Schizoaffective Disorder vs Schizophrenia
Play • 54 min

What are the differences between schizoaffective disorder and schizophrenia? While they both share the prefix “schizo,” they’re two separate diagnoses. 

Hosts Rachel Star Withers and Gabe Howard divulge their personal experiences with psychosis, schizophrenia, and mental health conditions as they explore the newer termed condition of schizoaffective disorder. 

Guest Dr. Michelle Maust from MindPath Care Centers joins to give a medical perspective on the differences in diagnosing these disorders.

About Our Guest

Michelle S. Maust is a psychiatrist with MindPath Care Centers. Dr. Maust earned her degree at the University of Virginia School of Medicine in Charlottesville, VA. As a prior doctor for the United States Army, she has the tools to help those working through crises. She is very experienced and well-versed in her field, and uses her experience to tailor her treatment approach to the particular story of each individual client. Outside of work, Dr. Maust enjoys a variety of activities like crafting, cranking up the tunes, and working on a farm with her husband. She currently treats ages 18 and up in Raleigh, NC, where she specializes in depression, anxiety, PTSD, schizophrenia, and bipolar disorder. http://www.mindpathcare.com

Two Shrinks Pod
Two Shrinks Pod
Dr Hunter Mulcare & Amy Donaldson
68 - The Seven Deadly Sins
To kick off 2021, two shrinks is getting sinful. Thanks to a suggestion from psychiatrist Dr Jackie Rakov (@psychwrite on twitter), we’re taking a look at the psychology behind the seven deadly sins. Do we find people more attractive when we’re primed with lust? Does envy make us more likely to harm others? Is pride different from straight-up narcissism? Listen in to for a light-hearted but in depth look at whether the sins really are that bad. Timepoint/Articles: 05:30 Envy https://journals.sagepub.com/doi/10.1177/0146167219897660 14:30 Pride - https://europepmc.org/article/med/33180528 26:25 Gluttony - https://pubmed.ncbi.nlm.nih.gov/24411760/ 40:58 Sloth - https://www.prdb.pk/article/prevalence-of-academic-procrastination-and-reasons-for-acade-8348 47:30 Lust - https://www.tandfonline.com/doi/abs/10.1080/00224545.2014.933158 58:51 Wrath - https://bpspsychub.onlinelibrary.wiley.com/doi/abs/10.1111/bjso.12357 01:14:27 Greed - https://www.sciencedirect.com/science/article/abs/pii/S0191886918305130 Media clips drawn from: Se7en (sins), Winnie the Pooh (gluttony), The Simpsons (Sloth), U2 (pride) Pride & Prejudice (pride), How I Met Your Mother (lust), Wallstreet (greed) and Star Trek II: Wrath of Khan (wrath) Hunter’s bonus I can’t believe it’s not sloth articles: (from 35:00-40:58 mins) Sloth bears: https://psycnet.apa.org/record/2019-05979-001 Bridges: https://www.sciencedirect.com/science/article/abs/pii/S1369847820304125
1 hr 27 min
PsychEd: educational psychiatry podcast
PsychEd: educational psychiatry podcast
PsychEd
PsychEd Episode 31: Understanding Psychodynamic Therapy with Dr. Rex Kay
Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers psychodynamic psychotherapy with Dr. Rex Kay. Dr. Kay is a staff psychiatrist at Mount Sinai Hospital, assistant professor and modality lead for dynamic psychotherapy at the University of Toronto, as well as a faculty member at the Toronto Institute for Contemporary Psychoanalysis. The learning objectives for this episode are as follows: By the end of this episode, you should be able to… * Define psychodynamic psychotherapy. * Describe the core concepts of psychodynamic therapy. * Determine who may be an appropriate patient for psychodynamic psychotherapy. * Describe the evidence base for psychodynamic psychotherapy. * Compare and contrast psychodynamic therapy to other psychotherapies. Guest: Dr. Rex Kay Produced and Hosted by: Jordan Bawks and Anita Corsini Audio editing by: Anita Corsini Resources: * Ars Medica: A Journal of Medicine, the Arts, and Humanities * Canadian Institute for Child and Adolescent Psychoanalytic Psychotherapy * Narrative Competence Psychotherapy Group at Mount Sinai Hospital * Toronto Institute for Contemporary Psychoanalysis * Toronto Institute of Psychoanalysis References: Black, M. & Mitchell, S. (2016). Freud and beyond: A history of modern psychoanalytic thought. Basic Books. Cabaniss, D. L., Cherry, S., Douglas, C. J., & Schwartz, A. R. (2017). Psychodynamic psychotherapy: A clinical manual. Wiley. Driessen, E., Hegelmaier, L. M., Abbass, A. A., Barber, J. P., Dekker, J. J., Van, H. L., Jansma, E. P., & Cuijpers, P. (2015). The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update. Clinical Psychology Review, 42, 1-15. doi: 10.1016/j.cpr.2015.07.004 Eppel, A. (2018). Short-term psychodynamic psychotherapy. Springer. Karen, R. (1994). Becoming attached: First relationships and how they shape our capacity to love. Oxford. Safran, J. D. (2012). Psychoanalysis and Psychoanalytic Therapies. American Psychological Association. Summers, R. F. & Barber, J. P. (2010). Psychodynamic Therapy: A Guide to Evidence-Based Practice. Guilford. CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association. For more PsychEd, follow us on Twitter (@psychedpodcast), Facebook (PsychEd Podcast), and Instagram (@psyched.podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.
