David Puder M.D. @DavidPuder Twitter profile

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David Puder M.D.

@DavidPuder

11 months

In medical school I learned DBT was the gold standard for BPD. In residency I discovered there were other equally effective therapies: TFT, MBT In practice, a commonality has dawned on me: no insurance wants to pay for the length of time and intensity of the treatment.

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David Puder M.D.

@DavidPuder

11 months

Some of my favorite quotes on listening psychodynamically… add your own, if you have another! "Most of the ways that therapists talk during the clinical hour are intended to demonstrate that they are listening" (McWilliams, 2004 p 134).

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David Puder M.D.

@DavidPuder

8 years

Why I am putting the phone away around my family!

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David Puder M.D.

@DavidPuder

5 years

@Adamhill1212 These questions bother and enrage me. Why? Because it actually keeps people from seeking treatment.

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David Puder M.D.

@DavidPuder

1 year

@elonmusk @CensoredMen Here is my summary as a psychiatrist actually treating depression: Depression is brain related and it is more complex then too little serotonin: First line in my mind is therapy (which changes the brain) and the connection is more important then the…

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David Puder M.D.

@DavidPuder

1 year

My mentor and supervisor Dr. Tarr passed June 12th 2023 at 94 years old. He was my teacher from July 2011 to June 2014. We co-taught classes together from July 2014 to May 2023 2-5 hours a week. He was a psychiatrist & psychoanalyst. He trained under the leadership of Franz…

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David Puder M.D.

@DavidPuder

5 months

Turning 40 tomorrow! Today 430 double overhand. Here are my 5 categories to optimize mental health: 1) connection (family, friends, therapy) 2) meaning/purpose 3) exercise (strength and cardio) 4) diet (less processed food) 5) sleep

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David Puder M.D.

@DavidPuder

11 months

New article and podcast on Narcissism with @JonathanShedler released today. Going to post the whole article/links below: Narcissism with Jonathan Shedler Nha Nguyen, Catalina Baas, Jorge Salazar MD, Jonathan Shedler, PhD, David Puder, MD Itunes link: …

‎Psychiatry & Psychotherapy Podcast: 185: Narcissism with Jonathan Shedler, PhD on Apple Podcasts

‎Show Psychiatry & Psychotherapy Podcast, Ep 185: Narcissism with Jonathan Shedler, PhD - Jun 30, 2023

podcasts.apple.com

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David Puder M.D.

@DavidPuder

11 months

I used to believe that EMDR was better than CBT… not seeing that in the data. Anyone surprised?

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David Puder M.D.

@DavidPuder

2 months

Episodes I have done with @JonathanShedler 1. Psychodynamic therapy: 2. Obsessive Compulsive Personality 3. Narcissism: 4. Beginning treatment: Please comment what should be next...

Beginning Treatment with Jonathan Shedler, PhD

Dr. Jonathan Shedler is well known for his work on the efficacy of psychodynamic therapy. He has highlighted the importance of the initial phase of therapy i...

www.youtube.com

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David Puder M.D.

@DavidPuder

4 months

Interviewing @JonathanShedler today on: Beginning the treatment Developing a treatment contract Developing a genuine working alliance (an alliance around shared understanding of the purpose of therapy and the methods of the therapy)... Any questions for him on these topics?

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David Puder M.D.

@DavidPuder

11 months

This article discusses an apparent case of mania triggered by Psilocybin. In my experience, I have observed a severe episode of psychosis resulting from Psilocybin use, which was only mitigated through the administration of a high-dosage antipsychotic.

Hot Take: Psilocybin was the Biggest Mistake of My Life

Despite having had a wonderful “trip”, the consequences of my first magic mushrooms experience continue to devastate my life a year later…

medium.com

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David Puder M.D.

@DavidPuder

4 months

New episode! “Beginning Treatment” with @JonathanShedler Big wins: 1. How to find an initial purpose of treatment 2. Role play !! iTunes: Spotify: YouTube:

‎Psychiatry & Psychotherapy Podcast: 205: Beginning the Treatment with Jonathan Shedler, PhD on...

