Avsnitt
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Join myself and Dr. Ken Gillman, MD, as we discuss the inherent problems with modern scientific research, and the lack of emphasis put on building critical thinking skills endemic to our academic institutions. In Part 2 of our conversation, we delve furtther into how research has been commandeered by industry and our over-reliance on Randomized Controlled Trials, or RCTs, at the expense of all other forms of evidence and research, has led us astray as a scientific community. Ken uses the hilarious example of strangling the 'cockerel' to illuminate the incompleteness in evaluating a cause and effect relationship between the rooster crowing and the sun coming up, as establishing the mechanism is paramount to connecting the effect to the cause. ENJOY!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment
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Join myself and "Clever Trevor" Jones for Part 2 of our discussion as we talk about the role of Acceptance and Commitment Therapy in GOLF. Trevor works with professional golfers to optimize their mental game, through ACT processes like acceptance, defusion, meditation and mindfulness, flexible perspective-taking, and values-driven living. It's easy for our primary focus in golf (or any other sport or life goal for that matter) to be on the score (or outcome), but the reality is that the only way we get to our desired score is through engaging in the process (that we decide gives us the best chance of achieving our desired outcome) moment-by-moment. Let me know how you like the sports psych content!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment
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Saknas det avsnitt?
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Join myself and "Clever Trevor" Jones as we discuss the role of Acceptance and Commitment Therapy in GOLF. Trevor works with professional golfers to optimize their mental game, through ACT processes like acceptance, defusion, meditation and mindfulness, flexible perspective-taking, and values-driven living. It's easy for our primary focus in golf (or any other sport or life goal for that matter) to be on the score (or outcome), but the reality is that the only way we get to our desired score is through engaging in the process (that we decide gives us the best chance of achieving our desired outcome) moment-by-moment. Let me know how you like the sports psych content!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment
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I can only imagine the surprise and energy that must have been flowing through Jim Murphy's body on Sunday night when he started receiving hundreds, if not thousands, of texts, when he incidentally went viral with AJ Brown reading his book, Inner Excellence, on the sidelines of Philadelphia Eagles' 22-10 victory over the Green Bay Packers on Sunday night. I may have the longest-form interview existing on the airwaves currently with Jim, which we recorded back in February of 2024, when his book ranked 520,000th on Amazon's best-sellers list. Today, it's #1. Enjoy our conversation!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment
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Join myself and Dr. Michael Shuman, PharmD, BPCC, as we discuss the latest overhyped and under-delivering class of medications, the new Alzheimer's drugs. These drugs can cause brain swelling and bleeding in a substantial proportion of patients and even death in some. Not only are they NOT SAFE, but they're also NO MORE EFFECTIVE than currently existing treatments. It's another clear ploy to sell hope to the American public so we can continue to line the pockets of industry executives. Sadly, it has been revealed in the last several years that several keystone research studies/papers in the field of neurodegenerative disease (Alzheimer's, Parkinson's being the most recognizable) research have been outright fraudulent. While it seems conspiratorial, join us as we discuss the facts and the appraisals of some of the "evidence' that laid the groundwork for the release of this new class of medications that work by removing beta-amyloid from the brain (but also may remove some of your brain, or the walls of your blood vessels, with that beta-amyloid). The manipulated research goes back to the 1990s... I fear we have been guided down a path by narcissistic researchers standing to directly profit from their feigned research. I wish it was only me saying these things and you could discount the findings discussed in this series, but there are plenty of Ivy League-trained and well-respected neurologists, psychiatrists, and neurodegnerative disease researchers who have come to the same conclusions, that images from the original research were 'doctored,' and this new class of drugs is NOT SAFE and NOT EFFECTIVE. The FDA has allowed pharmaceutical companies to increasingly seek 'accelerated approval,' and in this case, for a disease in Alzheimer's that typically carries a life expectancy of close to a decade with it. I have some passion with the things I talk about on this podcast, but there are very few examples as blatant as this class of drugs. I hope you enjoy..... and stay safe!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join myself and Dr. Michael Shuman, PharmD, BPCC, as we discuss the negative impact of Direct-To-Consumer-Advertising (DTCA) in the US Healthcare System. This is a recurring series where Dr. Shuman and I will talk about various examples of the negative impacts of DTCA in America over the last 40+ years. We're living and working in a system now that is rife with misinformation and poor-quality research, and we want to make everyone a little more aware of just how many examples exist in US healthcare history of poorly designed and carried out drug trials and direct manipulation of data, leading to tragedies like with Vioxx, and eventual recalls of drugs touted as 'state of the art' and a 'technological advance.' Hopefully, we can instill systematic change that will improve how we go about measuring the safety and efficacy profiles of each new drug.