1 hr 11 min
The HSP Podcast with Julie Bjelland
The HSP Podcast with Julie Bjelland
Julie Bjelland
Honoring Black HSP Leaders of this Generation and Generations to Come with Michael Coles
How we overcome the inner battles we face and what fuels our strength to show up in our own unique way. We can remember and honor the Black leaders before us and we can also honor the new and upcoming leaders during Black History Month.  Black HSP's can struggle more than others with the inner dialogue of who we should be in the world and deeply feel the turmoil and injustice in the world.  Both of our generation and generations before us.   We all want to find our own path and can be faced with family or authorities telling us who we should be, cannot be or will never be.   I want to have a conversation with other Black HSP's who struggle with choosing to become the leader they are meant to be or settling into the identity that others put upon you.  We are all whole and complete as we are and have the power to heal old wounds and beliefs to become the leader we were meant to be within and without. Holistic Health Practitioner and Health Strategy Coach LMT, CES, FMS Bio: Michael is on a mission to teach the world that we are all capable of intrinsic healing and transformation both mentally and physically. If we start with foundational health, we can build upon this foundation to create the empowered life we want to live. Michael overcame, healed, and transformed from having Tourette syndrome, severe asthma, ADHD, obesity, and an eating addiction and now helps others embody health to become empowered to live a life of joy, peace and success. He is a US Marine, a Holistic Health Practitioner, and Health Strategy Coach. https://michaelacoles.com/ Michael also did a previous event with us Tapping into your Guidance System to Take Aligned Action --- Send in a voice message: https://anchor.fm/julie-bjelland/message
57 min
American Journal of Psychiatry Audio
American Journal of Psychiatry Audio
American Journal of Psychiatry
February 2021: Maternal Psychological Resilience and Newborn Telomere Length
Executive Editor Michael Roy speaks with Glenn Verner, M.P.H., and Sonja Entringer, Ph.D., about their article on the relationship between maternal psychological resilience during pregnancy and newborn telomere length. Ms. Glenn Verner is a doctoral candidate in medical psychology at Charité University Medicine in Berlin. She is interested in studying the biological mechanisms that underpin maternal and fetal health. Dr. Sonja Entringer is a professor of medical psychology at Charité University Medicine in Berlin. She is also an associate professor in the Health and Disease Research Program at the University of California, Irvine. Her research interests broadly include how developmental programming affects health and disease risk. In particular, she is interested in how stress during pregnancy affects offspring development. * How the authors became interested in this area of research [2:10] * Overview of the telomere system [4:35] * Aims of the study, which examined how positive maternal psychological conditions during pregnancy affect newborn telomere settings [7:40] * Characteristics of study participants [10:44] * The various data collected during pregnancies [12:26] * How resilience and positivity were quantified [13:58] * Relationship between newborn telomere length and maternal resilience [15:18] * Results that stood out to the authors [16:37] * How clinical features or demographic characteristics of the participants affected the study outcome [17:26] * Limitations that may have affected the study results [18:43] * How this work fits in to the overall literature on this subject [19:51] * Implications the work has for the understanding of how maternal health affects infant health and disease risk [20:42] * Key points for researchers, clinicians, and other mental health professionals [22:43] * Recommendations for further research [23:59] Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Stitcher, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. Watch Deputy Editor Daniel S. Pine, M.D., present highlights from the February 2021 issue. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
29 min
Psychcast
Psychcast
Medscape Professional Network
Treating patients with delusional infestation with Dr. John Koo and Dr. Scott Norton
John Koo, MD, and Scott A. Norton, MD, MPH, join host Lorenzo Norris, MD, for this special edition of the Psychcast. This is a crossover episode with our sister podcast, Dermatology Weekly. Dr. Koo is a psychiatrist and a dermatologist at the University of California, San Francisco. He has no disclosures. Dr. Norton is a dermatologist with the Uniformed Services University of the Health Sciences in Bethesda, Md., and with George Washington University, Washington. He has no disclosures. They are featured in an article on this topic online at MDedge.com/Psychiatry. Dr. Norris is associate dean of student affairs and administration at George Washington University. He has no disclosures. Take-home points * Delusional infestation or delusions of infestation, also known as delusional parasitosis, is a