‎Show Psychiatry & Psychotherapy Podcast, Ep 205: Beginning the Treatment with Jonathan Shedler, PhD - Feb 16, 2024

podcasts.apple.com

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David Puder M.D.

@DavidPuder

1 year

About to record a podcast episode with @JonathanShedler on Narcissism. Please post any questions below you desire him to address... Please check out the prior episodes we did: 1) Episode 144: Psychodynamic Psychotherapy with Jonathan Shedler, Ph.D

Episode 144: Psychodynamic Psychotherapy with Jonathan Shedler, Ph.D — Psychiatry & Psychotherapy...

Claire Baker, David Puder, MD Dr. Jonathan Shedler and David Puder have no conflicts of interest to report for the audio that goes with this article. Introduction In this episode, Dr. Puder intervi...

www.psychiatrypodcast.com

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David Puder M.D.

@DavidPuder

1 year

Squatting is one of the best exercises for your brain. Why? Because your muscles are Neuro-endocrine organs. Stronger people have lower rates of depression and anxiety. Squatting is a powerful way to release tons of positive brain stimulating substances. @SS_strength #squat

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David Puder M.D.

@DavidPuder

1 year

Started reading “Psychotherapy for Psychosis” by Michael Garrett, and this sweetness about his wife Nancy McWilliams touched my heart!

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David Puder M.D.

@DavidPuder

9 months

Sigmund Freud squatted and so should you…

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David Puder M.D.

@DavidPuder

1 year

Quote on Listening… anyone know Nancy McWilliams?

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David Puder M.D.

@DavidPuder

1 year

Happy to have so many requests to have Nancy McWilliams back on the podcast! And you too @JonathanShedler !! Some have asked for both of you at the same time.

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David Puder M.D.

@DavidPuder

1 year

Nancy McWilliams: Mental health in relationships is depicted through showing love and devotion to another person by accepting them as they are. This includes several other capacities, such as: •Being fully emotionally honest. •Being able to acknowledge …

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David Puder M.D.

@DavidPuder

1 year

1/8 Obsessive-compulsive personality is externally defined by high conscientiousness, meticulousness, and being highly regimented and cerebral with low emotional awareness. @jonathanshedler #psychtwitter #OCPD #psych #psychodynamic

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David Puder M.D.

@DavidPuder

18 days

1/ Reflective function - highly recommend learning about! Key to understand attachment, parenting, BPD, and what makes depth psychotherapy work.

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David Puder M.D.

@DavidPuder

9 months

My body feels nervous for the first time in podcasting. Interviewing Robert Sapolsky Thursday. @Dr_SueJohnson in 2 weeks. 4 am wake up without an alarm… my body knows. 2 people who have influenced my life I have never met.

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David Puder M.D.

@DavidPuder

11 months

In 8 years of medical school and psychiatry residency I had one lecture on how diet can impact mood from @DrewRamseyMD . Subsequently as an attending, @FeliceJacka 's SMILES trial, in 2017, rocked my understanding regarding diet on depression: RCT for 12-week study, 67 people...

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David Puder M.D.

@DavidPuder

2 months

Men are generally miserable unless they have something worth dying for

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David Puder M.D.

@DavidPuder

11 months

Each time I step beyond the confines of the psychology-focused Twitter, I bear witness to a disheartening display of unkindness and unnecessary provocation. It seems like there's a distinct lack of effort to comprehend differing viewpoints. I appreciate you, my friends!

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David Puder M.D.

@DavidPuder

1 year

In my mind, the gold standard for moving out of mental illness is: 1. Enough therapy- where you experience empathy, connection and progressively share more uncomfortable material with less shame 2. Exercise- both cardio and strength training 3. Diet lacking highly processed foods

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David Puder M.D.

