In this episode, Dr. Puder is joined by Dr. Liam Browning and Dr. Nicholas Fabiano to explore the complex genetic and environmental factors that contribute to schizophrenia. They unpack how heritability is measured, what twin and genome-wide association studies reveal, and why the "missing heritability" problem matters for our understanding of mental illness.

The discussion also covers how prenatal factors, childhood trauma, cannabis use, and social adversity increase risk and how modern neuroscience reframes schizophrenia as a disorder of brain connectivity rather than a single genetic disease.

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, including exercise, creatine, caffeine, and bright light therapy.

We'll discuss studies showing how even short bouts of high-intensity interval training (HIIT), proper creatine dosing, and morning light exposure can reverse many of the damaging effects of sleep restriction.

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

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In this episode, Dr. David Puder is joined by psychiatrist Dr. Eric Bender to explore the psychological depth of the Emmy Award-winning show, The Bear (FX). Through a psychodynamic lens, they examine Carmy's character—his trauma, complex PTSD, obsessive-compulsive personality traits, and avoidant attachment style. They also break down the borderline dynamics in his family, especially his mother's primitive defenses, identity diffusion, and projective identification.

The discussion covers dissociation, personality styles, sibling roles, and emotional neglect, drawing connections to clinical work and real-life therapy. This episode gives both clinicians and fans of the show a nuanced understanding of how early attachment, trauma, and family dynamics shape adult behavior.

Whether you're a therapist, student, or simply a fan of the show, you'll gain insight into how The Bear reflects complex inner worlds.

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In this episode of the podcast, we sit down with Dr. Cummings to discuss the benefits, progress, and fears related to electroconvulsive therapy. For years the efficacy of electroconvulsive therapy has been debated, but we've learned that it still remains an essential part of psychiatric treatment in patients with severe mental health disorders.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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On this episode, Dr. David Puder and Dr. Robert Feinstein discuss the journey of becoming a good psychotherapist and how to increase one's skill in the realm of psychotherapy training through the cognitive apprenticeship model.

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

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In this episode of the podcast, I speak with Dorothy Kaufman, a marriage and family therapist who was married to the late Daniel Wile. We discuss the book that they both co-authored together called, Solving the Moment: A Collaborative Couple Therapy Manual. Dan is a well-known marriage and family therapist, the creator of Collaborative Couple Therapy, and spoken very highly of by Dr. Gottman.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this episode of the podcast, I will be discussing something near and dear to my heart—a tool I created to measure the connection between physician/student and teacher/medical learner in medical education. It is a tool called the Connection Index and its purpose is to improve the quality of the medical education experience. I wanted to answer the question of how we create better supervisors and mentors as students embark on their own "hero's journey" to becoming physicians.

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

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In this episode of the podcast, we discuss the work of Karen Horney, M.D., titled, Neurosis and Human Growth: The Struggle Towards Self Realization. In the book, Horney discusses the concept of neurosis as it stands juxtaposed against what she deems healthy growth and human development. We will be discussing this concept and some of her prevalent theories introduced in the writing, such as the development of neurosis, the contrast to the healthy individual, the components of growth, the tyranny of the "should," the search for glory, and neurotic claims.

We hope that you will be inspired to pick up this book by Karen Horney and join us in thinking about her important work.

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

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PANS/PANDAS is the hypothesis that there are certain types of obsessive compulsive symptoms, tic symptoms or restrictive eating symptoms that are caused by an infection and the immune response to an infection. Kyle Williams, MD, PHD and Sarah O'Dor, PhD join the podcast to discuss their research and diagnoses of PANS/PANDAS. 

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

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In this episode of the podcast, we interview Dr. Herbert Harman, a psychiatrist who works as a practice line director for Vituity. We will be discussing "moral injury", an emerging term defined as "perpetuating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations" (Griffin et al., 2019). Moral injury is similar to PTSD but has distinct differences. While it is often seen in military settings, various front-line careers also present opportunities for moral injury, including psychiatry. 

