Psychiatry Boot Camp

3.11 Eating Disorders Jul 14, 2025

Today we have TWO world renowned experts to teach us about eating disorders!

Dr. Anne O'Melia is the Chief Clinical and Quality Officer at ERC Pathlight, where she leads a multidisciplinary team of over 1,000 therapists, dietitians, and nurses caring for patients across the country. She is board certified in pediatrics, general psychiatry, child and adolescent psychiatry, and consultation-liaison psychiatry. She has co-authored numerous articles and book chapters on eating disorders.

Dr. Patricia Westmoreland has spent decades traveling the globe speaking and publishing about eating disorders, and is currently working in private practice. Dr. Westmoreland has particular expertise in the forensic aspects of eating disorders, and in managing the medical complications of eating disorders. Dr. Westmoreland is board certified in internal medicine, general psychiatry, forensic psychiatry, and consultation-liaison psychiatry.

We review how to identify when disordered eating patterns require clinical attention and outline the most common eating disorders encountered in the general medical hospital, including anorexia nervosa, bulimia nervosa, and avoidant/restrictive food intake disorder (ARFID). The episode covers prevalence rates, high-risk populations, and the significant morbidity and mortality associated with eating disorders.

Our guests discuss key clinical information needed for diagnosis, criteria for medical hospitalization, and the spectrum of available levels of care. We take a deep dive into anorexia nervosa, reviewing its clinical trajectory, diagnostic criteria, subtypes, and complications. Finally, we examine evidence-based approaches to medical stabilization, psychotherapy, and pharmacotherapy in the treatment of eating disorders.

Key References:

1. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders (Crone 2023)

2. Ethical Challenges in the Treatment of Patients With Severe Anorexia Nervosa (Westmoreland 2024)

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3.10 Decisional Capacity Determinations in Consultation-Liaison Psychiatry Jun 30, 2025

Dr. Mira Zein, Associate Professor of Psychiatry and Behavioral Science at Stanford University, walks us through decisional capacity determinations.

This is a great episode for learners rotating through a consultation-liaison psychiatry service, and will really help you shine on rounds when you quote the Appelbaum-Grisso criteria (seriously, do it)! We also invite psychiatry residents and CL psychiatrists to share this episode with their favorite primary team to help non-psychiatrists make capacity determinations on their own... They are often best suited to do so!

Dr. Zein walks us through the Appelbaum-Grisso criteria and discusses each criterion (communication, appreciation, understanding, rationality) in detail. This discussion goes beyond a textbook understanding of the topic, delving into several difficult cases of determining decisional capacity. We discuss common reasons for psychiatric consultation regarding capacity, and how to navigate difficult conversations when fielding consults. You will also learn about common illnesses that can cause diminished capacity, and how to proceed if a patient is found to lack decisional capacity (for a certain decision, at a certain time 😉).

Key resources:

1) APA Resource Document on Decisional Capacity Determinations in Consultation-Liaison Psychiatry: A Guide for the General Psychiatrist (2019)

2) Seminal Article on Appelbaum-Grisso Criteria (Appelbaum 1988)

3) Evaluating Capacity: Appelbaum’s Framework Interpreted Diagrammatically (Bari 2023)

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3.9 Transplant Psychiatry Jun 23, 2025

Dr. Paula Zimbrean, Professor of Psychiatry and Yale School of Medicine and Director of Transplant Psychiatry Services at Yale New Haven Hospital, introduces us to the field of transplant psychiatry.

We discuss the role of psychiatrists in solid organ transplantation, including pre-transplant evaluations. We then discuss the various phases through which transplant patients require support, starting with a diagnosis of advanced organ disease. We cover the pre-transplant phase, peri-operative recovery, early post-transplant stressors, and finally psychiatric considerations that last months to years after transplant. Dr. Zimbrean discusses ethical challenges faced by psychiatrists working in a transplant setting, and shares considerations for the future of transplant psychiatry.

