Data Driven Clinical Practice w/ Arielle Radin Pulverman Bruin Health

Future of Psychiatry! Innovations in Mental Health

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Arielle Radin Pulverman (UCLA PhD student) and co-founder of Bruin Health speaks about their goals to, "enable measurement based dimensional, data driven, precision psychiatry through partnering with clinicians who want to do this type of care." Ultimately in 20 yrs, she would like to make sure that "mental health care at least looks like other areas of physical health care... If we can get to the point of being like the gold standard for all things mental health, I don't think we can really do our jobs until mental and physical health are completely integrated at the level of healthcare. That's a very ambitious goal, but that is our North Star."
What was the need? "So Bruin is trying to translate a lot of the approaches that we use in mental health research in terms of measurement approaches, also the constructs that we know are relevant for mental health and also the biopsychosocial model of mental health, trying to translate all those approaches into the real world. So something that I noticed being in academia is that a lot of the work that we're doing is not translating. It's not making its way into clinical practice."
Why was the product so successful and engaging? "Some people don't realize that using expressive suppression, keeping your feelings in, that is associated with both deleterious mental and physical health outcomes, whereas something like cognitive reappraisal is actually associated with better outcomes. So these are things that people don't know about themselves, and I think that's why they found it engaging."
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Chapters
00:00 Preview
01:38 Her background
06:45 Inflammation & Brain Health
09:37 Inflammation Phenotype Depression
10:18 What is Bruin Health
11:12 Underlying Mechanisms Psychiatric Disorders
12:55 How does DSM Fit In?
14:33 Patients with Pro-Inflammatory States
17:06 Difficulty Diagnosing Inflammation
19:05 Psychiatrists Become Primary Care Doctors
20:56 "in your head"
22:01 Work at Bruin Health
27:14 First Steps w/ Bruin - Reward learning
29:56 Patient's View of Self-Report
40:36 Why Some Measurements Don't Work
42:53 Treatment Changes Are For Psychotherapy
44:30 Future Challenges
45:52 Conditions Not Like Real World
47:52 Goal to Enable Measurements with Partnerships
48:09 Singula Institute
52:23 Why Alpha Product Helpful
53:14 Results Have Helped Pts Seek Treatment
55:07 Reliability Goal
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Full transcript, group discussion, our disclaimer, and additional resources can be found on our website:
https://www.telepsychhealth.com/futurepsychiatrypodcast/
#mentalhealth #psychiatry #psychology #therapy #treatment #technology #digitalpsychiatry #futurepsychiatrypodcast

Host: Bruce Bassi MD
More resources, including a full transcript, can be found at our podcast website: https://www.telepsychhealth.com/futurepsychiatrypodcast/
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As always, the content is for educational purposes and is not medical advice. If you are having a medical or psychiatric emergency please contact 911.

Luvut

1. Data Driven Clinical Practice w/ Arielle Radin Pulverman Bruin Health (00:00:00)

2. Background (00:01:38)

3. Definition of Health Psychology (00:05:51)

4. Inflammation & Brain Health (00:06:45)

5. Inflammation Phenotype Depression (00:09:37)

6. What is Bruin Health (00:10:18)

7. Underlying Mechanisms Psychiatric Disorders (00:11:12)

8. How does DSM Fit In? (00:12:55)

9. Current Research Breast Cancer Inflammation (00:13:36)

10. Patients with Pro-Inflammatory States (00:14:33)

11. Difficulty Diagnosing Inflammation (00:17:06)

12. Psychiatrists Become Primary Care Doctors (00:19:05)

13. It's not just "in your head" (00:20:56)

14. Work at Bruin Health (00:22:01)

15. First Steps w/ Bruin - Reward learning (00:27:14)

16. RDoC Approach (00:27:48)

17. Patient's View of Self-Report (00:29:56)

18. HiTOP (00:32:41)

19. Why Some Measurements Don't Work (00:40:36)

20. Treatment Changes Are For Psychotherapy (00:42:53)

21. Future Challenges (00:44:30)

22. Bench To Bedside (00:45:29)

23. Conditions Not Like Real World (00:45:52)

24. Goal to Enable Measurements with Partnerships (00:47:52)

25. Singula Institute (00:48:09)

26. Why Alpha Product Helpful (00:52:23)

27. Results Have Helped Pts Seek Treatment (00:53:14)

28. One Goal Is Interrater Reliability. (00:55:07)