@DavidPuder

1 month

Feeling sadness over the passing of Dr. Sue Johnson on April 23, 2024. As the founder of Emotionally Focused Therapy, she profoundly impacted both my personal and professional journey. I'm grateful to have hosted her on episode 194 of my podcast.

Dr. Sue Johnson: Attunement, Attachment and the Development of...

Join us in this captivating podcast episode as we explore Emotionally Focused Therapy (EFT) with the leading expert in the field, Dr. Sue Johnson. Gain insig...

www.youtube.com

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David Puder M.D.

@DavidPuder

9 months

I fear for our field. For those seeking to educate themself on transference: “By categorizing past close relationships, we can be prepared for meeting new people. Our early attachment relationships are always alive in the present. We have transference with every person, in…

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David Puder M.D.

@DavidPuder

11 months

Many of you liked @JonathanShedler ’s episodes on obsessive compulsive personality and narcissism. What type of personality would you like him to cover next? Here is a link to his article on them:

Hysteric-Histrionic

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Borderline-Dysregulated

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Dependent‐Victimized

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Schizoid-Schizotypal

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David Puder M.D.

@DavidPuder

2 years

@JonathanShedler gave a deep dive on projection, how psychopathology hides in culture, low long psychotherapy takes and what makes it work:

Psychodynamic Psychotherapy with Jonathan Shedler, PhD

Listen to this episode from Psychiatry & Psychotherapy Podcast on Spotify. In this episode, Dr. Puder interviews Jonathan Shedler, Ph.D. Their conversation covers the ideal length of therapy treatm...

open.spotify.com

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David Puder M.D.

@DavidPuder

4 months

New episode coming out with @JonathanShedler —- > excited to release our role play. Might be next week. We have to finish the article.

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David Puder M.D.

@DavidPuder

9 months

After ten years in personal therapy, diving deep with patients often brings me back to my own past traumas and developmental challenges. Just as patients develop strong feelings onto me, both real and informed from early attachments, I too am deeply affected and go through my own…

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David Puder M.D.

@DavidPuder

5 months

Working on an ACE (adverse childhood experiences) episode is difficult. Reading about trauma after working with patients who are in the midst of it, is hard. Heavy data analysis can seem like intellectualization in the midst of the reality of the suffering ... behind the numbers.

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David Puder M.D.

@DavidPuder

9 months

Exercise (cardio and strength training) is a prescription I like to write for all patients. For some it is complex. Strength training 2x per week, making small gains. For others who have an average of <500 steps per day, it is to increase their steps by 500 every week.

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David Puder M.D.

@DavidPuder

9 months

Sigmund Freud: “your focus on new modalities is just an unconscious desire to kill your father”

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David Puder M.D.

@DavidPuder

2 months

Remember my 205th episode with @JonathanShedler "Beginning the Treatment"? This is the article POSTED TODAY we co-wrote about our role play with extra commentary. I reveal this part was real for me: I once had a therapist who said I wasn't idealizing her enough...…

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David Puder M.D.

@DavidPuder

3 months

Woke up at 4 am to my son having a bad dream. I regulate his body with my calmness. He said "daddy don't tell me what it means till the morning"... I precede to get up and read the following studies as I prepare for recording an episode on reflective function:

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David Puder M.D.

@DavidPuder

3 months

@PeterFonagy and Bateman origin story — mentalization based therapy— effective treatment for borderline personality disorder!!! Deeply honored to even meet with them. Their chemistry should be watched— you will see love.

Mentalization Based Therapy (MBT), with Dr. Anthony W. Bateman and...

Unlock the power of mentalization! Join us in this insightful journey as we delve into the fascinating concept of mentalization and its profound impact on ou...

www.youtube.com

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David Puder M.D.

@DavidPuder

6 months

If Freud was Santa, what gift would he give you?

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David Puder M.D.

@DavidPuder

1 year

📢 Just released an extraordinary episode featuring my interview with Dr. Michael Garrett, husband of Nancy McWilliam, on connecting with patients with psychosis. I personally found his approach to be truly paradigm-shifting, and other MDs share the same sentiment. Prepare to be…

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David Puder M.D.

