The Experts Speak
A Free Podcast Series
From The Florida Psychiatric Society
Hosted by Abbey Strauss, M.D.
American Psychiatric Association Warren Williams Assembly
Speaker’s 2019 Award
This is an educational project. Use the
information to ask questions.
Ask your health care provider before
making any clinical changes.
Information may have changed since the
interview was recorded.
Opinions are not necessarily those of
the Florida Psychiatric Society.
Visit The Archives for past issues. Comments: Florida Psychiatric Society
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Psychiatry
is very concerned. Episodes marked
with a red
asterisk speak
to health issues from human made events and/or climate changes.
Please
Use Masks & Follow Proper Social Distancing
If, And How, Does Covid Shift
The Themes, Styles And Goals of Psychotherapy?
Roz Malmaud, Ph.D., and Any Rosen, Ph.D.,
both seasoned psychotherapists, discuss
some of changes, themes, and pivot points that telemedicine and the
Covid crisis produce, and how it may modify – or not -- the styles and goals of
psychotherapy. August 2020 Listen
* Food Insecurity, Covid,
Climate Change, Poverty And Job Loss: Will These Take Us Closer To A “2020
Vision” Level Of Discussion Of Our World?
Bashyam
Iyengar, M.D., returns to expand on the reality of these issues, with a
focus on the growing incidence of food insecurity, the types and origins of
insecurity, interventions, etc., and the interplays within the above items.
This is further highlighted by the current hurricane season overlapping the
covid need for service reallocations and therefore limits of support systems.
August 2020 Listen
* What We Can’t See Can Hurt
Us – Probing Particulate Matter In “Our” Air. Philip
Landrigan, M.D., from Boston College, explains the nature, origin, and health
impact of particulate matter in our air, that it can cause preterm births,
cardiovascular and other diseases, of the wholesome advances we had made to
reduce it, but now of worrisome new set-backs. August 2020 Listen
A Better Way To Stop Pain
Medications. Travis Rieder,
Ph.D., a bioethicist at Johns Hopkin Medical School, speaks to the problems he
had in getting proper medical guidance to stop his pain medicine use after
personally suffering a brutal accident. He is candid and open to the benefits
and concerns of opioid use, acute versus chronic pain, and the need to educate
prescribers how to properly start, and how to properly discontinue, pain
medications. This is co-posted with the Palm Beach County Medical Society.
August 2020 Listen
Covid and the Neuroscience of
Social Isolation .Andreas Meyer-Lindenberg, professor of
psychiatry at the University of Heidelberg, gives a clear, 5 minute overview of
brain function, socialization, problems with isolation, of how social network
size is associated with survival, management, etc., both with covid and other
crises. This, with permission, is the audio of his YouTube talk. August 2020 Listen
The Covid and The Mask – One
Minute of Needed Historical Perspective. A friend sent me this link. I am still
looking for hard data on the producers. Many thanks to them, however. This
piece is too important not to immediately distribute. July 2020. Watch.
Medical Ethics And The Opioid
Crisis: A Discussion. Kenneth Goodman, MD, a medical
ethicist from Miami, candidly speaks to the state of, and changes within,
medicine’s proper use of opioids, legitimate pain, addiction, medical
education, the philosophy of medication marketing, the history of “Pain As The
5th Vital Sign” notions, etc.
This is done in conjunction with the Palm Beach County Medical Society. July
2020. Listen
* Climate Changes And Other
Events That Can Increase Homelessness. Bashyam
Iyengar, M.D., practices family medicine with the homeless in Northeast
Florida. He offers his observations
about the not often considered associations of climate change (e.g., storms,
etc.) and other similar events (e.g.,
Covid-19, etc.) that could also cause a fall into homelessness, and of
how communities should understand, change, prepare, and respond. June 2020. Listen
US Supreme Court Rules On
Sexual Discrimination. In June 2020, the US Supreme
Court ruled, in a 6-3 decision, that job discrimination on the basis of sexual
orientation or gender is prohibited by law. This has been called one of the
most important legal decisions regarding the LGBT rights in the United States.
An untold number of people suffer many mental health complications because of
the fear of discrimination. Attached is the October 2019 oral argument and the
court’s written decision (lengthy). It’s important to know the logic and the
details. June 2020. Listen
To The Argument Read
The Decision
The Emotional and Mechanical
Aspects of Hospice Care During The Pandemic. Webinar #5. Samantha
Brooker and Kathleen Diamond from the Old Colony Hospice in Massachusetts,
discuss the challenges for family, patients, and staff, as they deal with the
Covid-19 pandemic, wanting to keep the hospice mandates, and trying to safely
help everyone during this time of extraordinary multiple human tests. Hosted by
the Palm Beach County Medical Society. June 2020 Listen
Opioid Abuse and Covid-19 –
Two Ongoing Crises – Urgencies, Interplays, Approaches. Robert
Stutman, retired chief of the NYC DEA office, now works to reduce the origins
and impacts of the opioid use disorder, about the on-going high overdose
statistics, of political and socially meaningful issues of awareness,
treatments, and stigma hurdles, etc. He also has concern about its co-morbidity
with the covid pandemic. Many interesting thoughts. This episode is the project
of the Palm Beach County Medical Society, and is co-posted with us. June 2020. Listen
* Heat Waves, Pregnancy, and Psychiatry. Dolores Malaspina, M.D., Department of Psychiatry,
Mt Sinai Medical School, New York, on heat’s association to pre-term birth, to
the combination of heat with use of psychiatric medications during and
pregnancy, and also to the data suggesting later resultant psychiatric and
medical problems, etc. June 2020. Listen
Will There
Be A Therapeutic Role for Psilocybin? Carol Mathews, M.D.,
from the University of Florida, speaks to the history of this class of
molecules, and to the current research exploring its potential role as a
psychotherapeutic agent. May 2020. Listen
Children,
Teenagers, Older People – Dealing With The Psychological Aspects of Covid-19.
