Psychopharmacology and Psychiatry Updates

Latest Episodes:

Naltrexone for Alcohol Use Disorder: What You Should Know Aug 04, 2026

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In this episode, we explore how naltrexone — the most widely used medication for alcohol use disorder in the US — works, how to dose it safely, and why liver disease may not be the barrier you think it is. Can a medication that doesn't target abstinence still be a game-changer for your patients?

Faculty: Kevin A. Sevarino, M.D.C.M., Ph.D Host: Richard Seeber, M.D.

The OPTIMUM Trial: A Roadmap for Treatment-Resistant Depression in Late Life Jul 30, 2026

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In this episode, we explore the OPTIMUM trial, a landmark study examining how to treat older adults with treatment-resistant depression when antidepressants fall short. When adding a medication outperforms switching entirely — and what that means for the patient sitting across from you — the answer may reshape your clinical approach.

Faculty: Scott Beach, M.D. Host: Richard Seeber, M.D.

Difficult-to-Treat Depression: First, Second, and Third-Line Strategies Jul 25, 2026

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In this episode, we explore what to do when antidepressants aren't working. How do you systematically approach a patient who isn't getting better — and when do you switch versus augment? Dr. Sagar Parikh walks through CANMAT's evidence-based framework for difficult-to-treat depression.

Faculty: Sagar V. Parikh, M.D., F.R.C.P.C. Host: Richard Seeber, M.D.

Is High-Dose Olanzapine A Clozapine Alternative? Jul 20, 2026

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In this episode, we explore whether high-dose olanzapine — beyond the FDA-approved 20 mg ceiling — can be a viable strategy for patients with treatment-resistant schizophrenia when clozapine isn't yet an option. Can pushing the dose bridge the gap between partial response and full remission?

Faculty: Oliver Freudenreich, M.D. Host: Richard Seeber, M.D.

CANMAT Guidelines: Herbs, Supplements, and Depression Jul 15, 2026

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In this episode, we explore what the CANMAT guidelines say about complementary and alternative medicine (CAM) for depression — from St. John's wort to saffron — and how to have evidence-based, collaborative conversations with patients who prefer a more natural approach to treatment.

Faculty: Sagar V. Parikh, M.D., F.R.C.P.C. Host: Richard Seeber, M.D.

Xylazine in the ED: Managing Toxicity Jul 10, 2026

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In this episode, we explore the growing threat of xylazine — a veterinary sedative increasingly found in illicit drug supplies — and what clinicians need to know when naloxone simply isn't enough. Dr. David Gorelick breaks down the current evidence on diagnosis, treatment, and the critical gaps that remain.

Faculty: David A. Gorelick, M.D., Ph.D., D.L.F.A.P.A., F.A.S.A.M. Host: Richard Seeber, M.D.

Choosing the First Step in Depression Treatment: A CANMAT Guide Jul 05, 2026

Show notes

In this episode, we explore how to select the right initial treatment for depression using the updated CANMAT guidelines. How do severity, patient preference, and treatment availability shape your first clinical move? Dr. Sagar Parikh breaks down the evidence on psychotherapy, antidepressants, and when to combine both.

Faculty: Sagar V. Parikh, M.D. Host: Richard Seeber, M.D.

After Delirium Clears: When to Deprescribe? Jun 30, 2026

Show notes

In this episode, we explore the hidden dangers of leaving antipsychotics running long after a hospital delirium episode has resolved. Could a medication prescribed to keep your patient safe in the short term actually be harming them months later — and what does the latest evidence say about stopping it?

Faculty: Scott Beach, M.D. Host: Richard Seeber, M.D.

The Clinician's Guide to Paliperidone & Risperidone LAIs Jun 25, 2026

Show notes

In this episode, we explore the practical dosing, initiation, and conversion strategies for paliperidone palmitate and risperidone long-acting injectables in schizophrenia. How do you manage a missed six-month injection — reload or continue? Dr. Brian Miller breaks down everything you need to know to prescribe these formulations with confidence.

Faculty: Brian Miller, M.D., Ph.D., M.P.H. Host: Richard Seeber, M.D.

Antipsychotic Switching: Six Clinical Tips Jun 20, 2026

Show notes

In this episode, we explore the surprisingly thin evidence base behind antipsychotic switching — one of psychiatry's most common clinical maneuvers. Dr. Oliver Freudenreich breaks down a landmark systematic review and shares six practical tips to help clinicians switch antipsychotics safely and confidently.

Faculty: Oliver Freudenreich, M.D. Host: Richard Seeber, M.D.

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