and anxiety and one with ADHD and a processing disorder 2022-09-0920 min
PAFMG Psychiatry for Primary Care ProvidersADHD ExplainedIn this episode we talk about the neurologic underpinnings of ADHD, how that can help us understand it and explain it to our patients. We also review the strengths of having ADHD and the importance of the strengths based approachPhoto credit: "ADHD Bubble and Brain" by amenclinics_photos is licensed under CC BY-SA 2.0.2022-08-1910 min
PAFMG Psychiatry for Primary Care Providersthe Amphetamine FamilyThis is a follow up to our Methylphenidate family podcast focused on the Amphetamines primarily Adderall, Vyvanse and Dexedrine. We discuss their use in uncomplicated ADHD. Photo Credit: Jynto, CC0, via Wikimedia Commons2022-08-0518 min
PAFMG Psychiatry for Primary Care Providersthe Methylphenidate familyIn this episode we discuss how to prescribe methylphenidate and dexmethylphenidate in uncomplicated ADHD 2022-07-2323 min
PAFMG Psychiatry for Primary Care ProvidersCymbaltaIn this episode we walk through Cymbalta, a very useful SNRI for your toolkit in the treatment of depression, anxiety and some types of pain. Photo credit: By Harbin - Own work, Public Domain, https://commons.wikimedia.org/w/index.php?curid=55688232022-07-0816 min
PAFMG Psychiatry for Primary Care ProvidersGenderCaitlin Terzulli (she/her), a therapist in our Fremont division and I discuss gender, common terms such as cisgender, nonbinary and transgender. We also discuss how we ask patients about gender and tips for using the right pronouns. Photo credit: Gender Unicorn at https://transstudent.org/2022-06-1422 min
PAFMG Psychiatry for Primary Care ProvidersCase Conference with Tan Nguyen MDTan kicks off our case conference sub series with a 71 yo male with a long standing history of anxiety, on chronic benzodiazepines, refractory to multiple medications. We discuss possible treatment plans and how to move forward. Photo credit: "Magnifying glass and puzzle piece on blue background" by wuestenigel is licensed under CC BY 2.0.2022-06-1023 min
PAFMG Psychiatry for Primary Care ProvidersThriving in a Chaotic Workplace- Part 1In this episode we walk through breathing techniques and the 3 minute guided meditation presented in Thriving in a Chaotic Workplace, a popular talk Mercedes Kwiatkowski and I gave at our April MPM Photo credit: "Sunset yoga" by GrahamKing is licensed under CC BY-NC-SA 2.0.2022-06-0814 min
PAFMG Psychiatry for Primary Care ProvidersAbilify (Aripiprazole)In this episode we walk through Abilify, a helpful medication for a variety of clinical presentations. Photo credit: "File:Aripiprazole molecule from xtal ball.png" by Jynto (talk) is marked with CC0 1.0.2022-05-2817 min
PAFMG Psychiatry for Primary Care ProvidersBupropion (Wellbutrin, Zyban, Aplenzin)Photo credit:"Quit" by Fujoshi is licensed under CC BY-NC-ND 2.0Pilot study for GAD: Bystritsky A, Kerwin L, Feusner JD, Vapnik T. A pilot controlled trial of bupropion XL versus escitalopram in generalized anxiety disorder. Psychopharmacol Bull. 2008;41(1):46-51. PMID: 18362870.2022-05-1311 min
PAFMG Psychiatry for Primary Care ProvidersMental Health StigmaReference citations for episode:Kessler RC, Petukhova M, Sampson NA, Zaslavsky AM, Wittchen H -U. Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res. 2012;21(3):169-184. doi:10.1002/mpr.1359Lebowitz MS, Appelbaum PS. Biomedical Explanations of Psychopathology and Their Implications for Attitudes and Beliefs About Mental Disorders. Annu Rev Clin Psychol. 2019 May 7;15:555-577. doi: 10.1146/annurev-clinpsy-050718-095416. Epub 2018 Nov 16. PMID: 30444641; PMCID: PMC6506347.Gold KJ, Andrew LB, Goldman EB, et al.: "I would never want to have a mental health diagnosis on my record"...2022-05-1309 min
PAFMG Psychiatry for Primary Care ProvidersBusparWe walk through the advantages of Buspar, any special considerations and how to dose this helpful medication. 2022-04-2907 min
PAFMG Psychiatry for Primary Care ProvidersNaltrexone with Ori Benhamou MDOri Benhamou MD walks us through Naltrexone and it's use in substance dependence.Photo credit: By Fvasconcellos (talk · contribs) - Own work using: ACD/ChemSketch 10.0, Inkscape and vim, Public Domain, https://commons.wikimedia.org/w/index.php?curid=47340652022-04-0611 min
PAFMG Psychiatry for Primary Care ProvidersOCDIn this episode we walk through diagnosis and treatment of Obsessive Compulsive Disorder. Photo credit: "Some people say I am obsessed with my lawn" by Jez Page is marked with CC BY-NC-SA 2.0.2022-03-2618 min
PAFMG Psychiatry for Primary Care ProvidersLamictalIn this episode we answer all your questions about when to use Lamictal as well as how to start and consent for this very useful medicine. 2022-03-1818 min
PAFMG Psychiatry for Primary Care ProvidersHow to RelaxThe most common question I received after our Burn Out podcast was "How do I relax? It isn't that easy." It isn't easy. Relaxing well is a skill. In this podcast we explore active relaxation and I teach you different strategies to help you incorporate relaxation into your life. Photo credit "Relax" by soukup is marked with CC BY 2.0.2022-03-1812 min
