Episode transcripts
Every episode, in full.
50 episodes, transcribed and free to read — search for a topic, a medication, or just pick up where you left off listening.
Lindsay Clancy Trial: A Forensic Psychiatrist Explains Psychosis, Malingering, & the Insanity Defense
Lindsay Clancy postpartum psychosis and the insanity defense are examined through a forensic psychiatry lens in this episode.
Affective Neuroscience: Understanding Patients Beyond DSM Diagnoses
Affective neuroscience in psychiatry may offer a better way to understand patients who do not fit neatly into DSM categories.
The Psychology of Seinfeld: What’s Really Wrong With George, Kramer, Jerry & Elaine?
We put the Seinfeld cast on the proverbial couch, not to slap diagnoses on fictional characters, but to show why personality formulation can tell us far more than a psychiatric label.
Sleep Medications Treatment Tier List: Best Insomnia Medications Ranked
In this episode, the hosts rank the behavioral and medication strategies they use for sleep problems in psychiatric practice, starting with strict wake times, CBT-I, sleep hygiene, exercise, and treating the underlying disorder.
Inside the Clinical TMS Society Annual Meeting in Boston: Highlights, Snacks, and Spelling Bee...
In this episode, Dr. Harvey and Dr. Malzberg dive into the key takeaways from the Annual Meeting of the Clinical TMS Society in Boston. While the conference was packed with groundbreaking research—covering new brain targets like the posterior parietal area, accelerated protocols, d-cycloserine, and expanding TMS applications for conditions like Alzheime…
Mood Stabilizers for Bipolar Disorder: Lithium, Lamotrigine, Depakote & More
Mood stabilizers for bipolar disorder can be confusing because lithium, lamotrigine, Depakote, carbamazepine, and oxcarbazepine have very different strengths, risks, and clinical roles.
Dr. Jim Phelps’ Bipolar Treatment Tier List: Lessons from 30+ Years in Psychiatry
Bipolar disorder treatment is put to the test in this clinically grounded tier list with psychiatrist Jim Phelps.
Dr. Colleen Hanlon on Brainsway and the Next Frontier of Brain Stimulation and TMS for Addiction
Neuroscientist Dr. Colleen Hanlon joins The TMS Podcast to discuss whether transcranial magnetic stimulation can meaningfully treat addiction…. and what the future of brain stimulation may look like. She explains the emerging evidence for deep TMS in alcohol and nicotine use disorders, how clinicians should think about seizure risk in patients who are a…
Anxiety Medications Tier List: The Best and Worst Treatments for GAD
Anxiety medications tier list: two psychiatrists rank the treatments they actually use for generalized anxiety disorder… and the ones they avoid.
Which TMS Machine Should You Buy? 9 Questions Before Choosing a Device
Which TMS machine should a psychiatry practice buy?
Psychodynamic Technique and Therapeutic Intervention: Mirroring, Clarification, Confrontation, Interpretation
Psychodynamic therapy interventions are the focus of this episode, organized through a practical levels framework for clinicians.
TMS for OCD: Effectiveness, Protocols, and Patient Selection
TMS for OCD is more than just using the same treatment protocol as depression.
ECT Treatment: When to Refer, Who It Helps, and What Actually Happens with Dr. MaryEllen Eller
Unfortunately no Dr. Fu today, but Dr. Malzberg speaks with the wonderful psychiatrist Dr. Mary Ellen Eller, who walks through what modern electroconvulsive therapy actually looks like and when clinicians should consider it. The episode covers ECT history, stigma, anesthesia, seizure monitoring, memory concerns, side effects, and the real-world logistic…
Suicide Risk Assessment: Acute vs Chronic Risk, Formulation, and Suicidal Ideation Types
Suicide risk assessment is often taught like a checklist, but this episode argues that the real work is formulation.
Chestnut Lodge: The Psychiatry Case That Still Matters (for TMS)
TMS gets a historical frame in this episode, using the Chestnut Lodge case and Rafael Osheroff’s lawsuit to explore how psychiatry changes when old assumptions fail patients.
What Are the Safety Risks of TMS? (Seizures, Hearing Loss, and Metal)
TMS safety risks are the focus of this episode, with a balanced look at why transcranial magnetic stimulation is considered very safe while still requiring thoughtful precautions.
