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Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics - All we have is now-- A psychotherapist faces mortality
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All we have is now-- A psychotherapist faces mortality

Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics

04/13/21

51m

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Featured In

How do you show up for others when you are facing the loss of everything you have ever known and loved?
Here Leah Barrett, a Colorado-based psychotherapist, opens her heart and shares her story of managing the careful dance of witnessing her clients' pain and trauma while she faces her own unfolding medical nightmare. Leah and Craig explore this immediacy and the implications for doing the sacred work of psychotherapy.
Leah Barrett's podcast --Precarious
https://www.leahbarrett.com/precarious-podcast
BFTA
https://www.craigheacockmd.com/podcast-page/

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Previous Episode

undefined - How healing happens
How healing happens

March 29, 2021

68m

What's the special sauce of psychological and psychiatric treatment? How do we change, particularly in relationship with others?  Here Dr. Hillary McBride, a psychotherapist, researcher, author, and podcast host (Other People's Problems) opens up about the details of her years of psychiatric treatment, what worked (often surprising!), what did not, and how she had to leave home to find a home in herself.

Dr. Hillary McBride
https://hillarylmcbride.com

Hillary's new book-- The Wisdom of Your Body
https://www.amazon.com/Wisdom-Your-Body-Wholeness-Connection/dp/1587435527/ref=sr_1_2?dchild=1&keywords=hillary+mcbride&qid=1617029987&sr=8-2

BFTA
https://www.craigheacockmd.com

Next Episode

Antidepressants, mood stabilizers, antipsychotics, benzodiazepines, stimulants.....READY SET GO!
Med cheat sheet
SSRIs
(selective serotonin reuptake inhibitors)-- Prozac, Lexapro, Paxil, Celexa, Zoloft, Luvox, Trintellix, Viibryd-- They are generally NOT antidepressants
Mainly helpful for OCD, body dysmorphia, panic (if not from trauma), depression if postpartum or fueled by neuroticism or ruminative anxiety
SNRIs (serotonin norepinephrine reuptake inhibitors)-- Effexor/venlafaxine, Cymbalta/duloxetine
Mostly helpful for combined depression/anxiety, especially with insomnia
Wellbutrin/bupropion-- very stimulating (prison crack!), true antidepressant; can trigger/worsen anxiety
MAO (monoamine oxidase) inhibitors-- powerful antidepressants, lots of side effects and med interactions
Lamictal/lamotrigine-- definitely ALL THAT and a bag of chips (see My Desert Island Meds in Season 1)
Atypical antipsychotics- Abilify/aripiprazole, Latuda/lurasidone, Seroquel/quetiapine, Saphris/asenapine, Vraylar/cariprazine, Risperdal/risperidone, Zyprexa/olanzapine, Geodon/ziprasidone, Invega/paliperidone
Generally good mood stabilizers (in contrast to the putative "mood stabilizers" below); typically more helpful for severe depression and bipolar disorder than true psychosis (Zyprexa and Risperdal excepted)
"Mood stabilizers"- (big misnomer, most effective for mania/agitation, not depression)-- Depakote/valproic acid, Trileptal/oxcarbazepine, Tegretol/carbamazepine
Lithium- it's not clozapine, but gets the silver medal as a true mood stabilizer (see My Desert Island Meds in Season 1)
Clozapine- the winner of the psychiatric med decathlon in most every event; needs weekly blood monitoring and has a few very serious potential side effects
Benzodiazepines- Xanax/alprazolam; Klonopin/clonazepam, Librium/chlordiazepoxide, Ativan/lorazepam, Valium/diazepam
Stimulants- Adderall/amphetamine; Vyvanse; Ritalin/Concerta/Focalin/methylphenidate
Amphetamines are more euphoria-inducing, thus more abused and addictive and also tend to have more side effects; both amphetamines and methylphenidate are roughly equally effective for ADD/ADHD
BFTA
https://www.craigheacockmd.com/podcast-page/

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