Episodes
-
Combatting the Negative Effects of Sleep Deprivation
In this episode, Dr. David Puder and Dr. Brandon Luu explore the science of sleep deprivation. How missing sleep impacts your brain, metabolism, emotions, and long-term health. Discover evidence-based strategies that can help you protect cognitive performance and recover from sleep loss…
more -
Devaluation, Transference, Narcissism with Diana Diamond
In this episode, Dr. David Puder is joined by world-renowned psychologist Diana Diamond, PhD to explore devaluation, narcissism, attachment, and transference in psychotherapy. Together they examine why patients with narcissistic personality traits or narcissistic personality disorder (NPD) often...
-
Intergenerational Trauma Explained: The Role of Reflective Function and Mentalization in Healing Attachment
In this episode, we explore how intergenerational trauma shapes attachment patterns and how reflective function (RF) and mentalization can help break the cycle. Drawing on research from Fonagy, Slade, and Berthelot, we examine how trauma-specific reflective functioning influences disorganized...
-
Understanding Real Event OCD: When the Past Fuels Obsession
In this episode, Dr. David Puder is joined by OCD specialist Kevin Foss to dive deep into Real Event OCD, which is a form of obsessive-compulsive disorder where real past experiences become the focus of endless rumination, guilt, and shame. Together, they unpack the symptoms, real-life examples,...
-
Identity Diffusion
In this episode, Dr. David Puder and Mark Ruffalo dive into the history and theory of identity diffusion, from Kernberg's structural model and Gunderson's work on BPD to Akhtar's clinical descriptions. We explore how identity diffusion shows up in patients' lived experiences—feelings of…
more -
Cannabis and Depression, Anxiety, PTSD, Sleep, and Cognitive Function Update and Review
In this episode, we explore the latest 2025 research on cannabis and mental health. Our discussion covers how cannabis use impacts depression, anxiety, PTSD, sleep, cognitive function, and cannabis use disorder (CUD). While many patients report short-term relief from symptoms, studies reveal...
-
Regulating Our Emotions as Parents with Alissa Jerud, PhD
Parenting brings love, joy and plenty of emotional challenges. In this episode, clinical psychologist Dr. Alissa Jerud explores how parents can better understand and regulate their emotions instead of getting stuck in cycles of frustration, anxiety, or control. Drawing on exposure therapy, DBT...
-
Psychodynamic Psychopharmacology: Insights from Dr. David Mintz
In this episode, I engage in a shared-interest conversation with Dr. David Mintz, a psychiatrist with over 30 years of experience at the Austen Riggs Center, about his book Psychodynamic Psychopharmacology: Caring for the Treatment-Resistant Patient. Mintz explores the integration of…
more -
Managing Weight Gain from Psychiatric Medications with Dr. Michael Cummings
Join Dr. David Puder and renowned psychopharmacologist Dr. Michael Cummings as they dive deep into the complex relationship between psychiatric medications and weight gain. In this episode, they explore the metabolic challenges posed by antipsychotic medications, focusing on cutting-edge…
more -
Paul Wachtel's Approach to Integrative Psychotherapy: Exploring Attachment, Anxiety, and the Disavowed Self
In this episode, we explore the innovative work of Dr. Paul L. Wachtel, a leading psychologist known for his integrative approach to psychotherapy. Dr. Wachtel challenges single-framework therapy models, advocating for a flexible approach that draws from cognitive-behavioral, psychodynamic,...
-
Sauna & Heat Exposure's Impact on Mental & Physical Health
In this episode, Dr. David Puder and Liam Browning delve into the ancient practice of sauna and modern heat exposure therapies, exploring how they influence both physical and mental health. From boosting cardiovascular and cognitive health to potentially alleviating symptoms of depression and...
-
Writing to Overcome Trauma and Improve Your Mental and Physical Health
In this episode, we dive into the fascinating world of expressive writing and explore how turning your trauma into a narrative can lead to real mental and physical benefits. Join us as we break down the science behind the Expressive Writing Paradigm and share groundbreaking research by Dr. James...
