Psychiatry & Psychotherapy Podcast

100 episodes listed below

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Clinical psychiatry with the therapy room left in.

The gist

Psychiatry & Psychotherapy Podcast examines mental health through long-form clinical conversations with psychiatrists, researchers, and psychotherapists. Episodes move between research findings, diagnostic nuance, therapy-room dynamics, and the practical uncertainties clinicians face with patients.

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About Psychiatry & Psychotherapy Podcast

Psychiatry & Psychotherapy Podcast is a long-form clinical education show built around careful psychiatric and psychotherapeutic thinking. It is not a quick wellness chat. The show works through difficult conditions, treatment decisions, and therapy-room moments with a level of detail aimed at people who want the full reasoning process. Recent episodes cover delusions that can lead to violence, psychotic depression, dissociative identity disorder, trauma, and problem-focused psychodynamic psychotherapy. The conversations often begin with definitions, then widen into assessment, differential diagnosis, and treatment implications. A discussion of delusions becomes a conversation about collateral information, conspiracy beliefs, deepfakes, AI risks, and when an unusual claim may still be reality-based. An episode on psychotic depression compares ECT, ketamine, catatonia, suicidality, and diagnostic lookalikes. Psychotherapy episodes spend time on the patient-clinician relationship itself. They examine shame, projection, transference, counter-transference, responsibility, and how trauma can surface slowly in treatment. The show is especially strong when it pauses inside an interaction and explains what a clinician may be sensing or formulating in real time. It can be technical. It can also be surprisingly personal and conversational. Guests bring research, forensic experience, trauma treatment perspectives, and psychodynamic frameworks, while the interviewer presses for practical clinical meaning. The tone is reflective, curious, and willing to revise a first impression. It does not flatten psychiatry into simple tips. Instead, it shows how clinicians think when evidence, patient history, risk, and relational complexity all matter at once. The best fit is a listener who wants psychiatric knowledge with texture: not just what a diagnosis is, but how it is assessed, misunderstood, treated, and lived with in the consulting room.

Made for: For mental health clinicians, trainees, and serious psychology listeners who want detailed conversations about diagnosis, treatment, trauma, and psychotherapy process.

What sets it apart: The show stands out by pairing research and clinical evidence with moment-by-moment attention to what happens between patient and clinician. It gives room to uncertainty, differential diagnosis, and the therapist's own reflective process.

In their own words

Join David Puder as he covers different topics on psychiatry and psychotherapy. He will draw from the wisdom of his mentors, research, in-session therapy and psychiatry experience, and his own journey through mental health to discuss topics that affect mental health professionals and popsychology enthusiasts alike. Through interviews, he will dialogue with both medical students, residents and expert psychiatrists and psychotherapists, and even with people who have been through their own mental health journey. This podcast was created to help others in their journey to becoming wise, empathic, genuine and connected in their personal and professional lives.

Why you'd press play

A therapy-room pause becomes evidence here, and suddenly your snap judgments look underexamined.

Press play if you want

  • to hear clinical experts reason through delusions instead of merely defining them
  • to examine what a therapist notices when shame, projection, or dissociation enters the room
Read the full recommendation in PlayNext →
psychodynamic psychotherapydelusions and psychosistrauma and dissociationforensic psychiatrydifferential diagnosistherapeutic relationshipmedication and treatment decisionsreflective function

Episodes

  1. 1

    Episode 262: Dissociative Identity Disorder (DID) Explained: Trauma, Neuroscience, Controversies & Recovery

    Psychiatry & Psychotherapy Podcast brings together Melissa Kaufman, Matthew Allen Robinson, and Lauren Lebois of McLean Hospital and Harvard Medical School to explain dissociative identity disorder as a childhood developmental adaptation involving dissociation, trauma, and identity fragmentation.

