NP Z

Pearls and Prep

Education EN ↓ 99 episodes

******* There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.”Be the second on Patreon:https://www.patreon.com/c/PearlsandPrepPearls and Prep: Psychiatric Case Studies is the go-to podcast for psychiatric nurse practitioner students, psych residents, clinicians, and anyone fascinated by the human mind. Whether you’re prepping for boards, sharpening your diagnostic skills, or just curious about what psychiatry looks like behind the scenes, this show delivers clinical gold in every episode.🎯 What You’ll Learn:Each episode walks you through real-...

Author

NP Z

Category

Education

Podcast website

pearlsandprep.captivate.fm

Latest episode

Jul 7, 2026

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Episodes

Why Your Meds ‘Aren’t Working (It’s Not What You Think) 07.07.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Be the second on Patreon: 👉 https://www.patreon.com/PearlsandPrep Today, we’re diving into the nitty-gritty of medication adherence with a case study of our friend Maria, who's struggling with her Zoloft. She’s been on it for a while but feels like it’s just not cutting it, and that’s where we...

Irritability Pearls: Avoiding the Most Common Clinical Mistakes 05.07.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep One of the most common—and most misunderstood—symptoms in psychiatry is irritability . Is it depression , generalized anxiety disorder (GAD) , PTSD , ADHD , bipolar d...

The Good, the Bad & the Weird of Z-Drugs 01.07.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Today, we’re diving into the world of Z drugs, and trust me, it’s gonna be a chill chat about what these meds really do in the real world. Z drugs are those non-benzo...

Why Lexapro Might be a Uniquely Important Tool in Your Medication Arsenal 30.06.2026

Today, we delve into the intricate world of antidepressants, particularly focusing on the efficacy and tolerability of Lexapro in comparison to its counterparts. It is imperative to recognize that not all antidepressants are created equal, as each possesses distinct benefits and drawbacks that can significantly influence patient outcomes. The recent meta-analysis featured in BMC Psychiatry reveals...

Mock Patient Elias: “Am I Real?” | The Diagnostic Tangle of Depersonalization vs Panic vs PTSD 23.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Be the second on Patreon: 👉 https://www.patreon.com/PearlsandPrep Today we're diving into a real head-scratcher with our mock patient, Elias. This dude is feeling like he’s living life behind glass—everything's distant and unreal for months now, and he’s convinced he’s losing it. We’ll explore...

Kratom Uncovered: 5 Game-Changing Pearls for Your Practice 19.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Today, we’re diving into the wild world of Kratom, and trust me, it’s a topic that’s got some serious implications for us as psychiatric providers. I’ve gathered five...

Memorizing ADHD Inattentive Type Criteria Through a Cookie Baking Story 16.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Be the second on Patreon: 👉 https://www.patreon.com/PearlsandPrep In this episode of Pearls and Prep , we meet Milo , a sweet but scatterbrained baker whose cookie chaos becomes the perfect metaphor for inattentive ADHD . Through Milo’s messy kitchen adventures, listeners will learn — and neve...

The DSM Sleep Disorders: One Episode to Make Sense Them All. 15.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep **10 Sleep Disorder Categories?! Don't Worry—We've Got This.** Today we're tackling one of the most intimidating chapters in the DSM-5-TR: Sleep-Wake Disorders. At fi...

5 Things You Probably Get Wrong About Adjustment Disorder 14.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Today, we're diving into the nitty-gritty of adjustment disorder, and trust me, you don’t want to miss this! We're breaking down five things you probably didn’t know...

Paxil Withdrawal or Depression Relapse? The Difference Changes Everything 12.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Is It Depression Relapse or Paxil Withdrawal? How to Tell the Difference Your patient stopped Paxil. A few days later, they're anxious, emotional, dizzy, exhausted, a...

The Borderline Personality Disorder Insight I Wish Someone Had Taught Me Earlier 11.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep What If the DSM-5 Symptoms Are Actually Survival Skills? Understanding Borderline Personality Disorder Through Haley's Story Why does someone with borderline personal...

