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    Life Sciences

    NYU Langone Insights on Psychiatry

    Conversations about complex psychiatric cases and evolving treatments. Host Charles Marmar, MD, Chair of Psychiatry at NYU Grossman School of Medicine, speaks with NYU Langone faculty about diagnostic reasoning, treatment decisions, and the ethical questions that arise in clinical practice.

    Advertise

    Copyright: © 2023 NYU Langone Health

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    Latest Episodes:
    Biomarkers for Depression (with Carla Nasca, PhD) Jul 18, 2023
    Show notes

    Dr. Carla Nasca is an Assistant Professor in the Department of Psychiatry and the Department of Neuroscience and Physiology at NYU Langone, where she studies epigenetic mechanisms of neuroplasticity to stress. Dr. Nasca's work led to the discovery of acetyl-L-carnitine (LAC), a metabolite found in the mitochondria, as a promising biological marker of depression.
    Topics:

    • acetyl-L-carnitine (LAC) and major depressive disorder
    • How stress changes the brain on a structural/molecular level
    • Risk factors for stress-induced disorders
    • Machine learning

    More information: https://www.cdr.rfmh.org/research/nasca-lab/

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Dopamine (with Tanya Sippy, MD, PhD) Jul 06, 2023
    Show notes

    Dr. Tanya Sippy is an Assistant Professor in the Department of Psychiatry and the Department of Neuroscience and Physiology at NYU Langone. She’s also Principal Investigator at the Sippy Lab and Associate Director of the Psychedelic Medicine Research Training Program. Her research explores the neural mechanisms that underlie how sensory stimuli become associated with goal-directed behavior.
    Topics:

    • How learning changes sensory representation (with implications for understanding addiction, etc.)
    • Recent research on the functions of dopamine and serotonin
    • Hype vs reality of psychedelics
    • Regulation of ketamine clinics

    More information: https://www.sippylab.com/

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Bipolar Disorder (with Andrew Nierenberg, MD) Jun 20, 2023
    Show notes

    Dr. Andrew Nierenberg is a Professor of Psychiatry at Harvard Medical School and Director of the MGH Dauten Family Center for Bipolar Treatment Innovation. He completed his residency in psychiatry at New York University/Bellevue Hospital.
    Topics:

    • Lithium vs antipsychotics
    • SMART BD (Sequential Multiple Assignment of Randomized Treatment)
    • Bipolar Learning Health Network
    • Medication concordance

    More information:
    https://brain.harvard.edu/?people=andrew-nierenberg

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Depressive Disorders (with Alan Schatzberg, MD) Jun 08, 2023
    Show notes

    Dr. Alan Schatzberg is a Professor of Psychiatry and Behavioral Sciences at Stanford Medicine, and Director of the Stanford Mood Disorders Center. His research examines the biology and psychopharmacology of depressive disorders. An NYU School of Medicine alumnus, Dr. Schatzberg was President of the American Psychiatric Association from 2009-2010.
    Topics:

    • Ketamine and Esketamine (incl. mechanisms of action)
    • Ketamine and obsessive-compulsive disorder
    • Opioids
    • Psychedelic medicine

    For more information:
    https://med.stanford.edu/profiles/alan-schatzberg

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Psychedelic Medicine (with Michael Bogenschutz, MD) May 23, 2023
    Show notes

    Dr. Michael Bogenschutz is a Professor of Psychiatry at the NYU Grossman School of Medicine, and Director of the NYU Langone Center for Psychedelic Medicine.
    Topics:

    • Psilocybin-assisted psychotherapy for alcohol use disorder
    • MDMA-assisted psychotherapy for PTSD
    • Psychedelic medicine for the "worried well"
    • The role of the mystical experience
    • Comparing different psychedelic medicines
    • Mechanisms of action
    • Treatment protocols
    • Safety and risk-mitigation
    • Topics for further investigation

    Cited:

    • Percentage of Heavy Drinking Days Following Psilocybin-Assisted Psychotherapy vs Placebo in the Treatment of Adult Patients With Alcohol Use Disorder (August 2022)

    For more information:
    https://centerforpsychedelicmedicine.org/

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Sleep and Alzheimer's Disease (with Omonigho M. Bubu, MD, MPH, PhD) May 09, 2023
    Show notes

    Dr. Omonigho M. Bubu is an Assistant Professor of Psychiatry and Population Health at the NYU Grossman School of Medicine, where he studies the connection between sleep and neurodegenerative diseases, as well as social determinants of health as they relate to cognitive health. In this interview, he discusses the importance of sleep, especially for people at higher risk of developing Alzheimer’s disease.