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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Violence and aggression are often used interchangeably, with subtle distinctions differentiating the two. Aggression is an umbrella term that encompasses violence and is defined as actions that lead to harm towards self, others, or objects, while violence is defined as actions that lead to harm, specifically toward other individuals (Newman, 2012). Aggression, according to the 3-factor approach initially detailed by investigators from the New York State Hospital system, is categorized into three types of assault: impulsive, predatory/organized, and psychotic. Impulsive aggression was the most common type at 54%, with predatory/organized type (29%) and psychotic type (17%) trailing behind (Quanbeck CD, 2007; Meyer et al., 2016). This episode aims to explore the management of agitation, aggression, and violence in the inpatient setting.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this episode, Dr. Puder interviews Jonathan Shedler, Ph.D. Their conversation covers the ideal length of therapy treatment, the efficacy of psychodynamic therapy, and the role of psychodynamic processes in multiple therapeutic modalities.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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Inaccurate diagnosis of schizophrenia and/or missed diagnosis of affective disorders can lead to inappropriate and inadequate treatment; worsened outcomes can follow. Because schizophrenia is a complex condition with a broad range of signs and symptoms that also occur in other mental disorders, it can be difficult to differentiate it from other serious mental disorders, especially mood disorders. Notably, these other conditions should actually be ruled out before arriving at a diagnosis of schizophrenia.  In this episode, Danielle Hairston, M.D. and Chantel Fletcher join the podcast to discuss the issue of overdiagnosis of schizophrenia in Black male patients, especially.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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Link to The Next 72 Hours Podcast.

Dr. David Puder and psychologist Dr. Jonathan Shedler explore depressive personality style—how it differs from clinical depression and why it often goes unrecognized. Through a detailed role play, they demonstrate how self-criticism, unconscious guilt, emotional deprivation, and suppressed anger emerge in therapy.

They discuss:

• How depressive personalities form in childhood

• The role of introjection, self-blame, and gentle idealization

• Why therapists may miss key dynamics if therapy feels "too good"

• How to help patients access their real needs and frustrations

This episode is ideal for clinicians and anyone interested in deep psychodynamic work. Shedler draws from the work of Nancy McWilliams and Otto Kernberg while offering his own insights on personality, countertransference, and therapeutic technique.

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By listening to this episode, you can earn 2 Psychiatry CME Credits.

Physical activity has been shown to reduce stress reactivity and reduce all cause mortality. Physical activity also results in decreased psychosocial stress. In this episode, Dr. Puder speaks with Dr. Stephen Seiler about the connection between mental health and physical activity.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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Dr. Joseph F. Goldberg is a psychiatrist and clinician researcher with over 180 publications and 3 books. This article focuses on his newest book,  Practical Psychopharmacology: Translating Findings From Evidence-Based Trials into Real-World Clinical Practice. In this article, we discuss psychopharmacology and his approach to psychiatry.   

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

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In this episode, I interview Dr. Robert Feinstein, on his new book, Primer on Personality Disorders. In a chapter he authored in the book, he writes about the commonalities of effective treatments for Borderline Personality Disorder.  Dr. Feinstein states that six major types of psychotherapy achieve around 70% effectiveness in the treatment of borderline personality disorders.

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

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On this week's episode, Dr. Puder interviews Francis Stevens, Ph.D., a clinical psychologist and author of the new book, Affective Neuroscience in Psychotherapy: A Clinician's Guide for Working With Emotions. Dr. Stevens trained as a therapist under cognitive behavioral and psychodynamic theories, as well as completing a postdoctoral degree in neuroscience. The lack of emphasis on emotion in these two approaches led Dr. Stevens to begin research on the neurobiological basis of emotion and to ultimately compile this book.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this podcast episode, David Puder, M.D. and Kevin Ing, M.D., M.Div. interview Kenneth I. Pargament, PhD, and Julie J. Exline, PhD about their new book Working with Spiritual Struggles in Psychotherapy: From Research to Practice. Dr. Pargament is a pioneering expert on the role of religion and spirituality in coping with stress and trauma. Dr. Exline is a researcher in the area of spiritual struggles and supernatural attributions. Both clinical psychologists, they are nationally recognized experts in the integration of research on religion and spirituality into clinical practice. 

