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81 Episoden

Nuances in Prescribing Antidepressants
14.09.2026 | 58 Min.
In this episode, Margaret and Preston present how two psychiatrists think about prescribing medications for depression. Using different common clinical scenarios, they discuss standard clinical guidelines, navigating weight gain and loss with SSRIs, augmentation of SSRI’s, and sexual side effects.

See notes below for recommendations in the episode.

VA/DoD MDD treatment guidelines, 2022

https://www.healthquality.va.gov/guidelines/MH/mdd/

American College of Physicians Depression

https://www.acpjournals.org/doi/10.7326/M22-2056

Weight Change and Antidepressants

https://pubmed.ncbi.nlm.nih.gov/33022115/

Pregnancy/Perinatal/Breastfeeding

https://womensmentalhealth.org/specialty-clinics/psychiatric-disorders-during-pregnancy/

Watch on YouTube: @itspresro

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Produced by Dr Glaucomflecken & Human Content

Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠
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Psychiatric Roots in Greek Mythology
07.09.2026 | 1 Std. 6 Min.
The Greeks described two kinds of madness, and both are fun to talk about on our pod. Inspired by the recent hullabaloo around The Odyssey, we are going to be breaking down the DSM-V diagnoses we see in the series and run through the historical roots and the stories of what we see today in mental health.

Watch on YouTube: @itspresro

Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

—

Produced by Dr Glaucomflecken & Human Content

Get in Touch: ⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠
Learn more about your ad choices. Visit megaphone.fm/adchoices
Climate Change Impacts on Mental Health with Child Psychiatrist & Pediatrician Elizabeth Pinsky, MD
31.08.2026 | 54 Min.
In today’s episode, Margaret and Preston are joined by pediatrician and child psychiatrist Elizabeth Pinsky, MD. Dr. Pinsky works as a pediatric consult-liaison psychiatrist at Massachusetts General Hospital and her clinical interests lie at the intersection of child mental and physical health, including childhood trauma associated with medical care, fostering resilience in medically ill children, and climate change.

In this episode, we discuss the current understanding of climate change on mental health and wellbeing for all, why “climate anxiety” locates the problem in the wrong place, and how healthcare workers can help in collective action to improve the climate’s health to improve all our health.

Noted articles:

Thermoregulation in Schizophrenia as a sign article: Redundant clothing: A readily observable marker for schizophrenia in the psychiatric emergency room population. ⁠⁠https://www.sciencedirect.com/science/article/abs/pii/000579169390007J⁠⁠

Climate communicator recommended: ⁠⁠https://www.katharinehayhoe.com/⁠⁠

Resources Referenced:

⁠⁠https://www.climatepsychology.us/⁠⁠

⁠⁠https://www.climatepsychiatry.org/⁠⁠

Watch on YouTube: @itspresro

Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

—

Produced by Dr Glaucomflecken & Human Content

Get in Touch: ⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠
Learn more about your ad choices. Visit megaphone.fm/adchoices
Lessons from Improv Comedy
24.08.2026 | 1 Std. 9 Min.
Laugh all you want (please laugh it’s supposed to be funny), Preston has been doing improv from the last year and he has some thoughts. Not just “yes ands” about how it makes him a better doctor, and he is dragging Margaret into the mix starting off with some improv style warm ups and ending with a philosophical commentary about the stage we all perform on. I don’t know why I am talking about Preston like I am not the one writing this. Hi it’s me, Preston. Enjoy the episode!

Watch on YouTube: @itspresro

Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

—

Produced by Dr Glaucomflecken & Human Content

Get in Touch: ⁠⁠⁠howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
Kung Fu Panda & Residency: Growth Mindset
17.08.2026 | 55 Min.
Margaret is back and today our episode pulls themes from Carol Dweck’s work and book Growth Mindset, as well as a favorite sophisticated film: Kung Fu Panda. In this episode, Margaret and Preston discuss a frame to make sense of the obstacles we meet as we change levels of training, weather you’re starting med school, doing a post doc, or changing jobs. We walk through phases of growing, including failing, flailing, and flourishing, and give examples along the way from our growth-minded Panda friend.

Check out some info on Dr. Dweck’s work:

https://ctl.stanford.edu/students/growth-mindset

Check out a paper as well from a few years ago on limitations/evolving learning on growth mindset as a frame (we love nuance here):

Yeager DS, Dweck CS. What can be learned from growth mindset controversies? Am Psychol. 2020 Dec;75(9):1269-1284. doi: 10.1037/amp0000794. PMID: 33382294; PMCID: PMC8299535.

Watch on YouTube: @itspresro

Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.

—

Produced by Dr Glaucomflecken & Human Content

Get in Touch: ⁠⁠howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices

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Über How to Be Patient

You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone engage with. From better understanding our patients’ (and our own) relationships with their conditions in a changing world, it’s more important than ever that we learn: HOW TO BE PATIENT! Each week, join Dr. Preston Roche (Psychiatry Resident & Digital Influencer) and Dr. Margaret Duncan (Psychiatrist & Content Creator) on their quest to better understand the patients we dedicate our lives to and the evolving paths they’re bound to travel beyond the clinic. By engaging with stories and perspectives that challenge our shared understanding of a condition, we hope you’ll similarly gain new perspectives as we look at our patients, and their mental health struggles, with further nuance and empathy. (And with Dr. & Lady Glaucomflecken producing, we've been mandated to include plenty of weird medical jokes too). Speaking of which, a key part of this is hearing YOUR stories! What’s changed your understanding of patient care? Do you have an experience that shines new light on something we’ve discussed on-air? Get in touch at: howtobepatientpod.com

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