@DavidPuder

1 year

Better Help was fined 7.8 million by the FTC for sharing patient data (email addresses, IP addresses and health questionnaires) with meta and Snapchat. Was this enough? Seems like not even a wrist slap to me. I am highly disturbed by this commercialization.

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David Puder M.D.

@DavidPuder

8 years

Stumbled upon this poem and found it beautiful. #rupikaur #milkandhoney

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David Puder M.D.

@DavidPuder

8 months

Therapy, medications, and exercise are pillars of my psychiatric practice. Here's me powering through a weightlifting session this morning. #psychiatry

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David Puder M.D.

@DavidPuder

11 months

Examples Of Reframing “You” Statements To “I” Statements: “You never text me when you’re at work.” → “I wish you’d text me when you’re at work.”; “I fear you’re losing interest in me.”

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David Puder M.D.

@DavidPuder

4 months

Adverse childhood experiences increase odds of most mental health issues. Odds of having Ptsd or dissociation increases a ton when >4 ACEs. iTunes: Deep dive handout:

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David Puder M.D.

@DavidPuder

4 months

I learned about psychosis by learning about malingering psychosis … Dr. Resnick - first listened to him in residency and was mesmerized… talking to him was a gift.

Identifying Malingering with Dr. Philip Resnick

Malingering is the conscious misrepresentation of psychiatric symptoms for a secondary gain (such as hospitalization, obtaining disability benefits, avoiding...

www.youtube.com

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David Puder M.D.

@DavidPuder

11 months

Recognizing the daunting task my podcast faces in combating the barrage of misinformation propagated by corporations with billion-dollar budgets. The misleading information often includes: 1) Overstating the efficacy of newer medications, even when they're not more effective…

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David Puder M.D.

@DavidPuder

10 months

Today I picked up a 100+ pounds of books from my mentor who passed, Dr. John Tarr. I have many of the books, but do not have his underlines and notes. I am blessed to continue to find mentors with gifts to give. @JonathanShedler , Nancy McWilliams, Michael Cummings, and more…

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David Puder M.D.

@DavidPuder

9 months

Still waiting for a Twitter psychiatry critic to open up a clinic for treatment resistant depression or treatment resistant schizophrenia… one famous critic last time I had someone call- charged >1k per hour, and screened out anyone not wanting to do all her diet…

Mark L. Ruffalo

@MarkLRuffalo

9 months

I soon realized after joining this app that "mental illness" means something very different to those who have never sat across from a patient who tried to dig the "thought-monitoring electrode" out of his brain with a kitchen knife.

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David Puder M.D.

@DavidPuder

9 months

Why do some see flaws others can't? Ever wonder why certain individuals are hyper-aware of their appearance? Dr. Katharine Phillips, a 30-year BDD expert, sheds light on this in "Psychiatry & Psychotherapy Podcast with Dr. David Puder". #BDD #BodyDysmorphiaFacts …

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David Puder M.D.

@DavidPuder

8 years

Retweet if you resonate with this...

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David Puder M.D.

@DavidPuder

9 months

Reviewing my episode with @Mark_Solms on consciousness. Would be curious where you land on the determinism-free will spectrum. "I Feel, Therefore I Think, Therefore I Am" You Tube:

Episode 153: Consciousness & Emotion with Mark Solms — Psychiatry & Psychotherapy Podcast

Dr. Khrisan Gosai, David Puder, MD Dr. Mark Solms, Dr. David Puder, and Dr. Khrisan Gosai have no conflicts of interest to report. Dr. Mark Solms, author of, The Hidden Spring , gives us a guided...

www.psychiatrypodcast.com

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David Puder M.D.

