Thinking In Psychiatry

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In 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. 

A 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. 

This 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.

What is Thinking In Psychiatry?

Thinking in Psychiatry is an Academy by Psych Scene podcast featuring short, high-signal audio episodes you can listen to on the go. Each week we break down emerging evidence, evolving clinical frameworks, and complex cases across the lifespan – from psychopharmacology and neurobiology to formulation, systems thinking, and metabolic and sleep psychiatry. Designed for busy clinicians, every episode is grounded in evidence, reviewed by faculty, and focused on one question: how can we practise better psychiatry, starting today?