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

June 12, 2022 19 min
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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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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Steve Keen, M.D., gives a very detailed discussion of his real-time, on-going emergency room program, with specifics on how to rapidly stabilize, start medication assisted treatment, give psychosocial interventions and follow up referrals, deal with shame or patient’s hesitancy, the challenging omnipresence of fentanyl and related new drugs, etc. Done with the Palm Beach County Medical Society Opiate Task Force.
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Journalist, and former opiate abuser Maia Szalavitz, defines harm reduction as keeping people from getting hurt rather than stopping them from getting high, that needle exchange encourages treatment, of needing good coping skills before giving up the substance, what changed her life, her work to promote harm reduction, etc. An honest and energetic discussion. Done with the Palm Beach County Medical Society Opiate Task Force.
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Elizabeth Evans, PhD, associate professor at the University of Massachusetts - Amherst, reports that giving Suboxone to jailed opiate using prisoners significantly reduced legal recidivism and other post release relapse and morbidity. Listen to the encouraging details of her the study, and to her current and related future work. Done in collaboration the Palm Beach County Medical Society Opiate Task Force.
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Roz Malmaud, PhD, and Andy Rosen, PhD, note that patients are now focusing more on the pre-Covid, usual problems. Both discuss, however, issues with telemedicine’s legal and insurance matters, being unable to give patients questionnaires to complete or handouts for them to use, to see how they interact in the waiting rooms, the real paradigm shifts away from traditional therapy arrangements and schedules, and of how patients must l...
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Elizabeth Evans, PhD, associate professor at the University of Massachusetts - Amherst, reports that giving Suboxone to jailed opiate using prisoners significantly reduced legal recidivism and other post release relapse and morbidity. Listen to the details of her the study and her current and related future work. Done in collaboration the Palm Beach County Medical Society Opiate Task Force.
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Roger Ekirch, PhD, a historian at Virginia Tech, on our different sleep patterns that were normal before the industrial revolution. A fascinating look at sleep patterns, the first and second sleeps, and the social and biological drives and basis of how we sleep.
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February 26, 2022 30 min
Lynn Webster, M.D., discusses issues of over and under use of pain medications, his research on dosing and response issues, the critical psychological components in pain management, the correct use of non-opioid medications and non-medicinal pain treatments, changing attitudes towards pain management, etc. An articulate and experienced based discussion. Done in collaboration with the Palm Beach County Medical Society
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February 9, 2022 21 min
Lori Ann Post, Ph.D., describes the dramatic recent increase in overdose deaths in this group, gender and other demographics, causes, interventions, and the on-going studies to better define and reduce this horrible social and emotional affliction. Done with the Palm Beach County Medical Society. February 2022.
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Luke Elms, M.D., straightforwardly addresses ERAS’s (Enhanced Recovery After Surgery) beneficial medical and psychological strategies for compassionate pain control, of faster recovery with fewer complications, to help patients emotionally prepare for surgery and how this may reduce post-surgery pain leading to subsequent improper pain medication use, surgery and pain control in patients with opiate use problems, etc. Done with the...
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Larry Bush, M.D., from Florida, explains mutations, monoclonal antibodies, vaccine history and use, boosters, B cells and T cells, and the safe use of the potentially game-changing arrivals of the Pfizer and Merck medications.
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December 11, 2021 25 min
Steve Chambers, M.D, will hire these physicians to help them return to a fuller and productive life. He talks of the joy, pitfalls, rules, approaches, and real gifts evolving from these opportunities. Part of the Physician’s Wellness Project of the Palm Beach County Medical Society.
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Darci McNally, M.S.W., Director of Support at the Lynn Cancer Institute in Florida, speaks of how they address patients with cancer, the emotional needs, the psychological fatigue, different interventions, community supports, etc. This is a heartfelt, valuable, and seasoned guide for patient’s and their families during the cancer experience
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November 14, 2021 21 min
Ludmila de Faria, psychiatrist, conveys her approach to explaining and treating this disorder, its historical and biological origins, the diagnostic nuances, and the necessary interaction of the medical and psychological domains. She also comments on what happens when marijuana is added to this condition.
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Lynn Kohan, M.D., an anesthesiologist, speaks to the attitudes towards, and the effectiveness and strategies of, using buprenorphine to obtain pain and psychological relief in both treated and untreated opioid using surgical patients. She discusses the MOUD - a acronym for the Medication treatment of Opioid Use Disorder - in regards to both the critical medical, surgical, and psychological clinical treatment concerns and protocols...
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Andrew Herring, M.D., and Arianna Campbell, P.A., outline, give history, and reflect on opioid using people presenting to an ER, of how this technique better engages patients and gives more rapid symptom relief, when and how to use these dosing strategies, of the areas that are still unknown and need study, of the rising opioid overdose deaths and addiction, and, most critically, to the definite psychological benefits this approach...
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October 24, 2021 18 min
Christine McMichael, executive director of the Hospice and Palliative Care Foundation of Massachusetts, speaks of the hospice mandate despite the Covid world, and how, with commitment and resilience, the hospice community rose to that obligation. She also speaks to the emotional tolls and reactions within the hospice staff and the patients and families for whom they provided service.
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Gary Belkin, M.D., psychiatrist, and former Deputy Commissioner of the NYC Health Department, on why he sees the present climate changes as so extraordinarily urgent and critical, and how communities and individuals can, without rhetoric or panic, implement essential changes using concepts such as the ‘social climate,’ etc. Timely.
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Alan Schwartz, M.D., now an addictionologist, on his addiction, the gut-level nature of addiction, of absolutely needing others to undo his addiction and failures, the shame and stigma hurdles, the on-going maintenance of recovery, and how it did not destroy his career. Produced in collaboration with the Palm Beach County Medical Society.
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