Webinar #4. Psychiatrist Samantha Saltz and Psychologist Robert Spiro
engage in a lively and practical discussion on dealing with behavioral
pressures and changes, fear and uncertainty, parental authority, honesty, the
role of language style in families, etc., during this crisis. Hosted by the
Palm Beach County Medical Society. May 2020. Listen
Glutamate:
The Increasing Need To Know About It. Rakesh Jain, M.D., a
psychopharmacologist, provides a straightforward and detailed overview of
glutamate’s multiple key roles in medicine and
psychiatric functions. Recorded March 2020. Listen
More About
Mental Health Issues Related To The Pandemic: Webinar #3. Drs. Pasternack,
Schillinger and Strauss panel a detailed discussion of the current and
potential long term post-pandemic effects of these stresses on physicians and
others, with attention to time tested strategies and practical interventions.
Hosted by the Palm Beach County Medical Society. May 2020 Listen
Herd
Immunity - Its Role In Public Health – Infectious disease
specialist Larry Bush, M.D., explains the concept and how it is used,
especially in public health decisions. Timely information given the re-opening
of areas of our community. He also updates regarding transmission, treatment
and vaccine developments. April 2020. Listen
Physicians
Who Commit Suicide – Ramsey Pevsner, M.D., speaks with details on
stress issues among physicians and their mental health issues, including the
increasing suicide rates. This matter merges with the additional Covid-19
induced stress levels. These concepts also apply to many other professionals.
Recorded February 2020, before the pandemic. April 2020 Listen
Covid-19.
Direct Suggestions On How To Deal With Personal Anxiety and That In The People
With Whom We Work. Webinar #2. Hosted April 16, 2020,
from the Palm Beach County Medical Society, these are some of the more
established, practical, and durable suggestions to psychologically steady all
of us through the related anxieties. April 2020. Listen
Inside
More? Keep Cleaner Air At Home -- Tips. This pamphlet is from a
joint project of My Green Doctor.org and the Florida Medical Society.
April 2020. Read
Emotional
Care Of The Elderly and Demented During
The Pandemic – This is real but under discussed challenge. Three
psychiatric nurses speak to maintaining good care and how telemedicine doesn’t
always work with these patients. Valarie Kolbert, ARNP, Keith Jones, ARNP,
Jorge Padron, ARNP. April 2020 Listen
Proper
Psychotherapy For Pandemic Triggered Anxiety -- Andy Rosen
is a psychologist who discusses the mixture of established and additional
approaches needed for pandemic related anxiety, but also about how patients can
better know who to choose as a psychotherapist, especially given the large
number of internet offerings for psychotherapy. April 2020 Listen
COVID-19 - A Community Forum:
Realistic Anxiety In ‘All’ Health Care Workers. Webinar #1. Hosted
on April 2, 2020 by the Palm Beach County Medical Society, on issues and
self-management ideas of stress and other changes facing everyone in health
care, including office staff. April 2020. Listen
During the Pandemic - Teach
Grandma to Be Smart-Phone Savvy. Call
anybody you think needs advanced training with their smart-phones -- a grandparent,
an uncle, whomever. Ask them if they know how to face time or follow a text
message link to make a video connection with their doctors or anybody else. If
they don’t know, walk them through it the best you can. Many patients don’t
know how to do this, get too easily flustered, etc. Maybe will call it #teachmecallme Then give them a call every day or so.
A call to them will feel as good as a call to you. April 2020
Food Insecurity and
COVID-19 -- The Importance of Asking. We understate the extent
of food insecurity. Yesterday, an elderly, living alone patient, and only after
gentle questioning, admitted she is too afraid to go food shopping. She can't
afford ordering from restaurants. She also worried about our food supply. Plans
were outlined for her to call friends, clergy, local food banks, etc. Asking
people about their food supply gets a different kind of thank you. Watch CNBC’s piece on our food supply.
April 2020.
The Emotional Impact of
COVID-19 On Both Physicians And Their Patients.
Brent Schillinger, M.D., gives an
thoughtful synopsis and dialogue on how to identify and address the anxiety and
emotional responses to COVID-19 in themselves and in their patients, with
uncluttered and frank ideas. (This episode is conjointly posted with the Palm
Beach County Medical Society) March 2020. Listen
Fueling Protection – Coronavirus: Four Basic CDC Screening Questions. This fuels protection and not the fire; the list may change. Monitor local health officials for directions. Talk to your doctor if you have any ‘yes’ answers. Continue to wash your hands, don’t touch your face, maintain social distance, don’t panic, don’t be indifferent, and act responsibly. Come back and listen (below) to Dr. Bush talk about the virus. March 2020. Listen.
E-gaming and Internet Addiction -- Etiology and Treatment. Brian Schaflin, M.S.W., treats teenagers and young adults for e-gaming and internet addictions. He explains the problem and offers an approach and treatment model. March 2020 Listen
Vaccines – What We Know And
What We Need To Know Larry
Bush, M.D., specializes in infectious diseases. He explains vaccines, their
uses and safety, real roles, new developments, etc. This podcast was done in
partnership with the Palm Beach County Medical Society. Posted here March 2020. Listen
Being Verbally Abused. Roz
Malmaud, Ph.D., discusses what is all too common a palpably disruptive and
destructive reality in many lives. She outlines the familiar characteristics
and offers one therapeutic approach to the victims. February 2020. Listen
* Be “Bee” Savvy –Veterinarian Sid Lehr on the unyielding and
interwoven roles that we and bees play in our common ecosystems, that they are
food producing animals, of the pollination business, some history, killer bees,
farming and insecticide practices, antibiotic use, how to approach swarms that
temporarily bivouac, etc. February 2020 Listen
The Growing Problem of Physician
Fatigue and Burnout – Psychiatrist Bruce Saltz speaks
to the concepts, concerns, etiology, and recommendations to prevent and reduce
physician burnout. His comments apply to many other people as well. This
podcast was done in partnership with the Palm Beach County Medical Society.
