<![CDATA[Advanced Consultation]]>A podcast that brings you behind the scenes of mental health consultation. Hear how clinicians think through difficult questions and stay current with emerging evidence—so you can deepen your understanding alongside us.

www.advancedconsultation.com

Dr. Rachel LaFleur, Licensed Psychologist @ Stony Run Psychology & Wellness

Dr. Stephanie Deverich Davis, Licensed Psychologist @ Dr. Davis Therapy

Dr. Julie Brownley, Psychiatrist @ Psychiatry for Women

]]>advancedconsultation.comRiverside.fm (https://riverside.com)Tue, 01 Sep 2026 10:15:25 GMTSun, 28 Jun 2026 18:05:53 GMT60Rachel LaFleur, PhD<p>A podcast that brings you behind the scenes of mental health consultation. Hear how clinicians think through difficult questions and stay current with emerging evidence—so you can deepen your understanding alongside us.</p><p></p><p>www.advancedconsultation.com</p><p></p><p>Dr. Rachel LaFleur, Licensed Psychologist @ <a rel="noopener noreferrer nofollow" href="https://stonyrunpsych.com/" target="_blank">Stony Run Psychology &amp; Wellness</a></p><p>Dr. Stephanie Deverich Davis, Licensed Psychologist @ <a rel="noopener noreferrer nofollow" href="https://www.drdavistherapy.com/" target="_blank">Dr. Davis Therapy</a></p><p>Dr. Julie Brownley, Psychiatrist @ <a rel="noopener noreferrer nofollow" href="https://www.psychiatryforwomen.org/" target="_blank">Psychiatry for Women</a></p>episodicRachel LaFleur, PhDdrlafleur@advancedconsultation.comno<![CDATA[Postpartum Psychosis vs OCD - The Difference That Can Save Lives]]>The conversation delves into the critical topic of postpartum mental health, covering perinatal mental health conditions, postpartum psychosis, and postpartum OCD. It also explores medication, psychothearpy, and social support considerations for postpartum mental health. The conversation covers a range of topics related to postpartum mental health, including medication management, challenges in diagnosis and treatment, the impact of mental health on parenting and vise versa, the role of sleep, pressure on new parents, support systems, flexibility in postpartum planning, maternal mental health and breastfeeding, postpartum trauma and recovery, prioritizing maternal mental health, treatment approaches for postpartum OCD, balancing media exposure, and resources for postpartum mental health.

Resources:

Call or text the National Maternal Mental Health Hotline: 1-833-852-6262

Call or text the National Suicide Prevention Hotline: 988

Information page on postpartum psychosis help

Chapters

  • 00:00 Introduction to Postpartum Mental Health
  • 01:29 Perinatal Mental Health Conditions
  • 03:05 Postpartum Psychosis
  • 04:36 Postpartum OCD
  • 06:03 Differentiating Intrusive Thoughts, Delusions, and Hallucinations
  • 19:24 Recognizing Mania and Psychosis
  • 25:19 Medication Considerations for Postpartum Mental Health
  • 28:09 Postpartum Medication Management
  • 29:07 Challenges in Diagnosis and Treatment
  • 30:36 Impact of Mental Health on Parenting
  • 31:34 The Role of Sleep in Postpartum Mental Health
  • 32:58 Pressure on New Parents
  • 33:25 The Postpartum Experience
  • 35:19 Support Systems for New Parents
  • 36:22 Flexibility and Adaptability in Postpartum Planning
  • 37:04 Maternal Mental Health and Breastfeeding
  • 38:01 Postpartum Trauma and Recovery
  • 38:58 Postpartum Mental Health and C-Sections
  • 39:13 Prioritizing Maternal Mental Health
  • 43:42 Treatment Approaches for Postpartum OCD
  • 45:12 Managing Intrusive Thoughts in Postpartum OCD
  • 51:25 Balancing Media Exposure and Mental Health
  • 54:32 Resources for Postpartum Mental Health
]]>92bbd054-39bb-443e-b76b-65a51d47eda4Thu, 27 Aug 2026 19:14:26 GMT<p>The conversation delves into the critical topic of postpartum mental health, covering perinatal mental health conditions, postpartum psychosis, and postpartum OCD. It also explores medication, psychothearpy, and social support considerations for postpartum mental health. The conversation covers a range of topics related to postpartum mental health, including medication management, challenges in diagnosis and treatment, the impact of mental health on parenting and vise versa, the role of sleep, pressure on new parents, support systems, flexibility in postpartum planning, maternal mental health and breastfeeding, postpartum trauma and recovery, prioritizing maternal mental health, treatment approaches for postpartum OCD, balancing media exposure, and resources for postpartum mental health.</p><p></p><p>Resources:</p><p>Call or text the National Maternal Mental Health Hotline: 1-833-852-6262</p><p>Call or text the National Suicide Prevention Hotline: 988</p><p><a rel="noopener noreferrer nofollow" href="https://postpartum.net/get-help/postpartum-psychosis-help/" target="_blank">Information page on postpartum psychosis help</a></p><p></p><p>Chapters</p><ul><li>00:00 Introduction to Postpartum Mental Health</li><li>01:29 Perinatal Mental Health Conditions</li><li>03:05 Postpartum Psychosis</li><li>04:36 Postpartum OCD</li><li>06:03 Differentiating Intrusive Thoughts, Delusions, and Hallucinations</li><li>19:24 Recognizing Mania and Psychosis</li><li>25:19 Medication Considerations for Postpartum Mental Health</li><li>28:09 Postpartum Medication Management</li><li>29:07 Challenges in Diagnosis and Treatment</li><li>30:36 Impact of Mental Health on Parenting</li><li>31:34 The Role of Sleep in Postpartum Mental Health</li><li>32:58 Pressure on New Parents</li><li>33:25 The Postpartum Experience</li><li>35:19 Support Systems for New Parents</li><li>36:22 Flexibility and Adaptability in Postpartum Planning</li><li>37:04 Maternal Mental Health and Breastfeeding</li><li>38:01 Postpartum Trauma and Recovery</li><li>38:58 Postpartum Mental Health and C-Sections</li><li>39:13 Prioritizing Maternal Mental Health</li><li>43:42 Treatment Approaches for Postpartum OCD</li><li>45:12 Managing Intrusive Thoughts in Postpartum OCD</li><li>51:25 Balancing Media Exposure and Mental Health</li><li>54:32 Resources for Postpartum Mental Health</li></ul>no00:55:463Postpartum Psychosis vs OCD - The Difference That Can Save Livesfull<![CDATA[Accommodation of Anxiety & OCD]]>The conversation delves into the impact of accommodation on anxiety and OCD, the role of reassurance seeking, and how behavioral parent training can be an important framework for families of young children. The speakers seek to highlight the ways that reducing accommodation can empower clients, as well as their family members and loved ones. Drs. Davis, Brownley, and LaFleur speak the importance of fostering client self-trust and autonomy and avoiding paternalistic approaches.

