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    Health & Fitness

    How to Be Patient

    You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone engage with. From better understanding our patients’ (and our own) relationships with their conditions in a changing world, it’s more important than ever that we learn: HOW TO BE PATIENT!

    Each week, join Dr. Preston Roche (Psychiatry Resident & Digital Influencer) and Dr. Margaret Duncan (Psychiatrist & Content Creator) on their quest to better understand the patients we dedicate our lives to and the evolving paths they’re bound to travel beyond the clinic. By engaging with stories and perspectives that challenge our shared understanding of a condition, we hope you’ll similarly gain new perspectives as we look at our patients, and their mental health struggles, with further nuance and empathy. (And with Dr. & Lady Glaucomflecken producing, we’ve been mandated to include plenty of weird medical jokes too).

    Speaking of which, a key part of this is hearing YOUR stories! What’s changed your understanding of patient care? Do you have an experience that shines new light on something we’ve discussed on-air? Get in touch at: howtobepatientpod.com

    Advertise

    Copyright: © Human Content, Inc. 2024

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    Latest Episodes:
    THROWBACK: Alcohol: Examining Alcohol culture, history, and use disorder (Season 1 Episode 15) Aug 10, 2026
    Show notes

    In Episode 15, Preston and Margaret open a bottle—of questions, stories, and science—about alcohol use disorder. What do we get wrong about “moderate” drinking? Why is detox more dangerous than most people realize? And how does alcohol quietly reshape identity, relationships, and the brain itself? With their signature blend of honesty and humor, they explore the unexpected ways drinking shows up in medicine, the myths that keep us stuck, and the messy, meaningful path to redefining recovery.


    Takeaways:

    What if “just a drink” isn’t so simple? Preston and Margaret explore how subtle patterns can blur the line between social drinking and something more.


    Could quitting be more dangerous than drinking? There’s a reason detox needs to be taken seriously—and it’s not what you think.


    What does alcohol really do to your brain? Let’s just say it’s a little more complicated than relaxation and red wine.


    Why don’t we talk about medication for alcohol use disorder? The answers are as cultural as they are clinical.


    Is recovery a destination—or something else entirely? Margaret and Preston unpack a version of success that doesn’t always fit the script.


    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠howtobepatientpod.com

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Sex Differences in Aging Cognition with Dr. Sullivan Aug 03, 2026
    Show notes

    In today’s episode we bring on Dr. Campbell Sullivan, PsyD to discuss the interesting field of neuropsychology, a complicated niche that focuses on eliciting deficits in cognition across patters of disease. We discuss the triumphs of her field as they collaborate with both psychiatry and neurology and then get into the places she sees room for improvement, particularly in how we assess and treat cognition in the aging female brain.


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    THROWBACK: The Lithium Episode (Season 2 Episode 14) Jul 27, 2026
    Show notes

    In this preston-led episode, we take a deep dive into the history of lithium and its use in psychiatry. But because Preston is very literal, we are starting at the very beginning, inside of stars where lithium was formed at the beginning of the universe. Then we will follow this wonderful atom through history and past its FDA approval in 1970 to where we are today.


    Takeaways:

    • Lithium was once sold in Seven Up as a mood-lifting ingredient—but the consequences were messy.

    • A forgotten Australian psychiatrist helped launch lithium into psychiatry with groundbreaking trials.

    • Despite its toxicity risks, lithium remains the gold standard for reducing relapse and suicidality.

    • U.S. psychiatrists resisted lithium for decades—even as Europe embraced it.

    • Preston and Margaret debate lithium’s place today: miracle stabilizer or underused relic?

    Citations:

    ⁠https://www.sciencedirect.com/science/article/abs/pii/0025556484901160⁠

    Shorter E. The history of lithium therapy. Bipolar Disord. 2009 Jun;11 Suppl 2(Suppl 2):4-9. doi: 10.1111/j.1399-5618.2009.00706.x. PMID: 19538681; PMCID: PMC3712976.⁠https://pmc.ncbi.nlm.nih.gov/articles/PMC3712976/⁠

    Fowler, Gene. Crazy Water: The Story of Mineral Wells and Other Texas Health Resorts. No. 10. TCU Press, 1991.


