Before Stonewall, the gay community lived in the shadows and even after this monumental protest and other significant milestones, the LGBTQ community still faces discrimination, abuse, and aggressive behaviors in their day-to-day lives. Dr. Virani discusses the issues at the core of the mental health challenges to the LGBTQ community referencing history where applicable, with Dr. Elie Aoun and Dr. Ali Haidar, two New York-based psychiatrists.
Subjects discussed:Conversion therapy Queer expression of identity Dealing with cultural values in a therapeutic relationship Biased diagnoses due to sexual orientation Doctors pathologizing based on negative implications of sexual practices LGBTQ identifying psychiatrists facing micro and macro aggressions from administration and patients Supporting LGBTQ trainees
Dr. Sanya Virani, host
Dr. Elie Aoun is a psychiatrist in general, addiction, and forensic practice in New York, on faculty at Columbia University, and at Central New York Psychiatric Center as the Sex Offender Management Liaison psychiatrist. He completed his general psychiatry residency at Brown University in Providence, RI, Addiction Psychiatry fellowship at UCSF in San Francisco, and Forensic Psychiatry fellowship at the Columbia University Cornell University combined program, and a fellowship in psychiatric research at Columbia University. He is the ECP Trustee at large for the APA and the immediate past Vice-Chair of the APA Council on Addiction Psychiatry. He works closely with medical students as well as psychiatric residents and fellows at Columbia University where he serves as a co-director of the sexual behavior clinic and rotation.
Dr. Ali Haidar completed his psychiatry residency at SUNY Downstate Medical Center in Brooklyn and is currently a PGY-5 Child and Adolescent Psychiatry Chief fellow at Mount Sinai in New York. His primary areas of interest include LGBTQ mental health, public psychiatry, cultural psychiatry, medical education, and global mental health particularly displacement and migration’s effect on the psyche. He is currently an APA leadership fellow and serves as ECP member of the APA Council on International Psychiatry and Global Health.
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There has been a dramatic upsurge in violence against Asian Americans over the last year since the outbreak of the virus in Wuhan China. In this episode, Dr. Virani talks with Asian American and Pacific Islander Doctors about their experiences with racial trauma and cultural boundaries that have affected them and the lives of their patients.
Discussed in this episodeThe history of xenophobia against AAPIs DSM-5 cultural formation interview and its evolution Understanding the larger social context in which a patient lives Recommendations on how providers should respond to racist verbal assault and hate speech. Misdiagnosis due to lack of understanding of cultural issues Ethnic preference and sharing trust with patients and providers Cultural competence The CLAS Blueprint Cultural concepts of distress in the DSM
Peter Jongho Na, M.D., M.P.H., is an addiction psychiatry fellow at Yale University.
Francis G. Lu, M.D., is the Luke & Grace Kim Professor in Cultural Psychiatry, Emeritus, at the University of California, Davis. As a Distinguished Life Fellow of the American Psychiatric Association (APA), Dr. Lu has contributed to the areas of cultural psychiatry including the interface with religion/spirituality, psychiatric education, diversity/inclusion, mental health equity, and psychiatry/film.
Dr. Connie Chen is a PGY-2 at the San Mateo County Psychiatry Residency Training Program in San Mateo, CA. She is also Co-Chair of the San Mateo County Chinese Health Initiative, where she coordinates efforts to promote access to mental health services and reduce stigma around mental illness in local Chinese and Asian American communities. Her interests include cultural psychiatry, psychotherapy, and public psychiatry.
Peter Na's Psychiatric News Article
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Diversity among women in psychiatric training programs is seldom discussed and in this episode, Dr. Virani talks with two accomplished women program directors about the challenges for women in training programs. Drs. Cama and DeJong cover issues ranging from failures of well-intentioned supervisors to pregnancy to the “imposter syndrome".
Dr. Shireen Cama divides her time at Cambridge Health Alliance (CHA) between being the integrated child psychiatrist working as part of the CHA Child and Adolescent Mental Health Integration (CAMHI) program and the Associate Training Director for the Child & Adolescent Psychiatry Fellowship. As a member of the CAMHI team, she acts as a consultant to family medicine and pediatric providers on questions related to diagnosis and treatment of pediatric mental health and behavioral concerns.