Takeaways

  • Accommodation has a significant impact on anxiety and OCD treatment outcomes.
  • There is important nuance to addressing accommodation.
  • Empowering self-trust and autonomy is essential in OCD and anxiety treatment.

Chapters

  • 00:00 Introduction and Topic Overview
  • 02:59 The Impact of Family Accommodation
  • 09:59 Reassurance Seeking and Accommodation
  • 18:49 Behavioral Parent Training and Co-Sleeping
  • 24:51 The Myth of Supportive Parenting
  • 26:35 Understanding Behavioral Function
  • 28:00 Challenges in Accommodation Reduction
  • 29:12 Empowering Parents and Loved Ones
  • 30:26 Behavioral Psychology and Clinical Terminology
  • 32:00 Understanding Extinction Burst
  • 33:15 Collaboration and Communication with Providers
  • 35:59 Medication, Accommodation, and Trust
  • 40:24 Empowering Self-Trust and Autonomy
  • 45:29 Mechanics and Holistic Care in Treatment
  • 49:09 Empowering Self-Trust and Autonomy
]]>b1f10443-a1a8-45b5-aed2-2d8bfffdc68bFri, 14 Aug 2026 17:15:56 GMT<p>The conversation delves into the impact of accommodation on anxiety and OCD, the role of reassurance seeking, and how behavioral parent training can be an important framework for families of young children. The speakers seek to highlight the ways that reducing accommodation can empower clients, as well as their family members and loved ones. Drs. Davis, Brownley, and LaFleur speak the importance of fostering client self-trust and autonomy and avoiding paternalistic approaches.</p><p></p><p>Takeaways</p><ul><li>Accommodation has a significant impact on anxiety and OCD treatment outcomes.</li><li>There is important nuance to addressing accommodation.</li><li>Empowering self-trust and autonomy is essential in OCD and anxiety treatment.</li></ul><p></p><p>Chapters</p><ul><li>00:00 Introduction and Topic Overview</li><li>02:59 The Impact of Family Accommodation</li><li>09:59 Reassurance Seeking and Accommodation</li><li>18:49 Behavioral Parent Training and Co-Sleeping</li><li>24:51 The Myth of Supportive Parenting</li><li>26:35 Understanding Behavioral Function</li><li>28:00 Challenges in Accommodation Reduction</li><li>29:12 Empowering Parents and Loved Ones</li><li>30:26 Behavioral Psychology and Clinical Terminology</li><li>32:00 Understanding Extinction Burst</li><li>33:15 Collaboration and Communication with Providers</li><li>35:59 Medication, Accommodation, and Trust</li><li>40:24 Empowering Self-Trust and Autonomy</li><li>45:29 Mechanics and Holistic Care in Treatment</li><li>49:09 Empowering Self-Trust and Autonomy</li></ul>no00:54:182Accommodation of Anxiety & OCDfull<![CDATA[GLP-1 Medications and Mental Health]]>Welcome to the first episode of Advanced Consultation with Dr. Rachel LaFleur, Dr. Julie Brownley, and Dr. Stephanie Deverich Davis. The conversation delves into the complexities of GLP-1 medications, covering their physiological impact, psychiatric application, and influence on addictive and compulsive behaviors. It also explores the challenges of prescribing GLP-1 medications and the psychological impact of highly processed foods. The conversation delves into the limited research available regarding GLP-1 medications and mental health, the multifactorial nature of treatment resistance, the interplay between inflammation and endocrine systems, the prescription and oversight of GLP-1 medications, and the sensitivity required when addressing weight and mental health issues.