Posted here February 2020 Listen
The Corona Virus – An Eleven
Minute Overview. Larry Bush, M.D., who specializes in
infectious diseases, gives a succinct overview of the virus, the specific
history, of medical and social concerns, how to manage, etc. January 2020 Listen
* Are Cell Phones Medically
Safe – Growing Concerns Anthony
Miller, a physician and professor emeritus at the University of Toronto, is part
of the international EMF Scientist group’s petition to the UN and WHO to
further study growing concerns and a growing database suggesting medical ill
effects result from current extensive exposure to electromagnetic radiation,
including fertility, cancer, developmental, school Wi-Fi, and other issues. The
rise of the 5G cell phone system has unique concerns. This under-considered
public health concern is discussed by Dr. Miller. January 2020. Listen
* The 2018 IPCC Report on
Climate Change. In 2015, the UN Framework Convention on
Climate Change asked the International Panel on Climate Change to, in 2018,
report on the impacts of global warming of 1.5 degrees Celsius. This is that
report.
Speaking To Young Children
About Violence. Shortly after Robert Kennedy’s
assassination in 1968, Fred Rogers, also known as Mr. Rogers, addressed the
issue of the impact on young children of the extensive media coverage of
violence. This is a four minute excerpt from a show that spoke to these issues.
The concerns are equally true today and what better gift to give our children than
stimulating ideas in the adults around those children on how to cope with
problems that are increasingly prevalent. December 2019. Listen
* Climate Crises And Templates for Preparation and Intervention
- Learning From Post Hurricane Puerto
Rico. Carissa
Caban Aleman is a psychiatrist at Florida International University. She talks
of her work in post hurricane Puerto Rico, gives us her hands-on experiences
and templates on preparation and interventions, emotional issues, community
activity, and also speaks to impending climate crises and changes that will
need this type of planning and coordinations. December 2019 Listen
Mental Disabilities - US Supreme
Court – Olmstead
v LC., a 1999 decision that those with mental disabilities have the right to live
in communities rather than institutions, with certain caveats. A pivotal case.
This is the oral argument and Judge Ginsberg reads the decision. November Listen
Designing The Living Spaces in the
Space Station. Terrance
Glassman is an architect directly involved in this project. The discussions and
issues surrounding so many human needs that faced the project are fascinating
and illuminating. November 2019 Listen
* The Green Doctor’s Office. Todd Sach, M.D., discusses the
‘My Green Doctor’ program. Supported by many medical organizations, it brings a
critical sustainability education format for better health for patient and
staff. While it often saves money for medical offices, it more so shows how
medical offices are community role models. October 2019. Listen
The Insanity Defense -- US Supreme Court. The actual oral argument in
Kahler vs Kansas, done October 7, 2019. Topics reflect the history and nature
of legal, moral and psychiatric insanity, culpability, intentions and how one
chooses to commit a crime or not, mens rea, etc. The court’s decision will
be posted when available. October 2019. Listen
* Urgent Public Health Concerns Regarding Climate
Change’s Effects on Mental and General Health. David Pollack, M.D., speaks to
timely issues that include the CAARE program, the critical need to further
train health care providers and others, of the climate change first responders,
the ‘once you know’ concept, his genuine belief that
much can be done to prepare for the changes, etc. October 2019 Listen
Jung Explains Why His Friendship With Freud
Ended. From a 1959 BBC interview. One always benefits
from listening to major thinkers.
October 2019. Listen.
* Climate Change Induced Anxiety. Janet Lewis, M.D., speaks to what
is also being called ‘eco-anxiety’, about the emerging fears and anxieties
stemming from climate changes, when people are overwhelmed by the rush of
complex political and scientific declarations, of the need to discuss
strategies to help adults and children deal with what they read and hear, the
role of hope and advocacy, and so on. September 2019 Listen
* Air Pollution: The Impact on Mental
Health. Elizabeth Haase, M.D., defines
air pollution and that the WHO ranks it as an under discussed major crisis. The
inhaled particles cause various psychiatric and medical diseases in our bodies.
She also speaks to the importance of, and how to discuss air pollution, even
with children. August 2019 Listen
The Amazing Healing Power of Art. Aric Attas, an artist, twice
suffered from cancers. Out of necessity he found ways to use art and music to
ease his suffering. He now gives those techniques to others. He also speaks
about the Arts in Medicine associated with the University of Florida and
involvement in local cancer treatment centers. He was a guest on NPR in June
2019. August 2019 Listen
* Psychiatric Concerns: Heat Waves And Behavior. Robin Cooper, MD., describes
growing research and concerns that heat waves do indeed alter behavior,
including increased suicide and other violence, productivity, medical concerns
and the need for proper hydration and cooling, education, interventions, etc.
August 2019 Listen
Insights From History That
Explain Mental Health Approaches and Treatments. Fernando E
Forcen, M.D. and Ph.D., psychiatrist and
health historian, reviews the evolution of these topics from antiquity, through
the Renaissance and later, mixing science and migrations, other cultural and
societal issues up through today, etc.,
and the absolute value of this knowledge in modern mental health care.
July 2019 Listen
Psychiatric Medications –
Update And The TAAR Receptor, Inflammations, Glutamate, GABA, etc. Andy Cutler,
M.D., researcher and clinician, speaks to the above issues and the changes,
successes, and existing challenges in medication development and use. (TAAR – Trace Amine Associated
Receptor). July 2019 Listen
Child and Adolescent
Psychiatry – Current Approaches, Family Dynamics, Interventions, Marijuana,
etc. Samantha Saltz, M.D., on how to do a diagnosis,
useful treatment types and integrations, the need to involve family, and
thoughts about marijuana product consumption in these age groups, etc. June 2019
Listen
Roe v Wade & The US Supreme Court - Listen To The Two Hearings. The court asked
if this is a legal, religious, medical, or other issue. On January 22, 1973, the U.S. Supreme Court struck down a Texas
statute banning abortion, that a right to abortion was implicit in the 14th
Amendment as a right to privacy. Psychological aspects were also discussed.
