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Back from the Abyss: Psychiatry in Stories

Psychiatry in the ER

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8452 Ratings

🗓️ 9 February 2024

⏱️ 61 minutes

🧾️ Download transcript

Summary

The rising tide of psychiatric emergencies in the US most commonly ends up in the emergency room, where psychiatrists are almost never found and the brunt of the heavy lifting falls on emergency medicine physicians. Here Dr. H sits down with Dr. Treve Henwood, an emergency med physician and host of the Rural EM podcast to explore the often overwhelming challenges inherent in trying to effectively manage and treat these psychiatric crises.BFTA on IG @backfromtheabysspodcasthttps://www.in...

Transcript

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0:00.0

Welcome to Back from the Abyss.

0:17.7

This is a place for stories of hope and healing, recovery, and redemption.

0:24.1

I'm Dr. Craig Hecock. I went back the other day and listened to Episode 1, Strawberries, which,

0:30.1

if you haven't listened to that, you should all go back and hear it. But what was so crazy

0:34.3

was listening to how I announced the show. Here's what I did.

0:38.0

I did something like this.

0:39.8

Welcome to Back from the Abyss.

0:44.3

I sounded sort of like scared, drugged, somber, sort of haunted.

0:50.7

So I'm actually proud that I'm speaking at a more normal cadence here in season five,

0:54.6

and I'm less nervous. And I'm actually really excited for today. I'm going to introduce our guest

0:59.9

in just a minute, but our guest today is an expert, an amazing physician, and a super dear friend.

1:05.3

But we'll get to that in just a sec. First, I want to start with a listener letter that I got.

1:10.5

Love all the letters that you guys send

1:12.1

emails. This is from Jesse in the Netherlands. I've been seeing a lot of people jump on the

1:18.6

medical keto diet bandwagon recently, especially after Chris Palmer published his book, Brain Energy.

1:25.3

On the one hand, I'm intrigued with his case studies of people with

1:28.4

severe schizophrenia and bipolar one who become practically symptom-free. But I'm also skeptical

1:34.0

with the idea of metabolic dysfunction of the brain as brain cells being presented as the cause

1:39.7

and medical keto as the solution to all serious mental illness. In my opinion, silver bullets

1:46.5

rarely exist, and the diet itself seems unsustainable for the environment, and hard to follow

1:51.9

for multiple other reasons. But then again, it seems to have a really good track record for epilepsy.

1:57.4

What if they're on to something? What implications would that have? So what are your thoughts about

...

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