    ·1h 16m·5 clips
  2. 2

    260: What Is Reflective Functioning? Mentalization, Attachment Theory & RF Scoring with Dr. Miriam Steele

    ·1h 26m
  3. 3

    252: Genetic and Environmental Influences of Schizophrenia

    ·1h 19m
  4. 4

    259: Hard Feelings: Daniel Smith on Embracing Shame, Envy, Annoyance, and the Wisdom in Dark Emotions

    ·1h 55m
  5. 5

    258: Empathy in Therapy: Mastering Empathic Engagement with Dr. Douglas Flemons

    ·1h 16m
  6. 6

    257: How to Overcome Guilt: Break Free from Unreasonable Expectations with Jennifer Reid, MD

    ·1h 6m
  7. 7

    256: Schizoid Dynamics Explored: Kafka's Writings, Fear of Engulfment, and Clinical Insights for Better Empathy

    ·1h 49m
  8. 8

    255: Disavowed Anger and Positive Emotions with Paul Wachtel

    ·1h 44m
  9. 9

    254: Countertransference and Transference with Frank Yeomans, MD

    ·1h 46m
  10. 10

    253: "AI Psychosis": Emerging Cases of Delusion Amplification Associated with ChatGPT and LLM Chatbot Use

    ·1h 20m
  11. 11

    251: Combatting the Negative Effects of Sleep Deprivation

    ·1h 8m
  12. 12

    250: Devaluation, Transference, Narcissism with Diana Diamond

    ·53m
  13. 13

    249: Intergenerational Trauma Explained: The Role of Reflective Function and Mentalization in Healing Attachment

    ·1h 11m
  14. 14

    248: Understanding Real Event OCD: When the Past Fuels Obsession

    ·1h 7m
  15. 15

    247: Identity Diffusion

    ·1h 38m
  16. 16

    246: Cannabis and Depression, Anxiety, PTSD, Sleep, and Cognitive Function Update and Review

    ·1h 11m
  17. 17

    245: Regulating Our Emotions as Parents with Alissa Jerud, PhD

    ·1h 15m
  18. 18

    244: Psychodynamic Psychopharmacology: Insights from Dr. David Mintz

    ·1h 15m
  19. 19

    243: Catatonia in Children and Teens

    ·54m
  20. 20

    242: The Bear: Trauma, Personality, and Attachment with Dr. Eric Bender and Dr. David Puder

    ·1h 9m
  21. 21

    241: Depressive Personality Style with Jonathan Shedler

    ·1h 54m
  22. 22

    240: Cannabis and Psychosis: The Link Between THC Use and Mental Health Risks

    ·1h 18m
  23. 23

    239: Transference Focused Psychotherapy & Personality Disorders with Dr. Otto Kernberg

    ·1h 28m
  24. 24

    238: Creatine and Mental Health

    ·1h 27m
  25. 25

    237: Ketogenic Diet Review and Update with Dr. Matt Bernstein

    ·1h 40m
  26. 26

    236: Clozapine & Schizophrenia with Michael Cummings, MD

    ·1h 42m
  27. 27

    235: The Serotonin Hypothesis: Controversies and Nuance with Awais Aftab, MD

    ·1h 17m
  28. 28

    234: Transference Focused Psychotherapy, Borderline Personality Disorder, Narcissism, with Frank Yeomans, MD

    ·1h 54m
  29. 29

    233: Reframing "Goodbye" as a Transition: Guidance from Dr. Tarr

    ·34m
  30. 30

    232: Cold Exposure for Mental Health

    ·1h 37m
  31. 31

    231: Borderline Personality Disorder: Splitting & Identity Diffusion with Mark Ruffalo

    ·1h 45m
  32. 32

    230: Exercise Compared to Medications or Therapy for Depression

    ·1h 50m
  33. 33

    229: Beyond the Myths of Psychosis: Understanding, Acceptance, and Paths Forward

    ·1h 22m
  34. 34

    228: Comprehensive Obsessive-Compulsive Disorder (OCD) Treatment Guide: Evidence-Based ERP Approaches and Best Practices for Clinicians

    ·1h 19m
  35. 35

    227: Pathological Narcissism: Effective Treatment with Mentalization-Based Therapy (MBT)

    ·1h 48m
  36. 36

    226: Burnout in Healthcare: How Depersonalization and Dissociation Manifest, and How to Overcome Them