-
Eating Disorders: Empathy, Alexithymia, Reflective Function
Eating disorders are often understood through a medical or behavioral lens, focusing on symptom reduction. But what if we've overlooked something deeper—something rooted in the complex emotional lives of our patients? In this episode, Dr. Tom Wooldridge, a psychoanalyst and expert in eating...
-
Where Psychiatry Meets Politics: The Goldwater Rule
There is an extensive history of psychiatry and politics intersecting. Perhaps the most visible flashpoint occurred during the 1964 presidential campaign and gave rise to a movement in organized psychiatry that has resulted in issuance of formal ethical guidance (the "Goldwater Rule"). In this...
-
Adverse Childhood Experiences - HPA axis & Brain changes: cortisol, amygdala, hippocampus, cytokines, & epigenetics (Part 3 of ACE series)
In this week's episode, we continue our series on Adverse Childhood Experiences by delving deeper into the lasting effect of ACEs on the brain and body. We explore the intricate impact of ACEs on the HPA axis, inflammation, and neurobiology, shedding light on their role in various psychiatric...
-
Shrink Next Door: A Psychiatrist's Analysis
Listening to The Shrink Next Door elicited a range of emotions in me, including angst, sadness, intrigue, and heartache. For those unfamiliar with the story, it revolves around a psychiatrist named Ike who isolates his patient, Marty, from his family, takes over his business, lives in his house,...
-
Understanding Complex PTSD and Borderline Personality Disorder
The purpose of this episode is to provide a clear and simple guide for clinicians on the diagnosis of complex PTSD (C-PTSD) and how it differs from post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). It is intended to complement and add to recent episodes on…
more -
Q&A with Dr. Cummings Part 2
In this episode, we welcome back Dr. Michael Cummings to answer questions sent in by podcast listeners. Topics include Valproic Acid, Lithium, Treating Veterans, Restless Leg Syndrome, and much more. By listening to this episode, you can earn 1.25 Psychiatry CME Credits. Link to blog. Link to...
-
Reflective Functioning: The Key to Attachment with Dr. Howard Steele
In this episode, we discuss "reflective function," which is a precursor to the concept of mentalization. Reflective function is best understood not as synonymous with mentalization, but as a scale from -1 to 9, based off certain adult attachment interview questions that measure the person's…
more -
Bruce Perry on the Healing Power of Human Connection and Resilience in Trauma
In today's episode, we talk with Dr. Bruce Perry who co-authored, The Boy Who Was Raised As A Dog, Born For Love: Why Empathy is Essential and Endangered, and What Happened to You? Conversations on Trauma, Resilience, and Healing (2021). We are also joined by Megan White Zappitelli, M.D., a child...
-
Early Psychosis: Detection and Treatment
In this episode, we are joined by a panel of experts to discuss treatment of psychosis. Experiences of psychosis are common. When these experiences lead to interference in achieving life goals and/or distress, individuals can benefit from seeking evidenced-based care. The earlier individuals...
-
Q&A with Dr. Michael Cummings
In this episode, we welcome back fan favorite Dr. Michael Cummings and ask questions sent in by listeners. Topics include Schizophrenia, Social Media Trends, and the SSRI controversy. We are thrilled to dedicate an episode that allows individuals to ask pointed questions and glean from Dr....
-
PTSD and Cognitive Processing Therapy with Patricia Resick
Learning how to approach patients with PTSD and severe trauma is necessary to help long term. Dr. Patricia Resick has plenty of experience in dealing with PTSD and is on the podcast today, sharing her wisdom so that we may better serve patients suffering from trauma. By listening to this episode,...
-
What People Want From Therapy with Linda Michaels
Therapies of depth, insight, and relationship have been missing from, if not pushed out of, the public conversation on mental health treatment. After decades of attack from multiple fronts, these therapies are misunderstood, undervalued, and overlooked by the general public. In order to address...
-
5 Factors and Domains of Psychiatric Care
In this Episode, Dr. David Puder, Dr. Adam Borecky, and Joanie Burns discuss the 5-factor approach to holistic, patient-centered psychiatric care. This approach takes into account that each individual who seeks care is unique in their physiological and psychological make-up and that multiple...
