The Transformed Minds Pod
The Transformed Minds Pod
Podcast Description
Transformed Minds is a podcast dedicated to reshaping how we understand and approach mental health and substance use. Through evidence-based discussions, real stories, and expert interviews, we create a space for learning, reflection, and transformation.
Hosted by theprayingpsychiatrist, a physician, researcher, and advocate for community and global mental health, this platform bridges evidence-based medicine, clinical insight and lived experience. Whether you're a provider, trainer, policymaker, patient, or loved one—this podcast is for you.
Let’s learn, heal and transform – together!
Podcast Insights
Content Themes
The podcast delves into essential themes surrounding mental health and addiction, focusing on topics like integration of addiction care into mental health services, the impact of dual diagnoses, and the intersection of faith and healing. For instance, an episode featuring Dr. Ayana Jordan discusses innovative models of care for co-occurring disorders based on her research, emphasizing the necessity of embedding addiction specialists into community mental health.
Transformed Minds is a podcast dedicated to reshaping how we understand and approach mental health and substance use. Through evidence-based discussions, real stories, and expert interviews, we create a space for learning, reflection, and transformation.
Hosted by theprayingpsychiatrist, a physician, researcher, and advocate for community and global mental health, this platform bridges evidence-based medicine, clinical insight and lived experience. Whether you’re a provider, trainer, policymaker, patient, or loved one—this podcast is for you.
Let’s learn, heal and transform – together!
Are dose caps on buprenorphine costing lives? In this episode of the Transform Mind Podcast, Dr. O and Dr. Drits dig into the evidence and the gaps around buprenorphine dosing for opioid use disorder In the fentanyl era, drawing on a 2023 narrative review by Grande and colleagues published in the Journal of Addiction Medicine.
Higher doses are consistently linked to better treatment retention. Yet dose caps persist in clinical practice and insurance policy, even as the opioid supply has fundamentally shifted. Dr. O and Dr. Drits break down why, and what clinicians and patients can do about it.In this episode:
→ Why the ”ceiling effect” applies to respiratory depression not to craving or withdrawal relief
→ What the evidence says about retention, fentanyl, and dosing
→ How to advocate for patients within institutional and insurance constraints
→ Common myths about diversion and high-dose buprenorphine
→ Shared decision-making in practice
Learning Objectives
By the end of this episode, listeners will be able to:
Describe the evidence base regarding buprenorphine dose limits and clinical outcomes.
Explain how buprenorphine pharmacology informs safety at higher doses.
Identify policy and systemic factors that influence dosing practices.
Apply evidence-based reasoning to clinical and systems-level decision-making in opioid use disorder care.
Chapters:
00:00 High Dose Benefits
01:23 Podcast Intro Format
02:34 Why Dose Caps Matter
07:48 Guest Perspective Policy Lag
11:27 Dose Limits Today
14:44 Buprenorphine Pharmacology
18:07 Retention Saves Lives
20:31 Fentanyl Needs Higher Doses
22:25 Advocacy Under Limits
24:53 Training And Myths
28:38 Case Dosing Decisions
34:38 Shared Decision Making
37:34 Ceiling Effect Explained
39:24 Key Takeaways
Reference: Grande LA et al. ”High-dose buprenorphine for the treatment of opioid use disorder in the context of fentanyl exposure.” Journal of Addiction Medicine, 2023.
⚠️ This podcast is for educational purposes only and does not constitute medical advice. Clinical decisions should be made in consultation with a qualified healthcare provider.
#BuprenorphineTreatment #OpioidUseDisorder #MOUD #FentanylCrisis #AddictionMedicine #HarmReduction #TransformMindPodcast
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