The Experts Speak - An Educational Service of the Florida Psychiatric Society

The Experts Speak - An Educational Service of the Florida Psychiatric Society

Listen to 15-20 minute long interviews of experts on various topics related to mental and general health. The topics will be continuously expanded. The interviews are designed for both professionals and non-professionals. Topics range from climate change issues and the basis of new medication research, COVID-19 issues, the effect of media on girls's self-images, discussions of violence, same-sex marriages, pollution, bullying, divorce, OCD, addictions, borderline personality disorders, mental health issues in the deaf, hallucinations, obesity, addiction in physicians, TMS, depressions, anxiety and stress, hypnosis, bullying, emotional and sexual abuse, MAOI, domestic violence, IBS, self-cutting, medication and children, eating disorders, medication metabolism, pharmacogenomics, forensic issues, dementia, suicide psychiatric treatment, love, care-giving youth, teenage LGBT issues, stuttering, play, PTSD, medication side effects, the effect of war violence on children, and so on. Please note that any opinion or position expressed in these interviews is not necessarily that of the host or of the Florida Psychiatric Society. Any individual treatment decision must be the product of a proper doctor-patient interaction. Likewise, new or additional information on each topic may have developed since the time the interviews occurred. Consult your physician for such possible changes. Additional production funding support comes from the Wellington Retreat, Florida. Knowledge has the power to understand and improve ourselves.

Episodes

Genetic Testing To Help With Medication Choices.

July 7, 2024 • 17 mins
Rachel Earls, Ph.D., outlines the roles, science, and limitations of this powerful clinical tool for the selection of medication. They guide us on how a person metabolizes many medications, and so it helps get proper doses for better efficacy and fewer side effects. It does not predict outcome, but greatly assists with treatment choices. She speaks to the differences between labs that require a medical prescription versus the direc...
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Understanding, And The New Tools For, Tardive Dyskinesia (TD)

May 5, 2024 • 21 mins
Stuart Isaacson, M.D., neurologist, explains TD, the role of dopamine in psychiatric and then this treatment induced consequential movement disorder, proper diagnosis, how both psychiatric and neurologic treatments are very helpful, but he also weighs the risk-benefits of now the increasing use of antipsychotics for mood disorders. He further talks of the VMAT2 systems empowering the two new medications. Important material. May 202...
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Clinical Issues -- Mixing Buprenorphine And Fentanyl

February 26, 2023 • 22 mins
Sarah Kawasaki, M.D,, details mixing buprenorphine and fentanyl. The mere number of fentanyl overdoses, be it knowing or not knowing fentanyl was consumed, requires preparing for possible clinical dangers of too rapidly using buprenorphine. Definite protocols are used and are being studied. Important information.
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LGBTQ+ And The Hospice Experience

February 25, 2023 • 19 mins
Kimberly Aquaviva, Ph.D., M.S.W., begins with her family experiences and why they refused hospice care for her partner. She then gives a overview of current discriminations, inadequate training, and other challenges when hospice and LGBTQ+ patients should function together. She is also pleased some of the problems are slowly resolving.
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Stigma -- Cause and Effect

February 25, 2023 • 22 mins
Heather Howard., PhD, MSW,speaks to her study of how to address stigma, from those who express it to those who receive it. She talks to how this can impede a readiness to ask for help Leaves insights and thoughtful drives to action. Easy to understand yet scholarly.
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Dextromethorphan - An Old Medication With A New Psychiatric Role

February 12, 2023 • 26 mins
This old medication is finding a place in the treatment of psychiatric disorders. This is an overview of it's history and current use, especially now as an antidepressant.
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Slavery And Its Ongoing Psychosocial Legacy

February 6, 2023 • 22 mins
Benjamin Bowser, Ph.D., sociologist, gives the legacy’s history, that it still remains a very potent contributor to racism, of the cultural based post-traumatic slave syndrome, of what slavery did to the psychology of the slaves and how much of that still lives to this date, and of the origin and legacy of whiteness, Jim Crow, etc. Intriguing, captivating, perhaps painful, but so necessary to study and discuss. February 2023
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Psychotherapy - How To Frame It, How To Use It

February 6, 2023 • 23 mins
Stefan Pasternak, M.D., on how the therapist-patient relationship is the cornerstone of psychotherapy, and about the challenges of developing a goal for the therapy, the physiologic and medication aspects of therapy, of coming to an accurate diagnosis, cognitive versus psychodynamic techniques, psychological mindedness, when a change of therapist may be needed, etc. January 2023
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Learn From The Past #3 - These Wires Carry Words!

