Psychiatry & Psychotherapy Podcast

Afleveringen

1. Perimenopause and Mental Health: Depression, Anxiety, Brain Fog, Sleep, and Hormone Therapy

   23 oktober 2026 · 1 uur 1 min

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   Dr. Bergink, a leading expert in women's mental health, joins the podcast to unpack the complex links between perimenopause and mental health, including new-onset or worsening depression, anxiety, panic attacks, brain fog, sleep disruption, and irritability driven by hormone fluctuations rather than simply low estrogen. Discussion surrounds evidence-based insights on distinguishing hot flashes from panic, the real benefits and limits of hormone therapy (HRT) versus SSRIs or CBT-I, myths about testosterone and surgical menopause, elevated risks in bipolar disorder, and why cognitive changes are usually temporary. Lees meer

   By listening to this episode, you can earn 1.0 Psychiatry CME Credits.

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2. Schizophrenia: Early Signs, Genetics, Treatment, and a Family's Lived Experience with Dr. Consuelo Walss-Bass and Dr. Julio Licinio

   9 oktober 2026 · 58 min

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   In this episode of the Podcast, Dr. David Puder is joined by psychiatric geneticist Dr. Consuelo Walss-Bass and Dr. Julio Licinio for a powerful conversation on the early signs, genetics, and treatment of schizophrenia. Drawing from her lived experience growing up with a mother and sister who both have schizophrenia, Dr. Walss-Bass discusses prodromal symptoms, the 287 risk genes identified by the Psychiatric Genomics Consortium, gene-environment interactions, challenges of early intervention, and why clozapine remains the gold standard for treatment-resistant schizophrenia. Lees meer

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3. Postpartum Psychosis: Symptoms, Diagnosis, Treatment, and Prevention with Dr. Margaret Spinelli

   25 september 2026 · 1 uur 19 min

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   In this essential episode of the podcast, Dr. David Puder and reproductive psychiatrist Dr. Katrina Furey interview pioneering expert Dr. Margaret Spinelli on postpartum psychosis, covering its symptoms, diagnosis, treatment, and prevention. They explore the history of perinatal psychiatry, neonaticide and dissociation, the critical need for mother-baby units, rapid symptom progression, why timely hospitalization and treatment lead to full recovery for most women and much more. Lees meer

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   By listening to this episode, you can earn 1.25 Psychiatry CME Credits.

4. Postpartum Psychosis: Diagnosis, Treatment, Lithium, and Relapse Prevention with Dr. Veerle Bergink

   18 september 2026 · 52 min

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   In this essential episode of the Psychiatry & Psychotherapy Podcast, Dr. David Puder sits down with internationally renowned expert Dr. Veerle Bergink, Director of Mount Sinai's Women's Mental Health Center, for an in-depth discussion of postpartum psychosis. Covering early warning signs and symptoms, differential diagnosis including anti-NMDA receptor encephalitis and thyroid issues, a highly effective acute treatment algorithm using benzodiazepines, antipsychotics, and lithium, the remarkable 98% remission rates with proper care, lithium's superior role in preventing relapse during the first postpartum year, the simple but powerful prophylaxis strategy of "baby out, lithium in" for high-risk women with bipolar disorder or prior episodes, the urgent need for mother-baby psychiatric units in the U.S., and the ongoing push to formally classify postpartum psychosis in the DSM. Lees meer

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   By listening to this episode, you can earn 0.75 Psychiatry CME Credits.

5. Postpartum Depression and Problem-Focused Psychodynamic Psychotherapy: Understanding the Five Core Conflicts

   11 september 2026 · 1 uur 19 min

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   In this episode, Dr. Puder talks with reproductive psychiatrist and psychoanalyst Dr. Alyson Gorun and Dr. Fredric Busch about postpartum depression and problem-focused psychodynamic psychotherapy. They focus on the five core conflicts (difficulty tolerating anger, idealized expectations of parenthood, struggles with dependence, fear of separation and abandonment, and fear of intrusion) that often underlie symptoms, shame, attachment reactivation, and stuck behaviors in the perinatal period. Lees meer

   This episode explores:

   -How these dynamics emerge even when parents know what they "should" do

   -How to integrate psychodynamic insight with medication, sleep, social support, and evidence-based care

   -Practical ways clinicians can help mothers and fathers mentalize their experiences, reduce guilt, and improve bonding.

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   By listening to this episode, you can earn 1.25 Psychiatry CME Credits.

