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Thinking In Psychiatry

Thinking In Psychiatry

By: The Academy by Psych Scene
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Thinking in Psychiatry is an Academy by Psych Scene podcast featuring short, high-signal audio episodes you can listen to on the go. Each week we break down emerging evidence, evolving clinical frameworks, and complex cases across the lifespan – from psychopharmacology and neurobiology to formulation, systems thinking, and metabolic and sleep psychiatry. Designed for busy clinicians, every episode is grounded in evidence, reviewed by faculty, and focused on one question: how can we practise better psychiatry, starting today?© 2025 Psych Scene Pty Ltd Hygiene & Healthy Living Physical Illness & Disease Psychology Psychology & Mental Health
Episodes
  • Why is Alzheimer’s More Common in Women?
    Jun 13 2026

    Access the mentioned paper here:


    Trying to Unravel Why Alzheimer Disease Is More Common in Women

    By Rita Rubin, MA

    https://jamanetwork.com/journals/jama/article-abstract/2839498#


    Access mentioned courses here:

    Women’s Mental Health Course:

    https://psychscene.co/41RwJx2

    Alzheimer’s Disease Course:

    https://psychscene.co/4vNaeqH

    In this episode, Dr Sanil Rege examines why Alzheimer’s disease is more common in women and what this means for clinical assessment, prevention, and treatment.


    The discussion reviews a 2025 JAMA medical news feature (https://jamanetwork.com/journals/jama/article-abstract/2839498#) on sex differences in Alzheimer’s disease and outlines a life-course model showing how sex-related vulnerability may shape disease onset, progression, and clinical expression.


    This video provides clinicians with a sex-informed clinical framework for assessing Alzheimer’s risk in women through the lens of hormonal transitions, cognitive reserve, and later-life neurodegenerative expression.


    Chapters:

    00:21 Alzheimer’s Disease in Women

    02:59 Beyond Longevity

    03:40 Survival Differences After Dementia Diagnosis

    04:34 Tau Pathology and Steeper Later Decline

    06:00 Menopause and Hormonal Vulnerability

    08:11 Modifiable Midlife Risk Factors in Women

    13:18 A Sex-Informed Life-Course Formulation1


    #Alzheimer's #Psychiatry #Dementia


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    14 mins
  • Why the Brain Is Never Really “At Rest”
    Jun 4 2026

    Here are the links to the papers mentioned:

    Parkinson’s disease as a somato-cognitive action network disorder

    Ren et. al.


    https://psychscene.co/4vQKgmc


    The brain’s action-mode network

    Dosenbach et. al.


    https://psychscene.co/4ts1pRr

    Access mentioned courses here:

    Advanced Psychiatric Formulation and Strategic Management:


    https://psychscene.co/4sG214L


    ADHD Masterclass:


    https://psychscene.co/4sJ1GOS


    In this video, Dr Sanil Rege examines the Action Mode Network as a unifying clinical framework for understanding how the brain regulates action, arousal, body state, and cognition.


    He explores the counterbalance between action mode and default mode, showing how impaired initiation, hyperarousal, poor state shifting, and social withdrawal may be better understood as disturbances of mode regulation rather than isolated symptom categories.


    This session provides clinicians with a neurobiological framework for refining psychiatric formulation through the lens of state regulation, brain–body integration, and network-based clinical reasoning.


    Chapters:

    01:32 – Introducing the Action Mode Network

    03:17 – The Brain as an Organ Organised for Action

    05:48 – Action Mode vs Default Mode

    07:18 – Psychiatric Syndromes as Mode-Switching Disorders

    09:48– Overcoming the False Dichotomy of Mind and Body

    12:25 – The PACES Model in Clinical Formulation

    14:48 – Translating State Regulation into Clinical Practice


    #ActionModeNetwork #Psychiatry #Brain

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    17 mins
  • Have We Been Thinking About Sleep Wrong? (Motor Theory Explained)
    Feb 19 2026

    Access the mentioned courses here:

    Sleep And Psychiatry:

    https://psychscene.co/46d0T09

    ADHD and Sleep Dysfunction:

    https://psychscene.co/4rrE9Cc

    In this episode, Dr Sanil Rege explores the "how and why" of sleep by analysing a 2025 Neuron perspective paper (https://pubmed.ncbi.nlm.nih.gov/40961940/) detailing the interplay between sleep, motor circuits, and catecholamine biology.

    The discussion unpacks the motor theory of sleep, in which sleep control is embedded within somatic and autonomic motor circuits, and the catecholamine hypothesis, which posits that a core biological function of sleep is the inactivation of dopamine, noradrenaline, and adrenaline.

    This podcast provides clinicians with a neuroscientific framework for understanding sleep as an active state transition involving a global downshift of somatic and autonomic motor systems.

    #Sleep #Neuropsychiatry #Insomnia

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    9 mins
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