In this 3rd episode, we talk about various ways clinical trials can be manipulated by those that design them, emphasizing the need for ACTUAL REGULATORY AGENCIES that do their job and remain independent of those they regulate. We need more peer review in the field of medicine; if a researcher can convince one of his competing researchers that his theory or his work is valid, it would lead to a lot more certainty that the medications that gain FDA approval are legitimately safe and effective. From ghostwriters to surrogate markers, using rating scales to show 'statistical significance' when clinical relevance is unproven, using enriched study designs and removing difficult data points/patients due to 'concurrent illnesses, inclusion/exclusion criteria that make the studied population nothing like the intended treatment population, not publishing negative trials, and major journal editors being paid by the pharmaceutical companies themselves, the problems are seemingly endless. We also discuss the potential pitfalls of AI being used as tool for propaganda, as well as the importance of journal clubs and for all of us reading these studies to be highly critical of them. Hope you enjoy. Michael will be a recurring guest for this series on DTCA for our listeners to enjoy over the next several months.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join myself and Dr. Ken Gillman, MD, as we discuss the inherent problems with modern scientific research, and the lack of emphasis put on building critical thinking skills endemic to our academic institutions. We constantly refer back to the Flying Spaghetti Monster (FSM), which is the basis of the faux religion called PASTAFARIANISM with FSM as its' primary deity, to illuminate the importance of skepticism and analytics in evaluating the ACTUAL truth and relevance of scientific studies. In our conversation, Ken, THE world expert on serotonin toxicity and the use of MAOIs (the first major class of antidepressants), and I weave through his personal and professional experiences to emphasize how important it is for doctors and healthcare providers to maintain a strong sense of skepticism and rely on multiple forms of research and data to come to logical conclusions, but also be forever receptive to being wrong or adjusting those conclusions. Ken and I are similar in that we both found ourselves being labeled as 'difficult' due to some of the probing questions we raised to our Catholic and Baptist teachers as youths. Ken has an expert knowledge of the history of philosophy, medicine, and psychiatry, and utilizes countless examples of our forefathers and mothers warning us against the control that comes when we accept truths (or propaganda) without question. Or, to summarize on an old quip Ken recycled: "Science is a journey, not a destination." Hopefully we can return to the extremely important philosophical cultural missive in having scientific discussions and debates as opposed to one side dictating which scientific argument is TRUTH and which is FICTION. I hope you enjoy and stick around for the remainder of our conversation in the next 2 episodes. Flip over to YOUTUBE where it will be easier to follow our conversation with graphics and explanations added. Stay tuned for the last 5-8 minutes of the conversation for an extended monologue on David J. Nutt, a friend of Ken's who lost his national post for recommending an adjustment of the UK's drug schedule to reflect the dangerousness of each drug class, which Ken and I did not have time to discuss more thoroughly.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join myself and Dr. Michael Shuman (PharmD, BPCC - Board Certification in Psychiatric Pharmacy) as we discuss the negative impact of Direct-To-Consumer-Advertising (DTCA) in the US Healthcare System. This is a recurring series where Dr. Shuman and I will talk about various examples of the negative impacts of DTCA in America over the last 40+ years. We're living and working in a system now that is rife with misinformation and poor-quality research, and we want to make everyone a little more aware of just how many examples exist in US healthcare history of poorly designed and carried out drug trials and direct manipulation of data, leading to tragedies like with Vioxx. Hopefully, we can instill systematic change that will improve how we go about measuring the safety and efficacy profiles of each new drug.
In this 2nd episode, we discuss Vioxx, or Rofecoxib, an NSAID (Non-Steroidal Anti-Inflammatory Drug) created and marketed by Merck Pharmaceuticals just a couple of years after a loophole made DTCA essentially legal in the US. Vioxx was marketed as safer in terms of the risk of GI bleeding (which it was), but Merck's own internal study (VIGOR) clearly showed a 4-5x increased risk of much more serious problems related to clotting, including heart attacks and strokes. From 1999-2004, it is estimated that over 50,000 Americans died as a result of taking Vioxx and it was eventually pulled from the market in 2004. Efforts were made by Merck representatives to silence Doctors who tried to sound the alarm (shoutout to cardiologist Eric Topol for putting his neck on the line for his patients and the American public) on the dangers. Eventually, Vioxx was recalled, but not before tens of thousands of Americans died, and more than a hundred thousand suffered from heart attacks/strokes. Hope you enjoy. Michael will be a recurring guest for this recurring series on DTCA for our listeners to enjoy over the next several months.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join me and PharmD Michael Shuman as we discuss the negative impact of Direct-To-Consumer-Advertising (DTCA) in the US Healthcare System. This is a recurring series where Dr. Shuman and I will talk about various examples of the negative impacts of DTCA in America over the last 40+ years. We're living and working in a system now that is rife with misinformation and poor-quality research, and we want to make everyone a little more aware at just how many examples of poorly designed and carried out drug trials and direct manipulation of data exist in history. Hopefully, we can instill systematic change that will improve how we go about measuring the safety and efficacy profiles of each new drug.