Takeaways

  • GLP-1 medications have a significant impact on hunger management and addictive behaviors.
  • The influence of highly processed foods on hunger drive and psychological well-being is a critical area of concern. GLP-1 medications pose challenges for some individuals
  • Treatment resistance is multifactorial
  • Inflammation and endocrine systems are interconnected
  • Prescription and oversight of GLP-1 medications require thorough evaluation
  • Sensitivity is crucial when addressing weight and mental health issues

Chapters

  • 00:00 Introduction to GLP-1 Medications
  • 00:49 Understanding GLP-1 Medications
  • 02:15 Prescribing GLP-1 Medications
  • 03:13 Challenges in Prescribing GLP-1 Medications
  • 04:13 Psychiatric Application of GLP-1 Medications
  • 06:03 Physiological Impact of GLP-1 Medications
  • 10:13 GLP-1 Medications and Addiction
  • 11:21 Impact of GLP-1 Medications on Compulsive Behaviors
  • 13:03 GLP-1 Medications and Hunger Management
  • 19:01 The Influence of Highly Processed Foods
  • 23:32 The Psychological Impact of GLP-1 Medications
  • 26:28 Challenges with GLP-1 Medications
  • 27:09 Multifactorial Nature of Treatment Resistance
  • 31:49 Inflammation and Endocrine Interplay
  • 41:01 Prescription and Oversight of GLP-1 Medications
  • 48:23 Weight and Mental Health Sensitivity
]]>a17da148-8c81-41b8-9239-f4602be04ecfThu, 30 Jul 2026 21:55:47 GMT<p>Welcome to the first episode of Advanced Consultation with Dr. Rachel LaFleur, Dr. Julie Brownley, and Dr. Stephanie Deverich Davis. The conversation delves into the complexities of GLP-1 medications, covering their physiological impact, psychiatric application, and influence on addictive and compulsive behaviors. It also explores the challenges of prescribing GLP-1 medications and the psychological impact of highly processed foods. The conversation delves into the limited research available regarding GLP-1 medications and mental health, the multifactorial nature of treatment resistance, the interplay between inflammation and endocrine systems, the prescription and oversight of GLP-1 medications, and the sensitivity required when addressing weight and mental health issues.</p><p></p><p>Takeaways</p><ul><li>GLP-1 medications have a significant impact on hunger management and addictive behaviors.</li><li>The influence of highly processed foods on hunger drive and psychological well-being is a critical area of concern. GLP-1 medications pose challenges for some individuals</li><li>Treatment resistance is multifactorial</li><li>Inflammation and endocrine systems are interconnected</li><li>Prescription and oversight of GLP-1 medications require thorough evaluation</li><li>Sensitivity is crucial when addressing weight and mental health issues</li></ul><p></p><p>Chapters</p><ul><li>00:00 Introduction to GLP-1 Medications</li><li>00:49 Understanding GLP-1 Medications</li><li>02:15 Prescribing GLP-1 Medications</li><li>03:13 Challenges in Prescribing GLP-1 Medications</li><li>04:13 Psychiatric Application of GLP-1 Medications</li><li>06:03 Physiological Impact of GLP-1 Medications</li><li>10:13 GLP-1 Medications and Addiction</li><li>11:21 Impact of GLP-1 Medications on Compulsive Behaviors</li><li>13:03 GLP-1 Medications and Hunger Management</li><li>19:01 The Influence of Highly Processed Foods</li><li>23:32 The Psychological Impact of GLP-1 Medications</li><li>26:28 Challenges with GLP-1 Medications</li><li>27:09 Multifactorial Nature of Treatment Resistance</li><li>31:49 Inflammation and Endocrine Interplay</li><li>41:01 Prescription and Oversight of GLP-1 Medications</li><li>48:23 Weight and Mental Health Sensitivity</li></ul>no00:52:201GLP-1 Medications and Mental Healthfull