“Every important change in our society, for the good, at least, has taken place because of popular pressure-pressure from below, from the great mass of people.”- Edward Abbey.  The editors of the new book A Psychiatrist’s Guide to Advocacy join Laura Roberts for a discussion exploring the diverse definitions of advocacy and how personal passions in medicine and life can have an impact on the world. During this spirited round table conversation, they discuss efforts to include advocacy training during residency, a blueprint to build best practices, making the material in the book applicable to any type of advocacy, public policy and medicine, the inspiration for bringing a volume that would work as a toolkit for mental health advocacy in its myriad forms. A Psychiatrist’s Guide to Advocacy is a call for action and a blueprint for change, providing clinicians with the foundation for recognizing their opportunities and embracing their roles as advocates.  

Psychiatry Unbound

Advocacy in Mental Health

With an aging population, the rates of Major and Mild Neurocognitive Disorders are due to rise dramatically.  Join Dr. Laura Roberts as she welcomes Dr. Art Walaszek, a board-certified geriatric psychiatrist and an expert in the field of dementia to Unbound.  Dr. Walaszek’s research focuses on public health approaches to improving the care of people with dementia.  He is the author of the recently published book, Behavioral and Psychological Symptoms of Dementia.  Discussed during this episode Why this book had to be written  2:26 Differentiations between the types of dementia  4:18 Holistic approaches to patients with dementia  8:11 Becoming the writer and authoring a first book  11:30 The effect of quarantine on a vulnerable population   16:53 Psychiatry and the CORONA virus pandemic   22:05   Dr. Art Walaszek is a board-certified geriatric psychiatrist and Professor of Psychiatry at the University of Wisconsin School of Medicine and Public Health. He is Vice-Chair for Education and Faculty Development and Director of Psychiatry Residency Training. He is past president of the American Association of Directors of Psychiatric Residency Training (AADPRT). His research focuses on public health approaches to improving the care of people with dementia. Dr. Walaszek works with the Wisconsin Alzheimer’s Disease Research Center, where he is Co-Leader of the Outreach, Recruitment and Education Core, and with the Wisconsin Alzheimer’s Institute, where he leads the Public Health Pillar.  Dr. Walaszek provides care to older adults with depression, anxiety, dementia, and other mental health conditions, and teaches others to do the same.  twitter: @artwalaszek   Laura Roberts, M.D. Laura Weiss Roberts, M.D., M.A., is Chairman and a Katharine Dexter McCormick and Stanley McCormick Memorial Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, Stanford, California.   Resources The National Institute on Aging (NIA) Alzheimer's Disease Education and Referral (ADEAR) Center is a terrific repository of information for patients and family members regarding Alzheimer' disease and other causes of dementia. https://www.nia.nih.gov/health/about-adear-center The Wisconsin Alzheimer's Institute (WAI) has collected resources on caring for people during the COVID-19 pandemic. https://wai.wisc.edu/covid19-caregivers/ At WAI, Dr. Walasczek is involved in research that uses the DICE Approach, a method for understanding and addressing behavioral and psychological symptoms of dementia. https://diceapproach.com/page/about   You can subscribe to Psychiatry Unbound on Google podcast, Spotify, iTunes, Podcast Addict, Deezer, RadioPublic and through our RSS feed If you would, please take a moment to rate us on iTunes.    

Dementia

Altha J. Stewart, M.D. comes from a family of storytellers and in this episode of Psychiatry Unbound she brings her own personal stories to life in rich detail.  During an intimate conversation with Laura Roberts, M.D., M.A., she relives her own stories about how she came to be the person she grew into and the significance of becoming the first black President of the APA.    In this episode: How the book, Black Mental Health, came together (1:40) Altha’s reflection on her journey (5:45) Parable of the sower and the need to be a bicultural being (11:39) The idea of racist practices in psychiatry (16:40) Progress and change in the psychiatric profession (26:00) The way we discuss and write about race (32:38) From the point of view of doctors and patients, Dr. Stewart and her fellow editors, Ezra E. H. Griffith, M.D., Billy E. Jones, M.D., M.S., brought together Black Mental Health to contribute to the conversation about the role of race in mental healthcare and education with the hope that it will provide a path forward for the next 50 years. 

