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More Nancy please

What a contribution to the field of psychotherapy this podcast makes. In particular, I have listened to the interviews with Nancy McWilliams and Jonathan Shedler *several* times and taken notes! Such leaders in the field, both of whom speak with rigour, clarity, and compassion. Even though I'm an experienced psychotherapist I have profited greatly from these exceptional and deep interviews. Thank you so much.

Somebody already mentioned it, but Dr. Shedler might have a narcissistic personality organization himself. I did not appreciate how he tried to outdo Dr. Puder at every opportunity and by the end I was rather annoyed by it. All those books in the background to appeal to his authority, and he is so pretentiously soft-spoken... Not a fan of Shedler's act. I appreciate that Dr. Puder is authentic, there's no act.

Venlafaxine 150 and Mirtazapine 15 has really helped my T1 Diabetic Neuropathy in a significant way as well as with my melancholic, no energy, achy, anhedonia type depression. I'd been through the meat grinder with psych meds but at best, any given combination of drugs only yielded a partial response and really annoying, sticky side effects. But then we switched to this combination as a last resort and, for me, it's night and day. I wish it worked for more folks in a similar condition as myself.

Connect your brain to ChatGTP. That be amazing.

Anyone have any reliable data on Lybalvi vs Olanzapine?

Love this podcast!

He did have a try led childhood! There is evidenced of his childhood trauma at an early age and so on! The info is out there just wasn’t in the documentary

..the only meds I would take are Shedleradone or Shedlerapine - and no weight gain! 🤣

All fake ass revisionist history. Funny how all of this cropped up ONLY after a book called Blitzed came out in the early millennial years

Hit the like button please

Thanks to both you gentlemen as a new PMHNP psychopharmacology is so scary. Mostly augmentation

The d

Are there any good interventional psychiatry trainings available for actively working psychiatric providers? Like a 3-7 day conference or something similar?

I believe we have No Free Will and I am grateful for having the opportunity and the luck to have come across his Stanford lectures one sleepless night offered for free on TH-cam! -Amazing grateful for that. His ability to be a great speaker and engaging speaker, his genius level intelligence, his scepticism and , as well as having very soothing voice all influenced that I listened to his lectures. Then, a year later I saw him on TH-cam saying we have no free will and immediately though he had gone nuts; But, second guessed my initial reaction as i and having o researched and listened, debated with myself I realised due to the scientific method at first, that he lust be right. Since, drinking the no free will Kool-aid , I have changed to be more compassionate, less stressed about my past failures, more ambitious that people can humanity can change. So the question of whether we the theory allows for change never plagued me as it changed me completely, and I am grateful for all the variables that lead me to this life changing theory. Also, as former attorney, Dr; Sapolsky is amazingly insightful on the US criminal justice system, and couldn't agree more with his views, and I hope he write more about that to help the cause for reformation because, in my opinion it is set up for the rich, and is completely contrary to the 8th amendment.

I heard of this experiment from listening to the book Adult Children of Emotionally Immature Parent. What an eye opener.

Dr. Kahn is fantastic. Talented and competent Doctor.

To me, the overlap between CBT and psychodynamic therapy for anxiety is that CBT teaches you to tolerate a current feeling of anxiety and psychodynamic therapy teaches you to tolerate feelings from past events that are the root of your anxiety.

Interview Dr. Matthew Bennett, whose new book is out now. Dr. Nancy McWilliams can also speak to his character and his groundbreaking work creating an integrative analytical model!

Love Dr. Cummings!!!

Amazing discussion, much needed education about psychodynamic/analytic theory in an age of CBT+pharmacotherapy+garbage info on social media. I recently discovered Shedler and have been watching every episode of your podcast with him. Very accessible podcast even to a non-professional viewer like me. This is very valuable work. As someone who doesn't live in a first-world country, I thank you for doing this and putting it on the internet for free, from the bottom of my heart.

Thank you for creating such useful resources.

I have only come across your guest Nancy in the last couple of days. Hence, viewing this conversation. It’s refreshing to witness a thorough warm interaction , of bouncing ideas off each other. It feels more organic rather than a brand building exercise. Recently, I have wondered that so many opportunities and knowledge gets lost if one isn’t sharing their insights. I personally feel that a good therapist with age learns and builds on their knowledge … the ability to see repeating patterns and joining the dots. It doesn’t ensure a know all approach , it allows , that not everyone or a client is a ‘cookie cut’ outcome, and shows that life has too many variables to make something happen or not. No one is an expert and finished product. One positive outcome from on line media is the true treasures that come along. We walk each other over the finishing line. To me that makes a person a good therapist. Enjoyed the chat 😊

MY SON NEEDS HELP WITH SUCH ISSUES. How can I find someone to help him with issues of inability to connect to others....and so much else

I'm disappointed that this wasn't the (in-depth) talk about anxiety (and, in particular, the psychopharmacology of treating anxiety) that you promised when you and Dr. Joseph Goldberg had your episodes on mediators and moderators, but I'm content with the quality of the talk and the guest in this episode.

Thank you for sharing.

❤❤❤❤❤❤❤❤

Whats the Name of the Music at the beginning?

13:00 i feel like this, almost every attempt for connection in my life has seemed to fail starting with both parents, didn’t have grand parents

What a wonderful conversation ! Much grattitude to both 🎉❤

Hollywood level Role Play Bravo!!! Unconscious and Attachment theories nicely viewed. (so much of lived' life is sooo layered) and good so maybe.Thx for podcast.🐝🌱

Great interview. I'm high functioning on the autistic spectrum and can relate to much of this. This ingrained sense of discomfort around other people really stands out to me.

First! Dr. Watchel is great. Thank you for this upload

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Does a person’s 2d6 levels affect their ability to stop taking the drug?

