『The Supervised Mind』のカバーアート

The Supervised Mind

The Supervised Mind

著者: Faisal Rafiq MD.
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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
エピソード
  • The K-Hole Theory: Spravato, Ketamine, and the Psychiatric Reset
    2025/06/03
    In this deep-dive episode, Dr. Faisal Rafiq explores the clinical science, supervision nuances, and lived experience surrounding Spravato® (esketamine) and IV ketamine as tools for treatment-resistant depression (TRD), suicidality, and trauma-linked shutdown. Through the story of Emily, a 32-year-old nurse whose depression was unresponsive to conventional treatments, we see how structured ketamine therapy provided more than symptom relief—it offered a psychological reset.
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    12 分
  • 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
  • De-Prescribing "When Less is More"
    2025/04/10
    In this episode of The Supervised Mind, Dr. Faisal Rafiq discusses the often-overlooked topic of deprescribing in clinical practice. He shares a compelling case study of a young patient to illustrate the complexities of medication management and the importance of understanding when to reduce or stop medications. The conversation emphasizes the need for clinicians to approach deprescribing with care, supervision, and a focus on the patient's current story rather than past diagnoses. Practical tips for young clinicians are provided, highlighting the relational aspect of deprescribing as a critical skill in psychiatry.
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    10 分
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