The Psych Commute with Dr. Brown
Brandon Lee Brown, MDThoughts on psychiatry, medicine, neuroscience, artificial intelligence, problem-solving, and decision-making from a practicing physician, psychiatrist, and neuroscientist recorded during his commute from work. brandonbrownmd.substack.com
| Publishes | Daily | Episodes | 32 | Founded | 5 months ago |
|---|---|---|---|---|---|
| Categories | Mental HealthLife SciencesScienceHealth & Fitness | ||||
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Latest Episodes
I write my notes backward.
Not in the traditional SOAP format (Subjective, Objective, Assessment, Plan), but essentially in reverse:
Assessment & Plan → Data (Subjective + Objective)
So instead of SOAP, it’s more like AP–SO.
This format isn’t unh... more
On this episode of The Psych Commute, we try something a quite different.
Instead of discussing a random idea as I drive home as usual, we run a fully simulated inpatient consult using AI voice actors (but I wrote the script with no AI involvement).... more
Mapping Psychiatric Disorders with GWAS
I wanted to write record a brief episode about a paper I just read that came out in December 2025. The title is Mapping the genetic landscape across fourteen psychiatric disorders published in Nature.
At a hi... more
I’ve worked in very high-volume settings. In a prior job, I did moonlighting where I would round on thirty-something patients per day, sometimes with ten or more admissions in a single day. Efficiency mattered a lot there, because otherwise you simpl... more
I want to talk about focused ultrasound and its potential role in psychiatry. Right now, it is not an established psychiatric treatment, but it is being actively studied and I think there is a good chance it becomes part of our clinical toolkit in th... more
Electroconvulsive therapy (ECT) is not FDA-approved for post-traumatic stress disorder (PTSD), and it doesn’t have an established clinical indication for PTSD in the way it does for severe depression, mania, catatonia, or treatment-resistant psychoti... more
I recently read the randomized controlled trial for a new neuromodulation device called ProlivRX. It’s an external nerve stimulator that is now FDA approved for major depressive disorder in patients who are already on antidepressants and haven’t bene... more
In this episode, I break down one of the most interesting new developments in schizophrenia treatment: a medication that treats psychosis without dopamine blockade. And it also works for negative symptoms.
I’m talking about xanomeline–trospium, bran... more
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Apple Podcasts | #58 |  India/Health & Fitness/Mental Health |
Apple Podcasts | #179 | India/Health & Fitness |
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