🔉Listen as a Podcast: podcasts.apple.com/us/podcast/psychofarm-podcast-ep1-bipolar-misunderstandings-integrating/id1766544493?i=1000668364185 🎧Listen on Spotify: open.spotify.com/show/5kqD1sD0EtWNYopWT5MbGs 📃Listen on Substack: psychofarm.substack.com/p/psychofarm-podcast-ep1-bipolar-misunderstandings
Thank you for this. I'm someone with bipolar 2 who was initially misdiagnosed with borderline. Getting the correct treatment changed my life completely. I hope a lot of clinicians watch this.
I appreciate content like this, very helpful for the nuances of psychiatry. I recommend your channel to anyone who is beginning their studies in psychiatry or are established and need further education.
Really enjoyed you guys. Would be grateful for another episode (or 20+). Appreciated your story of the inpatient with atypical mania presentation. Appreciated discussion of bipolar course of illness mimicing/exacerbating Axis 2 pathology. There are a lot of nuggets in here that we all love to hear. You guys are both extremely personable, passionate, and intelligent, and we need more stuff like this. Your book on depression also rocks, and I recommend it to coworkers. Chris Aiken, Jim Phelps, and yourself have been hugely influential on this pmhnp, thanks for everything!
Your aesthetic and animations among other things are top tier Psycho farm! What software do you use to create these info graphics if you don't mind me asking?
good discussion what do u think of Dr.Ghaemi concept of manic depression & use of lithium in depression & litium ororate supplemnts ? + what do u think about the theories of pathophysiology of bipolar ? to which extent do they explain what's happening and whats missing ? + what are other "atypical" presentations of bipolar are there ? do u think they would change the managemnt ?
BPD and bipolar can have bidirectional interactions. The opposite case is also true. BPD mood swings from interpersonal interactions can increase propensity to change moods quickly and this then create a risk vulnerability shift towards it becoming a more ingrained biological process due to sustained activation of overlapping neural mechanisms. BPD and Bipolar share genetic loadings, so it is complex to tease apart. When you mention primitive defence mechanisms I'm interested to know what you notice clinically?
so BPD is a risk factor for Bipolar ? even possibly cause? ive seen psychiatrist who prescribe mood stabilizers for BPD with good response, but not sure about the evidence
Great podcast. I like how it's off the cuff but still deep diving. It lets your personalities and charisma show but also communicates useful information. I would love to hear more on the introductory topic about bipolar diagnosis and recognition in the outpatient community setting with atypical presentations as this sounds like a very stimulating and thought provoking area. Y'all got derailed into personality disorders which was also cool but I feel like many great nuggets were left untouched from your original topic. Do more on bipolar please and challenge yourselves to limit talks about personality disorder. I dare you ❤️
DSM diagnoses are just obviously not discrete biological entities. Obviously. It would be the most absurd coincidence in the history of the universe if each diagnosis correlated with distinct, mutually exclusive genes or changes in structure or function. But, derived, abstract measures of neural function probably will correlate pretty well as more info is gathered. For disorders that are exceptionally heterogeneous though, like autism, even that may be optimistic. The two autistic people who are most different from each other are probably more different than the two people with no diagnoses who are most different from each other are. That doesn't mean they're not useful. In fact, they'd be a lot LESS useful if they were required to be discrete biological entities.
@@PsychoFarm Same to you, for forty-five minutes! I'm sure there's at least some literature on this, but the DSM does reify the diagnoses its creates/defines, and institutionalizes them (not the psychiatric meaning) culturally. Many people still today identify as "Aspies," even though Asperger's no longer exists as a diagnosis. That's definitely catchier than "I'm a level 1-er," but also, ASD level 1 doesn't correspond to Asperger's. And I get it. These constructs have to be refined. But the three-level system there is basically just "we don't actually know, but we know ASD can be better or worse, so we'll leave it generic." It may not be a huge cost, taking people's identity away, one through which they navigated their experience and relationship to the world, but it's a cost, and I think the DSM-VI should be explicitly self-aware of that fact, across disorders.
🔉Listen as a Podcast: podcasts.apple.com/us/podcast/psychofarm-podcast-ep1-bipolar-misunderstandings-integrating/id1766544493?i=1000668364185
🎧Listen on Spotify: open.spotify.com/show/5kqD1sD0EtWNYopWT5MbGs
📃Listen on Substack: psychofarm.substack.com/p/psychofarm-podcast-ep1-bipolar-misunderstandings
I hope you produce more of these podcasts and don't let it die. Really well done for a first effort.
Appreciate it! We have our next one scheduled for the end of the month.
You've gone beyond standard levels of criminal underratedness. Content like this is gonna make you catch a felony 🚨
lol Appreciate it!