@DavidPuder

1 year

If CBT were the gold standard, then only 20% more then wait list would get better according to this large study. Instead gold standard for therapy should be: 1. Strong therapeutic alliance and empathy 2. Therapist effect is stronger then modality 3. Enough treatment (see…

Jonathan Shedler

@JonathanShedler

1 year

How come “gold standard” never means providing adequate session frequency and treatment duration to *meet the patients actual mental health needs?* All the “gold standard” talk about therapy is a magician’s trick. It’s called misdirection.

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David Puder M.D.

@DavidPuder

2 months

Episode 209, titled "PTSD and Cognitive Processing Therapy," is now available. Dr. Resick, with decades of experience in treating trauma and conducting research, shares invaluable insights for professionals in this field.

‎Psychiatry & Psychotherapy Podcast: 209: PTSD and Cognitive Processing Therapy with Patricia...

‎Show Psychiatry & Psychotherapy Podcast, Ep 209: PTSD and Cognitive Processing Therapy with Patricia Resick - Mar 29, 2024

podcasts.apple.com

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David Puder M.D.

@DavidPuder

11 months

"Listening in a professional capacity is a disciplined, meditative, and emotionally receptive activity in which the therapist's needs for self-expression and self-acknowledgement are subordinated to the psychological needs of the client" (McWilliams, 2004 p 133).

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David Puder M.D.

@DavidPuder

11 months

“In the case of the borderline-level narcissist, the defense of splitting takes the form of ascribing all good and admirable qualities to themselves and projecting limitations, failures, and bad feelings onto others. Thus, they experience themselves as all-good and all-important…

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David Puder M.D.

@DavidPuder

7 months

Tonight I am reading notes I took from my late mentor and psychoanalyst Dr. John Tarr. Here are some quotes: "If you can't integrate mother and father then can you integrate an image of yourself? Emptiness, vagueness, not a solid core of conviction in things." "Many…

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David Puder M.D.

@DavidPuder

4 months

When people say they know how the mind and psychology work on social media… —>Yet don’t actually see patients —>Yet don’t read articles that counter their ideas —> Yet don’t build a strong man argument for the opposing side —> Yet are 100% sure…

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David Puder M.D.

@DavidPuder

5 years

@IAmDrIbrahim Empathy, diet, water, therapy, squatting

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David Puder M.D.

@DavidPuder

11 months

@DrDave_99 Transference-Focused Psychotherapy (TFP) is a psychodynamic treatment for borderline personality disorder. It uses the relationship between patient and therapist, and the emotions and behaviors that emerge ('transference'), to understand and manage the patient's complex emotional…

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David Puder M.D.

@DavidPuder

11 months

“AI therapy" isn't therapy; instead, it should be considered as advice or coping strategies that, at best, will likely outperform pop psychology self-help books. This misconception is akin to the term "social media," a misnomer, considering it's only 5% social. The remaining…

Jonathan Shedler

@JonathanShedler

11 months

"The idea of sitting in front of another person & telling them your biggest secrets fills a lot of people with dread & this adds to the appeal of AI therapy" They don't understand working through that sense of dread *IS* the therapy There are no bypasses

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David Puder M.D.

@DavidPuder

7 months

This is simply not true. In the Mass Shooter Database, out of the 182 cases there were only 43 that had ever been prescribed psychiatric medications (the rest had no evidence of ever being on a psychiatric medication).

David Puder M.D.

@DavidPuder

7 months

@MattWalshBlog spreading stigma and incorrect data on the link between school shooter and medications. Here is the truth: In the 2022 update of the Mass Shooter Database, out of 182 cases of mass shooters, there were only 34 with known mental health treatment in the past 6…

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David Puder M.D.

@DavidPuder

3 months

Episode 208 live— with Linda Michaels of @PsiANorg on her research into what people want from therapy… Link to audio on iTunes: Link to article:

‎Psychiatry & Psychotherapy Podcast: 208: What People Want From Therapy with Linda Michaels on...

‎Show Psychiatry & Psychotherapy Podcast, Ep 208: What People Want From Therapy with Linda Michaels - Mar 15, 2024

podcasts.apple.com

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David Puder M.D.

