Podcast
Psychofarm Podcast
Hosted by Psychiatry, Skepticism, and Integration. · EN
PsychoFarm Podcast is a deep dive into the intersection of psychiatry, psychopharmacology, and the evolving understanding of mental health. Hosted by 2 psychiatrists, the podcast explores complex topics such as diagnosing mood and personality disorders, the role of medications in treatment, and the challenges of psychiatric training. Each episode breaks down the clinical insights and philosophical debates surrounding mental health care, providing both practitioners and curious listeners with thoughtful analysis, expert opinions, and practical advice.
psychofarm.substack.com
psychofarm.substack.com
33episodes
Episodes
Newest firstAll episodes
ADHD Is Not the Only Diagnosis: Differential and Diagnostic Hierarchy
Nov 401:05:19Tap to summarizeWhy does it feel like everyone thinks they have ADHD lately? In this episode, two psychiatrists discuss the differential of ADHD. They explore how social media trends (like viral TikTok videos) are fueling ADHD self-diagnosis, and they emphasize the importance of careful evaluation. You’ll learn how to think through whether it’s ADHD vs. look-alike conditions such as depression, anxiety, trauma, OCD, sleep deprivation, or even just chronic stress and burnout. The doctors also talk about the burnout mental health providers are facing with so many people seeking ADHD meds, and they share their balanced approach to diagnosing and treating attention issues in an evidence-based way. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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Is Psychoanalysis Still Relevant in Modern Psychiatry?
Oct 2100:50:03Tap to summarizeIs psychoanalysis still relevant in modern psychiatry and medication management? We unpack psychodynamic therapy, DSM-5 personality disorders, object relations, ego psychology, splitting, projective identification, attachment theory, and how solid psychiatric formulation improves outcomes in even medication management. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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Practical OCD Psychopharmacology: Evidence‑Based (& Non Evidence-Based) Medication Approach
Aug 5, 2025Tap to summarizeIn this fast‑paced Psychopharm podcast, we break down the OCD medication algorithm for obsessive compulsive disorder. You will hear about pushing SSRI doses, switching to Luvox or clomipramine, adding low‑dose antipsychotics, and glutamate modulators such as N‑acetylcysteine and ondansetron. The conversation also demystifies BrainsWay H7 deep TMS, explains realistic expectations for symptom reduction, and stresses that exposure response prevention remains the centerpiece of care. Helpful for psychiatrists, NPs and trainees who want clinical pearls without the fluff.NAC: https://drive.google.com/file/d/1b7ZBeFDKAAwLhfzUo0Jv58jEL7B70l5r/view This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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Lessons from Forensic Psychiatry: Insanity Defense, Subtle Patients and Culpability
Apr 1, 202500:54:34Tap to summarizeThis conversation explores key aspects of forensic psychiatry, including the insanity defense, dissimulating patients, and how clinical practice intersects with legal systems. It highlights the importance of open-ended dialogue, nuanced diagnosis, and maintaining empathy without succumbing to cynicism. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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Involuntary Treatment & Agency, Thoughts and Feelings | Episode 19
Mar 12, 202501:00:07Tap to summarizeJoin us in a conversation about involuntary commitment, and the legal framework behind psychiatric treatment. We discuss real-world scenarios, share insights into how clinicians juggle patient autonomy versus societal protection. Whether you are new to the field or a seasoned professional, this episode offers valuable perspectives on balancing ethical duties, legal obligations, and patient care. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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The Deficit Model in Psychiatry & Difficult to Treat Depression with Dr. Chris Aiken | Episode 18
Mar 5, 202500:42:40Tap to summarizeIn this episode, we sit down with Dr. Chris Aiken to look at a big question: when do we treat an underlying deficit in psychiatric illness? Focusing on difficult-to-treat depression, our conversation delves into the deficit model and looks at different paradigms, from neuroprotective strategies and lifestyle interventions to the nuanced use of medications like SSRIs, lithium, and thyroid hormones, as well as targeted supplements. Tune in for a thought-provoking discussion that looks at when we approach treating depression by focusing on its underlying causes.http://www.carlatreport.comhttps://chrisaikenmd.com/partners/https://chrisaikenmd.com/supplements This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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Choosing Antipsychotics in Schizophrenia: Side-Effects, Maximizing Efficacy, and Finding the Right Medication | Episode 17