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

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Esketamine is the first non-monoaminergic based medication which is FDA approved and indicated for treatment refractory depression. A longer duration of undertreated depression is associated with poor longitudinal functional outcomes. Instead of cycling patients through monoaminergic antidepressant trials and cognitive behavioral therapy approaches, according to Dr. Kitay, providers should consider treatments like esketamine much sooner in the treatment course.

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

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On this week's episode, Dr. Puder interviews Mary Lynch Barbera, Ph.D., RN, BCBA-D, creator of the approach and book titled Turn Autism Around. Dr. Barbera began her journey in the autism world over 20 years ago, when her first son, Lucas, was diagnosed with autism. Dr. Barbera made the incredible transformation from a confused parent to a doctoral-level behavioral analyst, best-selling author, and a tremendous resource for health professionals and parents of children with autism all over the world.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this episode, we will be discussing, From Survive to Thrive, a new book by John Hopkins' professor and author, Dr. Margaret Chisolm. In her book, she outlines the four perspectives of psychiatry that are the standard approach used at Johns Hopkins when assessing patients. Problems are considered from each of these perspectives.  It is about discovering the origin of a patient's problems and using that as a guide for treatment.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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With dyslexia being present in 20% of the population, we have to ask ourselves what the upside is to dyslexia. What do these individuals bring to the table? With such a huge portion of the population having a particular cognitive makeup, it is highly unlikely that dyslexia is to be deemed a corruption of normal pattern—nature is favoring large groups of people to display these traits. This episode dives into the strengths of dyslexic thought processes to hopefully help decrease the negative views surrounding dyslexia. 

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In a podcast episode with award-winning author and screenwriter Norman Ohler, Dr. Puder and Dr. Borecky discussed Ohler's recent book, Blitzed, about how the Third Reich used drugs to optimize performance during World War II and how it may have changed the course of history.

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

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Dive deep into the connection between cannabis (THC) and psychosis in this enlightening episode with Dr. David Puder. Explore cutting-edge research on how cannabis impacts neurodevelopment, particularly during adolescence, and discover genetic and environmental factors that can amplify psychosis risk. This episode provides valuable insights into recognizing cannabis-induced psychotic symptoms, understanding the importance of early intervention, and implementing effective strategies for treatment and prevention. Essential listening for mental health professionals, educators, parents, and anyone interested in the nuanced relationship between cannabis use and mental health.

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

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Special guest Dr. Joseph F. Goldberg is a psychiatrist and clinician researcher with over 180 publications and 3 books. This episode focuses on his newest book, written with Dr. Stephen M. Stahl,  Practical Psychopharmacology: Translating Findings From Evidence-Based Trials into Real-World Clinical Practice. In this episode, we discuss psychopharmacology and his approach to psychiatry. 

By listening to this episode, you can earn 1.75 Psychiatry CME Credits.

Link to blog.

Link to YouTube video.

In this episode, we welcome back Dr. Drew Ramsey to discuss his new book, Eat to Beat Depression and Anxiety. Rather than writing a diet book, Dr. Ramsey has made healthy eating accessible for everyone by detailing the needed nutrients and the food items that can easily be added to our diet. We will discuss Dr. Ramsey's journey of finding ways to make healthy eating accessible and his insights into how the food we eat affects our mood and brain function.

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

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Schema therapy is a model of psychotherapy that was originally designed for chronic mental health problems. It comes from the Cognitive Behavioral Therapy (CBT) tradition, but also integrates different arms of psychotherapy, such as elements from the Gestalt tradition, and also aspects of object relations theory. In this episode, we have an in-depth discussion about schema therapy, which has proven to be effective in treating borderline personality disorder (BPD), with Australian schema therapist, Andrew Phipps.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this episode we discuss, with Dr. Michael Cummings, a new book he co-authored with Steven M. Stahl on the management of treatment-resistant psychosis. An increasing number of individuals with psychotic illnesses deal with homelessness, repeated incarceration, and associated trauma. There is limited access to care for these individuals, leading to poor prognosis. This book provides prescribers with information regarding treatment of the most challenging, treatment-resistant, severely psychotic patients.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this episode, we will be discussing some of the themes within Fyodor Dostoevsky's legendary text, Crime and Punishment. It deals with the suffocating guilt and uneasy journey towards redemption of impoverished ex-student, Raskolnikov, who commits a horrific murder of a pawnbroker and tries to justify it, unsuccessfully, with noble purposes. Not only is the novel a stellar thriller, its themes deal with the eternal struggle between good and evil that encapsulates the human condition.

