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Psychiatry & Psychotherapy Podcast

5 Factors and Domains of Psychiatric Care

Psychiatry & Psychotherapy Podcast

David J Puder

Science, Health & Fitness, Medicine

4.81.3K Ratings

🗓️ 8 March 2024

⏱️ 100 minutes

🧾️ Download transcript

Summary

In this Episode, Dr. David Puder, Dr. Adam Borecky, and Joanie Burns discuss the 5-factor approach to holistic, patient-centered psychiatric care. This approach takes into account that each individual who seeks care is unique in their physiological and psychological make-up and that multiple factors influence both physical and mental health (for better or worse).

The 5-factor approach to treatment is based on the importance of sensorium and its pivotal role in regulating thoughts, feelings, and overall mental health. Sensorium is a lens to understand how we focus on various things. Sensorium is total brain function, which fluctuates throughout the day and depends on a number of factors, including sleep, stress levels, and more.

Transcript

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0:00.0

All right, welcome back to the podcast. I am joined today with Joni Burns, Dr. Joni Burns,

0:19.5

a nurse practitioner, psychiatric nurse practitioner, who has been in private practice for five years.

0:25.4

She was coached by me for two and a half years and then came on my team

0:31.6

and sees patients in Florida and California. Joining with me as well is Adam Brecky. He is a

0:38.6

psychiatrist in private practice in my group in California and does tele-psychiatry and

0:46.4

tele-therapy. And so, yeah, welcome to the podcast. Thank you. And we are going to be going through

0:55.0

the five factors and domains of psychiatric care. So this is a holistic patient-centered

1:02.5

psychiatric care approach that we have spoken about in pieces throughout the podcast.

1:09.8

And Joni and I largely, largely Joni has worked on this handout, which will cite everything

1:16.6

that we're going to talk about today. And me and Joni meet once a week and I have been looking

1:22.4

at this with her for about a year, I would say, as we, you know, I get busy with everything else and

1:30.0

then we just would find one little piece of something we would want to add. So, briefly,

1:36.5

just to give you an idea of what we're going to talk about today, we're going to talk about

1:40.4

the five facets of good psychiatric care, including therapy, sleep, activity,

1:49.0

aka exercise, number four is nutrition, and number five is medication,

1:54.7

and the role of medication in the overall approach. So, Joni, tell me what gets you excited about

2:02.9

this approach in particular? Well, this is something I'm very passionate about and not only

2:09.2

try to share with colleagues, but also with patients in that there's not a singular approach

2:15.8

to psychiatric care. And we're looking at the whole body, the whole person when we're providing care.

2:21.9

And you know, medications is just a small piece of that, even if it may not even be appropriate

2:28.4

for some patients. So, let's find the specific pieces, specific tools for each patient,

2:34.4

what can we find to and and tweak to make their overall well-being better?

...

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