December 18, 2022
These Wires Carry Words! - Broadcast on July 1, 1946, by Advances in Research, this 15 minute radio piece is an excellent, fluid and valuable historical review of our developing communication tools, with stories about, and credits to, the scientists and thinkers who started the process that brought us to our ever-expanding dependence on electronic communications. It has a delightful 1940’s flare. From the public domain.
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Learn From The Past #2 - Nikola Tesla’s 1937 Predictions

December 18, 2022
From the February 1937 Liberty Magazine interview, as told to George Viereck, the distinctive inventor accurately predicts much of our current world, on war, the changing of women’s roles, energy, environmental and social shifts, computers, the internet, etc. He was incorrect on some items, but perhaps only as of yet. 11 Minutes. Observant & thoughtworthy. Adapted from YouTube and Magellan Streaming. October 2022.
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Learn From The Past #1 - Our Water. Its Role, Its Supply, And Our Needs

December 18, 2022
A 14 minute audio from the National Association of Manufacturer’s 1950’s educational and advocacy piece of the then appreciations and concerns with useable and sustainable water, including draughts and floods, in our community lives and our biosphere. Imagine what the producers would say now, over 65 years later
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Ketamine -- A Detailed Overview

December 10, 2022
Rakesh Jain, M.D., gives its history, how it works, why it is so different and its enticing future, the roles of glutamate and GABA, nasal versus intravenous forms, the value of concurrent psychotherapy, etc. Succinct and thorough. November 2022
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Monkeypox

August 27, 2022
Larry Bush, M.D., infectious disease specialist, details the history of this virus, its characteristics, hosts and vectors, the already existing treatments and unique aspects of the monkeypox vaccine, the relationship to smallpox, how to approach such an infection, the reappearance of polio and measles, and a true overview and insightful look at the three real and desired endpoints of vaccine development and use.
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Keeping The Healers Healthy

August 20, 2022
For Doctor’s Day, 2022, at the West Palm Beach VA Hospital, psychiatrist Abbey Strauss spoke that physicians must accept they are also regular people with the full inventory of emotional problems, how to deal with compassion and other fatigues, the high physician suicide rate, to not be alone, how to get and use help, and the decisive value of keeping themselves healthy, honest, and not embarrassed or scared. These themes actually ...
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Climate Change Questions That Psychiatrists Need To Ask Both Themselves and Their Patients

August 20, 2022
*Climate Change Questions That Psychiatrists Need To Ask Both Themselves and Their Patients - Psychiatrists Beth Hasse and David Pollack pose such questions, including those about eco-anxiety and when to - or not to - bring these issues into the treatment activity. Very timely given the current worldwide heat waves. Much talk of how vital and evolving diagnostic and treatment strategies are developing to proportion treatments to al...
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Might Addiction Not Be A Disease?

July 30, 2022
Carl Fisher, M.D, psychiatrist at Columbia University, argues that ‘disease’ is the wrong concept as he outlines the urge leading to addictive behaviors, that it oversimplifies, what is the place of free will, the three broad reasons fostering addictions, various social mitigators, long term outcomes, and his own recovery from alcoholism. Posted also with the Palm Beach Medical Society Opiate Task Force.
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Life With One’s Own Adult Children Who Suffer Mental Illness

June 25, 2022
Maria, using only her first name, candidly shares her feelings and life being the parent of the adult mentally ill. She discusses the process of learning and accepting this reality, the parental pain, the differences between she, whose children are still alive, and those whose children died by suicide or otherwise, the importance of helping others and getting support groups, to find the right questions to ask, of when one must let ...
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Old But Still True. On Addiction.

June 19, 2022
Former US Drug Czar Robert DuPont, M.D., in 1997, outlines the theories of all addictions, what it does to the brain, the roles of pleasure, honesty, character, family and background, risk-taking aversion or comfort, preventions and treatments, the importance of AA and NA, the relative risks of some becoming addicted or not, nicotine and alcohol use, etc. He wrote “The Selfish Brain.” This interview contains so much wisdom about th...
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The Pandemic Kids

June 12, 2022
Priti Kothari, child psychiatrist, outlines how the different age groups suffered differently during the pandemic, the educational and social pressures and delays, the need perhaps of a gap year to catch up, disruptive behaviors with the reasoning fundamental to treatment approaches, etc. Thoughtful concerns about what happened and how to offset any setbacks.
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Extended Quantities Of Take Home Opioid Agonists in Opioid Disorder Treatment.

June 4, 2022
Tara Gomes, epidemiologist in Ontario, Canada, speaks to enlightening research that larger quantities of take home Buprenorphine and methadone, and as such are multi-day dose packets, can be safe and productive in stabilized patients. The project was partially in response to covid caused travel restrictions. Some of the results was that this strategy reduced barriers, the fears of increased overdoses were unfounded, and it maintain...
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