Black Mental Health Altha Stewart MD

Despite the importance of supervision to the field of mental health—it is a building block of learning and a fundamental stepping-stone to unsupervised practice—most mental health supervisors receive little to no training in how to supervise. Supervision also remains the least developed and researched aspect of clinical training. APA Publishing Books Editor-in-Chief Laura Roberts, M.D. talks with editors Sallie G. De Golia, M.D. M.P.H., and Kathleen M. Corcoran, Ph.D. about applying approaches to supervision in the clinical practice setting and the challenges as first-time editors in bringing together this important work. Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Stitcher, or wherever you listen to it. The podcast is now on Spotify. Listen to other podcasts produced by the American Psychiatric Association.  

Supervision in Psychiatric Practice

 Peter Yellowlees, MBBS, M.D., and Jay H. Shore, M.D., M.P.H. believe that psychiatry increasingly will focus on the treatment of populations and that technology offers the best hope of doing so efficiently and effectively. Listen as Laura Roberts, M.D. discusses with her guests the way telepsychiatry is revolutionizing Psychiatry and standardized care.

Telepsychiatry and Health Technologies

Societal awareness of transgender and gender-nonconforming (TGNC) individuals is greater now than at any point in history, owing to the education of policy makers by advocacy organizations, the education of clinicians by research and scientific organizations, and the education of the general public by movies, television, and other media. However, most professional training programs for mental health professionals provide little to no education regarding gender diversity. Psychiatry Unbound examines these issues in an honest and intimate conversation between Drs Laura Roberts and Eric Yarbrough.  Dr. Roberts then discusses with Dr. Lawrence McGlynn his experience working within the LGBTQ community. 

Transgender and LGBTQ Mental Health

Dr. Laura Roberts discusses the history and future of psychopharmacology with Alan. F. Schatzberg, M.D., editor of The American Psychiatric Association Publishing Textbook of Psychopharmacology, Fifth Edition. Dr. Schatzberg talks about the most recent edition and reveals the history of this groundbreaking textbook.  A work of uncommon scientific rigor and clinical utility, this resource provides state-of-the-art information on both the principles and the practice of psychopharmacological treatment of psychiatric disorders. Dr. Roberts second guest, Christopher M. Bartley, M.D., Ph.D. covers the application of psychopharmacology in clinical settings. 

Psychopharmacology

Dr. Laura Roberts talks with Peter Yellowlees, MBBS, M.D.  author of Physician Suicide, Cases and Commentaries.  Together they examine the multiple risk factors that account for the higher rates of burnout, depressive symptoms, and suicide risk physicians experience compared with the general population. Burnout is especially common and is frequently due to workload, work inefficiency, lack of autonomy and meaning, and work-home conflict. On the second half of the show, Dr. Roberts discusses physician wellness with Dr. Grace Gengoux.

Physician Suicide

The definition of narcissism can be a moving target. Is it an excess of self-love? Profound insecurity? Low self-esteem? Too much self-esteem? Because of the multifaceted nature of narcissistic personality disorder (NPD), treating this disorder presents clinicians with a range of wholly unique challenges. Dr. Laura Roberts, M.D. unwraps Narcissism with Glen O. Gabbard, M.D., and Holly Crisp-Han, M.D. authors of the book Narcissism and Its Discontents, Diagnostic Dilemmas and Treatment Strategies with Narcissistic Patients.  

Narcissism and Its Discontents

Psychiatry Unbound is APA Publishing's Books podcast, hosted by APA Books Editor-in-Chief, Laura Roberts, M.D. It offers the opportunity to hear the voices behind the most prominent psychiatric scholarship in the field today. Subscribe now to learn about important topics in the field of psychiatry and see how our authors are making an impact in clinical settings throughout the world.

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Psychiatry Unbound

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