@DavidPuder

11 months

TFP, DBT, MBT, SFT all have equal outcomes when compared head to head. The problem we have is the length of the treatments (successful in the studies) is denied by insurance. Misattributing & externalizing blame will not help those suffering…

Allen Frances

@AllenFrancesMD

11 months

My view: Marsha Linehan got almost everything right about Borderline Personality Disorder- & Otto Kernberg got almost everything wrong.

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David Puder M.D.

@DavidPuder

9 months

@SteveStuWill “More Effective” is just not something the evidence says- yet. Comparing one effect size to another is not helpful sometimes because controls are different. Here is my summary:

Episode 179: Exercise & Mental Health 2023 Update — Psychiatry & Psychotherapy Podcast

Rachel Lockard MD, MPH, Desiree Turner, Manal Piracha, David Puder, MD In a previous episode of the podcast, we discussed exercise for the brain, reviewing the pathophysiology between exercise and...

www.psychiatrypodcast.com

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David Puder M.D.

@DavidPuder

8 months

There is a beauty to grow in a curiosity about our countertransference - we hear, we see, and we feel. What we feel and are drawn into might give us awakened deeper empathy. Empathy —> Connection —> Beauty

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David Puder M.D.

@DavidPuder

1 year

@Gilberator @elonmusk @CensoredMen We all have bias. But I would love Twitter depression slayers to open up a treatment center and actually sit with patients for several years and see if their ideas work.

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David Puder M.D.

@DavidPuder

2 months

New art by my daughter … she wanted to make it for an older student paired with her. Encouraging my kids to express gratitude might be one of the biggest gift I leave them with.

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David Puder M.D.

@DavidPuder

11 months

Every Mental Health Professional Should know about Xylazine (also known as “tranq” or the “zombie drug”)! It a clonidine analogue and alpha-2 adrenergic agonist with effects in both the central and peripheral nervous system. It functions as a powerful sedative, analgesic, and…

SFDPH

@SF_DPH

11 months

Xylazine, a dangerous vet tranquilizer, is in the S.F. drug supply and contributed ~2% of overdoses deaths in SF this year. All these deaths involved fentanyl too. Protect your life by stopping or reducing drug use. Recovery is possible: Call 888-246-3333 for treatment today.

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David Puder M.D.

@DavidPuder

11 months

Grateful for the support and warm-heartedness of our podcast audience. Your reviews fuel my commitment to: 1) Upholding data-driven, effective clinical practice 2) Maintaining integrity by declining pharmaceutical sponsorships 3) Discerning 'no' to maintain focus 4) Featuring…

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David Puder M.D.

@DavidPuder

8 years

I thinks some of the most beautiful souls I have met have grown up some horrible situations. #trauma #ptsd #suicide

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David Puder M.D.

@DavidPuder

11 months

If we do therapy right, it allows a patient to explore themselves: "The appropriateness of any intervention or therapeutic stance should be judged by the criterion of whether it increases the patient's ability to confide, to explore more and more painful self-states, and to…

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David Puder M.D.

@DavidPuder

11 months

What do you see? Try to comment your first unfiltered thoughts that come to your mind. I will post my reflections on this graphic art I made below. Watch expert @JonathanShedler discuss this personality here:

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David Puder M.D.

@DavidPuder

1 year

Take a moment to think about how different generations were raised: Silent Generation (1928-1945): Radio, Print media Baby Boomers (1946-1964): Television, Print media Generation X (1965-1980): Television, Early Computers, Internet Millennials/Gen Y (1981-1996): Internet,…

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David Puder M.D.

@DavidPuder

5 months

I did an episode with Judith Beck on CBT in 2024… 1) highly interpersonal, high empathy 2) therapeutic alliance seems central 3) stoic philosophy informed cbt tell me your thoughts: iTunes: Spotify:

‎Psychiatry & Psychotherapy Podcast: 202: Cognitive Behavior Therapy (CBT) with Dr. Judith Beck on...