Selected references:

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3.8 Suicide Risk Assessment Jun 16, 2025

A season on consultation-liaison psychiatry would not be complete without an episode on suicide risk assessment!

Dr. Black: "I say without exaggeration that this podcast, in which Dr. Mullen and I discuss suicide risk assessment, is one of the professional things in life that I am most proud of."

WOW! That's quite the claim from one of the world's foremost psychiatrists about a podcast episode. Take a listen and see what you think!

Dr. Tyler Black, a suicidologist and child psychiatrist at British Columbia Children's Hospital, walks through common suicide myths, structuring the suicide risk assessment interview, common motivations for suicide, clinical decision making, best practices for documentation, and what works in preventing suicide.

Selected references:

⁠Changeability, confidence, common sense and corroboration: comprehensive suicide risk assessment (O'Connor 2004)⁠

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3.7 Behavioral and Psychological Symptoms of Dementia (BPSD) / Neuropsychiatric Symptoms of Dementia (NPS) Jun 09, 2025

Dr. George Grossberg, Henry and Amelia Nasrallah Endowed Professor of Psychiatry & Behavioral Neuroscience at Saint Louis University School of Medicine, past president of the American Association for Geriatric Psychiatry, and past president of the International Psychogeriatric Association, orients us to behavioral disturbances in patients with neurocognitive disorders.

We walk through common behavioral disturbances in patients with dementia, including apathy, depression, psychosis, and agitation. We discuss management strategies including nonpharmacological and pharmacological interventions. Dr. Grossberg shares his expertise on difficult clinical management decisions when working with this population, and centers us around the importance of knowing the patient as well as the disease.

Selected References:

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3.6 Catatonia: Management May 27, 2025

Dr. Mark Oldham, Associate Professor of Psychiatry at the University of Rochester Medical Center, President of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, returns to discuss management of catatonia. We delve into management guidelines that everyone working with catatonia should know. We then have a candid discussion about common clinical challenges in treating catatonia, and describe unique cases of catatonia that require adjusting our approach.

Selected references:

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3.5 Catatonia: Clinical Features and Diagnosis May 19, 2025

Dr. Mark Oldham, Associate Professor of Psychiatry at the University of Rochester Medical Center, President of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, introduces us to catatonia. We discuss the clinical features of catatonia and compare and contrast catatonia's description in the DSM with the Busch-Francis Catatonia Rating Scale. We describe and discuss various signs and symptoms of catatonia in detail.

Selected references:

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3.4 Delirium: Pathophysiology and Management May 12, 2025

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, further explores delirium. This episode covers the pathophysiology of delirium including predisposing and precipitating factors, neurocircuitry, and neurotransmitters. We then discuss conceptual frameworks for management of delirium, the importance of identifying and addressing the underlying cause, and strategies for managing specific neuropsychiatric disturbances in delirium.

References can be found on the ⁠episode website.⁠

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3.3 Delirium: Clinical Features and Diagnosis May 12, 2025

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, introduces us to delirium. This episode covers the epidemiology, clinical features, and diagnosis of delirium.

References can be found on the ⁠episode website.⁠

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3.2 Supportive Psychotherapy May 05, 2025

Dr. John C. Markowitz, Professor of Clinical Psychiatry at Columbia University, introduces us to supportive psychotherapy. We discuss the principles that underpin supportive psychotherapy and "common factors" in psychotherapy. Dr. Markowitz helps us to understand where supportive psychotherapy fits into modern psychiatric practice, and provides clinical wisdom about building a therapeutic alliance and pursuing affect.

What is Supportive Psychotherapy? (Markowitz 2014)

Brief Supportive Psychotherapy (2022)

Psychiatrist Effects in the Psychopharmacological Treatment of Depression (McKay 2006)

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3.1 Making Magic Moments Apr 28, 2025

Dr. Allen Frances, Chair of the DSM-IV Task Force and Chair Emeritus at Duke University returns to kick off Season 3. We discuss the unique role of consultation-liaison psychiatry in today's healthcare system, and Dr. Frances provides us with a framework for understanding and helping each individual patient during a medical hospitalization. Dr. Frances provides wisdom and encouragement to set the stage for our journey into the world of consultation-liaison psychiatry.