Soon again to be in the courts, this background might help. May 2019 Listen
– 1971 Hearing. Then the Listen
– 1972 Hearing.
Medical and Psychiatric Needs
in Moria, the Greek Refugee Camp. Paul Hart. M.D., in 2019, volunteered his
services at Moria, the Greek Refugee Camp. He speaks to the medical,
psychiatric and other needs in the camps, the costs, acute versus chronic
conditions, family and group cohesion, supply chains, reasons for and the
hardships of migration, etc. May 2019 Listen
* Health And Social Impact
Realities Of Nuclear Accidents and
Weapons. Peter
Wilk, M.D., a psychiatrist, gives a history and updates on the known public health
hazards of nuclear accidents and weapons. He believes the weapons provide more
psychological insecurity than security, and he provides approaches and links to
reduce the ruinous and unapologetic biosocial blows of both nuclear weapon use
and when unintended problems occur with other nuclear devices. May 2019
Listen
* Fewer Bees And The Food
Chain -- Maureen
McCue, M.D., from Iowa, explains these concerns, and how by prioritizing our
needs for food and a lifestyle, and of land devoted to economics rather than
nutrient values, we have jeopardized the balance and sustainability of the food
chain. This is considered an epic and impending danger, and as a possible
extinction event, to our public health and survivability. May 2019 Listen
* Climate Changes: How They
Impact Mental Health – Susan
Clayton, Ph.D., from the University of Wooster, discusses the known and
anticipated impacts that climate change have on our mental health. She suggests
ways to prepare without panic, and to some of the emotional obstacles seen as
people prepare for the gamut of
lifestyle and community changes that are of real concern. April 2019 Listen
U.S. Nursing Students -- Care
To The Guatemalan Poor - Rhonda Goodman, R.N., from Lynn University in
Florida, reports on her years of taking nursing students to work with the
medically underserved, and their many impacts on reducing cervical cancer,
childhood malnutrition, and other
conditions, as well as the powerful approaches to medicine fostered in the
students by this experience. Her program is successful and flourishing for both
patient and student. April 2019 Listen
Adverse Childhood Experiences
– Its Nature and Effects. Ely Niroomand, from the University of
Miami, on how traumatic childhood events can produce physical and emotional
problems later in life. She gives examples, rating scales, and how it is being
used in many professions to reduce and better understand these subsequent life
problems. March 2019 Listen
Mass Shootings – Ideas From
Two People: A Shooter’s Mother, and Then
An Almost Shooter
These
TED talks passionately capture much of the fundamental material and teachings
about such tragedies, mental health, guns, and the role of violence, both with
and without suicide. Both talks are combined into a single 23-minute audio
file; the video files are on YouTube or TED talks. First, Aaron
Star: why he almost was a mass
murderer, then Sue Klebold: her son was a Columbine School shooter. An
interesting note to consider is that both young men cut themselves. March 2019.
Listen
to both talks.
Bringing The Vulnerable To A
Level Of Resilience - Medical Students
Visit Their Patient’s Homes. Pedro
Greer, M.D., from Florida International University, describes a flourishing
program that puts medical students directly into the patients’ homes to see the
many whys and reasons they get sick, cannot get to or afford care, and the
other tangible psycho-financial-cultural-social components of their lives, etc.
February 2019 Listen
* Heat and The Melting Ice – History, Impacts and What To Do
About It -- Alan Lockwood, M.D., addresses the history
of, and current pressing scientific concerns, regarding global warming.
Included are the growing political, social, physical and psychological (i.e.,
stress and insecurity) impacts of major changes in fresh water supplies,
methane releases, heat, etc. February 2019
Listen
Gun Violence
Insights – Bill
Durston, M.D., former emergency room physician, former US Marine, and now with
“Americans Against Gun Violence”, articulately expands the perspective and
magnitude of gun violence with history and statistics, including his ideas on
how to lessen the problem. February 2019 Listen
* Our Health Changes With
Climate Changes – Lynn
Ringenberg, M.D., Professor Emeritus at the University of South Florida,
expresses her crisis but not panic level of concerns regarding how climate
warming and other changes impact our physical and emotional health. February
2019 Listen
Prisoner Suicide - Seena Fazel, M.D., Professor of Psychiatry
at the University of Oxford (England), studies this sizable problem. He speaks
to interesting findings and etiologies, which lead to useful suggestions.