Antidepressant Tier List: Psychiatrists Rank Depression Medications for MDD
Psychiatrists rank antidepressants for major depressive disorder, including SSRIs like sertraline, escitalopram, fluoxetine, and paroxetine; SNRIs like venlafaxine and duloxetine; and atypical options like bupropion and mirtazapine.
How TMS Works for Depression: Brain Networks, Neuroplasticity, and the Left DLPFC
How TMS works is the focus of this episode, which moves beyond the idea that depression is simply a chemical imbalance.
Serotonin Hypothesis of Depression: Why Low Serotonin Is Too Simple
Serotonin hypothesis of depression is the center of this episode, as two psychiatrists unpack why the low serotonin “chemical imbalance” story became so popular and why it falls short.
Mindfulness in Psychiatry: How to Teach It as a Clinical Treatment Skill
Mindfulness in psychiatry is the focus of this episode, with Doctors Malzberg and Fu treating it as a practical clinical skill rather than vague wellness advice.
Psychiatric Technique for Diagnostic Interviewing and Therapy: 6 Mantras Every Clinician Should Know
Psychotherapeutic techniques are the subject of this episode, as the conversation lays out six memorable therapy mantras for better diagnosis, formulation, and treatment.
Practical OCD Psychopharmacology: Evidence‑Based (& Non Evidence-Based) Medication Approach
In this fast‑paced Psychopharm podcast, we break down the OCD medication algorithm for obsessive compulsive disorder.
You Tell Me | Adderall for All?, Surgeons Gone Shrink, Codependency isn't Neurobiological
In the pilot episode of You Tell Me, the hosts dive into the controversial question: “What’s the harm in more widespread stimulant use?” They explore Silicon Valley’s productivity culture, stimulant risks, and the ethical dilemma of turning psychiatry into a tool for optimization.
What Is OCD? How to Understand It, Recognize It, and Treat It
Join us in this podcast episode focused on Obsessive Compulsive Disorder, where we explore the DSM‑5 criteria, differentiate OCD vs generalized anxiety, and discuss the neurobiological roots of compulsive behavior.
Psychiatrist's Guide to Anxiety Medications: First Line to Last Resort
We unpack the anxiety medication algorithm, moving from first-line SSRI picks like Sertraline and Escitalopram to augmentation with buspirone, gabapentin and lavender.
Understanding Anxiety, GAD, and Treatments of Anxiety
In this episode, we explore anxiety not as a disease in itself, but as a critical signal from your mind and body.
Assessment of Personality: Practical Assessment in a Short Timeframe
This episode looks at the practical assessment of personality.
Treating Borderline Personality Effectively aka How To Be A Good Psychiatrist Through GPM
This episode delves into Good Psychiatric Management (GPM), a practical framework developed by John Gunderson for treating Borderline Personality Disorder (BPD), though its principles offer broad utility across diagnoses.
PTSD Medications: Integrating Pharmacotherapy, Therapy, and the Treatment Frame | Episode 22
Dive deep into the practicalities of psychiatric medication management for PTSD in this clinical discussion.
Understanding Trauma and PTSD, Diagnosis and Dissociation | Episode 21
Join us for an in-depth exploration of trauma and Post-Traumatic Stress Disorder (PTSD).
Lessons from Forensic Psychiatry: Insanity Defense, Subtle Patients and Culpability
This conversation explores key aspects of forensic psychiatry, including the insanity defense, dissimulating patients, and how clinical practice intersects with legal systems.
Involuntary Treatment & Agency, Thoughts and Feelings | Episode 19
Join us in a conversation about involuntary commitment, and the legal framework behind psychiatric treatment. We discuss real-world scenarios, share insights into how clinicians juggle patient autonomy versus societal protection. Whether you are new to the field or a seasoned professional, this episode offers valuable perspectives on balancing ethical d…
The Deficit Model in Psychiatry & Difficult to Treat Depression with Dr. Chris Aiken | Episode 18
In this episode, we sit down with Dr. Chris Aiken to look at a big question: when do we treat an underlying deficit in psychiatry?