    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠


    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Missed Diagnoses in History Part II: Joan of Arc and King George the III Jul 20, 2026
    Show notes

    In this episode of historical psychiatric diagnoses we continue the “arc” (get it) with the story of a young girl with vivid hallucinations who galvanized the French army and a wise king who lost his sanity late in life. The interesting thing about these cases, however, is that they may have more underlying medical issues and in fact, the psychospiritual and somatic issues of the past are just as intertwined as they are today. Even to the point where we have to correct ourselves and realize that we may have been calling these incorrectly for a while.


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    THROWBACK: Heart of Psychiatry (Season 2 Episode 1) Jul 13, 2026
    Show notes

    We're pulling a throwback from season two for this one, and it's the episode I will go to the mat for as one of the most clinically useful hours of psychiatry content we've ever put out. Margaret literally calculates QTc off this episode every time she's on call and her CL attending called her out for it the other day, like, "Look at her recalculating." So when she said we should bring this one back, I didn't argue.

    If you're a resident, an attending who consults psych in the hospital, or a patient or family member trying to understand what it means to live after a cardiac event, start here.


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠


    Learn more about your ad choices. Visit megaphone.fm/adchoices


    ADHD may be more of a reward problem than an attention problem Jul 06, 2026
    Show notes

    Today we'll talk through this one study from 2010 out of the Oxford Department of Experimental Psychology, "Task-related default mode network modulation and inhibitory control in ADHD: effects of motivation and methylphenidate", that I want to walk you through, because the way it reframed ADHD for me as a resident is one of the more useful brain-flips I've had this year.


    References:


    Liddle, E.B., Hollis, C., Batty, M.J., Groom, M.J., Totman, J.J., Liotti, M., Scerif, G. and Liddle, P.F. (2011), Task-related default mode network modulation and inhibitory control in ADHD: effects of motivation and methylphenidate. Journal of Child Psychology and Psychiatry, 52: 761-771. https://doi.org/10.1111/j.1469-7610.2010.02333.x

    https://acamh.onlinelibrary.wiley.com/share/GTA8CCG95X9ZJTK7H6XA?target=10.1111/j.1469-7610.2010.02333.x


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    THROWBACK: Motivational Interviewing (Season 1 Episode 8) Jun 29, 2026
    Show notes

    We're going back to one of our oldies but besties. This is our motivational interviewing episode from season one, which Margaret and I both agree is probably the best episode we made that whole first run. And it holds up, maybe even better now that we're further along in training and have actually used a lot of these tools in real clinical work.

    If you're a trainee, an educator, or just someone who's ever tried to gently move a person you love toward a change they keep half-saying they want, start here.


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠


    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Missed Diagnoses in History: Story Time: Charles VI and Mary Todd Lincoln Jun 22, 2026
    Show notes

    I figured we'd do something I've been wanting to do for a while: story time. Specifically, the kind where I take some of history's most famous figures, walk you through what actually happened to them, and then put on my psychiatry resident hat and try to figure out what we'd actually diagnose them with today.

    We will be analyzing King of France, Charles VI and Mary Todd Lincoln. Get ready to hear me yap about psychiatric history!


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    THROWBACK: Attachment Theory, just hanging in there (Season 1 Episode 2) Jun 15, 2026
    Show notes

    We're doing a throwback! This was our second episode ever, way back when I was at the beginning of fourth year of med school and Margaret and I were still figuring out the rhythm of this whole podcast thing. I'm now at the end of my first year of child fellowship, and somehow attachment theory keeps coming back around no matter what lens I try to look through, existential therapy, child psych, even our death anxiety episode. Pretty much every road leads back to it. So we wanted to bring it back, dust it off, and let y'all hear where we started.


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠


    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Anabolic Steroid Use in Psychiatric Disorders Jun 08, 2026
    Show notes

    In this episode we are joined by my coresident, @undercoverdoc who has a special interested in fitness culture and bodybuilding. With the protein intake, food weighing and gym discipline also comes “extracurriculars,” or anabolic steroids. Rob describes his observationss being in the fitness space as both an athlete and a physician and we discuss the impact of steroid use, its prevalence and what it can actually look like.


    Join Patreon Here: https://www.patreon.com/c/howtobepatientpod

    --

    Watch on YouTube: @itspresro

    Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

    —


    Produced by Dr Glaucomflecken & Human Content

    Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Learn more about your ad choices. Visit megaphone.fm/adchoices


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