PAFMG Psychiatry for Primary Care Providers

In my last episode of the podcast we talk through these 2 great SNRIs. 

Erin 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. 

Lithium 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 .

We 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/BehavioralHealthResourcesandEducation

In 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 .

In this episode we discuss 2 fraternal twins, one with ADHD and anxiety and one with ADHD and a processing disorder 

In 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 approach Photo credit: " ADHD Bubble and Brain " by amenclinics_photos is licensed under CC BY-SA 2.0 .

This 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 Commons

In this episode we discuss how to prescribe methylphenidate and dexmethylphenidate in uncomplicated ADHD 

In 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=5568823

Caitlin 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/

Tan 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 .

In 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 .

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 .

Photo credit:" Quit " by Fujoshi is licensed under CC BY-NC-ND 2.0 Pilot 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.

Reference 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.1359 Lebowitz MS, Appelbaum PS. Biomedical Explanations of Psychopathology and Their Implications for Attitudes and Belie...

We walk through the advantages of Buspar, any special considerations and how to dose this helpful medication. 

Ori 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=4734065