Psychiatry Boot Camp Podcast Por Mark Mullen MD arte de portada

Psychiatry Boot Camp

Psychiatry Boot Camp

De: Mark Mullen MD
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A developing psychiatrist interviews world leaders in psychiatric education to bring you their clinical expertise. We cover need-to-know topics for anyone interested in learning the nuts and bolts of psychiatry. For questions, comments, or to subscribe to our upcoming newsletter - visit Get in touch at: psychiatrybootcamp.com© 2025 Mark Mullen, MD. All rights reserved. Economía Educación Enfermedades Físicas Exito Profesional Higiene y Vida Saludable
Episodios
  • 3.14 Malingering and Factitious Disorder: An Approach to Clinical Deception

    3.14 Malingering and Factitious Disorder: An Approach to Clinical Deception
    Aug 4 2025
    Dr. Nicholas Kontos, Director of the Consultation-Liaison Psychiatry Fellowship at Massachusetts General Hospital and assistant professor of psychiatry at Harvard Medical School, joins us for a reflective conversation on factitious disorder, malingering, and clinical deception. We begin by unpacking the concept of “thinking dirty”—a term used in consultation-liaison psychiatry to describe the delicate and often uncomfortable task of considering deception in clinical care. Dr. Kontos walks us through why patients may deceive providers, including both conscious and unconscious motivations, and shares strategies for approaching these situations with clinical humility, curiosity, and compassion. We explore practical interviewing techniques to elicit more accurate histories and review key distinctions between factitious disorder and malingering, including diagnostic criteria, prevalence, and typical management strategies. Dr. Kontos discusses the concept of the “therapeutic discharge,” a framework for ending unproductive hospitalizations while still maintaining a therapeutic posture. Throughout the episode, we emphasize the central role of dignity and professionalism in managing deceptive behavior in medical settings, highlighting a model of psychiatry that avoids antagonism and centers patient care, even in the most complex situations. Teaching Psychiatric Trainees to “Think Dirty”: Addressing Hidden Motivations in the Consultation Setting (Beach, 2017) The Therapeutic Discharge I: An Approach to the Management of Deceptive Suicidality (Kontos, 2017) The Therapeutic Discharge II: An Approach to Documentation in the Setting of Feigned Suicidal Ideation (Kontos, 2018) Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 h y 13 m
  • 3.13 Functional Neurological Disorders

    3.13 Functional Neurological Disorders
    Jul 28 2025
    Dr. Caitlin Adams, psychiatrist at Massachusetts General Hospital, provides an overview of functional neurological disorder (FND). This episode covers how to recognize, explain, and treat FND using a modern, evidence-based, and patient-centered approach. We begin by defining FND and discussing nomenclature from hysteria through conversion disorder and into our current construct of FND. Dr. Adams directly addresses one of the most critical misconceptions in clinical practice: whether symptoms like functional weakness or psychogenic non-epileptic seizures (PNES) are under voluntary control. We explore what current neuroscience tells us about the pathophysiology of FND and how this can support compassionate and effective care. The episode outlines how to positively diagnose FND—including key physical exam findings such as Hoover’s sign, tremor variability, and features that distinguish PNES from epileptic seizures. We also review how to communicate the diagnosis to patients, reduce stigma, and improve treatment engagement. Dr. Adams describes the biopsychosocial model of FND, including common predisposing, precipitating, and perpetuating factors. We discuss the central role of cognitive behavioral therapy (CBT), the benefits of specialized physical therapy for functional movement symptoms, and additional psychotherapeutic approaches such as mindfulness and psychodynamic therapy. Finally, we address how to manage chronic or treatment-resistant FND, and when to re-evaluate the diagnosis. Key References: ​Incidence and prevalence of functional neurological disorder: a systematic review (Finkelstein 2025) ​Neurosymptoms.org ​Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial- (Goldstein 2020) ​FND Hope ​Overcoming Functional Neurological Symptoms Workbook (Williams) Learn more about your ad choices. Visit megaphone.fm/adchoices
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    49 m
  • 3.12 Perinatal Psychiatry

    3.12 Perinatal Psychiatry
    Jul 21 2025
    Dr. Christina Wichman, Professor of Psychiatry and Obstetrics & Gynecology, Medical Director of The Periscope Project and Director of Women’s Mental Health at the Medical College of Wisconsin, joins us for an in-depth introduction to reproductive psychiatry. This episode is co-hosted by Erica Browne, an M4 at Saint Louis University School of Medicine. We explore the unique clinical and ethical challenges of treating psychiatric illness during pregnancy and the postpartum period, including how to navigate the needs of both mother and child. Dr. Wichman walks us through distinctions between common perinatal mental health presentations—such as baby blues, perinatal depression, and major depressive disorder—and discusses how to differentiate normal postpartum stress from psychiatric conditions that require treatment. The episode covers validated screening tools, pharmacologic treatment during pregnancy and lactation, and non-pharmacologic options for patients with limited access to care. Dr. Wichman shares her clinical approach to balancing risk and benefit when initiating or continuing psychotropic medications, and offers guidance on red flags for perinatal psychosis. We also highlight The Periscope Project, a model for expanding access to reproductive psychiatry expertise, and discuss training pathways and future directions in women’s mental health. Key References & Clinical Resources The Periscope Project – A perinatal psychiatry consultation and resource program based in Wisconsin. National Access Programs – Lifeline for Moms – A directory of statewide perinatal mental health access programs. National Curriculum in Reproductive Psychiatry (NCRP) – Free, evidence-based training for clinicians in reproductive psychiatry. MGH Center for Women’s Mental Health – Clinical and research resource for perinatal and reproductive psychiatry. MotherToBaby – Trusted information on medication and other exposures during pregnancy and breastfeeding. Pharmacologic Treatments for Mania (Kishi 2021) – Meta-analysis regarding antimanic effects of selective estrogen receptor modulators. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    57 m
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I'm a new PMHNP and when you come out of school, you have all of this what I call "walking around" or "back pocket" knowledge. Dr. Mullen and his guest speakers are a wealth of knowledge for how to take that walking around knowledge and put it into practical application. It's well put together information from a realistic perspective. I'm working my way through all the episodes and I haven't been disappointed yet.

A 5/5 from a PMHNP

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I am a nurse working in DNP, PMHNP. This podcast is a great way to learn, solidify learned information and hear a new perspective. I will definitely continue to follow and come back to certain episodes! The host is great and the expert guests are incredible! I almost feel guilty about the “free education” I’m getting!

Amazing, entertaining and educational!

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I am able to listen to in the car. It is entertaining and informative. Great balance of antidotal information from the experts and test preparation

Deep Dive interviews

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