Feb 26, 202501:01:09Tap to summarizeSchizophrenia treatment is complex, and choosing the right antipsychotic can make all the difference. In this episode, we take a deep dive into schizophrenia medications... breaking down the pros and cons of different antipsychotics, metabolic risks, sedation issues, and the challenges of adherence. We discuss how to tailor treatment to individual patients, avoid unnecessary side effects, and improve long-term outcomes. Whether you're a clinician prescribing antipsychotics or someone looking to understand schizophrenia medications better, this discussion offers practical insights and evidence-based strategies for optimizing treatment. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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The Future of Psychiatry: Spravato, Vagus Nerve Stimulation, Trigeminal Nerve Stimulation, PRISM Neurofeedback, TMS and much more with Dr. Owen Muir | Episode 16
Feb 18, 202501:01:22Tap to summarizeWhat is the future of psychiatric treatment? In this episode we explore groundbreaking innovations in neuromodulation, AI driven diagnostics, and the evolving business of mental healthcare. Dr Owen Muir discusses why business and policy are as crucial as clinical advancements in ensuring that cutting edge treatments like accelerated TMS, noninvasive vagus nerve stimulation, and AI assisted tardive dyskinesia detection actually reach patients. From reshaping psychiatric training to rethinking what it means to cure mental illness, this conversation challenges how we view progress in psychiatry. Tune in to discover how technology, policy, and medical practice are converging to transform the field. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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Beyond Medications: The Best Lifestyle Treatments for Mental Health
Feb 12, 202500:50:19Tap to summarizeMedications and therapy are the foundation of mental health treatment, but what else can you do to improve your well-being? In this episode, we explore the essential lifestyle changes that can make a profound impact on mental health. From exercise and behavioral activation to socialization, sleep, and mindfulness, we break down practical, evidence-based strategies that go beyond prescriptions. We also discuss how avoiding substances and engaging with the right self-help resources can support long-term recovery. Whether you're a clinician, a patient, or just someone looking to optimize mental well-being, this episode offers actionable insights to help build a sustainable, holistic approach to mental health. Tune in for a deep dive into the three pillars of treatment and why lifestyle changes are just as crucial as medications and therapy. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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TMS and The Future of Psychiatry, Part 1 with Dr. Owen Muir
Feb 4, 202500:55:50Tap to summarizeIn this engaging episode, Dr. Owen Muir dives into the science and practice of Transcranial Magnetic Stimulation (TMS), exploring its transformative role in modern psychiatry. The conversation begins with a historical look at how TMS emerged from groundbreaking research in the 1980s, evolving into an FDA-approved, noninvasive treatment for mental health disorders such as treatment-resistant depression, OCD, and bipolar disorder. Listeners are taken on a journey through the mechanics of TMS, from precise brain mapping and neural synchronization to the innovative use of accelerated TMS protocols that offer rapid symptom relief.Dr. Owen Muir unpacks how TMS harnesses magnetic fields to stimulate neural circuits, effectively “resetting” brain rhythms and boosting neuroplasticity. They discuss real-world clinical applications, sharing insights on how tailored coil positioning and stimulation patterns can lead to significant improvements in mood regulation and cognitive function. The podcast also addresses practical challenges, including optimizing treatment intervals, insurance hurdles, and the future of neuromodulation in psychiatry.Whether you’re a clinician looking to stay up to speed on the latest in TMS research or a patient exploring nonpharmacological options for mental health care, this episode provides a comprehensive and accessible overview of TMS technology and its promising impact on mental health treatment. Join us as we decode the complexities of TMS and reveal how this innovative therapy is reshaping the landscape of mental health care. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit psychofarm.substack.com
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