Mayo Clinic Talks

Holiday Stress and Wellness Edition: Holiday Stress and Mental Health

Host: Darryl S. Chutka, M.D.

Guest: Mark A. Frye, M.D.

For many, the holidays are a time for happiness and connecting with family and friends. It’s often a time of celebration. But for some, it can be a time of increased stress, anxiety and sadness. In some cases, our good health habits such as eating healthy, regular exercise and getting adequate sleep are replaced by overeating, consuming excess alcohol and taking on too many responsibilities. A recent study by the American Psychological Society found that 89% of those surveyed felt stressed during the holiday season. What are the most common reasons for this stress? Can we avoid it? If not, what are the best ways to manage it? I’ll be discussing these topics with my guest, Mark Frye, M.D., a psychiatrist from the Mayo Clinic. The topic for this podcast is “Holiday Stress and Mental Health”.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Back to School Edition | Pediatric Mental Health Disorders

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Joselyn R. Lebow, Ph.D., L.P.

Unfortunately, mental health problems are common in our youth. A recent study by the CDC found that among adolescents aged 12 to 17, just under 21% had experienced a major depressive episode within the past year. Among high school students, more than 35% reported feeling sad or hopeless, with nearly 20% seriously contemplating suicide and mental health disorders are not limited to our teens. Over 17% of children aged 2 through 8 have had a diagnosis of a mental, behavioral or developmental disorder. Are mental health disorders in our youth increasing? How might depression present in a child or adolescent? How common is suicide in our youth and how often are suicide attempts successful? I’ll be asking these questions and more to my guest in today’s podcast on “Pediatric Mental Health Disorders” as part of our “Back to School” podcast series. My guest is child psychologist Joselyn R. Lebow, Ph.D., L.P., from the Mayo Clinic.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Working Effectively with Patients with Obsessive Compulsive Disorder (OCD)

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Craig N. Sawchuk, Ph.D., L.P.

It’s estimated that 1 in 40 adults have obsessive compulsive disorder. Obsessions are repetitive, unwanted thoughts that are very difficult to control. They commonly cause distress and anxiety and are often focused on a specific theme such as germs and contamination. Compulsions are repetitive behaviors or thoughts that help make the obsessive thoughts go away. They can be very time consuming and prevent the individual from participating in activities the person values. Treatment is available for patients with OCD, and most can be helped. We’ll discuss OCD with our guest, Craig N. Sawchuk, Ph.D., L.P., a psychologist at the Mayo Clinic and find out how patients with OCD present, common obsessions they experience and how OCD can be managed.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Healthcare Professional Burnout: Contributors, Consequences & Solutions

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Colin P. West, M.D., Ph.D.

The practice of medicine is often stressful and at times, even frustrating. Sometimes the stress and frustration can get out of hand and lead us to feeling overwhelmed and hopeless. This has been described as burnout. There’s good evidence to suggest that well over half of all physicians practicing in the U.S. have exhibited some symptoms of burnout at some time during their career. Healthcare professional burnout not only has negative consequences for the clinician, but also for patients, as patient care can often suffer. What are the symptoms of burnout, can we prevent them and how can we manage those who are experiencing professional burnout? We’ll discuss these questions and more with Colin P. West, M.D., Ph.D., an internist in the Division of General Internal Medicine at the Mayo Clinic.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Can We Prevent Suicide?

* WARNING: This episode discusses suicide and suicidal ideation. *

Guest: J. Michael Bostwick, M.D.(@DrBostwick)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

In this episode, professor of psychiatry and international authority on suicide risk and challenges in suicide prevention, J. Michael Bostwick, M.D.  from Mayo Clinic in Rochester joins us. He’ll discuss epidemiological-based research looking at the utilization patterns of medical care by individuals who have contemplated or committed suicide. Dr. Bostwick will describe the concept of suicide crisis including risk factors, current events/warning signs, and mental status/agitation. He’ll also explain self-agency, stigma of discussing mental illness, potential value-based societal approach to individuals in distress and despair, and potential solutions to the suicide prevention.

Additional resources:

• Suicide Prevention in Primary Care Medicine; Huguet, Nathalie et al.; Mayo Clinic Proceedings, Volume 90, Issue 11, 1459 – 1461; https://doi.org/10.1016/j.mayocp.2015.09.011
• Grappling With Suicide Risk; Sublette, M. Elizabeth; Mayo Clinic Proceedings, Volume 93, Issue 6, 682 – 683; https://doi.org/10.1016/j.mayocp.2018.04.006
• Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew; Bostwick, J. Michael et al.; Amer Journal of Psychiatry; Volume 173, Issue 11, November 01, 2016, 1094-1100; https://doi.org/10.1176/appi.ajp.2016.15070854

If you're feeling overwhelmed by thoughts of not wanting to live or you're having urges to attempt suicide, get help now.