fixed false belief that one has an infestation of animate or inanimate pathogens, despite strong evidence against infestation. Common precipitants of delusional infestation include previous exposure to external or internal parasites, stress, and travel. The condition is more common among highly functional older women. * A recent study estimated the prevalence of delusional infestation as 1.9/100,000, though the condition is an area of limited study. Delusional infestation is poorly recognized by physicians, therapists, and families, which leads patients to search for an external cause of the symptoms and contributes to distress for patients and their loved ones. * Patients with delusional parasitosis often lack insight into their disease, and it can be difficult to persuade them to take the recommended treatment of antipsychotics. * Low-dose pimozide, a first-generation antipsychotic, is the most common treatment for delusional infestation, particularly because it does not have Food and Drug Administration approval as a treatment for psychosis. Therefore, patients are less biased against taking this medication. Summary * Delusions of infestation are a monosymptomatic hypochondriacal psychosis in which the only delusion present is one of infestation, and patients do not have other symptoms of psychotic spectrum illness. Secondary delusions of infestation may occur in individuals who use drugs, such as methamphetamine or cocaine, or who have a primary psychotic disorder, such as schizophrenia. * Delusions of infestation is related to Morgellons disease, which is defined as a skin condition characterized by the presence of “threads” or filaments that patients believe are embedded in their skin and might be accompanied by stinging and itching sensations. * Patients with delusions of infestation usually present to a primary care physician or ED with symptoms of abnormal sensations of their skin, including crawling sensations. In addition, patients usually bring personal proof of their condition, such as a small bag of “specimens,” including pieces of lint, threads, or scabs. Some patients also bring in journals detailing the timing and associated factors of their symptoms. * Dr. Norton advises that physicians treating the patients with delusions of infestation should mentally prepare themselves against initial bias and set aside time for longer visits or several follow-up visits. Dr. Norton starts with the premise that the patient has an actual infestation or other underlying cause of their pruritus and performs a thorough, full-body exam for dermatologic conditions, and examines the materials patients bring with them using a double-headed microscope – so that he and the patient can look at the specimens together. * Dr. Koo often tells patients that they have Morgellons disease because it does not include the stigmatizing term of “delusional.” He reframes Morgellons as an infestation that cannot be cured by internal or external antiparasitic medications. He then pivots away from etiology to validation of their emotions and eventually to treatment. * Dr. Koo usually often starts treatment with pimozide because it is an antipsychotic with FDA approval for Tourette syndrome – not schizophrenia. This perceived absence of a connection of the medication to psychiatric illness allows patients to be more open to taking the medication. * For primary delusional infestation, Dr. Koo starts with pimozide. The dose, which is daily and taken orally, starts low at 0.5 mg and goes up by 0.5 mg every 2-4 weeks. The aim is to get up to 3 mg per day. Low doses of pimozide and other antipsychotics lead to decreased sensation of itching and formication. Dr. Koo refers to his treatment plan as a “trapezoid-like dosage strategy.” Once he gets the patient to 3 mg, he continues the medication until all the symptoms disappear and then continues the medication for an additional 3 months. Dr. Koo then slowly tapers the dosage over an additional few months. * The keys to successful treatment include communicating with patients and working collaboratively with them. This approach builds trust and rapport. References Brown GE et al. J Clin Exp Dermatol Res. 2014;5:6. doi: 10.4172/2155-9554.1000241. Kohorst JJ et al. JAMA Dermatol. 2018 May 1;154(5):615-7. Lepping P et al. J Am Acad Dermatol. 2017 Oct;77(4):778-9. Middelveen MJ et al. Clin Cosmet Investig Dermatol. 2018;11:71-90. Lepping P et al. Acta Derm Venereol. 2020 Sep 16. doi: 10.2340/00015555-3625. Freudenmann RW et al. Br J Dermatol. 2012 Aug;167(2):247-51. Wolf RC et al. Neuropsychobiology. 2020;79:335-44. * * * Show notes by Jacqueline Posada, MD, associate producer of the Psychcast; assistant clinical professor in the department of psychiatry and behavioral sciences at George Washington University, Washington; and staff physician at George Washington Medical Faculty Associates, also in Washington. Dr. Posada has no conflicts of interest. For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com
57 min
Inside Mental Health: A Psych Central Podcast
Inside Mental Health: A Psych Central Podcast
Healthline Media
Steven C. Hayes - What is ACT (Acceptance and Commitment Therapy)?