In this first episode, we delve into the history of DTCA and marketing in healthcare. We discuss the Wild West of drug marketing and distribution in the 1800s and into the 1900s, the transition from pharmaceutical marketing dollars being targeted towards physicians to directly to consumers, and how the Sulfanilomide and Thalidomide catastrophes influenced the evolution of the system in the United States. Michael discusses how companies will run condition ads that superficially appear to be Public Service Announcements (PSAs), but unsurprisingly, we discover that the same company that runs the 'educational PSA' also produces the medication or treatment for said condition. Finally, we reveal how the 'Brief Summary Requirement' loophole of 1997, allowing pharmaceutical companies to direct consumers to a toll free phone number OR their pharmacist OR their website paved the way for our current advertising system where roughly 1 in 6 TV advertisements are for pharmaceutical products (and significantly higher during the pandemic, with some areas having 75% of TV ads promoting pharmaceutical products. Hope you enjoy. Michael will be a recurring guest for his recurring series on DTCA for our listeners to enjoy over the next several months.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Please join us this week for a discussion on Relational Frame Theory (RFT) and how it relates to Acceptance and Commitment Therapy/Training (ACT), with the conceptual creator of RFT and ACT, Dr. Steven Hayes. I highly recommend you view this on YouTube so you don't miss out on all the added video graphics that supplement our discussion. Dr. Hayes found himself at a crossroads during his early career as an academic psychologist due to his struggle with panic disorder, and like so many difficult things in life, it became critically important to the remainder of his professional development in the field of psychology. He used a background in neurolinguistics and psychology to generate some fundamental ideas about human cognition and summarized them in his theory, RFT, which centers on the unique human ability to NOT just learn through direct experience, but also learn through derived experience or information, which we'll discuss further in our conversation. Once he had strengthened the proof for his theory through reproducible experimentation, he converted THAT understanding into the framework for ACT, and has been spreading this message of openness, flexibility, love, acceptance, and values-based living ever since! In Part 2 of our conversation, Steve gives us an alternative conceptualization of 'mental illness' through the lens of RFT and ACT, and as a comprehensive bio-psycho-social phenomenon. We discuss problems with psychiatric rating scales and the importance of understanding and managing problems in individuals' lives as opposed to searching for a medication 'cure' for a solely biological disease. We talk about the importance of an evolutionary understanding of the world to better understand mental health problems and effective approaches to patients, as well as the advantage to assuming a paw-print in the sand outside of the evolutionary cave is a predator as opposed to a prey. Dr. Hayes tries to recreate the CLICK, or FLIP of understanding again through relation of 2 seemingly unrelated objects in an unrelated way. I hope you enjoy, Dr. Hayes has had a HUGE influence on my life and I hope he has the same for our viewers and listeners!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Please join us this week for a discussion on Relational Frame Theory (RFT) and how it relates to Acceptance and Commitment Therapy/Training (ACT), with the conceptual creator of RFT and ACT, Dr. Steven Hayes. I highly recommend you view this on YouTube so you don't miss out on all the added video graphics that supplement our discussion. Dr. Hayes found himself at a crossroads during his early career as an academic psychologist due to his struggle with panic disorder, and like so many difficult things in life, it became critically important to the remainder of his professional development in the field of psychology. He used a background in neurolinguistics and psychology to generate some fundamental ideas about human cognition and summarized them in his theory, RFT, which centers on the unique human ability to NOT just learn through direct experience, but also learn through derived experience or information, which we'll discuss further in our conversation. Once he had strengthened the proof for his theory through reproducible experimentation, he converted THAT understanding into the framework for ACT, and has been spreading this message of openness, flexibility, love, acceptance, and values-based living ever since! In Part 1 of our conversation, we talk about some of his past influences, including a personal revelation about how his father held onto a professional baseball dream to the detriment of his ability to move towards other things that mattered in his life, he talks about how we can avoid making the same fundamental mistake, and we discuss THE CLICK, or THE FLIP, of understanding RFT that can instantly makes life simpler and more fulfilling. We try to help listeners experience that click via what I call the AB/CD experiment, and a couple of other tricks Dr. Hayes provides to us. I hope you enjoy. Come back next week for Part 2...
