You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement i...
In this episode Preston and Margaret tackle one of the most talked-about topics in mental health today—ADHD. From the historical roots of the diagnosis to the impact of modern social media trends, they explore how our understanding of ADHD has evolved over time. They discuss the challenges of diagnosing ADHD in both children and adults, the role of social media in spreading information (and misinformation), and the real-life impact of the disorder.
Takeaways:
ADHD Has Deep Historical Roots: The first observations of ADHD-like symptoms date back to the 1930s, when stimulants were found to improve focus in children originally treated for other conditions.
Diagnosis Isn’t Always Simple: ADHD symptoms can overlap with anxiety, depression, and other conditions, making proper evaluation and history-taking crucial for an accurate diagnosis.
Social Media: Help or Hinderance? While platforms like TikTok can offer community and validation, they can also contribute to misinformation and oversimplified self-diagnoses.
Early Treatment Matters: Research shows that children who receive appropriate ADHD treatment, including medication, often have better long-term outcomes and lower rates of substance use.
ADHD Is More Than Inattention: The condition impacts executive functioning, emotional regulation, and impulse control, which can affect relationships, careers, and daily life beyond just focusing.
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Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
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1:18:45
Rapport Building
In this episode Preston and Margaret explore the complex concept of rapport in healthcare. They reflect on the challenges of building meaningful connections with patients and the impact these relationships have on medical outcomes. From awkward early encounters in medical school to techniques they've developed as psychiatry residents, this episode unpacks what it means to truly connect.
Takeaways:
Rapport Is More Than Liking: Building rapport isn’t just about being liked; it’s about creating trust, safety, and understanding between clinician and patient.
Authenticity Matters: Patients respond to doctors who show up as their authentic selves. Balancing professionalism with humanity is key to trust-building.
Rapport Shapes Outcomes: Research shows that strong patient-clinician relationships lead to better health outcomes, regardless of the treatment modality used.
Tailor Your Approach: Building rapport requires adapting to each patient’s unique personality and background. What works for one patient may not work for another.
Empathy Is a Skill: Empathy takes practice, energy, and intentionality. It's not about agreeing with patients, but about understanding them deeply.
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Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
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1:22:07
Making it Through Winter: Seasonal Affective Disorder and Winter Mental Health Tips
In this episode Preston and Margaret embrace the season with a deep dive into Seasonal Affective Disorder (SAD). From the science behind melatonin and serotonin to the cultural and emotional frameworks that shape how we experience winter, this episode covers the biopsychosocial dynamics of seasonal depression. Along the way, they share personal anecdotes, including the surprising benefits of light therapy and reframing winter as an opportunity for growth.
Takeaways:
Light is Power: Exposure to light regulates circadian rhythms and can significantly impact mood. Tools like light therapy boxes are clinically proven to combat seasonal depression.
Medication Matters: SSRIs, bupropion, and melatonin agonists like agomelatine are effective treatments for SAD, with some meds even preventing symptoms when started early.
Embrace Behavioral Activation: Joining activities like winter sports or social groups can create accountability and help maintain mental health during darker months.
Reframe the Season: Viewing winter as a time for creativity, community, or solitude can transform it into a meaningful and enriching period.
Self-Compassion is Key: Feeling tired or less motivated during winter is normal. Practicing self-compassion and acknowledging seasonal changes can reduce guilt and promote well-being.
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Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
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1:11:28
Attachment Theory, just hanging in there
In this episode Preston and Margaret dive into the science and personal experiences surrounding attachment theory. They discuss its origins, its modern-day interpretations, and how it shows up in everyday relationships.
Takeaways:
Attachment is Dynamic: Attachment theory isn’t a fixed diagnosis—it’s a lens to understand how people relate to others and themselves.
Repair Builds Resilience: Healthy relationships are not conflict-free but can recover from disagreements and grow stronger.
Pop Psych Oversimplifies: Modern discussions about attachment styles often miss the nuance and flexibility inherent in these frameworks.
Therapy is Practice: Therapy can rewire attachment patterns by creating safe spaces for emotional repair and connection.
Humor as a Shield: Humor can be a tool for connection but also a way to avoid vulnerability—knowing the difference matters.
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Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
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1:12:12
Intro, tale of two doctors
In this debut episode of How to Be Patient, psychiatry residents Preston Roche and Margaret Duncan open up about their personal journeys into medicine and the challenges they’ve faced in connecting with patients—and themselves. From navigating early patient interactions to grappling with their own vulnerabilities, they explore the balance between authenticity and professionalism. With humor, candid storytelling, and a dash of introspection, this episode sets the stage for a season of thoughtful discussions on empathy, growth, and the art of being present in healthcare. Get ready for the tale of two doctors!
Takeaways:
Empathy is a Skill: You don’t have to be born with it—learning how to connect with patients can happen over time and with practice.
Authenticity Matters: Medicine isn’t about pretending to be perfect; it’s about finding a way to unify your personal identity with your professional role.
Vulnerability is Strength: Struggles, failures, and even embarrassing moments can be powerful tools for connecting with others.
Creativity Fuels Resilience: Exploring hobbies and personal interests, like Margaret’s Bad Art Every Day project, can help you stay grounded during stressful times.
Reflection Unlocks Growth: To truly understand and support patients, start by looking inward and understanding your own emotions and biases
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Watch on YouTube: @itspresro
Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: howtobepatientpod.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone engage with. From better understanding our patients’ (and our own) relationships with their conditions in a changing world, it’s more important than ever that we learn: HOW TO BE PATIENT!
Each week, join Dr. Preston Roche (Psychiatry Resident & Digital Influencer) and Dr. Margaret Duncan (Psychiatrist & Content Creator) on their quest to better understand the patients we dedicate our lives to and the evolving paths they’re bound to travel beyond the clinic. By engaging with stories and perspectives that challenge our shared understanding of a condition, we hope you’ll similarly gain new perspectives as we look at our patients, and their mental health struggles, with further nuance and empathy. (And with Dr. & Lady Glaucomflecken producing, we've been mandated to include plenty of weird medical jokes too).
Speaking of which, a key part of this is hearing YOUR stories! What’s changed your understanding of patient care? Do you have an experience that shines new light on something we’ve discussed on-air? Get in touch at: howtobepatientpod.com
Brasil