Welcome to the Psychiatry and Psychotherapy Podcast. The podcast to help you in your journey

towards becoming a wise, empathic, genuine and connected mental health professional.

I'm your host, Dr. David Puder, a psychiatrist who splits his time practicing psychopharmacology,

individual and group psychotherapy, medical director of a day treatment program,

medical education research, and teaching residents and medical students.

Alright, welcome back to the podcast. Today, on popular demand from questions, from the audience,

from people who have emailed me, we are going to be talking about impatient violence on the

psychiatric unit, how to predict if someone is going to be violent, how to address,

and we're going to try to move into the practical area of it pretty quickly,

talking about how to de-escalate, potentially violent patients,

and how to not have to just inject people with, you know, out of hand and how

to all, but maybe how to talk them down, how to, how to establish a therapeutic

alliance, something that I've talked about frequently in this podcast, and lo and behold,

now it gets applied to a certain situation in the impatient setting.

So today, I have the great pleasure of being joined by Jillian Friedman.

She is the medical director of San Jose Behavioral Health.

She's worked as an attending psychiatrist for 16 years.

She's currently mostly working at three different hospitals, and is credentialed in seven.

She has a background in a fellowship in women's health, where she did a lot of

chemical dependency for women who are pregnant, and she also has a background

in a sort of community treatment where you go into someone's home and work with them in their home.

Can you tell me a little bit about that piece first, and then maybe we'll...

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