January 2019 Listen
Executing Someone
Who No Longer Remembers Their Crime – US Supreme Court. Convicted of murder and sentenced to death,
post-sentencing medical changes argue there is no longer a memory of the crime;
should he be executed? Many associated
mental health issues. Argued in October 2018 as Madison v Alabama. January 2019 Audio available: Listen In February 2019, the court vacated the
lower court decision and remanded for
renewed consideration of his capacity to have a rational understanding of why
Alabama wants to execute him. Read
The Opinion – Audio Not Available
Teaching Psychotherapy to
Psychiatrists. Uma
Suryadevara, M.D., from the University of Florida, teaches psychiatry residents
the art and manners of verbal psychotherapies. She describes the reasons,
needs, and challenges of skills with this important aspect of mental health
care. December 2018 Listen
Cognitive Changes as a Domain
of Depression. Roger
McIntyre, M.D., a psychiatrist from University of Toronto, clearly explains the
now better understood cognitive changes during depressions. He also speaks to
key diagnostic processes and challenges, the roles of other conditions and
medication/substance use, etc. November 2018
Listen
On Depression by Someone Who
So Suffers. William
Storey suffers from depression. He eloquently articulates and explains his
resultant attitude, approach, what advice he offers, and his overall intriguing
conceptualizations. October 2018 Listen
Immigration and Judicially Mandated Family
Separations – The Psychological Aspects. Guadalupe
Lara, MSW, comments and looks at this process, focuses on the need to
understand the culture from which these children come, the roles of family,
connections, and love, feeling protected, potential long-term emotional
sufferings, the guilt felt by these children, etc. She has worked with these groups. September 2018 Listen
The Other Pain Management Techniques. David
Casio, Ph.D., outlines the important, non-medical, ‘other’ and often quite
effective methods and approaches to managing chronic pain, how long it takes to
learn these methods, the positive outcomes, etc. September 2018 Listen
Sigmund Freud – The Only Known Audio Recording On December 7, 1938, a BBC radio crew recorded
Sigmund Freud in Hampstead, North London. Eighty-one years of age, suffering
from advanced jaw cancer. every word was spoken through agony. The pain was
unbearable, and several months later he asked his doctor to administer a lethal
dose of morphine. This is the only known
audio recording of Freud. Below is the
transcript Listen “I started my professional activity
as a neurologist trying to bring relief to my neurotic patients. Under the
influence of an older friend and by my own efforts, I discovered some important
new facts about the unconscious in psychic life, the role of instinctual urges,
and so on. Out of these findings grew a new science, psychoanalysis, a part of
psychology, and a new method of treatment of the neuroses. I had to pay heavily
for this bit of good luck. People did not believe in my facts and thought my
theories unsavory. Resistance was strong and unrelenting. In the end I
succeeded in acquiring pupils and building up an International Psychoanalytic
Association. But the struggle is not yet over.” --Sigmund Freud, 1938
Common Sense Pain Management Approaches – Daniel Cartledge, M.D., gives
an approach style to appropriate pain management and work-up, concurrent
emotional problems, traditional and alternative interventions, the proper role
of cannabis, etc. August 2018 Listen
Insights Into Autism – Susan Kabot, Ph.D., speaks to the history and range
of presentations of autism, that is also an adult condition with social and
relationship realities, of its biases, how to manage it when a child and when
in the workforce, etc. August 2018 Listen
Transferring Trauma Across Generations.
Ira Brenner, M.D, speaks about psychological traumas and how the
impacts can be transmitted across generations, needed interventions, some
diagnostic and biological issues, etc.
July 2018 Listen
Ketamine – An Update. Robert Pollack, a psychiatrist, gives some history
of how this medication found a psychiatric utility, proper use protocols, what
is thought to be its mechanism of action, its potential future, etc. June 2018 Listen
The Transgender Person Brandi Baumkirchner, PhD, speaks to the inner
feelings of gender dissonance, then transition challenges, of helping
transitioning families, the importance of using the correct language, etc. May
2018 Listen
Attention Deficit Conditions in Older Adults. David Goodman, MD, emphasizes
the nature, treatment, proper diagnosis, and other measures of ADD disorders in
older adults. April 2018 Listen
Understanding The Placebo, Including Its Clinical Use Walter Brown, MD, from Brown
University, speaks to the fascinating history of, nature of, and the potential
clinical use of the placebo in treatment, including in substance abuse
treatment. April 2018 Listen.
Psychological Approaches To Trauma, Such As A School Shooting. Danny Brom, Ph.D., founder of
the Israeli Center for Treatment of Psychotrauma, lays out the nature of trauma
and then gives basic, time-proven suggestions to professionals, family, and the
larger community, on how to best understand and manage the levels of the
emotional responses, for different age groups, following such gruesome events.
February 2018 Listen
The Emotional Component Of Pain. Jay Goldman, DDS and LCSW,
who ran the Orofacial Pain and TMJ Clinic at the NYU Dental School, gives
important perspectives on the understanding and treating of chronic pain. He is
now a psychotherapist. January 2018 Listen
Cellular Receptors. James Woods, a psychiatrist in Memphis, explains the notions and roles
of cellular receptors in the treatment of psychiatric conditions, and how
advances here will improve diagnostic and treatment accuracy. Common receptors
are 5HT’s for the serotonin and D2, D3, etc., for the dopamine systems. January
2018 Listen
The Process of Growing Up. Susan Neiman, Ph.D., director of
the Einstein Forum in Berlin, explores the experiences and stages needed to
‘grow up.” She brings us a thought
provoking mixture of philosophical and other processes in the development of
maturity. January 2018. Listen
Update/Overview of Movement Disorders. Bruno Gallo, M.D., a neurologist in Miami, speaks in an
understandable manner about ataxia, dyskinesia, Parkinson’s Disease, tremors,
chorea, etc. He talks of causes and of the established and new treatments. He
ends with an explanation of deep brain stimulation. December 2018 Listen
A County State Attorney’s Efforts To Conquer The Opioid Crisis. Palm Beach County (Florida) State
Attorney Dave Aronberg gives an overview of the problem and then speaks to his
taskforce’s work to stop, using legal tools, the destructive cycle of sober
homes, patient brokering, and insurance loopholes which feed and encourage the
opioid crisis. This includes arrests made of those involved with these
activities, working with other groups and agencies, etc. November 2017 Listen
Cannabis and Chronic Pain – A Literature Review -- Devan Kansagara,
MD., speaks to the current station of cannabis use in the control of chronic
pain, the real research interests, suggesting how physicians should address
marijuana use with their patients, potential of risks, etc. November 2017 Listen
The Critical Psychology Of Living Spaces – Architect
Terrence Glassman on our connections to our living spaces, a bit of a history
overview, the emotional and functional aspects of a healthy environment and
sense of a safe community, his shift from knowing how to design to learning
what to design, etc. November 2017 Listen
Integrating Chronic Pain Treatment With Co-Existing Mental Health Problems.