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Season 3: Exploring Consultation-Liaison Psychiatry Jan 10, 2025

Thank you for supporting the show! Please leave a rating and review.

Email me: psychiatrybootcamppodcast@gmail.com

2.11 Schizophrenia Apr 29, 2024

Dr. Sameer Jauhar, Senior Clinical Lecturer in Affective Disorders and Psychosis at the Institute of Psychiatry, Psychology and Neuroscience, King's College, London, and as a Consultant Psychiatrist at Maudsley NHS Foundation Trust, introduces us to schizophrenia. Explore core clinical features of schizophrenia and what is known about the neuroscience of schizophrenia. We'll also discuss psychopharmacological and psychosocial treatment approaches, rooted in Dr. Jauhar's humanistic approach.

This episode is intended to supplement Dr. Jauhar's Lancet Seminar on Schizophrenia (2022).

Connect with Dr. Jauhar: @SameerJauhar

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2.10 Post-Traumatic Stress Disorder (PTSD) Feb 20, 2024

Dr. Laura Watkins, Clinical Psychologist and Assistant Professor of Psychiatry at Emory University School of Medicine, introduces us to post-traumatic stress disorder (PTSD).

We walk though the diagnostic criteria and discuss how these symptoms can impact a person's day-to-day life. We then learn to conceptualize PTSD in terms of both classical and operant conditioning. Finally, we explain evidence based psychotherapies for PTSD and conclude with a primer on psychopharmacology for PTSD.

Essential references:

1) Osser Psychopharmacology Algorithm for PTSD

2) Clinical Guidelines for PTSD (United States Department of Veteran's Affairs and Department of Defense)

3) This American Life: Ten Sessions

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2.9 Anxiety Disorders Jan 23, 2024

Dr. John Walkup, Chair of the Pritzker Department of Psychiatry and Behavioral Health at Ann and Robert H. Lurie Children’s Hospital of Chicago, Professor of Psychiatry at Northwestern Feinberg School of Medicine, and president-elect of the American Academy of Child and Adolescent Psychiatry, introduces us to anxiety disorders.

We discuss the phenomenon of normal, adaptive anxiety and contrast this with symptomatology that may warrant a diagnosis of an anxiety disorder. We learn to appreciate anxiety disorders from a developmental lens, discuss clinical pearls for building a therapeutic alliance with anxious patients, and explore psychotherapies for anxiety disorders. We also discuss psychopharmacological considerations for both SSRIs and benzodiazapines.

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2.8 Depressive Disorders Jan 18, 2024

Dr. Roger McIntyre, Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, returns to introduce depressive disorders.

We differentiate normal "low mood" from conditions that warrant a psychiatric diagnosis. We discuss historical subtypes of depression and the current DSM specifiers for major depressive disorder. We review epidemiology, discuss the neurophysiology of depressive disorders, and then dive into treatment options.

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2.6 Borderline Personality Disorder (Good Psychiatric Management) Jan 18, 2024

Dr. Lois Choi-Kain, Director of the Gunderson Personality Disorders Institute at McLean Hospital and Associate Professor of Psychiatry at Harvard Medical School, introduces us to borderline personality disorder (BPD).

We discuss the prevalence, naturalistic course, and treatments for BPD. We explore BPD using the “Good Psychiatric Management” (GPM) model, which is intended to empower clinicians of all disciplines to manage patients with BPD effectively. We discuss the principles of GPM and walk through some examples of how it might be used in the clinical setting.

Book: Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide (Check your academic library!)

