Liver and (Don't) Let Die: Navigating Psychotropic Use in Cirrhosis

Cobenfy Unleashed: Psychiatry's New Frontier

Send us Fan Mail [https://www.buzzsprout.com/2185312/fan_mail/new] Cobenfy doesn't block dopamine — and that's the whole point. In this special episode, we step away from the bipolar just a bit to unpack the first genuinely new mechanism in schizophrenia treatment in decades. We break down how Cobenfy pairs xanomeline (a brain-penetrant M1/M4 muscarinic agonist) with trospium (a peripheral blocker that curbs the side effects), trace its surprising betel-nut origins, and explain the why behind the how: quieting dopamine in the striatum for positive symptoms and boosting GABA in the prefrontal cortex for cognition — all without the D2 blockade that brings EPS, weight gain, and sedation. https://www.nguyenindoubt.com/theyinpsych https://feeds.buzzsprout.com/2185312.rss

The Bipolar Brain on Overdrive: Dopamine, Serotonin & Circuits

Send us Fan Mail [https://www.buzzsprout.com/2185312/fan_mail/new] We're now tracing how dopamine and serotonin imbalances map onto psychomotor agitation, depression, and that “too much energy” feel of mania. We also stop by the basal ganglia–thalamus–sensorimotor loop, the ventrolateral and ventromedial prefrontal cortex, the amygdala, and the superior frontal gyrus to show how disrupted circuits drive impulsivity, hyperemotionality, and goal-directed behavior. Say that 10 times. https://www.nguyenindoubt.com/theyinpsych https://feeds.buzzsprout.com/2185312.rss

Ticket to Ride: The Bipolar Comorbidity Express Explored

Send us Fan Mail [https://www.buzzsprout.com/2185312/fan_mail/new] All aboard the Bipolar Express to unpack one of the messiest puzzles in psych: why diagnosing Bipolar Disorder sometimes feels like trying to solve a Rubik’s cube — when there could also be ADHD, anxiety, personality disorders, substance use, sleep-issues, or even childhood trauma riding shotgun.  https://www.nguyenindoubt.com/theyinpsych https://feeds.buzzsprout.com/2185312.rss

The B in Bipolar Stands for ‘Be Careful’: Diagnosing Bipolar Spectrum Disorders

Send us Fan Mail [https://www.buzzsprout.com/2185312/fan_mail/new] We make a tokyo drift to a new topic: bipolarism! Lets jump in and manically (responsibly) get through as much as we can with depression and its interfaces.  Hope you brought your shovel cause we're about to DIGFAST. https://www.nguyenindoubt.com/theyinpsych https://feeds.buzzsprout.com/2185312.rss

Late Life Depression: When the Golden Years Turn Grey (and the SSRIs Don't Shine)

Send us Fan Mail [https://www.buzzsprout.com/2185312/fan_mail/new] It never gets old to talk about late-life depression. Lets explore why growing older can sometimes mean growing sadder. We prance through executive dysfunction, vascular woes, inflammatory fires, and amyloid beta blues.  We’ll discuss why SSRIs might not be the golden ticket and what alternatives, like dopamine agonists, rTMS, and even ECT, can brighten those grey years. Plus, we'll ponder if your patient is depressed, or if their brain is just throwing a vascular tantrum. Tune in, turn up your hearing aids, and fluid restrict for the next 20 minutes if you have the worlds smallest bladder. https://www.nguyenindoubt.com/theyinpsych https://feeds.buzzsprout.com/2185312.rss