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

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On this episode, we are joined by psychiatrist, psychopharmacologist, and author, Dr. Jonathan Meyer, to talk about using antipsychotic plasma levels to assess treatment response, safety, and oral medication adherence. He is a clinical professor of psychiatry at the University of California, San Diego. He recently published a book with Dr. Stephen Stahl for clinicians to utilize called, The Clinical Use of Antipsychotic Plasma Levels: Stahl's Handbooks.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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On this podcast episode, we interview Dr. Fred Penzel who received both his MA and PhD in School and Clinical Psychology from Hofstra University in 1985. In 1989, he founded Western Suffolk Psychological Services in Huntington, New York, where he is the executive director and a practicing psychologist. Since 1982, he has been involved in the treatment of numerous disorders including OCD, body dysmorphic disorder, body-focused repetitive behaviors such as hair-pulling disorder (Trichotillomania) and excoriation disorder (compulsive skin-picking), panic and agoraphobia, phobias, and post-traumatic stress disorder. He specializes in the treatment of these disorders within his practice. He is a founding and active member of both the International Obsessive-Compulsive Disorder Foundation (IOCDF) and the TLC Foundation for BFRB's Science Advisory Boards. He is also a member of advisory board of the United Kingdom's Anxiety UK organization. In addition, he is an adjunct faculty member and community supervisor for the doctoral psychology program at Long Island University (C.W. Post campus). He is the author of Obsessive Compulsive Disorders: A Complete Guide to Getting Well and Staying Well (2017) and The Hair Pulling Problem: A Complete Guide to Trichotillomania (2003). He has no conflicts of interest to report.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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There is a real danger of medical professionals treating or behaving differently with someone they perceive to be a Very Important Patient, which leads to inferior treatment. In this episode, Dr. Puder and Dr. Heacock discuss the complicating factors of treating physicians, the famous, and the wealthy.

Dr. Heacock is the host of a podcast called: "Back from the Abyss."

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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Insomnia is a fairly common problem; it is likely that almost all individuals suffer from at least transient insomnia. In this episode, Michael Cummings, M.D., Shizuka Tomatsu, M.D., and Shilpa Krishnan, D.O. join the discussion on psychopharmacological treatments, lifestyle, and therapy recommendations for insomnia. 

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

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A 2019 poll reported that one-third of adults say they feel they "cannot go anywhere without worrying about being a victim of mass shooting" and "more than half of American teenagers worry about a shooting at their school." A mass shooting is generally defined as the murder of at least four people at one time. Why do mass shootings take place? Are there any commonalities between the perpetrators? Could these shootings have been stopped before they started?

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

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In this episode, Dr. Otto Kernberg, a pioneer of Transference-Focused Psychotherapy (TFP), discusses personality disorders through a psychoanalytic lens. Explore key insights into Borderline Personality Disorder (BPD), identity diffusion, primitive defense mechanisms such as splitting and projective identification, and the complexities of narcissistic, paranoid, schizoid, and histrionic personalities. Dr. Kernberg also shares reflections on sexuality, aggression, reflective functioning, and why therapists choose to help others.

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

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Alzheimer's disease is a devastating neurodegenerative condition that affects the entire family. As psychiatrists and psychologists, we often support these patients and their families throughout this entire disease process. With the recent and controversial FDA approval of aducanumab (Aduhelm™), a new pharmacotherapy for Alzheimer's disease, we can expect to be asked about this drug from our patients and their family.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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Interview regarding the recent court case of Britney Spears and unique aspects of conservatorship law and treating people with large amounts of fame or money.

Conservatorship Lawyer: Mark McGuire

Psychiatrist: Herndon Harding M.D.

Psychiatry Resident: Serena Weber, M.D.

Psychiatrist Host: David Puder, M.D.

No conflicts of interest to report.

