{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Thinking In Psychiatry","title":"Why Pharmacotherapy Alone May 'Fail' in Complex TRD (Treatment-Resistant Depression)","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/69e5e6bb\"></iframe>","width":"100%","height":180,"duration":849,"description":"To access the full episode and over 150+ hours of cutting-edge, interactive courses on Psychiatry subscribe to The Academy: https://psychscene.co/4qfNAny\nIn this episode, Consultant Psychiatrist, Dr Sanil Rege looks at treatment refractory mood disorders through a psychodynamic lens using a naturalistic study from the Austen Riggs Centre. \nA subset of what most see as Treatment-Resistant Depression (TRD) isn't just pharmacological non-response; it's depression embedded within personality organisation, trauma-related aspects, attachment, and unconscious patterns. \nThis podcast provides clinicians with a psychodynamic perspective to understand how clinical refractoriness to standard pharmacotherapy can be sustained by meaning, defences, and relational patterns, not just neurotransmitters.","thumbnail_url":"https://img.transistorcdn.com/Lw4BM23swTaSGSQDTeu0xzNWxYaebSgRjmLxoDtrgeI/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS80ODdl/Zjc0NjU1ZmNhZjVi/ZWFiMmQ2NDg1YjVi/NzI4NC5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}