    ·56m
  37. 37

    225: Psychology and Inside Out 2: A Breakdown of Adolescent Emotional Lives

    ·1h 21m
  38. 38

    224: Understanding Borderline Personality Disorder (BPD) Medications & Treatment

    ·1h 13m
  39. 39

    223: Managing Weight Gain from Psychiatric Medications with Dr. Michael Cummings

    ·1h 9m
  40. 40

    222: Paul Wachtel's Approach to Integrative Psychotherapy: Exploring Attachment, Anxiety, and the Disavowed Self

    ·1h 35m
  41. 41

    221: Sauna & Heat Exposure's Impact on Mental & Physical Health

    ·1h 35m
  42. 42

    220: Writing to Overcome Trauma and Improve Your Mental and Physical Health

    ·58m
  43. 43

    220: Writing to Overcome Trauma and Improve Your Mental and Physical Health

    ·58m
  44. 44

    219: Eating Disorders: Empathy, Alexithymia, Reflective Function

    ·1h 20m
  45. 45

    218: Where Psychiatry Meets Politics: The Goldwater Rule

    ·1h 8m
  46. 46

    217: Adverse Childhood Experiences - HPA axis & Brain changes: cortisol, amygdala, hippocampus, cytokines, & epigenetics (Part 3 of ACE series)

    ·1h 27m
  47. 47

    216: Shrink Next Door: A Psychiatrist's Analysis

    ·1h 16m
  48. 48

    215: Understanding Complex PTSD and Borderline Personality Disorder

    ·1h 10m
  49. 49

    Episode 214: Q&A with Dr. Cummings Part 2

    ·1h 9m
  50. 50

    213: Reflective Functioning: The Key to Attachment with Dr. Howard Steele

    ·1h 35m
  51. 51

    212: Bruce Perry on the Healing Power of Human Connection and Resilience in Trauma

    ·1h 2m
  52. 52

    211: Early Psychosis: Detection and Treatment

    ·1h 16m
  53. 53

    210: Q&A with Dr. Michael Cummings

    ·1h
  54. 54

    209: PTSD and Cognitive Processing Therapy with Patricia Resick

    ·1h 11m
  55. 55

    208: What People Want From Therapy with Linda Michaels

    ·1h 6m
  56. 56

    207: 5 Factors and Domains of Psychiatric Care

    ·1h 40m
  57. 57

    206: Mentalization Based Therapy (MBT), with Dr. Anthony W. Bateman, MA, FRCPSYCH and Dr. Peter Fonagy, Ph.D., FBA

    ·1h 1m
  58. 58

    204: Adverse Childhood Experiences Part 2: Measurement, Impact on Future Mental Health, Dissociation, and Timing of Trauma

    ·56m
  59. 59

    203: Adverse Childhood Experiences and Their Lasting Impact on Health: A Comprehensive Guide

    ·53m
  60. 60

    202: Cognitive Behavior Therapy (CBT) with Dr. Judith Beck

    ·1h 18m
  61. 61

    200: 200 Episodes Later: A Journey Through Psychiatry with Dr. Puder

    ·1h 18m
  62. 62

    199: Motivational Interviewing with William Miller

    ·1h 27m
  63. 63

    198: Connection and Supervision in Medical Education: Exploring the utility of the Connection Index in postgraduate psychiatry training

    ·1h 7m
  64. 64

    197: Sick Enough: Dr. Jennifer Gaudiani On Eating Disorders

    ·1h 32m
  65. 65

    Dr. Christopher Browning- "Ordinary Men" of the Holocaust

    ·1h 57m
  66. 66

    195: Dr. Robert Sapolsky: Baboons, Stress Research, Connection and Determinism

    ·1h 8m
  67. 67

    194: Dr. Sue Johnson: Attunement, Attachment and the Development of Emotionally Focused Therapy

    ·1h 34m
  68. 68

    Episode 193: Buprenorphine and Opioid Use Disorder Management with Dr. Neal Christopher

    ·1h 33m
  69. 69

    192: Inpatient Child & Adolescent Psychiatry: Dr. Bender's Journey Through Curiosity and Connection

    ·1h 38m
  70. 70

    191: Body Dysmorphic Disorder: A Guide for Therapists and Mental Health Professionals with Dr. Katharine Phillips