    Topics:

    • Alzheimer’s disease (AD)
    • Associations between sleep and increased AD risk
    • Sleep patterns in minoritized communities
    • Obstructive sleep apnea
    • Dementia and cognitive decline
    • Social determinants of health


    Cited:

    • Obstructive sleep apnea, cognition and Alzheimer's disease: A systematic review integrating three decades of multidisciplinary research (2020)
    • Sleep, Cognitive impairment, and Alzheimer’s disease: A Systematic Review and Meta-Analysis (2016)


    Visit our website for more information:
    https://physicianfocus.nyulangone.org/nyu-langone-insights-on-psychiatry-podcast/


    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Mindfulness-Based Stress Reduction (with Naomi Simon, MD) Apr 21, 2023
    Show notes

    Naomi Simon, MD, talks about her research into mindfulness-based stress reduction (MBSR) and yoga as treatments for anxiety disorders. Dr. Simon is a Professor in the Department of Psychiatry at the NYU Grossman School of Medicine, and Director of the Anxiety, Stress, and Prolonged Grief Program.

    Topics:

    • Generalized Anxiety Disorder (GAD)
    • Mindfulness-Based Stress Reduction (MBSR)
    • Kundalini yoga
    • Selective serotonin reuptake inhibitors (SSRIs)
    • Access to MBSR & Yoga (including smartphone apps)
    • Cognitive behavioral therapy (CBT)
    • Exercise
    • Mechanism(s) of action

    Cited: Mindfulness-Based Stress Reduction vs Escitalopram for the Treatment of Adults With Anxiety Disorders (Nov. 2022)

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Fear Conditioning (with Mohammed Milad, PhD) Apr 10, 2023
    Show notes

    Mohammed Milad, PhD, discusses recent research into fear conditioning, regulation, and extinction. Dr. Milad is a Professor in the Department of Psychiatry at the NYU Grossman School of Medicine and Director of the Behavioral Neuroscience Program.
    Topics covered:

    • Transcranial magnetic stimulation (TMS)
    • Estrogen and PTSD
    • Post-traumatic stress disorder (PTSD)
    • Meditation
    • Deep brain stimulation

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Health Equity (with Ayana Jordan, MD, PhD) Mar 17, 2023
    Show notes

    Ayana Jordan, MD, PhD, is the Barbara Wilson Associate Professor of Psychiatry at the NYU Grossman School of Medicine, an Associate Professor in the Department of Population Health, and the Pillar Lead for the Institute for Excellence in Health Equity.
    Topics covered:

    • Lack of improvement in health equity nationwide
    • Advice for clinicians on providing equitable care
    • Structural competence vs. cultural competence
    • Thoughts on integrating alternative therapies (ex. acupuncture, spirituality)
    • Using data to improve health equity

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


    Adult ADHD (with Lenard Adler, MD) Feb 23, 2023
    Show notes

    Lenard A. Adler, MD, is a Professor of Psychiatry and Child and Adolescent Psychiatry at the NYU Grossman School of Medicine and Director of the Adult ADHD Program at NYU Langone Health.

    Topics covered:

    • Symptomology (incl. sluggish cognitive tempo)
    • Screening and diagnostic tools
    • Pharmacological treatments (and recent developments)
    • Cognitive behavioral therapy (CBT)
    • Medication shortage
    • Approaches to treatment-refractory patients

    This discussion is for educational purposes and does not substitute for individual clinical judgment or patient care.

    Senior Producer: Jon Earle


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