6. Postpartum OCD vs Postpartum Psychosis: Intrusive Thoughts of Infant Harm, How to Screen, and Lithium Prevention with Dr. Katie Unverferth

   3 september 2026 · 48 min

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   In this episode of the Podcast, Dr. David Puder sits down with reproductive psychiatrist Dr. Katie Unverferth, Director of the UCLA Women's Life Center and Medical Director of the UCLA Maternal Mental Health Program, to clarify the critical differences between common postpartum intrusive thoughts of infant harm, postpartum OCD, and true postpartum psychosis. They discuss how nearly all new mothers experience ego-dystonic thoughts of accidental or intentional harm, how to screen without triggering concealment, when severity and compulsions cross into OCD, the role of high-dose SSRIs plus exposure and response prevention (ERP), red-flag signs of ego-syntonic content, agitation, insomnia, and delirium-like states that signal psychosis, and the strong evidence for lithium prophylaxis and acute treatment in high-risk patients. Lees meer

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7. East of Eden Reflective Function Collapse: Psychodynamic Therapy, Steinbeck, and How to Heal the Characters

   28 augustus 2026 · 1 uur 46 min

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   In this episode, Dr. David Puder and his psychodynamic psychotherapy training cohort apply reflective function (RF) and mentalization concepts to John Steinbeck's masterpiece East of Eden. They examine how Reflective Function collapses under shame, rejection, threat, and attachment arousal across key characters. The discussion highlights that true personality health is not the absence of aggression, dependency, or guilt but the growing capacity to recognize conflicting self-parts, stay in contact with reality, and remain related to imperfect people. Lees meer

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   By listening to this episode, you can earn 1.5 Psychiatry CME Credits.

8. Postpartum Psychosis: Symptoms, Warning Signs, Risk Assessment, and Treatment with Dr. Furey and Dr. Puder

   21 augustus 2026 · 50 min

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   In this essential episode, Dr. David Puder sits down with board-certified reproductive psychiatrist Dr. Katrina Furey to unpack postpartum psychosis. They cover its early warning signs, symptoms, diagnostic challenges, risk assessment, and evidence-based treatment. They discuss classic onset within days to weeks after delivery, common delusions centered on the infant, fluctuating mental status, the critical distinction from postpartum OCD, elevated risks of filicide and suicide, strong links to bipolar spectrum disorders, and the vital roles of lithium, antipsychotics, sleep protection, ECT, medical workup, and family support. Learn why this psychiatric emergency demands rapid intervention, how most women fully recover, and practical guidance for clinicians and families navigating this rare but treatable condition. Lees meer

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   By listening to this episode, you can earn 0.5 Psychiatry CME Credits.

9. Working with Transference: Timing, Technique, and the Here-and-Now with Jonathan Shedler

   14 augustus 2026 · 1 uur 13 min

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   In this practical Q&A episode with Dr. Jonathan Shedler, the psychodynamic psychotherapy cohort explores working with transference in real time, focusing on timing, technique, and the here-and-now. Shedler addresses how to recognize meaningful transference patterns, decide when an interpretation will open growth versus overwhelm the patient, and adapt the work across levels of personality organization (neurotic versus borderline). The discussion covers handling negative and erotic transference, protecting the therapeutic frame, triangulation, idealization and splitting, devaluation, projection, and projective identification. Clinicians will also learn to use their own countertransference as essential clinical data, the ongoing value of consultation and supervision, and how to respond to chronic reassurance-seeking without colluding. Lees meer

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10. Mentalization-Based Therapy (MBT) Explained: Practical Techniques to Improve Clinical Outcomes in Borderline Personality Disorder, OCD & Narcissism

    29 juli 2026 · 1 uur 29 min

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    In this episode, Dr. David Puder speaks with Robert Drozek, clinical director of the Mentalization-Based Treatment (MBT) Clinic at McLean Hospital and teaching associate at Harvard Medical School, about practical Mentalization-Based Therapy techniques to improve clinical outcomes in borderline personality disorder (BPD), OCD, and narcissism. Drozek explains the "What, Why, and How" model of mentalizing, how to address psychic equivalence (rigid certainty), pretend mode, and teleological thinking, and offers concrete strategies clinicians can use in session and assign as between-session work to help patients reconnect with difficult emotions, reduce intellectualization, and develop more flexible, reflective ways of understanding themselves and others. Lees meer

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