How to Be Patient

Laugh all you want (please laugh it’s supposed to be funny), Preston has been doing improv from the last year and he has some thoughts. Not just “yes ands” about how it makes him a better doctor, and he is dragging Margaret into the mix starting off with some improv style warm ups and ending with a philosophical commentary about the stage we all perform on. I don’t know why I am talking about Preston like I am not the one writing this. Hi it’s me, Preston. Enjoy the episode!

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Produced by Dr Glaucomflecken & Human Content

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Margaret is back and today our episode pulls themes from Carol Dweck’s work and book Growth Mindset, as well as a favorite sophisticated film: Kung Fu Panda. In this episode, Margaret and Preston discuss a frame to make sense of the obstacles we meet as we change levels of training, weather you’re starting med school, doing a post doc, or changing jobs. We walk through phases of growing, including failing, flailing, and flourishing, and give examples along the way from our growth-minded Panda friend.

Check out some info on Dr. Dweck’s work:

https://ctl.stanford.edu/students/growth-mindset

Check out a paper as well from a few years ago on limitations/evolving learning on growth mindset as a frame (we love nuance here):

Yeager DS, Dweck CS. What can be learned from growth mindset controversies? Am Psychol. 2020 Dec;75(9):1269-1284. doi: 10.1037/amp0000794. PMID: 33382294; PMCID: PMC8299535.

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Produced by Dr Glaucomflecken & Human Content

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In Episode 15, Preston and Margaret open a bottle—of questions, stories, and science—about alcohol use disorder. What do we get wrong about “moderate” drinking? Why is detox more dangerous than most people realize? And how does alcohol quietly reshape identity, relationships, and the brain itself? With their signature blend of honesty and humor, they explore the unexpected ways drinking shows up in medicine, the myths that keep us stuck, and the messy, meaningful path to redefining recovery.

Takeaways:

What if “just a drink” isn’t so simple? Preston and Margaret explore how subtle patterns can blur the line between social drinking and something more.

Could quitting be more dangerous than drinking? There’s a reason detox needs to be taken seriously—and it’s not what you think.

What does alcohol really do to your brain? Let’s just say it’s a little more complicated than relaxation and red wine.

Why don’t we talk about medication for alcohol use disorder? The answers are as cultural as they are clinical.

Is recovery a destination—or something else entirely? Margaret and Preston unpack a version of success that doesn’t always fit the script.

Watch on YouTube: @itspresro

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Produced by Dr Glaucomflecken & Human Content

Get in Touch: ⁠howtobepatientpod.com
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In today’s episode we bring on Dr. Campbell Sullivan, PsyD to discuss the interesting field of neuropsychology, a complicated niche that focuses on eliciting deficits in cognition across patters of disease. We discuss the triumphs of her field as they collaborate with both psychiatry and neurology and then get into the places she sees room for improvement, particularly in how we assess and treat cognition in the aging female brain.

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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
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In this preston-led episode, we take a deep dive into the history of lithium and its use in psychiatry. But because Preston is very literal, we are starting at the very beginning, inside of stars where lithium was formed at the beginning of the universe. Then we will follow this wonderful atom through history and past its FDA approval in 1970 to where we are today.

Takeaways:

Lithium was once sold in Seven Up as a mood-lifting ingredient—but the consequences were messy.

A forgotten Australian psychiatrist helped launch lithium into psychiatry with groundbreaking trials.

Despite its toxicity risks, lithium remains the gold standard for reducing relapse and suicidality.

U.S. psychiatrists resisted lithium for decades—even as Europe embraced it.

Preston and Margaret debate lithium’s place today: miracle stabilizer or underused relic?

Citations:

⁠https://www.sciencedirect.com/science/article/abs/pii/0025556484901160⁠

Shorter E. The history of lithium therapy. Bipolar Disord. 2009 Jun;11 Suppl 2(Suppl 2):4-9. doi: 10.1111/j.1399-5618.2009.00706.x. PMID: 19538681; PMCID: PMC3712976.⁠https://pmc.ncbi.nlm.nih.gov/articles/PMC3712976/⁠

Fowler, Gene. Crazy Water: The Story of Mineral Wells and Other Texas Health Resorts. No. 10. TCU Press, 1991.

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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

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