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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This week, we're back to give you more information on bipolar illness, lithium, dementia, and the failures of the NIH in their research efforts, with one of the world's leading psychiatric experts, former Chief of the biological psychiatry branch of the National Institutes of Mental Health (NIMH) for 20 years, Dr. Robert Post, MD and psychiatrist. Dr. Post has spent nearly the entirety of his career working in academia and research, and like our last guest, Janusz Rybakowski, MD, is a former recipient of the Mogens Schou Award. In Part 2 of this conversation, we talk about lithium's protective effects against dementia, the role of memantine in dementia and rapid cycling, the latest example of a profit > progress version of snake oil, the failing new class of monoclonal antibodies (-canamabs), and the failures of the NIH to give clinicians good comparative data of available treatments. I almost get Dr. Post to curse, but he stays true to his promise to his wife not to... Hope you enjoy!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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This week, we're back to give you more information on bipolar illness in youths and the use of lithium with one of the world's leading experts on both, former Chief of the biological psychiatry branch of the National Institutes of Mental Health (NIMH) for 20 years, Dr. Robert Post, MD and psychiatrist. Dr. Post has spent nearly the entirety of his career working in academia and research, and like our last guest, Janusz Rybakowski, MD, is a former recipient of the Mogens Schou Award. In Part 1 of this conversation, Dr. Post emphasizes how much sicker we are in America compared to our European counterparts, specifically in reference to bipolar illness (though extending into other chronic medical conditions as well), with a higher prevalence, increased markers of severity, and earlier onset. He emphasizes the need for early and aggressive treatment, sometimes requiring the use of multiple mood-stabilizing medications... This leads to a back-and-forth with me imploring that we are already an overdiagnosed and overmedicated society, while Dr. Post argues that delayed treatment leads to worse outcomes. We reconcile with discussions on balancing the risk of overmedicating with the benefit of early treatment, ensuring appropriate diagnosing with the utilization of long-term daily or weekly mood charting, and the avoidance of the most commonly prescribed medication class to youths and adolescents, the SSRI "antidepressants," and the need to utilize more lithium. We additional reconcile on the initial use of safe and effective non-pharmacologic treatments such as Family-Focused Therapy, as well as safe supplements that have efficacy in managing bipolar symptoms such as N-Acetyl-Cysteine (NAC), L-Methyl-Folate (LMF), and Acetyl-L Carnitine (LAC). In addition, we talk about the role of consciousness in the ability to develop bipolarity, as well as the role of inflammation with so many pro-inflammatory sources that exist in America that are banned in Europe (food additives, environmental wastes, etc.). Thanks for listening, check out part 2 next week.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Hey there again... This week, we're back to give you more information on lithium with one of the world's leading experts on lithium, Dr. Janusz Rybakowski, MD and Polish psychiatrist. Janusz was one of the first researchers in the world to illuminate some of the ancillary medical benefits of lithium, publishing one of the first series of reports with JD Amsterdam on Lithium's ability to directly inhibit Herpesvirus replications, when they saw in their lithium-treated bipolar patients a decrease in the # and intensity of cold sore outbreaks. He has gone on to detail several other medical benefits, including its' dementia-prevention effect, positive immuno-modulatory effects, decreasing the incidence of several respiratory viral infections including COVID, as well as several other less-proven but very intriguing benefits. I hope you enjoy and I appreciate Janusz being so gracious with his time and all the materials he has sent me since our conversation.
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as I'm starting to add graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Hey all, hope you enjoy this latest episode with Nicole Lamberson, PA with the Taper Clinic, who graciously has shared her story about being over-medicated on psychiatric medications. We discuss why limited duration 'Rehab' and 'Detox' units can be extremely harmful to patients with dependence on certain prescription or illicit drugs, using her own experience with an escalating dose of prescribed Xanax (and several other medications), followed by abrupt withdrawal and persistent protracted withdrawal symptoms that she is still dealing with today. We reference a couple of very influential historical psychiatrists who tried to sound the alarm on how to effectively withdraw patients in the long-term from benzodiazepines, whose professional valid opinions had been dismissed until years after their deaths. Nicole tells her story as a warning to others who may be struggling or in a similar situation, and hopefully, alleviate their distress and move our field forward, focusing on progress over profits. Hope you enjoy!
Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as I'm starting to add graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join me with Cara Hoepner, a San Francisco-based PMHNP, to discuss how we SHOULD be practicing psychiatry. This is a 2-part series and in this 2nd part, we talk more about some of the issues that plague our field. We talk about how our first imperative has to be to rule out any medical cause of psychiatric symptoms, then discuss how Cara individualizes her treatment for each patient, balancing non-pharmacologic necessities for good mental health like diet, movement, and breathing/meditation, with a creative but safe pharmacologic armamentarium, all in an effort to address ROOT CAUSES of psychiatric symptoms. Cara discusses some of the risks of long term antipsychotic use, the importance of sleep and diet, and points out that 98% of Americans are metabolically unhealthy from a functional and integrative psychiatry-perspective. Another interesting part of the discussion is Cara revealing her own journey with MCAS, or Mast Cell Activation Syndrome, and how that allows her to more easily recognize MCAS and refer patients to the appropriate treating clinican. We talk about the common overlap of MCAS with OCD. Lastly, we briefly talk about the benefits and detriments of using acute anti-inflammatory agents, which, of course, leads us to a lengthy detour talking about lithium and its unique anti-GSK-3-beta chronic anti-inflammatory action. Hope you enjoy!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Join me with Cara Hoepner, a San Francisco-based PMHNP, to discuss how we SHOULD be practicing psychiatry. This is a 2-part series and in this first part, we will talk more about Cara's background that led her into psychiatric practice, then discuss the inherent problems with the DSM's massive over-expansion of psychiatric diagnoses and the major inherent limitations in modern psychiatry. We discuss how the "guidelines" for psychiatric practice DO NOT promote individualization of treatment, critical thinking skills, and DO NOT typically address the root causes of illness. Cara discusses her number one motion to DO NO HARM, causing her hesitance with using SSRIs and promoting the belief that SSRIs may be contributing to or causing a more rapid cycling between depression, mania, and euthymia (normal mood) in bipolar disorder (formerly manic-depressive illness) patients. We talk about addiction treatment and how our rapid tapers lead to protracted withdrawals, how addiction services create cookie-cutter treatment regimens they try to apply to every patient that walks through the door, regardless of individual factors of duration and amount of use and giving their brains and bodies time to adjust to lower doses of illicit and licit drugs/medications in their treatments. Lastly, we share a disagreement on industry's influence on our current malfunctioning system. Cara points out how the relationship between doctors/providers and industry representatives has shifted over time, and I emphasize the idea that if I don't promote that there are major problems with how industry operates and its lack of enforced regulations, then how will the system ever change? Hope you enjoy!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Clozapine is one of the first antipsychotics with a unique chemical structure compared to any other antipsychotic. It is the most effective at treating patients with treatment-resistant schizophrenia, but is severely underutilized despite its efficacy. It does have a significant side effect profile that needs to be monitored and managed, but can provide relief to patients who have not found relief from other medications. Today, I bring on Jose Rubio, MD, at Zucker Hillside Hospital, who specializes in treatment-resistant schizophrenia and is an expert on using Clozapine. He also trained under John Kane, the original MD and researcher who was tasked by the FDA, which was trying to ban Clozapine due to a string of Scandinavian deaths related to a rare side effect, to bring inpatient treatment-resistant schizophrenic patients in the 1970s OFF of clozapine, and came back to the FDA saying that he wasn't able to find effective treatment for the majority of them and petitioned the FDA to reconsider their ban due to Clozapine being so effective. Clozapine is very cheap and is another example of us prioritizing less effective and more expensive treatments over tried-and-true treatments. It DOES have a severe side effect of agranulocytosis (along with a couple others), which impairs the person's immune system to fight off infections, so it requires a significant amount of monitoring especially early in the treatment. But, for the vast majority of patients, Clozapine is not only tolerated, but provides them relief from their symptoms and a chance to live a more normal life. Hope you enjoy!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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Enjoy my rant on a healthcare bill. Please send me your rants if you have them and I'll post them.
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
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This series is about encephalitis, or brain infection. This is such an important topic in psychiatry because it is a potential medical cause of psychiatric or behavioral symptoms. I've seen encephalitis patients misdiagnosed and put on the inpatient psychiatric unit, and that delay of care can be disastrous for their brain's chances of recovery. In this series, we welcomed Australia's Philip Britton, MD, a world-renowned expert on childhood encephalitis, then talked to Alex, an old friend of mine with the onset of primarily behavioral changes that was later diagnosed with and treated for viral encephalitis, and in our final installation, my old friend and colleague, Jaime Shoup, MD, returns to give his take on encephalitis. You can watch this entire series on my YouTube channel which includes video; search 'Renegade Psych' on YouTube to find the page. All future episodes will be live video recordings, but we'll still produce an audio-only version as well, so view on YouTube, listen on other platforms, or don't do either, Life is full of choices!
For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at [email protected] and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website.
Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Visa fler