Choosing Antipsychotics in Schizophrenia: Side-Effects, Maximizing Efficacy, and Finding the Right Medication | Episode 17
Schizophrenia treatment is complex, and choosing the right antipsychotic can make all the difference.
The Future of Psychiatry: Spravato, Vagus Nerve Stimulation, Trigeminal Nerve Stimulation, PRISM Neurofeedback, TMS and much more with Dr. Owen Muir | Episode 16
What is the future of psychiatric treatment? In this episode we explore groundbreaking innovations in neuromodulation, AI driven diagnostics, and the evolving business of mental healthcare. Dr Owen Muir discusses why business and policy are as crucial as clinical advancements in ensuring that cutting edge treatments like accelerated TMS, noninvasive vag…
Beyond Medications: The Best Lifestyle Treatments for Mental Health
Medications and therapy are the foundation of mental health treatment, but what else can you do to improve your well-being?
TMS and The Future of Psychiatry, Part 1 with Dr. Owen Muir
Dr. Owen Muir discusses transcranial magnetic stimulation (TMS), detailing how accelerated TMS protocols are transforming depression, OCD, and mental health in general. With robust clinical experience and data, Dr. Muir highlights TMS as a cutting-edge, noninvasive therapy that will redefine modern psychiatry and mental health care.
Probably The Most Important Topic in Psychiatry: Therapeutic Alliance and Frame
& Probably The Most Helpful Podcast We've Done So Far
The Best Bipolar Medication Review From The Best Bipolar Expert
We explore a practical overview of bipolar disorder, from refining your diagnostic approach to navigating effective treatments.
Treating Depression: Practical Tips & Pearls for Anti-Depressant Medications
This episode delves into the pearls of treating depression with medications, offering practical strategies for clinicians and patients alike.
Understanding Borderline Personality Disorder with Dr. Mark L. Ruffalo
Relational Patterns, Need-Fear Dilemma, Core Anxieties, and Mental Health Trends
Insomnia and Sleep Medications in Psychiatry
In this episode, we dive into the use of sleep medications in psychiatry.
Nancy McWilliams on Psychoanalytic Diagnoses, Part 2: Depressive Personality, Histrionic Personality, OCPD
In part two of our conversation with Dr. Nancy McWilliams, we explore a diverse range of personality dynamics, including depressive personality, histrionic personality, and obsessive compulsive personality.
Psychosis: History, Delusions, Diagnosis, Theories, and Modern Care
We explore the evolution of psychosis diagnoses from the early DSM days to modern psychiatry, unpack the role of language in shaping delusions, and discuss how treatment has (and hasn’t) progressed.
Nancy McWilliams on Psychoanalytic Diagnoses, Part 1: Personality, Defenses, Themes, Paranoid Personality
Explore personality themes, defenses, and the paranoid style with Dr. Nancy McWilliams. Understand core traits, therapy approaches, and the humanity in personality.
Healthy Personality Traits, Trauma vs. Personality, and Why Trauma Doesn’t Explain It All
This episode is a continuation of our previous conversation on personality.
What Psychiatrists Get Wrong About Personality Disorders
In this episode, we take a peak into the often-misunderstood world of personality disorders.
ADHD Again, But Juicier: Unpacking Misdiagnosis, Medication Overuse, and Cultural Trends
In this episode, Dr. Fu rejoins us as we take a deep dive into the world of ADHD—beyond the usual headlines and social media buzz. We’ll talk about how ADHD is often misunderstood, misdiagnosed, and even overhyped. Join us as we explore why so many people are getting diagnosed, the real role of medication, and why it's dangerous to use 1 thing to explai…
ADHD... Diagnosis, What is ADHD? Is ADHD real? Do I have ADHD? Is ADHD biological?
Unfortunately my co-host Dr. Fu is missing from today. But in this episode, we dive deep into the topic of ADHD, exploring its diagnosis, challenges with the DSM criteria, and the complexities of executive functioning deficits that define the disorder. We tackle the common question, “Is ADHD real?” and discuss how the history of ADHD has shaped the way …
Bipolar Misunderstandings, Integrating Biology & Personality, & Broader Conceptualizations
In this episode, we dive into the challenges of diagnosing bipolar disorder, especially when it overlaps with personality disorders.