Ketamine therapy update + Listener questions
Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics
03/31/20
•14m
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Listeners ask: "Can I tell my story on Back from the Abyss?"
"Can you heal trauma that you cannot remember?
Dr. H then looks back at 3 years of 800+ ketamine sessions and further explores the question of intramuscular (IM) vs intravenous (IV) treatment, as well as whether reaching full dissociation is necessary for optimal efficacy.
Dissociation improves ketamine response
https://www.psychiatryadvisor.com/home/depression-advisor/ketamine-induced-dissociative-symptoms-predict-antidepressant-response/
Dr. H
https://www.craigheacockmd.com
On Twitter @bftapod
Previous Episode
The two loves of her life-- Alcohol, self harm, and the path of recovery
March 17, 2020
•59m
If only swimming or meditation were as good as vodka. Unfortunately, the most powerful and rapid-acting coping strategies also tend to be the most damaging and addictive.
Annie learned this the hard way. After her father's death when she just 9 years old, she eventually found two of the most alluring and effective coping strategies, and they made day to day life possible, even manageable. They worked fantastically well, until they didn't. Annie found healing through 12 step groups and also through DBT (Dialectical Behavior Therapy) and now works as a clinical psychologist, sharing her hard-earned wisdom and relentless hope with others.
Dialectical behavior therapy
https://www.psychologytoday.com/us/therapy-types/dialectical-behavior-therapy
Effectiveness of Alcoholics Anonymous vs other modalities
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012880.pub2/full
Dr. H
https://www.craigheacockmd.com
Next Episode
OCD in the Time of Corona
April 14, 2020
•54m
The postpartum period is by far the most psychiatrically vulnerable time in a woman's life. Erin had always some some mildly annoying obsessive-compulsive tendencies, but they were never a major factor in her life, until just after her daughter was born. Almost immediately she was flooded with horrific violent images and urges, these then morphed into a paralyzing dread of viral contamination.
This is the first of two parts. This episode is Erin's story of learning to lean directly into her fears, the next episode will be Dr. H and Dr. Amy Indermuehle, an OCD expert and Erin's therapist, deconstructing Erin's treatment and how exposure therapy helped her to reclaim her life.
Postpartum OCD
https://iocdf.org/expert-opinions/postpartum-ocd/
https://www.postpartumdepression.org/postpartum-depression/types/ocd/
Exposure and response prevention
https://iocdf.org/about-ocd/ocd-treatment/erp/
Dr. H
https://www.craigheacockmd.com
On Twitter @bftapod
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