What is Acceptance and Commitment Therapy (ACT)? Is it just for select issues or can everyone benefit from ACT? Is there any evidence to support that ACT works at all? Dr. Steven C. Hayes, one of the pioneers of ACT, answers these questions and shares some of the interesting applications of ACT, ranging from helping professional athletes to Fortune 500 companies. Listen now! Guest Information for 'Acceptance and Commitment' Podcast Episode Steven C. Hayes is a Nevada Foundation professor of psychology in the behavior analysis program at the University of Nevada. An author of 46 books and nearly 650 scientific articles, he’s especially known for his work on Acceptance and Commitment Therapy or “ACT,” which is one of the most widely-used and researched new methods of psychological intervention in the last 20 years. Hayes has received several national awards, such as the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapy. His popular book “Get Out of Your Mind and Into Your Life” for a time was the best-selling self-help book in the United States, and his new book “A Liberated Mind” has been recently released to wide acclaim. His TEDx talks have been viewed by over 600,000 people, and he’s ranked among the most cited psychologists in the world. About the Inside Mental Health Podcast Host Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, Mental Illness is an Asshole and other Observations, available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com.
30 min
Your Anxiety Toolkit
Your Anxiety Toolkit
Kimberley Quinlan, LMFT
Ep. 177: Does this Behavior Bring Me Closer to My Long Term Goals?
Welcome back to another episode of Your Anxiety Toolkit Podcast. Today I want to talk about a concept that is really important to long-term recovery or just life in general, which is this question: Does this bring me closer to my long term goals? Now, human beings are very reactionary. When there is an event, we quickly do a little data check in our brain. Is it safe? Can we proceed? Should we run away? Should we freeze? Should we just freak out? We have the whole process that happens in a millisecond, and then we respond. Now the fight-flight-freeze system of the brain keeps us alive. It’s a reaction we have to danger. So if there is a lion, we know to either freeze, run away or fight it. For those with an anxiety disorder, we often go into the fight-flight-freeze when there isn’t any real danger. The more we react, the more we enforce our fears and the more that we get stuck in a cycle of reaction. One of the most helpful things in life for me has been to step back and look at the cycle, look at the trends and ask myself, does this behavior, does this reaction bring me closer to my long term goals? If you can, just practice slowing down and pausing and saying to yourself “Wait a second. Is there a trend in my reaction?” I often say to my clients that my job is pretty simple. My job is to help you find the trends, find the patterns. If there is a pattern of reaction, that is where I intervene. I want you to be able to look at the patterns and the trends, and then decide for yourself what is good for you. We cannot live just in reaction because that is when we get stuck. So I want you to try asking yourself "Does this behavior bring me closer to my long term goals?" Remember to be gentle with yourselves and give yourselves a huge amount of self-compassion. If you get a moment, please go over to wherever you listen to podcasts, whether that be Apple Podcast, Stitcher, Spotify, Podbean, and leave an honest review. Tell me how you feel about it, whether it's helping you, what you'd like to see. We are going to give away a pair of Beats headphones of your choice of color once we hit a thousand reviews! ERP School, BFRB School and Mindfulness School for OCD are open for purchase. Click here for more information. Coming in March ERP School will be available with bonus material! Additional exciting news! ERP School is now CEU approved which means that it is an accredited course for therapists and mental health professionals to take towards their continuing education credit hours. Please click here for more information. Transcript Ep. 177 Welcome to Your Anxiety Toolkit. I’m your host, Kimberley Quinlan. This podcast is fueled by three main goals. The first goal is to provide you with some extra tools to help you manage your anxiety. Second goal, to inspire you. Anxiety doesn’t get to decide how you live your life. And number three, and I leave the best for last, is to provide you with one big, fat virtual hug, because experiencing anxiety ain’t easy. If that sounds good to you, let’s go. Welcome back, friends. I am so happy to have you with me. How are you doing? How are you all? Sending you so much love. Checking