I know it is an old video, but I think you really clarified it 💪😊

RE: "free will" Equifinality does occur, at some scale, if one looks for it across scales. Again, hierarchical systems can be imagined, when one ignores that information can permeate a system from "top-down" as well as "bottom-up" , originating at chronological, memory-heuristic, molecular/drug, or large physical ( whether toothy big carnivore or cascading volcanic/atmospheric, or cloud or meteor) initiation. The reality of a biological organism is that, though molecular induction may be regarded as causal, the system is open at all scales.

That predictive light utility in stress reduction, would appear to be involved with the short-term memory function period of less than one minute, and the working memory activity involving attention to salient stimuli, which also kicks in quickly. Sensory memory alone, very short, primary sensory neurons clearing for continuing novel sensory stimulation, registers in the attentional working memory, with the sympathetic arousal. Initial repetitous processing to establish associations, whether erroneously associated through associating threat from past experiences, as you immediately can infer, induces individually varying paranoia spectrum. That involves varying amygdalic, assessment

Ever since I first heard Sapolsky's story about how a baboon population disaster led to such profound cultural change for the better, I've had to suppress an urge to figure out how to feed the aggressive human males in our midst something akin to that bad meat all at once 😊

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Am I the only patient that listens to these? Are you guys all therries?

Causy conversation between psychopaths

Insightful podcast, thank you Doc

Thanks for your video. It has been an education listening to medical professionals grappling with this "very distressing" and "miserable" condition. These descriptions are understatements. Severe physical trauma is "very distressing". Suffering from chronic severe pruritus is "miserable". Akathisia is like being buried alive. I experienced this torture recently, after the involuntary administration of droperidol. Frequent recollections continue to haunt me-I have until now, at 59 years, always felt totally comfortable those times I found myself in the care of paramedics or in hospital care. Never again. Every ambulance that passes, any medical service I notice makes me shudder. During quiet times at night, the knowledge that somewhere, out there, are the means and the possibility that I could encounter akathisia again sends a shiver down the spine. I can't imagine I would be confident to call an ambulance now. I have had restless leg syndrome symptoms on and off most of my life. Perhaps the need to move is comparable to akathisia, but that is an ancillary effect: as annoying as the condition is, with RLS you can always get up from bed and walk around, maybe anxious or angry that you are not getting a good night's sleep. But restless legs totally lacks the mental aspect, the detachment from reality, aloneness and terror. I am quite claustrophobic, and akathisia manifested in me precisely as if I had been put in an inescapable enclosed space or restraint. Yet without any actual enclosure being responsible, it becomes a confusing cascade of terrifying moments, each as awful as the last, relentlessly. In waves of panic, I was overwhelmed by the sense that my next breath would be denied me. Suicidal thoughts were the corresponding distractions from the torment. But nothing can serve to distract. My experience lasted under 24 hours. Sedatives (valium?) were finally administered inducing sleep, but it was still there when I awoke again soon after. How could this be endured for any prolonged period? In the weeks since my akathisia torture, I have for the first time ever, considered how I could actually suicide should I end up experiencing akathisia again. I believe I have settled on jumping: what an awful outcome from an utterly unnecessary, casual administration of a "medicine". During the terror, there is a strong sense that anyone to whom you are trying to explain what you are experiencing, could never understand, because you have no words or comparisons. The relaxed postures, calming gestures, quizzical expressions of medical staff left me feeling completely abandoned and helpless. You are in another place. Imagine crucifixion: hanging, gasping, the spasms in your limbs, the restraint under such circumstances ... all WITHOUT the prospect of eventual release through death. All prescribers and administrators of any drug with akathisia as a side effect, especially because the prevalence of this "side-effect" is reportedly so high, should be required to have the "side-effect" induced in them themselves before being qualified to do so. I believe you'd find that there was a REVOLUTION in the practice of psychiatric medicine overnight. Would you administer a drug that you knew had the remotest chance of leaving your patient feeling as if they had been buried alive? Apparently, most of the medical profession believe that is ok, proving them to be either ignorant of the real nature of akathisia, or psychopathic sadists.

I love your position that everything a patient does has meaning bc it is SO TRUE! I have a crude example that I hope doesn’t trigger anyone reading but it demonstrates this well. I had a patient with schizophrenia in the unit who had a very distressing delusion about aliens raping him at night, which could have easily been dismissed as ramblings not grounded in reality or assumed to be related to his history of horrendous abuse. However, by being present with the patient with an attitude of curiosity about meaning, I learned that he had very large painful hemorrhoids from the constipation from antipsychotics. If I were dismissive, I would have missed the opportunity for a very simple fix of one thing causing him suffering. Talk about building a therapeutic alliance… as anyone who’s ever had hemorrhoids would attest ;-) but in all seriousness, he knew beyond the shadow of a doubt that I cared and took his suffering seriously from that moment on.

As a finnish person who just got out of a sauna before clicking on this podcast, this should be interesting😆

Great episode, but curious about Dr Puder’s surprise re: efficacy of psychodynamically oriented therapy for eating disorders. As in the treatment of all other mental health conditions, this modality has always been effective if clinicians are skilled, gentle and compassionate, as it is oriented in the relational and developmental realm, focussing on the functional aspects of the conditions and giving voice to those undigestable feelings that are buried. For some reason eating disorder patients get the manualised treatments more due to the physical aspects of the conditions, and the strange ‘one size fits all’ stance of treatment teams. So good that we are finally challenging the monopoly FBT has in the eating disorder treatment mileau.

Wow. First time I’ve heard of mbt and I’m shocked. Recently learned about theory of mind. Seems like a lot of problems are caused by mind reading errors. I can certainly see looking back how it’s ruined some of my relationships.

MORE JONATHAN SHEDLER PLEASE ❤

Toxoplasmosis.