Fishbowl #2-- Chris and Craig talk shop
Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics
05/16/21
•40m
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In this final episode of season 2, Chris and Craig explore the highs and lows of the last year and plans for season 3.
Craig discussing the psychedelic revolution in psychiatry on the Modern Therapist Survival Guide podcast
https://therapyreimagined.com/modern-therapist-podcast/psychedelic-assisted-therapy/
BFTA
https://www.craigheacockmd.com/podcast-page/
Previous Episode
(Almost) Everything about psych meds... in under 16 minutes
April 27, 2021
•15m
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/
Next Episode
Spiritual gaslighting, sexual trauma, and psychedelics
July 23, 2021
•68m
We're back!!
Sometimes it's irresistible, necessary even, to lose ourselves into the greater collective, to become a honeybee buzzing with the ecstatic singular purpose of the hive.
In this season 3 opener, Jamie tells Dr. H her story of trying to save herself by losing herself, then finally coming to face the fact that she had to plumb the depths of her trauma alone, culminating in a high dose DIY psilocybin session and the rediscovery of herself.
A heads up-- this episode contains a description of a sexual assault.
BFTA/Dr. H
https://www.craigheacockmd.com/podcast-page/
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