• Call 911 or your local emergency number immediately.
• Call a suicide hotline. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-8255 any time of day — press "1" to reach the Veterans Crisis Line or use Lifeline Chat.
• For a list of suicide hotline numbers outside of the U.S., visit: https://www.opencounseling.com/suicide-hotlines

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 60: Restoring Joy to Healthcare

Guest: Eric J. Cleveland; Danielle M. Teal (@dteal)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Joy has been defined as a human emotion — a state created as we experience positive, poignant, reflective and connective moments. It is transient, never persisting but imparting ripples that impact us long after the moment.

Now more than ever there is a need to develop mindful initiatives that brings joy in our personal lives and in the workplace. In this episode we speak with Eric Cleveland and Danielle Teal, two leaders of the Joy at Mayo Clinic (J@M) initiative. We will discuss the joy equation, the Institute of Health Improvement’s (IHI) Framework for Improving Joy in Work and discuss examples of pragmatic initiatives that can bring joy at both the individual and team levels.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Adult Eating Disorders

Guest: Leslie A. Sim, Ph.D., L.P. (@DrLeslieSim)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

A variety of eating disorders can occur in adults and they are associated with multiple potential health complications, including an increased risk of death. Some studies report that up to 20% of those with Anorexia Nervosa will die as a result of the condition. Would you recognize an eating disorder in the patients you see? What clues should you look for? In this week’s Mayo Clinic Talks, we’ll speak with Dr. Leslie Sim, a psychologist at the Mayo Clinic. We’ll discuss who is most likely to develop an eating disorder, important “red flag” symptoms, questions you should ask patients to help confirm a diagnosis, and how we should approach a patient we suspect has an eating disorder.

Topics discussed:

• Definition of an eating disorder
• Important “red flag” symptoms that may indicate an eating disorder
• Health complications that can occur as a result of an eating disorder
• Who is most likely to have an eating disorder
• The genetic component to eating disorders
• Clues from their childhood that suggest patients may have an eating disorder as an adult
• Events which can trigger an eating disorder
• When we should suspect an eating disorder
• How we should approach a patient we suspect has an eating disorder
• Management of eating disorders
• Effectiveness of treatment

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Effectively Addressing Nicotine Dependence for Patients with Mental Health Disorders

Guest: J. Taylor Hays, M.D. (@jtaylorhays)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you in on how to help these patients quit and what quitting looks like for this patient population.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Perception of Risk in Adolescent Substance Use Disorder

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Meeting the Needs of Our Female Veterans

Guest: Ashley Laganiere, CVSO 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Deeper Dive: 

• National Association of County Veterans Service Officers: https://www.nacvso.org/
• Minnesota Association of County Veterans Service Officers: https://www.macvso.org/index.html
• VA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/ 
• Military Health and Health Care https://www.rand.org/topics/military-health-and-health-care.html 

Dementia: Things You Shouldn’t Forget

Guest: Richard J. Caselli, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

When does forgetfulness become a red flag for dementia? What’s normal aging and what’s underlying disease process? When is a mental status exam not enough and what should you do next? Dr. Richard Caselli discusses dementia diagnosis, risk factors, treatment, and research. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Understanding Stress Traps in the Human Brain

Guest: Anjali Bhagra, M.D. (@anjalibhagramd) 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

How does our brain react to stress and setback? How can we harness what neuroscience tells us about these responses to combat the stresses in our lives we cannot currently change? Dr. Anjali Bhagra steps through the three F’s- focus, fatigue, and fear, to dig a little deeper into how we’re geared to respond and what we can do to intentionally navigate our responses. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Approaches for Diagnosis and Treatment of Depression

Guest: Bruce Sutor, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Depression is a common disorder seen in primary care practice. The majority of patients with depression are evaluated and treated not by psychiatrists, but by primary care providers, and it’s been shown that we correctly diagnose depression only about half of the time. Despite the fact that we have some very good treatment options for depression, those on treatment often have continued symptoms. Dr. Sutor is a Mayo Clinic Psychiatrist and Practice Chair of Psychiatry and Psychology in Rochester, Minnesota. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Working Effectively with Patients with Borderline Personality Disorder

This week’s talk, Working Effectively with Patients with Borderline Personality Disorder, was presented by Dr. Brian Palmer at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research