NP Z
Pearls and Prep
******* 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
Podcast website
Latest episode
Jul 7, 2026
Where to listen?
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Episodes
In the Ring: Lexapro vs. Prozac - A Comprehensive Analysis 30.12.2025 29:56
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 podcast episode, we meticulously dissect the pharmacological distinctions between Lexapro and Prozac, with the objective of determining the most suitable medication for our hypothetical patient, Benny. Benny, a 32-year-o...
PEARL OF THE WEEK: A DSM Diagnosis That Can Reduce Life Expectancy by an Average of 7 Years 23.12.2025 10:12
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 Welcome back to a BONUS episode of Pearls and Prep! This episode dives deep into one of the most under-discussed and urgent realities of ADHD: the strikingly higher risk of premature death across the lifespan—and what actually d...
Stocking Stuffer Bonus: High-Yield Pearls on Bipolar Activation, SSRIs, and Mood Stabilizers 22.12.2025 15:13
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 🎙️ Episode Description Antidepressants are foundational in psychiatry — and also one of the easiest ways to accidentally destabilize mood if bipolar risk isn’t recognized early. In this episode of Pearls and Prep , we break down...
T-Tests and Tummy Aches: How to Read a Research Study Like a Pro 16.12.2025 37:43
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 Are you a psychiatric mental health nurse practitioner (PMHNP) student struggling to make sense of p-values, odds ratios, or confidence intervals? Do you wish someone would just explain evidence-based practice in mental health u...
Pearl of the Week: What Is the Only Transdermal Antidepressant? 09.12.2025 12:43
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 This week’s Pearl of the Week dives into one of psychiatry’s most overlooked breakthroughs: the only transdermal antidepressant the FDA has ever approved. Why did this one medication earn a category all its own? What makes its d...
Navigating Acute Dystonias: Clinical Insights and Management 02.12.2025 22:25
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 This podcast episode elucidates the complexities surrounding dystonia, a neurological movement disorder characterized by involuntary muscle contractions leading to abnormal postures and movements. We commence by exploring a mock...
Pearl of the Week: The Bipolar Blind Spot 25.11.2025 14:01
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 The salient point of this podcast episode is the astonishing statistic that the average delay in accurately diagnosing bipolar disorder is nine years following a patient's initial depressive episode. This revelation underscores...
Bonus Episode: Board Bombs: 3 High-Yield Psychiatric Questions to Prepare You for Your Board Exam 21.11.2025 12:58
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 🔥 Bonus Board Bombs: 3 High-Yield Questions Every PMHNP Must Master Before the Exam Get ready to level up your PMHNP board prep with three ultra-high-yield “Board Bombs” designed to sharpen your clinical reasoning, boost exam c...
Exploring the Diagnostic Challenges in Anxiety: Jean Luc's Journey 18.11.2025 26:11
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 The primary focus of this podcast episode revolves around the intricate relationship between caffeine consumption and its potential psychological ramifications, particularly as illustrated through the case of a mock patient name...
PEARL OF THE WEEK: What is the only DSM diagnosis that requires a rating of symptoms? 11.11.2025 12:42
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 Think you know your DSM-5-TR inside and out? In this Pearl of the Week episode, we’re asking a question that stumps even seasoned clinicians: Which DSM-5-TR diagnosis actually requires a validated rating scale to confirm it? Is...
Exploring Mixed Features in Major Depressive Disorder: The Case of Gus 04.11.2025 26:51
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 delve into the intricate case of mock patient, Gus, a 23-year-old male grappling with debilitating depression and psychotic symptoms. His experience includes a notable history of Wellbutrin use, which initially seemed...
Board Bombs - 3 Critical Questions to Prepare you For Boards and Empower your Practice 28.10.2025 13:47
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 This podcast episode delves into the intricacies of pharmacological preparations for the NP board exams, specifically focusing on the implications of amitriptyline and its adverse effects. We meticulously analyze a clinical vign...