David Cosio, Ph.D., addresses this common problem and how
to approach it. He offers his clinical experiences and observations, with a
co-emphasis on educating clinicians on the need for treatment consistency and
team efforts. September 2017 Listen
Residential Programs for the Mentally Ill – A Successful Model. Elaine Rothenberg, Ph.D., directs such
a program in SE Florida. With 20 years
of existence, it has evolved into a project that deserves a close study and
considerable modeling. September 2017 Listen
The Binge Eater – Roslyn Malmaud, Ph.D.,
discusses the nature, common etiology, symbolisms, and treatment of binge
eating and this type of attachment to food. It happens in men too. This is an
understandable, ground level look at basic dynamics and real-time
interventions. August 2017 Listen
Tools for Tardive Dyskinesia and Parkinson’s Psychosis – Jonathan
Meyer, M.D., from the University of California-San Diego. Part one discusses two new medications for
tardive dyskinesia; part two addresses the psychosis often seen in Parkinson’s
Disease. Detailed, but easy to understand. August 2017 Listen
Understanding Hemingway’s Brain – Andrew
Farah, M.D., psychiatrically integrates the genetic background, the numerous
concussions, his alcoholism, his suicide, and his genius. August 2017. Listen
Mental Health in Saudi Arabia – Update.
Haifa Gahtani and Yasser Dabbagh, both psychiatrists in Saudi Arabia, openly discuss
the history and growing roles and practices of mental health care in Saudi
Arabia. Included are topics of culture and religion, women, and even insurance
issues. July 2017 Listen
The Opioid Crisis – Needed Information.
Robert Moran, M.D., psychiatry and addictionology, outlines
issues of etiology, prevention and intervention, the failure to use evidence
based science and medicine, relapses, addiction and pregnancy, etc. June 2017. Listen
Smoking – An Update from the CDC. Dr. Brian King, deputy
director at the U.S. Center for Disease Control, for Research Translation in the
Office of Smoking and Health, speaks to first hand and second hand smoke,
anti-smoking educational real successes and challenges, acknowledged medical
concerns, socioeconomic use patterns, state legislative differences, smoking
advertising, etc. April 2017 Listen
Cultural Insensitivity, Prejudice, & Dangerous Profiling. Gail
Price-Wise discusses a famous Miami malpractice case which was the result of
defective and negligent culture-driven errors. She has since set up the Center
for Cultural Competence to study and teach how to defuse prejudice and related
bias. She shares her insights. March 2017
Listen
On Being a Cuban Refuge to the USA. Jose de la Gandara and Rigo Rodriguez are both
psychiatrists. Both left, as children, Cuba’s Castro government. They speak to
the emotional and mechanical processes, the impacts on their lives and
families, some of their personal histories when they lived in Cuba, of their
on-going concerns about human rights in Cuba and elsewhere, and the deep
insights from the residual and feelings that still live within them. January
2017 Listen
Genetic Testing and Mental Health Treatment. Catherine Passariello,
Ph.D., explains how to use genetic testing in psychopharmacology. She also
explains the differences between pharmacodynamic and pharmacokinetic processes,
a brief overview of epigenetics, etc. December 2016. Listen
My Yes, and Then My No, of Cigarette Use. Rebecca
Cox-MacDonald gives her story of tobacco use, why she started and how she
stopped. One element is to be passionate about quitting and to respect one’s
body. She is part of a U.S. Center for Disease Control anti-smoking project.
November 2016 Listen
On Women and Their Inner Lives – Jacqueline
Hobbs, M.D., from the University of Florida, Department of Psychiatry, speaks
to the traumas of sexual disrespect and abuse, cultural issues of expectations,
libido changes, breastfeeding, hormonal realities, pregnancy and/or post-partum
and mental illness, the need for a safe place to discuss these issues, etc.
October 2016 Listen
Poverty, Growth, and Mental Illness – Amanda
Terrell, Ph.D., offers her concrete professional observations and concerns. She
works to reach out to families to reduce how poverty impacts mental, social and
physical growth. October 2016. Listen
L-Methylfolate, Homocysteine and Depression. – Andrew
Farah, M.D., revisits and details the roles of these substances in the
treatment of depression, the theory, the prospects, and how it may shift
approaches to some biological depressions. August 2016 Listen
Art Therapy – A Powerful Tool.
Myria Levick, Ph.D. is a pioneer, teacher, and researcher
in art therapy. She discusses, with examples, how useful it can be across all
ages and how it can be helpful to understand emotional and cognitive
development in children. She speaks as well about working with Anna Freud.
(Recorded in her living room.) July 2016. Listen
Dementia – Understanding and Managing. Kenneth
Kosik, M.D., neuroscientist and author from University of California (Santa
Barbara), speaks to the treatment, research goals and expectations, and
practical life style changes that can mitigate its onset and course. June
2016 Listen
* Mental Health After Disasters – Orlando, et. al. -- Robert Ursano, M.D., Chair of Disaster Psychiatry for the American
Psychiatric Association, carefully explains typical post event reactions, the
better style of interventions, details acute from chronic reactions, etc. June
2016 Listen
‘Into The Magic Shop’ – James Doty, M.D., a neurosurgeon, retells the
story (in his book of the same name) that changed his life insofar as helping
him be a more humanistic physician, the role of mentors, pacing oneself, choice
of values, etc., all leading to the
creation of the Center for Compassion and Altruism and Education at Stanford
University. May 2016 Listen
Living in the International Space Station – Tom
Marshburn, M.D., and an US astronaut, speaks to the science and his two
experiences in space, first working in the shuttle and then living in the space
station, and of the many research spin offs, the life patterns in space, of no
gravity, medical changes, etc., giving us many fascinating details. April 2016.