PAFMG Psychiatry for Primary Care ProvidersTranscranial Magnetic Stimulation (TMS)- an interview with Noah DeGaetano MDIn this podcast we talk through TMS treatment, appropriate referrals for TMS and answer common questions. Access the TMS referral guide under the resources tab(on vpn or intranet):https://sutterhealth.sharepoint.com/sites/BehavioralHealthResourcesandEducationCitations for this episode:Rush AJ, Trivedi MH, Wisniewski SR, et al. Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report. Am J Psychiatry 163:1905-1917, 2009Carpenter, Transcranial Magnetic Stimulation (TMS) for Depression: A Multisite, Naturalistic, Observational Study of Transcranial Magnetic Stimulation (TMS) for Patients with Pharmacoresistant...2022-03-0217 min
PAFMG Psychiatry for Primary Care ProvidersAdolescent DepressionThis episode explores how teen depression varies from typical teen moodiness as well as adult depression. We explore how to help these teens. Resources to help this population can be found at:https://sutterhealth.sharepoint.com/sites/BehavioralHealthResourcesandEducationThis site must be accessed onsite or through the vpn Photo credit: "Depression" by shattered.art66 2022-02-1814 min
PAFMG Psychiatry for Primary Care ProvidersBurnoutWe review what it is, how to prevent it and what to do if you are already burned out. Photo Credit: "Burnout!" by Skley is licensed under CC BY-ND 2.02022-02-0212 min
PAFMG Psychiatry for Primary Care ProvidersTapering BenzodiazepinesHow to effectively taper benzos when patients are already physically and psychologically dependent "Xanax 2 mg" by Dean812 is licensed under CC BY-ND 2.02022-01-2217 min
PAFMG Psychiatry for Primary Care ProvidersLexapro Deep DiveWe dive deep into lexapro (escitalopram) during this episode. We answer the common questions about this medicine, how to start it and how to manage side effects. 2022-01-0515 min
PAFMG Psychiatry for Primary Care ProvidersHow to Start a BenzodiazepineIn this episode we walk through how to start a benzodiazepine successfully Photo credit: "Don't panic!" by pasukaru76 is licensed under CC BY-NC-ND 2.02021-12-1513 min
PAFMG Psychiatry for Primary Care ProvidersPsychiatric DisabilityWhat I do when patients ask to be placed on leave for depression, anxiety or any other mental health condition. Photo credit: "Tired Man Sitting on Bed" by Mic445 is licensed under CC BY-SA 2.02021-11-1308 min
PAFMG Psychiatry for Primary Care ProvidersProzac Deep DiveWe go into detail on this awesome first line medicine for anxiety and depression. 2021-11-0517 minPAFMG Psychiatry for Primary Care ProvidersACT for Medication Compliance with Tam Nguyen PhDTam Nguyen leads us through an ACT framework to help patients with their medication compliance. This very helpful framework flips the conversation and takes only a few minutes of the appointment time. 2021-10-2711 min
PAFMG Psychiatry for Primary Care ProvidersSertraline Deep DiveIn this episode we focus on sertraline and attempt to answer any and all of your questions about this medicine. 2021-10-2221 min
PAFMG Psychiatry for Primary Care ProvidersCBT for Anxiety with Terry Podesta LCSWTerry Podesta walks us through some CBT techniques you can use to help patients (and yourself) with anxiety. Photo credit: "Anxiety" by sinclair.sharon28 is licensed under CC BY-SA 2.02021-10-0212 minPAFMG Psychiatry for Primary Care ProvidersSuicide ScreeningI walk through suicide screening with the C-SSRS and what to do if your patient reports suicidal thoughts and/or behaviors 2021-09-2617 minPAFMG Psychiatry for Primary Care ProvidersReturn to Work Anxiety with Nana Adabie NPNana Adabie, NP, walks us through therapeutic and pharmacologic techniques to help patients with anxiety return to work. 2021-09-0714 minPAFMG Psychiatry for Primary Care ProvidersDiagnosing Bipolar DisorderA walk through of how to diagnose bipolar illness with clinical pearls 2021-08-2722 minPAFMG Psychiatry for Primary Care ProvidersMood Stabilizers- An Interview with Cait Brady, MDCait Brady, our co-T1 in Palo Alto psychiatry talks about different mood stabilizing medications including when and how to use them. 2021-08-0618 min
PAFMG Psychiatry for Primary Care ProvidersAssessing and Starting a Stimulant for ADHDThis episode covers how to assess a previous ADHD diagnosis and prescription as well as how to choose which stimulant to start for a patient who is not yet on medication. Photo credit: "ADHD Bubble and Brain" by amenclinics_photos is licensed under CC BY-SA 2.02021-07-1924 min
PAFMG Psychiatry for Primary Care ProvidersSleep- An Interview with Mercedes Kwiatkowski MDMercedes Kwiatkowski leads us through important tips to us improve sleep for ourselves as well as for our patients Photo credit: "Sleeping and sleeping / Só dorme" by dannyelbrazil is licensed under CC BY-NC 2.02021-06-1214 minPAFMG Psychiatry for Primary Care ProvidersChoosing an AntidepressantThis podcast explores my framework for choosing an antidepressant for my patients as well as clinical pearls on how to answer patient questions. 2021-06-0109 min