in with you. Hey, how are you doing friend? Number one, thank you for being my friends. It really, really is wonderful. Up to this point, let me just reflect on something really quick. When I first started creating the podcast, I would look at the microphone and just talk into the abyss. Just talk, talk, talk, talk, talk, say what I want to say, and get done. The cool thing is I was just reflecting on this before. Now that I have met quite a few of you at either conferences or events or on social media or on the Facebook group, which is CBT School Campus, you can go to it’s a private group, and I know your faces, now I have this wonderful experience where I can look into the microphone and actually see your faces. It’s been so fun to actually meet you guys and just be like, “Oh great.” I know I have another face. Hello, welcome. Thank you for being here. I know your time is so precious and I’m so grateful that I get to spend this time of yours together. Let’s get straight to the episode. In the last few episodes, these are building on each other. We talked about self-compassion. Last week, I talked about the lies we tell ourselves which, PS, was a really hard conversation. Ain’t going to lie. I hope that was a safe, healthy conversation. If you didn’t hear it, go back because it was me sharing my own experience of telling lies to myself and to my family, and really just breaking down the judgment around that. So, go back and listen. And me sharing with my family and with you guys about how I’m going to change. Now today, I want to talk about a concept that is really, really important to long-term recovery in or just life in general, which is this question: Does this bring me closer to my long-term goals? Now, human beings are very reactionary. This is why we have survived for millions of years. When there is an event, we quickly do a little data check in our brain. Is it safe? Can we proceed? Should we run away? Should we freeze? Should we just freak out? We have the whole process that happens in a millisecond, and then we respond. Now the fight-flight-freeze system of the brain, we call it the FFF response, is a part that keeps us alive. It’s a reaction we have to danger. So if there is a lion, we know to either freeze, run away or fight it. We instinctively know this. But what happens is, if we have an anxiety disorder or little glitchy in the brain, often what we do is we go into the fight-flight-freeze when there isn’t danger and we’re in reaction. And the more we’re in reaction, the more we enforce that fear and the more that we get stuck in a cycle of reaction, reaction, reaction, reaction, reaction. Now, one of the most helpful things in life for me has been to step back and look at the cycle, look at the trends and ask myself, does this behavior, does this reaction bring me closer to my long-term goals? There’s this moment where if we can, we can just practice slowing down and pausing. This will be really important for you, folks, who do compulsions on autopilot. Slow down and pause and zoom out and go, “Wait a second. Is there a trend in my reaction?” I often say to my clients and patients, “My job is pretty simple. My job is for you to tell me how you’re doing, for you to explain to me what’s going. My job is to find the trends, find the patterns. If there is a pattern of reaction, that’s where I intervene. If the reactor action is problematic, that’s where we intervene. If the reaction is really helpful and productive and brings you long-term joy and quality of life, I have no business messing up with that. I’m here to look at disorder.” That’s what disorder means, is to look at where there is a problem in the order of your life, to look at the trends. The question here I want you to do is, take a step back, look at the trends in your life and see what is and isn’t working, and ask yourself: Does this behavior bring me closer to my long-term goals or to my values? Last week, I shared about the lie that I told myself and my family about, “Oh, I have to work. I don’t have a choice. I have to work this hard.” And then I was like, “Wait a second. That’s a lie. I don’t have to work this hard. I make myself work this hard. I pushed myself to work this hard. I allow myself to work this hard.” I have to look and stop and go, “Okay, it’s cool. It’s fun. I get a lot done. I get a lot of fulfillment from it.” But if I step back and go, “Wait a second, does this bring me closer to my long-term goals?” some of it does. Yes, it helps me feel more fulfilled in my work. It gives me more success in my work. It makes me write a good book. But it doesn’t fulfill the long-term goal of me wanting to be a present parent, a good wife, have a c…
13 min
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