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In this week's episode, academic psychologist Dr. Lucy Foulkes, speaks to us about her book 'Coming of Age' and the importance of our adolescent years, the complexity of mental health awareness in today's society. We explore how rising conversations around mental illness, especially among young people, have reshaped identity, education, and the language we use to describe our inner lives. We also discussed why young adults self-diagnose, the role of social media, and the Netflix series 'Adolescence'.

About Dr. Foulkes: Dr. Foulkes is an academic psychologist in the Dept of Experimental Psychology at the University of Oxford where her group researches mental health and social development in adolescence. They are most known for their focus on the unintended consequences of mental health awareness in schools and society more broadly. Her first book, What Mental Illness Really Is (…and what it isn’t), focuses on the rise of mental health problems in society, and the possible contributing role of mental health awareness efforts. Her second book, Coming Of Age: How Adolescence Shapes Us, which we will be discussing today, focuses on the power of adolescent memories and the stories we tell ourselves about our formative years. I will be linking both books to this episode description.

Website: https://www.lucyfoulkes.com/

Instagram: https://www.instagram.com/drlucyfoulkes

Coming of Age: https://www.amazon.com/What-Mental-Illness-Really-what/dp/1529113377

What Adolescence Is (And What It Isn't): https://www.amazon.com/Coming-Age-author/dp/1847927297

Paper - Self-Diagnosis of Mental Disorders: A Qualitative Study of Attitudes on Reddit: https://journals.sagepub.com/doi/full/10.1177/10497323241288785

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In this week's episode, I speak with Dr. Mark Ruffalo on Borderline Personality Disorder (BPD), long-term psychotherapy, and the nuances of diagnosis in mental health. We discuss object relations in BPD, the concept of splitting, and how these dynamics shape therapeutic work. We also explore the role of psychoanalytic therapy, the fine line between pathology and normal behavior, and how diagnostic pluralism can improve patient care. Dr. Ruffalo also shares insights into the psychodynamic treatment of schizophrenia and the evolving landscape of mental health. Chapter markers added!

About Dr. Mark Ruffalo

Dr. Ruffalo is a psychotherapist in private practice in Florida, and serves as Assistant Professor of Psychiatry at the University of Central Florida and Adjunct Instructor of Psychiatry at Tufts University. He has broad clinical experience in the psychoanalytic treatment of a range of psychiatric conditions with particular interest in the psychotherapy of schizophrenia and borderline personality disorder. His current research interests include the object relations theory of borderline personality disorder; communication dilemmas, paradoxes, and double binds in personality pathology to name a few.

Website: https://www.drruffalo.com/

LinkedIn: https://www.linkedin.com/in/mark-l-ruffalo-71929063/

Twitter: https://x.com/marklruffalo?lang=en

Paper - A Clinical Guide to Navigating Diagnostic Pluralism: https://pubmed.ncbi.nlm.nih.gov/39079000/

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In this episode of Behind the Stigma, we delve into the transformative world of lifestyle psychiatry with Dr. Nicholas Fabiano, a third-year psychiatry resident at the University of Ottawa.

We explore the role of exercise in managing mild to moderate depression, its potential as a therapeutic modality alongside traditional treatments, and the broader implications for mental health care.

We also discuss the challenges of publication bias in mental health research, the integration of AI in systematic reviews, and ethical considerations in advancing critical psychiatry. Dr. Fabiano shares insights from his groundbreaking research on exercise, mental health, and even its darker side as a form of self-harm.

About Nicholas Fabiano
Nicholas Fabiano is a third year psychiatry resident in the University of Ottawa, in Canada. His research interests encompass diagnostic imaging, meta-research, mental health (particularly the role of exercise and physical activity), suicide prevention, systematic reviews, and the intersection of psychiatry with broader health and social issues.
Twitter: https://x.com/NTFabiano
LinkedIn: https://www.linkedin.com/in/ntfabiano/?originalSubdomain=ca
Website: https://scholar.google.ca/citations?user=Ph8ryrMAAAAJ

Papers:
- How to prescribe physical activity for depression.
- Is exercise a form of self-harm?
- Reporting bias in imaging diagnostic test accuracy studies: are studies with positive conclusions or titles submitted and published faster?

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/