Contact me on IG: here

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

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In this episode, we will be discussing some themes observed in Meditations, a collection of notebooks written by the 16th Roman emperor, Marcus Aurelius, during the last years of his reign. His writings are still relevant to us and resonate within us, as the emperor himself struggled with some core questions that anyone who is living this thing called life might ponder.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

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In this episode, I am joined once again by Michael Cummings. M.D. and Melissa Pereau, M.D. along with Chantel Fletcher who will soon be a fourth year medical student going into Psychiatry. We will be doing an in-depth analysis on Obsessive Compulsive Disorder including history, assessments, diagnosis, and so much more. 

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

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In this episode, I am going to build on the therapeutic alliance series to express my thoughts on how understanding emotion, specifically microexpressions, can better help you make connections with your clients. The research is amazing; there are thousands of articles on the subject. I thought I would share a bit about the evolution of my interest in emotion and microexpression in this episode and how I translated it from the forensic world into a psychotherapy setting.

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

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In this podcast episode, we will interview Jeffrey Paul Kahn, MD, a psychiatrist who recently co-edited a book called Psychotic Disorders: Comorbidity Detection Promotes Improved Diagnosis and Treatment. Our focus will be on different presentations of psychosis and how through a good history you can better treat the underlying issue and choose optimal treatments.

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

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In this episode, I interviewed Carl B. Gacono, PhD, who is an expert in the areas of criminal psychopathology, behavior, and treatment. We dive into understanding and acknowledging the distinct differences between psychopathic and non-psychopathic patients and how their assessment with the PCL-R and Rorschach aid in their management and treatment. We also discuss how understanding transference and countertransference is essential when interacting with these difficult patients.

Link to Blog.

Link to Resource Library. 

In this episode of the podcast, we introduce borderline personality disorder (BPD). We discuss its history, nomenclature, epidemiology, etiology, and diagnosis while providing perspectives from clinicians regarding the treatment of individuals with BPD.

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

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On this week's podcast, I interview Jason Smith, Psy.D., A.B.P.P., Chief Psychologist at a prison in the United States, and Ted B. Cunliffe, Ph.D., who is a clinical and forensic psychologist at a private practice in Florida. Together, along with Carl B. Gacono, Ph.D., ABAP, they have written the book Understanding Female Offenders, researching how female offenders' psychopathic behaviors present differently than in males and how we can address biases we may have in order to identify, assess, and treat these women.

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

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In this episode, we will be going over a book every therapist and psychiatrist should read, Viktor Frankl's "Man's Search for Meaning." Being in the trenches with our patients, we see so much pain and suffering and potentially undergo vicarious trauma ourselves through their suffering. The question, "What is the meaning of life?" often comes up in such a context.

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

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In this episode of Psychiatry & Psychotherapy, Dr. David Puder hosts a deep dive with experts Nicholas Fabiano, MD, Brandon Luu, MD, Joshua Mangunsong, MS3, and Liam Browning, MS4 into the exciting potential of creatine supplementation for mental health and cognitive enhancement. They explore cutting-edge research on how creatine can improve mood disorders, including depression and anxiety, enhance cognitive functions such as memory, attention, and reasoning, and support brain metabolism through its role in ATP regeneration. The episode also reviews clinical trials demonstrating creatine's effectiveness in psychiatric disorders, optimal dosing strategies, and its safety profile. Listen to learn how creatine may revolutionize treatment options in psychiatry.

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

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In today's episode of the podcast, we'll be continuing our deep dive into duloxetine, a serotonin-norepinephrine reuptake inhibitor (SNRI). In this second part, we'll be covering the approved indications and off-label uses of duloxetine. 

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

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In this episode of the podcast, Dr. Michael Cummings, Dr. Annabel Kuhn, and Dr. David Puder discuss akathisia, the horrible and all too common side effect of psychiatric medications. Subsequently, we go through definitions, history, mechanism, how to rate it, and treatment.

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

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In the last episode, we talked about the first two stages of the hero's journey. In this episode, I will focus on the path of the hero as it specifically applies to mental health professionals. I will discuss exactly what those are and how these are areas in our core being that simply cannot be faked. The areas we will be discussing require the hero (us) to develop and mature at the core of our being, to embody these things, and to be fundamentally transformed.

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

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