Cannabis Psychosis or Schizophrenia? What Do You Do When You Can't Tell? 10.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Alright, folks, today we're diving into a real head-scratcher of a case study with our buddy Henry (mock patient). Imagine a 22-year-old who thinks his neighbors are...

Would You Get This Right? Illness Anxiety vs Somatic vs Factitious vs Malingering 09.06.2026

This podcast episode delves into the complexities of a (MOCK) 32-year-old female patient presenting with chronic health concerns, primarily focused on her perceived immune dysfunction, despite inconclusive medical evaluations. We explore the intricate distinctions between various psychiatric diagnoses, specifically illness anxiety disorder and somatic symptom disorder, emphasizing the nuances that...

ADHD or Anxiety? The One Question That Changes Everything 08.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Alright, folks, buckle up! Today we're diving into the wild world of ADHD evaluations, and trust me, it’s gonna be a ride. Meet Carly, a 31-year-old (mock patient) la...

4 Ways Personality Disorders Can Disrupt Even the Best Treatment Plans. And what we Can Do About It. 07.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Personality disorders are like hidden icebergs, and they can really sink your treatment ship if you’re not careful. We dive into four key ways these disorders can der...

What If Your Most Stable Patient Is Developing Your Biggest Blind Spot? 06.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep We're diving into tardive dyskinesia today, and trust me, this is something you definitely want to know about. We’re breaking down what it is, how to spot it, and wha...

Tardive Dyskinesia Risk Factors: One of These Should Jump Off the Page 05.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep We're diving into the world of tardive dyskinesia today, and let me tell ya, it's a biggie! We're breaking down the nitty-gritty of assessing risk and figuring out wh...

The Benzo Boarding Pass: The Pharmacokinetics of Fear at 35,000 Feet 04.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep We're diving into the wild world of flying phobias today, and trust me, it's a bumpy ride! Our buddy Aaron (mock patient) is sweating bullets over his upcoming 17-hou...

Ninjas at Costco: OCD, PTSD, GAD, or Emerging Psychosis? 03.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Today we're diving into a wild case about a guy named Dustin (mock patient) who's convinced that ninjas are lurking around, waiting to attack him if he steps outside....

6 Pearls You May Have Not Known about Major Depressive Disorder with Psychotic Features 02.06.2026

This episode elucidates six critical pearls concerning major depressive disorder with psychotic features, emphasizing its severity and implications for treatment. The first salient point underscores that this condition represents not merely a variant of depression, but a significant clinical challenge, characterized by a markedly elevated risk of relapse, hospitalization, and mortality. As we delv...

If We Don't Understand Autoreceptors, We Don't Understand Psychopharmacology 01.06.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep Alright, folks, get ready to dive into the nitty-gritty of medication management because understanding autoreceptors is the name of the game! Seriously, if we wanna w...

How We Can Understand Psychopharmacology Through Topamax and McDonald’s 🍔🧠 31.05.2026

Today, we're diving into the wild world of Topamax, and trust me, this ain’t your typical med talk. We’re breaking it down with a super chill McDonald's analogy that’ll leave you nodding along and maybe craving a burger. Basically, Topamax is like the manager at a chaotic fast-food joint, keeping things in line by blocking sodium and calcium channels while sweetening the deal with GABA enhancement...

The Missing Lab That Looks Like Half the DSM: Why 1 in 3 Women May Be Misdiagnosed 30.05.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep We're diving deep into the world of ferritin in this episode, and trust me, it’s a big deal! We’re shining a light on how this little protein is a major player when i...

Hydroxyzine Explained: The Most Misunderstood Anxiety Medication? Itchy, Edgy… & Its Two Hidden Superpowers 29.05.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep We're diving deep into the world of hydroxyzine, and let me tell you, this med is more than just your average chill pill. It's often overlooked, but it packs a punch...

Auvelity May Change How You Think About Depression: NMDA, Sigma-1, Dopamine & Clinical Pearls 28.05.2026

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.” Patients know the difference. Know the WHY! Join our clinical library today on PATREON! 👉 https://www.patreon.com/PearlsandPrep We're diving into the nitty-gritty of a super cool antidepressant called Auvelity today. This bad boy is one of the first fresh faces in the antidepressant world in o...

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