Are you anxious about what you don’t remember about anxiety therapy? Well have I got a treat for you. 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. Enjoy a comprehensive overview of pathophysiology, pharmacology and therapeutics with a few helpful tips for managing your own anxiety along the way!

Topics Covered

00:00 - Introduction and housekeeping

00:44 - Rami’s journey from pharmacist to pharmacist and psychotherapist

07:22 - Pervasiveness and importance of anxiety

08:45 - Connection between perfectionism and anxiety

11:30 - Neurotransmitters involved in anxiety disorders

13:22 - Neurobiological difference between panic attack and generalized anxiety disorder

19:25 - Role of the amygdala in fear and anxiety

21:50 - First line treatments for generalized anxiety disorder

26:36 - Rapid nervous system regulation techniques

34:07 - St. John’s Wort risks in anxiety disorders

35:38 - Appropriate times to use benzodiazepines in anxiety treatment

36:11 - Managing side effects of selective serotonin reuptake inhibitors

37:45 - Importance of deprescribing benzodiazepines in elderly people

39:29 - Benzodiazepine pharmacokinetics (volume of distribution) (rate of clearance) (implications in obesity and elderly)

42:25 - Preferred benzodiazepines in elderly people

43:02 - Mechanism of action of buspirone

44:25 - Meds used in psychology with narrow therapeutic window

45:52 - Lithium and kidney function

47:49 - Serious drug interactions with SSRIs

48:45 - Intersection of chronic pain, depression and insomnia

50:35 - moral model of substance use vs. biopsychosocial model of substance use

56:34 - wrap up

Connect with Rami Safi

LinkedIn: https://www.linkedin.com/in/rami-s-98186718/

Wellness Wave Pharmacy in Hamilton: https://wellnesswavepharmacy.ca/

All the Links!

Find all the links to all the things (references, resources, buy me a coffee, email list, etc) here: https://ringsabellpod.kit.com/allthethings

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