‎Show Psychiatry & Psychotherapy Podcast, Ep 202: Cognitive Behavior Therapy (CBT) with Dr. Judith Beck - Jan 12, 2024

podcasts.apple.com

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David Puder M.D.

@DavidPuder

2 years

Consciousness deep dive with @Mark_Solms now up. 1) consciousness is not cortex dependent 2) I feel therefore I think therefore I am 3) Panksepp updates Freud (and more)::>

Consciousness & Emotion with Mark Solms

Dr. Mark Solms, author of, The Hidden Spring, gives us a guided tour of a journey into different aspects of consciousness, how Freud can be updated with the...

www.youtube.com

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David Puder M.D.

@DavidPuder

1 year

@JonathanShedler “Why” can evoke shame because they might not know why. Perhaps invites curiosity.

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David Puder M.D.

@DavidPuder

4 months

Nerding out today on the reflective function manual by Fonagy and @HowardSteele1 Reading this slowly & taking notes to better understand this attachment masterpiece. Made up a story for my son: a boy’s superpower of perfect reflective function

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David Puder M.D.

@DavidPuder

11 months

Here is some info in case you don’t know how important treating OSA is with a CPAP: Undiagnosed OSA symptoms: •Excessive sleepiness •Loud snoring •Frequent awakenings •Breathing pauses •Morning headaches •Dry mouth, sore throat •Irritability, mood disturbances •Poor…

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David Puder M.D.

@DavidPuder

11 months

Be aware and very cautious when asking "why" questions. Why questions are likely to arouse the same defensive, emotional reactions that occurred when the patient, as a child, was asked "Why did you do that?". At times, "Why?" can communicate disapproval.

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David Puder M.D.

@DavidPuder

1 year

If you wake up and your brain feels like mush, and you feel lethargic. Try a quick 10 minute workout followed by a cold shower for 3 minutes. Comment below if you feel better!

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David Puder M.D.

@DavidPuder

4 months

@JonathanShedler Deep dive here: 1. Social media is only 5% social 2. “Doom scrolling” 3. It is not just the hours on social media- it is the hours not doing real engaging things

Episode 065: Is Social Media Good for Mental Health — Psychiatry & Psychotherapy Podcast

On this week’s episode of the podcast, I interview Victoria “Tori” Burghart, 4th year medical student about social media and its impact on mental health.

www.psychiatrypodcast.com

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David Puder M.D.

@DavidPuder

1 year

My heart goes out today to those who found out they did not match. I myself was once there too. It was a real punch in the gut. After I heard in my head “psychiatry” which I had not applied to initially. Reach out if you want some empathy!

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David Puder M.D.

@DavidPuder

8 months

Had a patient use chat GPT and it sent them into a strong dissociation. Can’t give details - but imagine the hard truth (or inaccurate assumption) leading to extreme disorientation.

Jonathan Shedler

@JonathanShedler

8 months

Of course it's an illusion And it's a safe bet someone who feels "heard & warm" with a bot has little experience feeling heard & connected in real relationships. They don't know what intimacy looks, feels like, or how to create it That's what we address in real psychotherapy

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David Puder M.D.

@DavidPuder

6 years

I prescribe exercise and strength training for depression and cognitive enhancement. Here is my podcast episode on WHY and HOW... #depression #psychiatry #psychotherapy #podcast #exercise

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David Puder M.D.

@DavidPuder

9 months

New Podcast Episode: Schizophrenia Treatment: Clozapine, LAIs, Technology and Equity with John Kane, MD and Lauren Hanna, MD Authors: Jason Wong, BA, Joseph Flaxer, MD, MPH, Julia Tartaglia, MD, David Puder, MD Only Dr. John Kane has any potential reported conflicts of…

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David Puder M.D.

@DavidPuder

8 months

The essence of empathy lies in imaginatively immersing ourselves in someone else's world.

