PsychEd Episode 60: Metabolic Psychiatry with Dr. Cindy Calkin

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode introduces the field of metabolic psychiatry, with a focus on patients with severe mental illness and metabolic syndrome. Our guest is Dr. Cindy Calkin, an Associate Professor in the Department of Psychiatry and Department of Neuroscience at Dalhousie University in Nova Scotia. Dr. Calkin has been a pioneer in the field of metabolic and neuroendocrine disorders in patients with bipolar disorder. Her research interests include examining the effects of obesity, insulin resistance and type II diabetes on the clinical course and outcomes in bipolar disorder.

The learning objectives for this episode are as follows:

By the end of this episode, the listener will be able to… 

1. Describe the burden of metabolic syndrome in the population with severe mental illnesses

2. Explain reasons for the comorbidity between metabolic syndrome and severe mental illness

3. Identify biopsychosocial strategies to prevent or treat metabolic conditions in this population

Guest: Dr. Cindy Calkin

Hosts: Angad Singh, Gaurav Sharma, and Sara Abrahamson

Audio editing by: Gaurav Sharma

Show notes by: Sara Abrahamson & Gaurav Sharma 

Conflicts of interest: Neither our guest nor hosts for this episode have declared any conflicts of interest related to this topic.

Interview content:

• 0:00 - Introduction

• 00:54 - Learning objectives

• 01:37 - Dr. Calkin’s career trajectory

• 9:45 - Describing the burden of metabolic syndrome in severe mental illness

• 14:16 - What is the relationship between metabolic syndrome and severe mental illness

• 25:23 - Why is metabolic syndrome underdiagnosed in severe mental illness

• 27:56 - How to measure and monitor insulin resistance in clinical practice

• 32:44 - Ho