-
Mentalization Based Therapy (MBT), with Dr. Anthony W. Bateman, MA, FRCPSYCH and Dr. Peter Fonagy, Ph.D., FBA
In this episode, we are joined by Dr. Anthony W. Bateman and Dr. Peter Fonagy to discuss their expertise on Mentalization. Mentalization refers to the capacity to reflect upon and understand one's own state of mind and the states of mind of others. This involves recognizing and making sense of...
-
Beginning the Treatment with Jonathan Shedler, PhD
Dr. Jonathan Shedler is well known for his work on the efficacy of psychodynamic therapy. He has highlighted the importance of the initial phase of therapy in establishing a foundation for successful treatment. Dr. Shedler strongly believes the consultation phase is crucial to developing a…
more -
Adverse Childhood Experiences Part 2: Measurement, Impact on Future Mental Health, Dissociation, and Timing of Trauma
In this week's episode of the podcast, Dr. Kuhn, Liam Browning, and Dr. Puder will continue their discussion regarding adverse childhood experiences (ACEs) and their influence on the development of future mental health disorders. The greatest predictive factor of the relationship between ACEs and...
-
Adverse Childhood Experiences and Their Lasting Impact on Health: A Comprehensive Guide
In today's episode, Dr. Annabel Kuhn, Liam Browning, and Dr. David Puder, embark on an in-depth exploration of adverse childhood experiences (ACEs) and their profound impact on adult mental and physical health. The CDC defines ACEs as, "potentially traumatic events that occur in childhood." ACEs...
-
Cognitive Behavior Therapy (CBT) with Dr. Judith Beck
In today's episode of the podcast, we interview Dr. Judith Beck, a prominent figure in the field of psychology and author of the highly regarded textbook, Cognitive Behavior Therapy: Basics and Beyond, which is a staple in the academic journey of many students in psychiatry, psychology…
more -
Psychotic Depression with Dr. Cummings
The underreporting of psychotic symptoms by patients in depression is a significant concern, frequently driven by the fear of consequences like hospitalization or the stigma of embarrassment. We'll discuss the history, the differential to consider when thinking of psychotic depression…
more -
200 Episodes Later: A Journey Through Psychiatry with Dr. Puder
Join us today on the 200th episode of the podcast, as Dr. Puder sits down with Dr. Mark Mullen to discuss the podcast, answer some questions about his personal journey in psychiatry, and reflect on some of his favorite episodes. Dr. Mark Mullen is a 4th year psychiatry resident at Creighton...
-
Motivational Interviewing with William Miller
Motivational interviewing serves as a versatile enhancement to various professional practices, whether it's behavioral therapy, medication counseling, classroom teaching, or sports coaching. In the words of Dr. William Miller, "It's a way of being with people to help people make changes." This...
-
Connection and Supervision in Medical Education: Exploring the utility of the Connection Index in postgraduate psychiatry training
What causes burnout among residents? There are many factors associated with burnout supported in the literature. We can break them down into environmental factors, personal factors, and non-modifiable factors. In this episode, we dive into the major factors of resident burnout and how the...
-
Sick Enough: Dr. Jennifer Gaudiani On Eating Disorders
In today's episode of the podcast, we talk with Dr. Jennifer Gaudiani (Dr. G), internationally renowned author of the book, Sick Enough: A Guide to the Medical Complications of Eating Disorders, and founder of the Gaudiani Clinic in Denver, Colorado. We deconstruct common myths and misconceptions...
-
Dr. Christopher Browning- "Ordinary Men" of the Holocaust
In this interview with historian Dr. Christopher Browning, we discuss his book, Ordinary Men: Reserve Police Battalion 101 and the Final Solution in Poland. An internationally renowned author and researcher, Dr. Browning is also a professor emeritus of history at the University of North Carolina…
more -
Dr. Robert Sapolsky: Baboons, Stress Research, Connection and Determinism
In today's episode of the podcast, we are joined by neuroscientist and primatologist, Dr. Robert Sapolsky, to discuss his work with baboons, stress, and his own mental health journey. Dr. Sapolsky is professor of biology, neurology, and neuroscience at Stanford University, as well as an author of...
-
Dr. Sue Johnson: Attunement, Attachment and the Development of Emotionally Focused Therapy
In today's episode of the podcast, I interview Dr. Sue Johnson, founder of Emotionally Focused Therapy, an intervention for relationships aimed at resolving distress by helping clients become attuned within a secure attachment bond. She has also written countless books and articles, a personal...