Exploring the Nuances of ADHD vs. Bipolar Disorder in Outpatient Care 21.10.2025 29:11
Differentiating ADHD from Bipolar Disorder: A Case Study with Dale In this episode of 'Pearls and Prep,' host NPZ presents a detailed case study of a mock patient named Dale, exploring symptoms that could be indicative of ADHD or bipolar disorder. The session focuses on analyzing Dale’s history, behavior, and psychiatric background to understand the complexity of his condition. Key educational poi...
Board Bombs: 3 Great Practice Psychiatric Nurse Practitioner Board Prep Questions 14.10.2025 13:21
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 🎧 Episode Title: 3 Board Bombs Every Psych NP Needs to Master: Illness Anxiety, Lamotrigine, and MAOI Protocols Episode Summary: Whether you're days from testing or deep in the trenches of your clinical prep, this episode deliv...
From Volcanoes to Nightmares: A Deep Dive on Prazosin 07.10.2025 28:53
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 Managing PTSD and Nightmares: An In-Depth Case Study In this episode of Pearls and Prep, the focus is on a mock patient named Marcus who has been suffering from PTSD-related nightmares after falling into a non-active volcano yea...
The Intricacies of Diagnosing Anxiety Disorders 23.09.2025 32:44
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 Navigating Complex Diagnoses: A Case Study on OCD In this episode of Pearls and Prep, the host presents a mock case study featuring 'Sarah,' a fictional patient struggling with academic performance, overwhelming anxiety, and obs...
Off the PHARM: Abilify Decoded: Insights into Its Unique Approach in Antipsychotic Therapy 18.09.2025 19:56
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 This podcast delves into the intricacies of the medication Abilify, also known as Aripiprazole, elucidating its unique role as a dopamine serotonin system stabilizer and its differentiation from traditional antipsychotics. Abili...
A Deep Dive into Second Generation Antipsychotic (SGA) Augmentation for Incomplete Response in Major Depression 09.09.2025 25:45
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 This podcast delves into the complexities of augmenting treatment for major depressive disorder (MDD) when standard selective serotonin reuptake inhibitors (SSRIs) yield an incomplete response. We explore the role of second-gene...
🔍 Diagnosing Performance Anxiety: Key Considerations for Psych NP Students 26.08.2025 43:44
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 Meet Carly , a 32-year-old librarian who suddenly has to deliver a eulogy after her co-worker tragically choked on peanut brittle during the library’s staff meeting. Now overwhelmed with public speaking anxiety , Carly turns to...
The Dance Between Dependence, Depression, and Dopamine: A Case Study of Beanbag Benny 26.08.2025 30:07
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, Dr. Z discusses the complex case of 'Beanbag Benny,' a 34-year-old mock patient dealing with depression and cannabis use. The conversation explores diagnostic and treatment strategies for psyc...
Exploring the Nuances of Bipolar I: Insights from a Mock Patient 26.08.2025 27:21
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 Assessing Bipolar Disorder in a 32-Year-Old Patient: Diagnostic Pearls and Clinical Strategies This episode of Pearls and Prep features a detailed discussion about diagnosing and managing a complex psychiatric patient case. The...
Elevate Your Psychiatry Knowledge with Pearls and Prep 12.08.2025 3:17
(No episode number) Elevate Your Psychiatry Knowledge with Pearls and Prep Pearls and Prep Takeaways: The podcast Pearls and Prep is specifically designed for individuals in mental health fields, including nurse practitioners and residents. Each episode presents a unique mock psychiatric case that encourages deeper thinking and smarter prescribing. The host aims to combine engaging teaching with p...
Demystifying Major Depressive Disorder with Mixed Features 14.01.2025 18:16
The focal point of this podcast episode is the exploration of major depressive disorder with mixed features, a diagnostic innovation that has significant implications for clinical practice. We delve into the complexities that arise when distinguishing between major depressive disorder and bipolar spectrum disorders, particularly when patients exhibit overlapping symptoms. Through the illustrative...
Vitamin D in Psychiatric Practice: Evidence-Based Pearls That Matter 07.01.2025 16:18
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 discourse, we undertake an extensive examination of vitamin D, elucidating its critical role as a neuroprotective agent and a modulator of serotonin signaling, particularly in the context of major depressive disorder. A...
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