PsychEd Episode 75: Introduction to Interventional Psychiatry with Dr. Sean Nestor

<p>Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.</p><p>This episode covers interventional psychiatry with Dr. Sean Nestor, an interventional psychiatrist and clinician-scientist at the University of Toronto, where he serves as Assistant Director of the Psychiatry Program and oversees the Clinician Researcher Track (CResT) residency within the Department of Psychiatry. His research program at Sunnybrook Health Sciences Centre focuses on advancing the clinical application of neuromodulation therapies to improve outcomes across a wide range of psychiatric disorders.</p><p>The learning objectives for this episode are as follows</p><ol><li>Define interventional psychiatry and distinguish it from traditional pharmacologic and psychotherapy-based approaches</li><li>Describe the role of interventional psychiatry in clinical practice, including identifying patient populations most likely to benefit from neuromodulation treatment</li><li>Identify pathways to become involved in research and scholarly work within the field of interventional psychiatry</li></ol><p><br></p><p>Guest: Dr. Sean Nestor</p><p><br></p><p>Hosts: Dr. Pooja Sankar (PGY1), Michael Wang (MS4), Dr. Kate Braithwaite</p><p><br></p><p>Audio editing: Dr. Kate Braithwaite</p><p><br></p><p>Time Stamps:</p><p>(2:25) - Defining Interventional Psychiatry (IP) and its role in Psychiatric practice</p><p>(4:20) - Evolution of Interventional Psychiatry (IP)</p><p>(8:40) - Patients who will benefit from IP modalities</p><p>(12:35) - Other factors to consider when assessing a patient for IP </p><p>(15:30) - rTMS</p><p>(19:15) - Description of a typical rTMS session</p><p>(23:50) - ECT</p><p>(26:45) - Ketamine</p><p>(29:05) - Other Investigational Modalities</p><p>(30:45) - Maintenance treatment</p><p>(35:30) - Medication and IP</p><p>(37:55) - Addressing stigma of ECT</p><p>(43:15) - Discussion on place of IP in Depression management decision tree</p><p>(47:00) - How to get involved in IP</p><p>(50:10) - Rewarding aspects of working in IP</p><p>(52:25) - Challenges of working in IP</p><p>(53:40) - Future of the field </p><p><br></p><p>Resources:</p><p><a href="https://stanfordhealthcare.org/medical-treatments/s/stanford-accelerated-intelligent-neuromodulation-therapy.html⁠" target="_blank" rel="ugc noopener noreferrer">⁠Stanford Accelerated Intelligent Neuromodulation Therapy (SAINT) | Stanford Health Care⁠</a></p><p><a href="https://clinicaltmssociety.org/⁠" target="_blank