    ·1h 15m
  71. 71

    190: Schizophrenia Treatment: Clozapine, LAIs, Technology and Equity with John Kane, MD and Lauren Hanna, MD

    ·1h 47m
  72. 72

    189: Non-Violent Communication with Matthew Lederman

    ·1h 29m
  73. 73

    188: Depersonalization and Derealization

    ·1h 30m
  74. 74

    187: Best Diet For Mood Update 2023

    ·1h 38m
  75. 75

    186: Using Deliberate Practice to Improve Psychotherapy Results with Dr. Scott Miller

    ·1h 25m
  76. 76

    185: Narcissism with Jonathan Shedler, PhD

    ·1h 17m
  77. 77

    184: Pregnancy Planning for Patients Taking Psychiatric Medications or with a Mental Health History

    ·1h 8m
  78. 78

    183: Xylazine, Methamphetamines, Bath Salts, and Spice with Dr. Cummings

    ·1h 29m
  79. 79

    182: Opioid Use Disorder with Dr. Cummings

    ·1h 7m
  80. 80

    181: Alcohol Use Disorder with Dr. Cummings

    ·1h 1m
  81. 81

    180: Psychotherapy for Psychosis with Dr. Michael Garrett

    ·1h 33m
  82. 82

    179: Exercise & Mental Health 2023 Update

    ·2h 6m
  83. 83

    178: Red Face: Social Anxiety with Russell Norris

    ·1h 15m
  84. 84

    177: How Anxiety Can Lead to Growth

    ·1h 15m
  85. 85

    176: Microdosing LSD & Psilocybin: The Future of Psychiatry or Placebo?

    ·1h 14m
  86. 86

    175: Partial and Intensive Outpatient Program for Psychosomatic and Medical Illness

    ·1h 18m
  87. 87

    174: "Serotonin Toxicity", Otherwise known as Serotonin Syndrome

    ·1h 20m
  88. 88

    173: Real Self-Care with Pooja Lakshmin, M.D.

    ·54m
  89. 89

    172: Prisons in Ancient Mesopotamia with Nicholas Reid

    ·54m
  90. 90

    171: Nancy McWilliams on Mental Health, Transference and Dissociation

    ·1h 25m
  91. 91

    170: Using Transference To Improve Connection

    ·57m
  92. 92

    169: Social Anxiety with Dr. Cummings

    ·1h
  93. 93

    168: Obsessive-compulsive Personality and the Personality Continuum with Dr. Shedler

    ·1h 7m
  94. 94

    167: Long-Acting Injectables with Dr. Cummings

    ·1h 2m
  95. 95

    166: Identifying Malingering with Dr. Phillip Resnick

    ·1h 6m
  96. 96

    205: Beginning the Treatment with Jonathan Shedler, PhD

    Hidden gem

    Jonathan Shedler says the first session is "never the start of therapy" and should be a consultation.

    ·1h 22m·2 clips
  97. 97

    261: Understanding Delusions Leading to Violence: Types, Assessment, AI Risks & Treatment in Forensic Psychiatry

    The Psychiatry & Psychotherapy Podcast uses Sun Tzu’s “death ground” concept to examine how persecutory, Capgras, Cotard, erotomanic, and jealous delusions can make violence feel like self-protection.

    ·1h 29m·5 clips
  98. 98

    263: Psychiatrist Effect in First-Episode Psychosis: HAMLETT Study, Antipsychotic Tapering, Dopamine Supersensitivity & Sex Differences with Franciska de Beer

    ·1h 12m
  99. 99

    264: Problem-Focused Psychodynamic Psychotherapy: Targeting Symptoms, Relationships, Trauma & Behavioral Change with Dr. Fredric N. Busch

    Hidden gem

    Frederick N. Busch links problem-focused psychodynamic psychotherapy to “a staging area” for stepping back from anxiety, depression, and trauma.

    ·1h 38m·2 clips
  100. 100

    201: Psychotic Depression with Dr. Cummings

    Hidden gem

    Psychiatry & Psychotherapy Podcast episode 201 with Dr.

    ·1h 23m·2 clips