Thank you for this. I'm someone with bipolar 2 who was initially misdiagnosed with borderline. Getting the correct treatment changed my life completely. I hope a lot of clinicians watch this.
Really appreciate this! Great discussions! Idk how I got here but glad I did!
Thanks for listening!
babe new psychofarm just dropped!
I appreciate content like this, very helpful for the nuances of psychiatry. I recommend your channel to anyone who is beginning their studies in psychiatry or are established and need further education.
Really appreciate the comment and sharing!
Boys, loved this discussion. More like this please.
Appreciate the effort and time on this!
This is great Dr. Greg, please keep doing them
Interesting discussion! I was a bit surprised the second psychiatrist wasn't credited, an oversight or request I'm sure!
As long as he serves the Many-Faced God, names do not matter
Thanks for all the content man, learning a ton. Pro Psychiatry here
Thanks for the comment!
I'm here for this
We’re glad to have you
Really enjoyed you guys. Would be grateful for another episode (or 20+). Appreciated your story of the inpatient with atypical mania presentation. Appreciated discussion of bipolar course of illness mimicing/exacerbating Axis 2 pathology. There are a lot of nuggets in here that we all love to hear. You guys are both extremely personable, passionate, and intelligent, and we need more stuff like this. Your book on depression also rocks, and I recommend it to coworkers. Chris Aiken, Jim Phelps, and yourself have been hugely influential on this pmhnp, thanks for everything!
Thanks a lot!! Really appreciate all your support on everything. Keep crushing it
Love this! Looking forward to more podcasts.
LCD soundsystem!
🪩Farm Yrself Clean🪩
@@PsychoFarm heaven is dancing to LCD soundsystem at one of their summer events, in the sun. ( June 2024 Malahide , Dublin, Ireland).
20:46 perfectly summed up, very intelligent man
Your aesthetic and animations among other things are top tier Psycho farm! What software do you use to create these info graphics if you don't mind me asking?
The intro musicccc🔥 adds to ur credibility
good discussion
what do u think of Dr.Ghaemi concept of manic depression & use of lithium in depression & litium ororate supplemnts ?
+
what do u think about the theories of pathophysiology of bipolar ? to which extent do they explain what's happening and whats missing ?
+
what are other "atypical" presentations of bipolar are there ? do u think they would change the managemnt ?
BPD and bipolar can have bidirectional interactions. The opposite case is also true. BPD mood swings from interpersonal interactions can increase propensity to change moods quickly and this then create a risk vulnerability shift towards it becoming a more ingrained biological process due to sustained activation of overlapping neural mechanisms. BPD and Bipolar share genetic loadings, so it is complex to tease apart.
When you mention primitive defence mechanisms I'm interested to know what you notice clinically?
so BPD is a risk factor for Bipolar ? even possibly cause?
ive seen psychiatrist who prescribe mood stabilizers for BPD with good response, but not sure about the evidence
Great podcast. I like how it's off the cuff but still deep diving. It lets your personalities and charisma show but also communicates useful information. I would love to hear more on the introductory topic about bipolar diagnosis and recognition in the outpatient community setting with atypical presentations as this sounds like a very stimulating and thought provoking area. Y'all got derailed into personality disorders which was also cool but I feel like many great nuggets were left untouched from your original topic. Do more on bipolar please and challenge yourselves to limit talks about personality disorder. I dare you ❤️
DSM diagnoses are just obviously not discrete biological entities. Obviously. It would be the most absurd coincidence in the history of the universe if each diagnosis correlated with distinct, mutually exclusive genes or changes in structure or function.
But, derived, abstract measures of neural function probably will correlate pretty well as more info is gathered. For disorders that are exceptionally heterogeneous though, like autism, even that may be optimistic. The two autistic people who are most different from each other are probably more different than the two people with no diagnoses who are most different from each other are.
That doesn't mean they're not useful. In fact, they'd be a lot LESS useful if they were required to be discrete biological entities.
Well said.
@@PsychoFarm Same to you, for forty-five minutes!
I'm sure there's at least some literature on this, but the DSM does reify the diagnoses its creates/defines, and institutionalizes them (not the psychiatric meaning) culturally. Many people still today identify as "Aspies," even though Asperger's no longer exists as a diagnosis. That's definitely catchier than "I'm a level 1-er," but also, ASD level 1 doesn't correspond to Asperger's.
And I get it. These constructs have to be refined. But the three-level system there is basically just "we don't actually know, but we know ASD can be better or worse, so we'll leave it generic." It may not be a huge cost, taking people's identity away, one through which they navigated their experience and relationship to the world, but it's a cost, and I think the DSM-VI should be explicitly self-aware of that fact, across disorders.
What happens to a psychiatrist that diagnosed a person who has nothing wrong with them ? Should that person be sued ??