-
Buprenorphine and Opioid Use Disorder Management with Dr. Neal Christopher
We are joined again by Dr. Neal Christopher, who is currently the Vice Chair and Associate Medical Director of Arrowhead Regional Medical Center and the Psychiatry and Addiction Consultant for the San Bernardino County Department of Public Health. Dr. Christopher has previously appeared on the...
-
Inpatient Child & Adolescent Psychiatry: Dr. Bender's Journey Through Curiosity and Connection
In the realm of Child and Adolescent Psychiatry, especially within an inpatient psychiatric setting, a narrative-driven and curiosity-based approach has proven invaluable. Each child who is admitted is navigating a crisis, making it imperative to deeply understand their unique situation to chart…
more -
Body Dysmorphic Disorder: A Guide for Therapists and Mental Health Professionals with Dr. Katharine Phillips
Body dysmorphic disorder (BDD) remains one of the most intriguing yet under-acknowledged psychiatric conditions of our time. Characterized by an obsessive focus on perceived physical flaws or defects, often invisible to others, this disorder manifests in ways that can profoundly affect an...
-
Schizophrenia Treatment: Clozapine, LAIs, Technology and Equity with John Kane, MD and Lauren Hanna, MD
John M. Kane, MD. is Professor of Psychiatry and Molecular Medicine at The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Dr. Kane earned his medical degree from New York University in New York, New York, and completed his internship and residency in Psychiatry at The Zucker...
-
Non-Violent Communication with Matthew Lederman
In this week's episode, we have a conversation with Dr. Matthew Lederman, a board-certified internal medicine physician and CNVC Certified Trainer of Nonviolent Communication, as well as a prominent contributor behind the documentary Forks Over Knives. Dr. Lederman and his wife, Dr. Alona Pulde,...
-
Depersonalization and Derealization
In this week's episode of the podcast, we are joined by registered mental health nurse, Paul Molyneux, to discuss depersonalization/derealization disorder and his personal experiences and recovery from the disorder. By listening to this episode, you can earn 1.5 Psychiatry CME Credits. Link to...
-
Best Diet For Mood Update 2023
In today's episode of the podcast, we will explore the significant connections between our dietary choices and our mental well-being. We will discuss practical steps to incorporate diet as part of mental health treatment and maintenance. This episode is the perfect starting point to discover how...
-
Using Deliberate Practice to Improve Psychotherapy Results with Dr. Scott Miller
Dr. Miller's first appearance on the Psychiatry and Psychotherapy Podcast was in episode 077, "Getting Better Results from your Patients as a Psychotherapist," during which we discussed his book, Better Results. We explored the methodology behind improving outcomes in therapy through targeted...
-
Narcissism with Jonathan Shedler, PhD
In this episode of the podcast, we are joined by Dr. Jonathan Shedler to discuss narcissistic personality disorder. Dr. Shedler is a psychologist, consultant, clinical educator, researcher, and author with over 100 scholarly publications. His article, "The Efficacy of Psychodynamic…
more -
Pregnancy Planning for Patients Taking Psychiatric Medications or with a Mental Health History
In this episode, Dr. David Puder, Dr. Kristin Lasseter, and medical student Cara Jacobson discuss treatment of psychiatric illness in the peripartum period. Dr. Kristin Yeung Lasseter is a renowned reproductive psychiatrist who has dedicated her career to the intersection of mental health and...
-
Xylazine, Methamphetamines, Bath Salts, and Spice with Dr. Cummings
I am thrilled to continue our podcast series on addiction, designed to meet the one-time, 8-hour training requirement introduced by the Consolidated Appropriations Act of 2023. This mandate applies to all practitioners registered with the Drug Enforcement Administration (DEA), and our series...
-
Opioid Use Disorder with Dr. Cummings
This week's episode is on opioid use disorder and is the second in our series on addiction. We are once again joined by Dr. Michael Cummings. Dr. Puder and Dr. Cummings discuss the history of opioids, the neurobiology of addiction, risk factors for opioid use disorder, and treatment options. By...