Listen
The Aging Process – Attitudinal and Other Aspects – Deirdre
Robertson, Ph.D., describes her research into cognitive and physical decline,
fragility, and how perceptions of aging mitigate the aging process, etc. From The Irish Longitudinal Study of Aging (www.tilda.tcd.ie). She is
now at Columbia University, NY. April
2016. Listen
Gambling – Luke Clark, Ph.D., from the University of
British Columbia, explains gambling: the impetus, evolving theories, characteristics,
the drive, that it is an addiction, and the interventions and treatments.
February 2016.
Listen
The Zika Virus - Larry Bush, M.D., specializes in infectious
diseases. He examines the nature, history, and concerns with the Zika virus
outbreaks. February 2016. Listen
Helping Veterans – Mary Houlahan, R.N,
and former Captain with the US Marines, offers a poignant explanation about the importance of knowing about a
person’s military history as part of their medical care, of trust issues with
veterans, and of the critical, yet simple and ever so powerful impact of
reaching out to them. February 2016 Listen
* As The Sea Level Rises – Roderick King, M.D., from the Florida Institute
of Health Innovation and an Associate Professor, Dept. of Public Health
Sciences, University of Miami School of Medicine, steadily details the
challenges, and how the world must coordinate efforts to offset and adapt to
changes in society, the geography of some of our communities, medical issues,
weather changes, etc., in response to global climate change. January 2016. Listen
Physician Burnout – Penelope Ziegler, M.D., outlines the process,
common causes, nature, and needed interventions related to physician burnout.
These patterns apply to other professions as well. Dr. Ziegler is the medical
director of the Professionals Resource Network (Florida). December 2015 Listen
All About Group Therapy – Holly Katz, Ph.D., explains the reasons,
approaches, roles, and great value of group therapy. She addresses the unique
dynamics occurring in groups, core differences support versus counseling
groups, between individual and group interactions, and doing so in an easy to
understand and engaging manner. She is the training director at the Faulk
Center for Group Therapy in Boca Raton, Fl.
November 2015. Listen
My Life Being Bipolar – Hakeem Rahim suffers from a bipolar disorder.
He describes how the impact it has on his life. He works as a very active
advocate and speaks on mental health issues and challenges. Also attached at
the end of this interview is a recording of his testimony on mental health to a
US Congressional Committee. November 2015 Listen
* Sustainability Challenges – Cultural, Economic, and Environmental – Natalie
Schneider, Climate Change and Sustainability Coordinator for Palm Beach County
(Florida), outlines the necessary concepts and challenges to maintain
sustainability, how to grow in a manner that allows future generations to have
available resources, how people adapt to these demands, etc. October 2015 Listen
Chronic Pain in Kids, Teenagers, and the Elderly – Kern Olson,
Ph.D., a pain psychologist, discusses the common pain types in these three
groups, and the importance of behavioral interventions, the ability to
articulate pain, family involvements, sleep issues, medications’ role, and
marijuana use, etc. October 2015. Listen
* Sugar Cane Burning – The Downwind Health Effects. Julia Hathaway, from the Sierra Club, describes
the concerns about the health effects of large scale sugar cane burning, and
why and how other countries use green harvesting instead. October 2015 Listen
* Pesticides and Our Health – Jeannie Economos explains the serious health concerns regarding
pesticide exposure, including effects on human development, fertility, and
disease, the need for medical attention to occupational exposure, endocrine
disruption, informational links, and the Lake Apopka story. (Co-posted with
Palm Beach County Medical Society) August 2015 Listen
Pseudobulbar Affect – William Ondo, M.D., from the University of Texas,
explains this disorder, of how an expressed emotion is not always matched to
the felt emotion, its possible role in brain injuries, Parkinsonism, Lew Gehrig
disease, or dementia, and its history and its treatment. August 2015. Listen
Grassroots Mental Health – Pakistan. – Dr.
Zulqurnain Asghar, a psychologist in Islamabad, describes the unmet mental
illness challenges in his country. These include his work with a mental health
camp and a program to empower women through education, designed to prevent and
deal with mental and other health problems. (More background at www.pmha.org.pk) July 2015. Listen
Predicting Dangerousness – Jeffrey Lieberman, M.D., from Columbia
University, discusses the real limits and possibilities of predicting, and the
nature of, dangerousness. July 2015 Listen
Three Psychiatrists’ Concerns About Marijuana – Three
psychiatrists, Aldo Morales, Dean Rotondo and Abbey
Strauss, share their concerns and experiences with the clinical aspects of
marijuana use. From a forum of April 29, 2015 in Palm Beach County, Fl. Opening
comments by Donna Hearn, Ph.D. July 2015 Listen
The Mental Health Court – Judge Ginger Lerner-Wren presides over the 18
year old award winning mental health court in Broward County, Florida. Hear her
intriguing comments to its history, philosophy, challenges, and style. June
2015 Listen
The Common Language of Science – In
September 1941, Albert Einstein wrote and read on London’s Science Conference this 8 minute piece on language, science, and
mental health. This is that essay in Einstein’s own voice. June 2015 Listen
About Psychiatry – Jeffrey Lieberman, M.D., reviews how mental
health treatment evolved, its strengths and challenges, and the nature of its
treatments. Currently he is the chair of Psychiatry at Columbia University,
past president of the American Psychiatric Society, and author of
“Shrinks...” May 2015 Listen
Decriminalizing the Mentally Ill – Judge Steven
Leifman, 11th Judicial Court (Florida),
recounts his entry into dealing with the mentally ill, gives an overview and
history of mental health and the courts, why problems developed, and outlines
the good changes made in Dade County that can be a model for other communities.
