The Supervised Mind

著者： Faisal Rafiq MD.
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  • サマリー

  • The Supervised Mind—a podcast where we explore the complexities of psychiatric practice through the lens of training, supervision, and clinical wisdom.
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あらすじ・解説

The Supervised Mind—a podcast where we explore the complexities of psychiatric practice through the lens of training, supervision, and clinical wisdom.
心理学 心理学・心の健康 衛生・健康的な生活 身体的病い・疾患
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エピソード
  • Lithium Power

    Lithium Power
    2025/04/23
    In this episode, Dr. Faisal Rafiq describes the unmatched effectiveness of lithium as a mood stabilizer, highlighting its role in treating bipolar disorder and its unique status as one of the few naturally occurring psychiatric medications. He discusses key side effects—including the classic “peeing like a racehorse”—as well as important monitoring protocols, and the differences between extended-release and immediate-release formulations. A must-listen for clinicians seeking clarity on lithium’s powerful role in mood disorder management.
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    18 分
  • Complex PTSD: When Nothing Makes Sense (and the Kitchen Sink)

    Complex PTSD: When Nothing Makes Sense (and the Kitchen Sink)
    2025/04/29
    In this episode, Dr. Faisal Rafiq explores the complexity of Complex PTSD (cPTSD)—a condition shaped by chronic, repeated trauma that often masquerades as mood, personality, or anxiety disorders. Through a trauma-informed lens, this episode walks clinicians through recognizing cPTSD’s emotional and somatic layers, differentiating it from BPD or TRD, and understanding why traditional diagnostic frameworks often fall short. Dr. Rafiq breaks down symptom clusters, guides clinicians on medication strategies, and introduces emerging treatments like Rexulti and Auvelity, while also revisiting underutilized options like Elavil for trauma-linked insomnia and pain. A critical theme is the importance of sequencing care properly—using medication to stabilize before engaging in deep trauma therapy such as EMDR or IFS. With supervision reflections woven throughout, the episode reinforces the message: Complex PTSD isn’t a broken brain—it’s an adapted one.
Treatment begins with safety, structure, and steady presence.
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    15 分
  • Fighting the Wave of Bipolar

    Fighting the Wave of Bipolar
    2025/04/10
    In this podcast episode, Dr. Faisal Rafiq shares a case of a patient with bipolar disorder who had difficulty responding to traditional mood stabilizing medications. He also discusses the classical model of treating bipolar disorder and when it may break down. He suggests adapting the framework, removing mood stabilizers in some cases and using antipsychotics as a primary anchor. Dr. Rafiq also provides some clinical pearls and final thoughts, emphasizing the importance of working with a supervisor and having a strategy and when.
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    15 分

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