The Academy by Psych Scene

Thinking In Psychiatry

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Thinking in Psychiatry is an Academy by Psych Scene podcast featuring short, high-signal audio episodes you can listen to on the go. Each week we break down emerging evidence, evolving clinical frameworks, and complex cases across the lifespan – from psychopharmacology and neurobiology to formulation, systems thinking, and metabolic and sleep psychiatry. Designed for busy clinicians, every episode is grounded in evidence, reviewed by faculty, and focused on one question: how can we practise better psychiatry, starting today?

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The Academy by Psych Scene

Episodes

Is This The Future of Psychiatric Diagnosis? 07.07.2026 11:14

Access mentioned course here: Advanced Psychiatric Formulation and Strategic Management Masterclass https://psychscene.co/3Rn0Sm3 Here is the link to the paper mentioned: Towards a Consensus Roadmap for a New Diagnostic Framework for Mental Disorders https://www.sciencedirect.com/science/article/pii/S0924977X24007168 In this episode, Dr Sanil Rege examines a 2025 ECNP consensus roadmap calling...

Why is Alzheimer’s More Common in Women? 13.06.2026 13:54

Access the mentioned paper here: Trying to Unravel Why Alzheimer Disease Is More Common in Women By Rita Rubin, MA https://jamanetwork.com/journals/jama/article-abstract/2839498# Access mentioned courses here: Women’s Mental Health Course: https://psychscene.co/41RwJx2 Alzheimer’s Disease Course: https://psychscene.co/4vNaeqH In this episode, Dr Sanil Rege examines why Alzheimer’s disease is m...

Why the Brain Is Never Really “At Rest” 04.06.2026 17:18

Here are the links to the papers mentioned: Parkinson’s disease as a somato-cognitive action network disorder Ren et. al. https://psychscene.co/4vQKgmc The brain’s action-mode network Dosenbach et. al. https://psychscene.co/4ts1pRr Access mentioned courses here: Advanced Psychiatric Formulation and Strategic Management: https://psychscene.co/4sG214L ADHD Masterclass: https://psychscene.co/4s...

Have We Been Thinking About Sleep Wrong? (Motor Theory Explained) 19.02.2026 9:20

Access the mentioned courses here: Sleep And Psychiatry: https://psychscene.co/46d0T09 ADHD and Sleep Dysfunction: https://psychscene.co/4rrE9Cc In this episode, Dr Sanil Rege explores the "how and why" of sleep by analysing a 2025 Neuron perspective paper (https://pubmed.ncbi.nlm.nih.gov/40961940/) detailing the interplay between sleep, motor circuits, and catecholamine biology. The discussion...

Do ADHD Stimulants ‘Cause’ Psychosis? 05.02.2026 17:54

Access mentioned course here: https://psychscene.co/46iAaiI In this episode, Consultant Psychiatrist, Dr Sanil Rege examines the complex relationship between ADHD pharmacotherapy and the emergence of psychotic symptoms. By analysing synthesis data from The Lancet Psychiatry (https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00248-2/abstract), the podcast distinguishes between drug...

Did Ketamine 'Fail' or Are We Asking The Wrong Questions? *Full Study Review* 29.01.2026 15:37

Access mentioned courses here: Clinical Audit On Cognitive Aspects of Depression: https://psychscene.co/3Z2EdvH The Aggregation of Marginal Gains as a Philosophy of Clinical Care with Prof Michael Berk: https://psychscene.co/4rqS62V In this episode, Dr Sanil Rege examines the KARMA-Dep 2 trial, a randomised controlled trial comparing adjunctive serial ketamine infusions to midazolam for patients...

The 3 Types of Hunger Clinicians Need to Know For Medication Side Effects 22.01.2026 10:58

Access the mentioned course ‘Antipsychotic Induced Weight Gain and Metabolic Syndrome (MetS)’ here: https://psychscene.co/4a62kQa In this episode Consultant Psychiatrist, Dr Sanil Rege, explores the complex neurobiology of appetite regulation, diving deep into the nuances of the brain-gut-microbiome system. Based on a recent New England Journal of Medicine (NEJM) review titled “The Physiology of...

Why Pharmacotherapy Alone May 'Fail' in Complex TRD (Treatment-Resistant Depression) 14.01.2026 14:09

To access the full episode and over 150+ hours of cutting-edge, interactive courses on Psychiatry subscribe to The Academy: https://psychscene.co/4qfNAny In this episode, Consultant Psychiatrist, Dr Sanil Rege looks at treatment refractory mood disorders through a psychodynamic lens using a naturalistic study from the Austen Riggs Centre. A subset of what most see as Treatment-Resistant Depressio...

The How and Why of Sleep: Motor Theory and Catecholamine Hypothesis 03.12.2025 9:54

To access all episodes plus 150+ hours of advanced psychiatric education, join the Academy today. Get access here: https://www.academy.psychscene.com/ In this episode, we explore a groundbreaking 2025 Neuron paper that reframes how sleep is generated in the brain, and why we sleep at all. Instead of a single “sleep centre,” sleep emerges from a distributed network embedded within motor and autonom...

Why Alzheimer Disease Is More Common in Women 30.11.2025 7:47

To access all episodes plus 150+ hours of advanced psychiatric education join the Academy today. Get access here: https://www.academy.psychscene.com/ Why is Alzheimer’s disease more common in women? In this episode, we break down what current research reveals about sex differences in Alzheimer’s biology — including hormonal changes, tau progression, genetics, and how women often compensate on earl...