May 2015 Listen
Flakka – Another Designer Drug -- Krithika
Iyer, M.D., explains the nature and great danger of this newest of the designer
drugs. Her comments stem from theory and actual clinical experiences with its
users. April 2015. Listen
Why Speak About ADD? -- Elias Sarkis, M.D., speaks to other aspects of
the condition, the differences between child and adult presentations, how it
can so dramatically impact the course of a person’s life, etc. April 2015 Listen
Dementia Update – Neil Buckholtz,
Ph.D., Director of Neurosciences at the National Institute of Aging (part of
the NIH) discusses in detail the state of the research and treatment domains
for dementia. March 2015. Listen
Infidelity – Jesse Selkin, Psy.D., discusses the definition
of infidelity, culture variances, the role of web pornography, the role of
trust, and the nature of styles of relationships in which infidelity is
associated. March 2015. Listen
Telemedicine – Donna Vanderpool, J.D., a medical malpractice
carrier’s risk manager, explains the rising presence of telemedicine, it’s
history, it’s potential, and it’s dangers, including a discussing of privacy
and various state requirements, even for psychotherapy only. February 2015. Listen
Measles Again -- Really –
Larry Bush, M.D., explains why measles has returned, how it is spread, the
concepts and history of vaccinations, and that the major tools against
infection are sanitation and vaccination. February 2015. Listen
Post-Traumatic Growth -- Susan Gallagher-Ross, Ph.D., explains how
trauma can lead to growth with certain psychological concepts and approaches,
all to help people better develop and thrive following a crisis. She presents
some personal experiences as well. January 2015 Listen
Stalking – Phil Heller, Psy.D., talks with blunt detail
about the make-up of stalkers, rejection and rage, what triggers stalking, the
legal challenges, how to deal with it, etc. December 2014 Listen
The Robin Williams’ Suicide – Mindy Rosenbloom,
M.D., considers the reality and risk factors of depression and suicide
regardless of economic and social positions. We also spoke of the special place
Mr. Williams had in our society. November 2014 Listen
Sexual Pressures on Special Needs Girls – Maureen Whelihan, M.D., a gynecologist, openly discusses the sexual
worlds’ of special needs girls, including birth control, social pressures,
emancipation, relationships, advice to parents, etc. Some comments overlap the
needs of mainstream girls as well. October 2014 Listen
Effects of Adolescent Marijuana Use - Edmund Silins, Ph.D., explains his recently published study on the
consequences on school completion, suicide, and subsequent illicit drug abuse
in those who smoked marijuana before and through age 17. October 2014. Listen
Latino’s and Their Mental Health Needs – Daniel
Jimenez, Ph.D., highlights the importance of critically understanding the harmonics
of cultural backgrounds of Latino’s when they have mental health needs. October
2014. Listen
Inflammation and Psychiatry – A New World – Charles
Raison, M.D., explores this fascinating new world that connects inflammation
and psychiatric issues, the research, the theories, and the possible new set of
understanding and treatments. September 2014. Listen
Understanding Menopause -- Maureen Whelihan, M.D., gynecologist, presents the practical data, interventions,
and some truths about this very real phase of life event. August 2014 Listen
The Industrialization of Marijuana: Reflections of Tobacco?– Kimber
Richter, Ph.D., (University of Kansas) and Sharon Levy, M.D. (Harvard
University) discuss the effects of industrializing marijuana as a public health
issue that reflects the history of the
tobacco industry. August 2014 Listen
Ebola -- Larry Bush, M.D., an infectious disease
specialist, explains Ebola and other viral concerns, including origin, spread,
treatment, and prevention. August 2014 Listen
Psychiatry and Space Travel – Ronald Moomaw,
D.O., NASA flight surgeon/psychiatry, explains the unique challenges and
methods of supporting those in long term space flight. He is directly involved
with the International Space Station project. A fascinating look into this
area. July 2014 Listen
Ketamine and Depression. Charles Nemeroff, M.D., Chair of the Department
of Psychiatry (University of Miami) discusses the history, nature of, and
dangers to ketamine use as we currently understand it, but that careful
research with ketamine may give us clues and tools into a clinically safe
intervention to help the truly treatment resistant depression. July 2014. Listen
Visit - The Medical Marijuana Module –
podcasts in conjunction with the Palm Beach County Medical
Society Podcast Series.
Blending Neuroscience and Psychoanalysis – Mark Solms, Ph.D., from South Africa, brings these two domains into
a necessary union because both are integral aspects of our lives. He is also
co-chair of the International Neuropsychoanalysis
Society. June 2014. Listen
Cellular Receptors and Psychiatric Medications – Youssef Hausson, M.D., from Zucker-Hillside Hospital in New York
City, discusses the common cellular receptors (dopamine, serotonin,
norepinephrine, etc.) important to the treatment of certain psychiatric
conditions. June 2014. Listen
Medical Marijuana – David Gross, M.D., takes on this critical
topic. He discusses the possible medical potential that might follow
trustworthy scientific research, concerns with the exposure – especially to the
teenage brain -- to the marijuana plant, potential legal challenges, etc. April
2014 Listen
Please visit our joint efforts and colleagues at
the Palm Beach County Medical Society Podcast Series –
many of these are co-posted.
Click here to go to our other podcasts. Experts
talk about depression, use of medications in children, aging issues, suicide,
bullying, forensic issues, PTSD, managing psychological trauma, hypnosis,
teenage cutting, borderline personality, dementia, and so on; there are over
230 episodes, with more to come. Make us
a ‘Favorite’ so it is easy to return.
Important
Note: All
treatment decisions must result from a doctor-patient process. Opinions expressed
herein are not necessarily those of the host or either the Florida Psychiatric Society or the
Palm Beach County Medical Society. New information may develop since the time
the interview occurred; consult your physician before any clinical decision is
made. Find us also on iTunes. Comments or questions go to astrauss@katenagroup.org Unrestricted production underwriting is
generously provided by The Wellington Retreat, Florida, and the Palm Beach
County Psychiatric Society.
And again, thanks for listening.