References:

(11:30) Grant BF, Chou SP, Goldstein RB, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2008;69(4):533-545.
(12:30) Trull TJ, Jahng S, Tomko RL, Wood PK, Sher KJ. Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J Pers Disord. 2010;24(4):412-426.
(15:00) Gregory R, Sperry SD, Williamson D, Kuch-Cecconi R, Spink GL Jr. High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality. J Pers Disord. 2021;35(5):776-787.
(20:45) Kernberg O. Borderline personality organization. J Am Psychoanal Assoc. 1967;15(3):641-685.
(29:30) Choi-Kain LW, Finch EF, Masland SR, Jenkins JA, Unruh BT. What Works in the Treatment of Borderline Personality Disorder. Curr Behav Neurosci Rep. 2017;4(1):21-30.
(33:00) Skodol AE, Gunderson JG, Shea MT, et al. The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications. J Pers Disord. 2005;19(5):487-504.
(33:00) Temes CM, Zanarini MC. The Longitudinal Course of Borderline Personality Disorder. Psychiatr Clin North Am. 2018;41(4):685-694.

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2.7 Bipolar Disorders Jan 07, 2024

Dr. Roger McIntyre, Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, introduces us to bipolar disorders.

We discuss the key clinical features of bipolar disorders, the relationship between bipolar disorders and circadian rhythm, known pathogenesis, and some first line treatment options. We also contextualize the difference between "type I" and "type II" bipolar disorder, and explore the relationship between bipolar disorder and traumatic life experiences.

For more: Bipolar Disorders (Lancet Seminar)

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2.5 Substance Use Disorders Dec 11, 2023

Dr. Steve Delisi, Chief Medical Officer at YourPath Inc., Associate Director at UC-Irvine School of Medicine's "Train New Trainers" Primary Care - Training and Education in Addiction Medicine Fellowship, Adjunct Professor at Hazelden Betty Ford Graduate School of Addiction Studies, walks through the fundamentals of substance use disorder. We discuss the neurobiology of substance use disorder and explore the clinical use of "translational neuroscience." You'll also learn about the relationship between trauma and substance use, hear best practices for building a therapeutic alliance with this patient population, and catch a glimpse into future research on substance use disorders.

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2.4 Delirium Dec 03, 2023

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, takes us through a deep dive on delirium. This episode covers an enormous amount of material. We contrast encephalopathy and delirium before diving into the dangerousness of delirium and prevention strategies. We explore the neurobiology of delirium and tie it to validated assessment tools and treatment approaches. We also discuss areas for future research and learn to appreciate the evolutionary function that delirium serves.

References can be found on the episode website.

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2.3 Psychiatric Epidemiology Nov 26, 2023

Dr. Erick Messias, Chair of Psychiatry at Saint Louis University, introduces us to the world of psychiatric epidemiology. Learn how epidemiological figures (that show up on training exams) are derived, and explore how epidemiology can help us to understand the naturalistic course of psychiatric illness. We also delve into the history of our diagnostic system and how it developed into the current model, and run through some of the most important findings to date in psychiatric epidemiology. Dr. Messias also explains how to approach every situation in life "as a 2 by 2 table," and we conclude with some wisdom about inserting meaning into daily psychiatric practice.

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2.2 Medical Mimmickers Nov 19, 2023

Dr. Kimberly Nordstrom, Past President of the American Association for Emergency Psychiatry and Associate Clinical Professor of Psychiatry at the University of Colorado, discusses the process of considering medical contributions to psychiatric illness. We discuss red flags that should guide clinicians to start thinking medically, explain the importance of systematically approaching a differential diagnosis, and provide a brief introduction to a few common medical-psychiatric conditions including autoimmune encephalitis, neuroleptic malignant syndrome (NMS), and serotonin toxicity ("serotonin syndrome").
Book: Quick Guide to Psychiatric Emergencies: Tools for Behavioral and Toxicological Situations

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2.1 Essentials of Psychiatric Diagnosis Nov 12, 2023