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David Puder M.D.

@DavidPuder

11 months

It is not that they are continuing to explore things they know they want to share, but things they did not even have access to until you listened in a way that reduced shame and fear and, therefore, allowed them to elaborate and to talk about themselves in deeper ways.

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David Puder M.D.

@DavidPuder

8 months

Recording Sue Johnson today! Going to talk about marriage, sex, connection, and attachment.

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David Puder M.D.

@DavidPuder

8 years

Putting emotions into words decreases amygdala response and increases RVLPFC! #therapy #psychotherapy #emotion

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David Puder M.D.

@DavidPuder

9 months

I am always curious why the critics don’t open up their own treatment resistant depression clinic with all their good ideas and publish their results… Instead they: 1) Tweet their ideas 2) Promote placebos 3) Believe a science fiction based religion that psychiatrists are…

Dr Annie Hickox

@DrAnnieHickox

9 months

I tweeted about my father having benefited from ECT and triggered this response. Unlike the poster, I don’t consider being hospitalised for mental illness as anything to be ashamed about, but I don’t think sectioning is an appropriate way of dealing with a tweet they don’t like.

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David Puder M.D.

@DavidPuder

9 months

@nntaleb Feeling out of breath during initial exercise phases, especially climbs, is common. Reasons: 1) Warm-up effect: Body adjusting blood flow. 2) Oxygen Debt: Initial anaerobic muscle work. 3) Lung Adaptation: Respiratory system adjusts to oxygen demand. 4) Mental Factor:…

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David Puder M.D.

@DavidPuder

6 years

New Episode Explaining How to Use Microexpression to Make Microconnections. Microexpressions to Make Microconnections Part 1

Episode 015: Microexpressions to Make Microconnections Part 1 — Psychiatry & Psychotherapy Podcast

David Puder, MD, Ariana Cunningham There are no conflicts of interest for this episode. What Are Microexpressions? Microexpressions are brief, involuntary facial expressions that are cues to the true...

www.psychiatrypodcast.com

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David Puder M.D.

@DavidPuder

11 months

Fun examples (add your own): “The phenomenological experience of our therapeutic alliance seems tinged by the vicissitudes of projective identification, wherein disavowed aspects of your self are unconsciously attributed to me, altering my countertransference and shaping our…

Jonathan Shedler

@JonathanShedler

11 months

I'll stick my neck out & say (again) it's disingenuous to speak in psychobabble & "therapy speak" Legit therapists don't talk that way. They speak plain English & help patients do the same If someone come out of therapy speaking psychobabble, something has gone horribly wrong

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David Puder M.D.

@DavidPuder

1 year

2/8 When asked how they feel about something, someone with OCP will instead tell you what they think. The overuse and overvaluation of thinking, reasoning and logic is a defense against emotional life.

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David Puder M.D.

@DavidPuder

5 months

@JonathanShedler I talk about this in my episode coming out tomorrow on ACE. With new research on ACE we don’t necessarily need new types of treatments- just most of the good that we have talked about.

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David Puder M.D.

@DavidPuder

8 months

Interview with @Dr_SueJohnson recorded yesterday! Posting next week! 1) the pursuer’s tone of anxiety and pressured voice, with underlying desire for their partner to open up — causes the withdrawal oriented partner to speak less out of a sense of danger

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David Puder M.D.

@DavidPuder

11 months

@JDaviesPhD Many moments of surprise when I felt authentic empathy when I was expecting something more like the still face experiment.

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David Puder M.D.

@DavidPuder

9 months

When @JonathanShedler treated Chuck Norris, he discovered a new therapeutic approach: instead of talking about feelings, the feelings talked about how they felt around Chuck.

Jonathan Shedler

@JonathanShedler

2 years

I do not practice a "type" of psychotherapy. The therapy I provide is based on my case formulation for a specific person. I have never provided the same therapy twice. It is therapy for that person alone. This is something outcome researchers seem incapable of grasping.

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