{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/67a15023f0aed667c52953d7/69e2b8f3d2febdbec9ca828c?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Episode 6 - Anxiety with Rami Safi","description":"<p>Are you anxious about what you don’t remember about anxiety therapy? Well have I got a treat for you.&nbsp;Episode 6 of Rings A Bell Podcast! Rami Safi, a pharmacist and psychotherapist (qualifying) brings us the good bad and the ugly of anxiety management.&nbsp;Enjoy a comprehensive overview of pathophysiology, pharmacology and therapeutics with a few helpful tips for managing your own anxiety along the way!</p><p><br></p><p><strong>Topics Covered</strong></p><p>00:00 - Introduction and housekeeping</p><p>00:44 - Rami’s journey from pharmacist to pharmacist and psychotherapist</p><p>07:22 - Pervasiveness and importance of anxiety</p><p>08:45 - Connection between perfectionism and anxiety</p><p>11:30 - Neurotransmitters involved in anxiety disorders</p><p>13:22 - Neurobiological difference between panic attack and generalized anxiety disorder</p><p>19:25 - Role of the amygdala in fear and anxiety</p><p>21:50 - First line treatments for generalized anxiety disorder</p><p>26:36 - Rapid nervous system regulation techniques</p><p>34:07 - St. John’s Wort risks in anxiety disorders</p><p>35:38 - Appropriate times to use benzodiazepines in anxiety treatment</p><p>36:11 - Managing side effects of selective serotonin reuptake inhibitors</p><p>37:45 - Importance of deprescribing benzodiazepines in elderly people</p><p>39:29 - Benzodiazepine pharmacokinetics (volume of distribution) (rate of clearance) (implications in obesity and elderly)</p><p>42:25 - Preferred benzodiazepines in elderly people</p><p>43:02 - Mechanism of action of buspirone</p><p>44:25 - Meds used in psychology with narrow therapeutic window</p><p>45:52 - Lithium and kidney function</p><p>47:49 - Serious drug interactions with SSRIs</p><p>48:45 - Intersection of chronic pain, depression and insomnia</p><p>50:35 - moral model of substance use vs. biopsychosocial model of substance use</p><p>56:34 - wrap up</p><p><br></p><p><strong>Connect with Rami Safi</strong></p><p>LinkedIn: <a href=\"https://www.linkedin.com/in/rami-s-98186718/\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.linkedin.com/in/rami-s-98186718/</a></p><p>Wellness Wave Pharmacy in Hamilton: <a href=\"https://wellnesswavepharmacy.ca/\" rel=\"noopener noreferrer\" target=\"_blank\">https://wellnesswavepharmacy.ca/</a>&nbsp;</p><p><br></p><p><strong>All the Links!</strong></p><p>Find all the links to all the things (references, resources, buy me a coffee, email list, etc) here: <a href=\"https://ringsabellpod.kit.com/allthethings\" rel=\"noopener noreferrer\" target=\"_blank\">https://ringsabellpod.kit.com/allthethings</a>&nbsp;</p><p><br></p><p>#anxiety #pathophysiology #pharmacology #anxietytherapeutics #therapeutics #continuingeducation#continuingeducation #pharmacy #pharmacylife #pharmacylyfe #pharmacistlife #pharmacistlyfe #itsmyanxiety #weallhaveanxiety #anxietymanagement #ssris #snris #serotonin #dopamine #norepinephrine #panicattacks #bzds #benzos #obesitymedicine #geriatricmedicine #benzodiazepines #diazepam #pharmacokinetics #volumeofdistribution #eliminationhalflife #neurology #psychotherapy #cbt #cognitivebehaviouraltherapy #GAD #generalizedanxietydisorder #SJW #stjohnswort #substanceuse</p>","author_name":"kimberley Kallio"}