Dr. Allen Frances, Chair of the DSM-IV Task Force and Chair Emeritus at Duke, returns to orient listeners to psychiatric diagnosis. Explore diagnostic principles including "stepped diagnosis" and understand the importance of nuance when making and communicating a psychiatric diagnosis. You'll also learn about how these diagnoses are derived, and hear tips for making an accurate and meaningful diagnosis to improve a patient's quality of life.
Book: Essentials of Psychiatric Diagnosis by Dr. Allen Frances

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Hoofbeats on Broadway: Fundamentals of Psychiatric Diagnosis (Intro to Season 2) Nov 07, 2023

Welcome to Psychiatry Boot Camp Season 2: Hoofbeats on Broadway! We are basing this season around the axiom, "When you hear hoofbeats on Broadway, think horses, not zebras." Our global experts will introduce the fundamentals of psychiatric diagnosis before walking us diagnosis-by-diagnosis through the psychiatric stables. Stay tuned!

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1.9 Violence Risk Assesment Apr 27, 2023

Dr. Amy Barhnorst, Associate Professor of Psychiatry and Vice Chair for Community Mental Health at U C Davis, explains various ways to characterize violence, violence prevention strategies, best practices for documentation, firearms, and more.
For more: https://www.bulletpointsproject.org/

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1.8 Intro to Psychotherapy Mar 27, 2023

Dr. Donna Sudak, Professor of Psychiatry and Vice Chair for Education at Drexel University College of Medicine, and Past President of the American Association of Directors of Psychiatric Residency Programs, introduces us to psychotherapy. We explore the role of psychotherapy in psychiatric practice, discuss "common factors" in psychotherapy, and learn to incorporate psychotherapy into each patient encounter.

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1.7 Decisional Capacity Mar 20, 2023

Dr. Rajesh Tampi, Editor-in-Chief of the World Journal of Psychiatry, Past President of the American Association for Geriatric Psychiatry, and Chairman of Psychiatry at Creighton University, walks us through capacity assessments and shares his hard won wisdom for navigating difficult cases.

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1.6 Case Formulation Mar 13, 2023

Dr. Jyotsna Ranga, Program Director for the Adult Psychiatry Residency and Child and Adolescent Psychiatry Fellowship at Creighton University, teaches how to construct case formulations using the biopsychosocial model and the "five Ps."

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1.5 Management of Acute Agitation Mar 06, 2023

Dr. Tony Thrasher, President of the American Association for Emergency Psychiatry and medical director of crisis services in Milwaukee county, discusses best practices for management of the agitated patient. Learn key safety points, verbal de-escalation techniques, medical-legal principles, and pharmacotherapy options.

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1.4 Suicide Risk Assessment Feb 27, 2023

Dr. Tyler Black, a suicidologist and child psychiatrist at British Columbia Children's Hospital, walks through common suicide myths, structuring the suicide risk assessment interview, common motivations for suicide, clinical decision making, best practices for documentation, and what works in preventing suicide.

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1.3 Mental Status Examination Feb 20, 2023

Dr. Rajesh Tampi, Editor-in-Chief of the World Journal of Psychiatry, Past President of the American Association for Geriatric Psychiatry, and Chairman of Psychiatry at Creighton University, walks us through the mental status examination.

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1.2 Clinical Interviewing Feb 16, 2023

Dr. Dana Raml, Assistant Professor of Psychiatry at the University of Nebraska Medical Center, walks through interviewing do's and don'ts, techniques for building a therapeutic alliance, and teaches us how to ask for and organize the information gleaned during an initial psychiatric encounter.

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1.1 The DSM and Critical Psychiatry Feb 15, 2023

Dr. Allen Frances, Chair of the DSM-4 Task Force and Chair Emeritus at Duke, discusses our profession's identity and provides pearls for developing psychiatrists. Dr. Awais Aftab, Clinical Professor of Psychiatry at Case Western University, discusses the validity of the DSM and psychiatric harm.
More from Dr. Frances: https://www.psychiatrictimes.com/view/advice-young-psychiatrists-very-old-one

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