Sandra DeJong, M.D., M.Sc., began her term as Secretary of the American Psychiatric Association at the end of the APA Annual Meeting in May 2019. Dr. DeJong is Senior Consultant to the Child and Adolescent Psychiatry Training Program at Cambridge Health Alliance where she was a training director from 2004-2018. She is an Assistant Professor of Psychiatry at Harvard Medical School and is in half-time private practice in Cambridge, MA.
Drs. Virani, Madaan, and Khan are International Medical Graduates (IMG) who come from different cultural backgrounds. Join these three as they recount personal stories of the highs and lows of being an IMG in the US. They discuss the physician and patient discrimination they faced through micro and macro aggressions and the road ahead for them and for other IMGs. Also appearing in the episode is Sarah El-Halabi.
Dr. Sanya Virani Host
Vishal Madaan, MD, is a tenured Associate Professor in Psychiatry and Child Psychiatry at the University of Virginia, Charlottesville. He is the founding Director for the Center for Psychopharmacology Research in Youth at UVA and serves as Training Director for the child and adolescent psychiatry fellowship program there. In the recent past, Dr. Madaan served as the Medical Director of the UVA child and family clinic, and Associate training director of the general psychiatry program at both University of Virginia and Creighton University.
Dr. Manal Khan from Karachi, Pakistan
Education: Jinnah Sindh Medical University, Pakistan (MB, BS)
Residency: Duke University; University of Washington
Professional Interests: Childhood adversity, trauma, structural racism and its impact on the mental health of minorities, cultural psychiatry, and psychotherapy.
Finding Our Voice continues to explore the issue of systemic racism. In this special episode released during Black History Month, we examine the effects of social determinants on the African American community in America. Dr. Virani discusses with her guests access to mental health care and the quality of care black patients encounter. Dr. Talley and Dr. Metzger cover the profound impact of the lack of homeownership upon communities of color.
Dr. Rachel Talley is a Clinical Assistant Professor of Psychiatry at the Perelman School of Medicine at the University of Pennsylvania. She is the Director of the University of Pennsylvania's Fellowship in Community Psychiatry, a one-year post-residency training program for psychiatrists interested in management and leadership in public and community systems of care. Before joining UPenn's faculty, Dr. Talley completed an adult psychiatry residency and public psychiatry fellowship at Columbia University/New York State Psychiatric Institute. Dr. Talley is also an Early Career Representative on the Board of the American Association for Community Psychiatry.
Dr. Sarita Metzger is a PGY4 at the University of Pennsylvania. She is interested in cultural Psychiatry and devoted to furthering mental health equity for people of color and LGBTQ+ communities; after graduation, she plans to continue training in mental health advocacy and policy as a fellow in the University of Pennsylvania's Public and Community Psychiatry fellowship.
In this episode, Dr. Sanya Virani and her guests discuss the impact of social determinants on the Hispanic community. Listen as Dr. Esperanza Diaz and Dr. Andrea Mendiola discuss challenges their patients have faced with outcomes both positive and negative.
Esperanza Díaz M.D. provides teaching and supervision for Yale medical students, psychiatry residents, and trainees from other disciplines such as psychology, nursing, and social work. Dr. Diaz received her M.D. degree from the Javeriana University in Bogotá, Colombia. She finished her Psychiatry residency at Yale School of Medicine. She is a Board Certified Psychiatrist and Life Fellow of the American Psychiatric Association. She is a psychoanalyst. Her research concentrates on adherence to medications, development of culturally sensitive mental health services to Hispanics with persistent mental disorders, development of teaching methods of culturally sensitive care.
Andrea Mendiola Iparraguirre, MD is Assistant Professor of Psychiatry at Yale School of Medicine She completed her Psychiatry Residency at Maimonides Medical Center in Brooklyn, NY and received her MD from Universidad Peruana Cayetano Heredia in Lima, Peru