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, residence, and medical students.

So welcome back to the podcast. Today we are going to be covering the last part of Sensorium.

So in the first episode of Sensorium, I covered what basically Sensorium is,

that it's your fluctuating, total brain capacity, you know, it's sharper in the morning.

Maybe it kind of is a little bit in a low, you know, two to three in the afternoon.

And you know, that's why a lot of people who are really high functioning,

people get some good work done in the morning, get the writing done in the morning first thing,

and then a lot of cultures take an app in the afternoon.

And then I talked about in that first episode on Sensorium,

you know, what are some patients that have come in with really low Sensorium?

So people teetering on delirium almost.

I remember one patient that came in with kidney failure and, you know,

her sort of kidney function, her ability to sort of clean her urine,

clean her blood, clean the toxins out of her body, clean her toxins out of her body by urinating.

You know, when that goes down, you know, you have a buildup of toxic metabolites

and your Sensorium decreases.

And that really gives an example of one of the things I'm going to talk about today,

which is how to maximize medical treatment for medical issues

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