254: The Psychology of Addiction with Steve Daviss, MD copertina

254: The Psychology of Addiction with Steve Daviss, MD

254: The Psychology of Addiction with Steve Daviss, MD

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 This week’s guest is Dr. Steve Daviss, a consultation laison psychiatrist. He joins Brett to talk about pandemic psychology, addiction, ADHD, note taking, and a bit of making music with code. Sponsors Mint Mobile: Cut your wireless plan to $15 a month and get the plan shipped to your door for FREE by visiting mintmobile.com/systematic. TextExpander: The tool neither Christina nor Brett would want to live without. Save time typing on Mac, Windows, iOS, and the web. Listeners can save 20% on their first year by visiting TextExpander.com. Show Links Linkedin/drdavissTwitter/@HITshrinkSchematic of addiction reward circuitry (from Dr George Koob, NIAAA)Support for mental health and addiction recovery during COVIDMy Three Shrinks podcastsShrink Rap: Three Psychiatrists Explain Their Work (borrow from OpenLibrary) Top 3 Picks David Lubbers — Persistence of VisionWayback MachineSonicPi Join the Community See you on Discord! Thanks! You’re downloading today’s show from CacheFly’s network BackBeat Media Podcast Network Check out more episodes at systematicpod.com and subscribe on Apple Podcasts, Spotify, or your favorite podcasting app. Find Brett as @ttscoff on all social media platforms, and follow Systematic at @systmcast on Twitter. Transcript 254 Steve Daviss [00:00:00]Brett: [00:00:00] [00:00:00] This week’s guest is Dr. Steve Davis. He’s a consultation liaison psychiatrist. Hi Steve. [00:00:07] Steve: [00:00:07] Hey, Brett. Uh, thank you for a vitamin onto your show. [00:00:11] Brett: [00:00:11] Oh, absolutely. Uh, tell me what a, uh, consultation liaison psychiatrist does. [00:00:18] Steve: [00:00:18] Uh, that’s a great question. Um, so. Uh, consultation, liaison psychiatrist. Uh, the words in that phrase, essentially refer to psychiatrists who work in typically medical settings. Um, often hospitals emergency room. Sometimes it might be nursing homes, um, and. Uh, the focus is really, I’ve got somebody here with some sort of problem, and I need a psychiatrist to, uh, evaluate and see if they have a psychiatric problem that might be contributing or, uh, the person has [00:01:00] psychiatric symptoms. [00:01:01] We think it might be XYZ, depression, bipolar disorder, schizophrenia, uh, alcohol withdrawal. Um, but we know we want a second opinion. So that’s, that’s really what we do. We work in hospital settings generally. Um, and that’s where I spent most of my career, I guess, working in either hospital settings or other kind of primary care setting. [00:01:24] It’s like a FQHC federally qualified health center or primary care offices. Um, so that in essence is what a cl psychiatrist, uh, does. Uh, I’m also, uh, an addiction psychiatrist, um, frankly, It’s hard to do psychiatry without also doing addiction. Uh, and I’ve done a lot of, um, uh, work around addiction. In fact, I’m currently the president of the Maryland DC society of addiction medicine, which is a chapter of the larger national main addiction [00:02:00] organization, which is a, or the American society of addiction medicine. [00:02:03] Brett: [00:02:03] So you do a lot more, um, uh, consultation than actual long-term seeing of patients, at least in your capacity as a consultation liaison, then. [00:02:14] Steve: [00:02:14] Um, I had been, um, my career has kind of, um, O taken a winding path. I, you know, I started off doing, uh, actually frankly, schizophrenia research way back in the day. Um, and. Uh, I wanted to go into, uh, research, uh, primarily because it that’s what attracted me to psychiatry and medicine in the first place. I, um, uh, growing up, I had a, um, uh, family members who developed schizophrenia at a young age in their teens, uh, which is oftentimes when it develops and the. [00:02:54] Uh, just to see, you know, these loved ones of mine transform [00:03:00] with hallucinations and seeing numbers floating in the air. And it just kinda made me made, you know, I was younger than them. I was probably 11 or 12 and made me wonder how does the brain do this weird stuff? Um, and I was kind of a geeky kid to begin with. [00:03:15] Uh, so that just was something to focus on and, um, I never let go of it. I mean, that’s really, what’s driven my. My, my career is how does, how does it happen that the brain gets broken like that and how to fix it? [00:03:32] Brett: [00:03:32] do you think it’s a typical fo it surprises me that you’re still fascinated now by what you were fascinated by when you were 12. [00:03:43] Steve: [00:03:43] yeah, well it reminds me of, um, you know, so I, so I went into. Uh, kind of a research research career. I actually started out as an MD PhD candidate. Um, and then, uh, [00:04:00] Uh, when I was driving around to, um, residencies, you know, you go to four years of medical school after college, four years of medical school, then internship and residency for psychiatry, which is, uh, uh, typically four years. [00:04:15] Um, and then maybe a fellowship or, or start ...
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