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How to Be Patient

Human Content
Mental Health
Psychiatry
Nutritional Psychiatry
Social Media
Eating Disorders
Chronic Pain
Psychotherapy
Existential Psychotherapy
ADHD
Dementia
Anxiety
Alcohol Use Disorder
Chronic Illness
Neurocognitive Assessments
Executive Function
Language
Attention
Memory
Visual Spatial Management
Patient Care

You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone... more

PublishesWeeklyEpisodes68Founded2 years ago
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Mental HealthHealth & FitnessMedicine

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Artwork for How to Be Patient

Latest Episodes

We're doing a throwback! This was our second episode ever, way back when I was at the beginning of fourth year of med school and Margaret and I were still figuring out the rhythm of this whole podcast thing. I'm now at the end of my first year of chi... more

In this episode we are joined by my coresident, @undercoverdoc who has a special interested in fitness culture and bodybuilding. With the protein intake, food weighing and gym discipline also comes “extracurriculars,” or anabolic steroids. Rob descri... more

Code ORANGE.

We had to break the between-seasons hiatus for this one. If you've been on healthcare TikTok in the last month and you haven't seen the burnt-out fruit basket emerging, you have some catching up to do. And it all started with Dr. Orang... more

YouTube

As we wrap up Season 3, Margaret and I are looking back at the long journey from our first late-night recording sessions in 2025 to where we are now: mid-fellowship for Margaret and fourth year for me. This season wasn't just about "yapping"; it was ... more

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Recent Guests

Dr. Orange
Medical doctor and TikTok educator
TikTok medical creator
Episode: BONUS! Code Orange: We Got Dr. Orange on the Pod
Paul Tran
Pediatric GI content creator known as Alimentary School
Alimentary School (Instagram/TikTok)
Episode: Giving and Receiving Feedback with Paul Tran
Dr. Kiki Fehling
Licensed psychologist; Linehan Board-Certified DBT Therapist and educator
DBT practitioner and educator
Episode: DBT Case Studies with Expert Dr. Kiki Fehling
Mark Mullen
Assistant Professor at SLU and Clerkship Director for Psychiatry Clerkship
Saint Louis University
Episode: Learning as a Resident with Dr. Mark Mullen
Amanda Stuckey Dodson
Clinical social worker, therapist, and author of "Tidying the Abyss"
Nesting Your Life
Episode: Concrete Self-Care in Hard Times with Amanda Stuckey Dodson
Dr. Nataliya Kosmyna
Research Scientist at the MIT Media Lab
MIT Media Lab
Episode: Your Brain on AI: Interview with MIT Media Lab’s Nataliya Kosmyna
Kristin Flannery
Also known as Lady Glaucomflecken, she shares her personal experiences related to trauma and dissociation.
Episode: Trauma and Dissociation with Kristin Flanary (Lady Glaucomflecken)
Alexandra Wildeson
Advocate for chronic illness and host of Calling in Sick podcast.
Calling in Sick
Episode: A Patient’s Perspective on Chronic Pain with Alexandra Wildeson
Drew Ramsey
Psychiatrist and author specialized in nutritional psychiatry
Episode: Nutritional Psychiatry with Dr. Drew Ramsey (Part 2)

Hosts

Preston Roche
Psychiatry Resident & Digital Influencer; co-host and educator on patient care and medical topics
Margaret Duncan
Psychiatrist & Content Creator; co-host focused on clinical insight and patient care

Reviews

4.9 out of 5 stars from 366 ratings
  • Dr Duncan’s jokes are great

    Sorry this is a long and rambling review tl;dr engaging and fun podcast if you have an interest in psychiatry, some episodes more suited to laypeople than others. episode i listened was the chronic pain episode. Alexandras story was super interesting! and often any questions or comments i had were later articulated in the episode lol. when alexandra said her dad was a top neurosurgeon a lot of things clicked for me - i wanted that to be explored that further before i listened on and realised she... more

    Apple Podcasts
    4
    Perjdough
    United Kingdom6 months ago
  • More history episodes please!

    I am already a big fan of this podcast. But the recent episode on the history of Lithium was just *chef’s kiss*!

    Apple Podcasts
    5
    nimbid
    United States7 months ago
  • Love it!

    I love the science and also application during the podcast

    Apple Podcasts
    5
    stacyknowsbest
    United States7 months ago
  • My new favorite podcast

    Hi! I recently found your show and have been binge listening since. I’m a PMHNP in Texas and really appreciate what y’all are doing with this show! I love the length of the episodes because I usually listen while doing a long run (I’m training for a fall marathon!).

    Apple Podcasts
    5
    Laurenmain
    United States10 months ago
  • Fab

    No need to apologize for when an episode “runs long”, I could keep listening for hours! Love hour+ podcasts

    Apple Podcasts
    5
    Seafrost38
    United States10 months ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

High regard for guests who bring practical clinical insights and real-world experience.
Listeners appreciate accessible, evidence-based discussions on complex topics.
Banter and humor are valued, but some find it distracting when not balanced.
Episode depth is praised, with some requests for more layperson-friendly basics.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Anabolic Steroid Use in Psychiatric Disorders
Q: How should clinicians approach patients who disclose steroid use in a psychiatric setting?
Create a nonjudgmental environment to encourage disclosure, incorporate discussions about steroid use into routine health interviews, assess the impact on medications and mood, and collaborate on a harm-reduction plan that prioritizes underlying mental health treatment, sleep, and therapy as alternatives to ongoing exogenous hormone use.
Anabolic Steroid Use in Psychiatric Disorders
Q: What risks come with high-dose testosterone or Trenbolone cycles used by athletes and gym enthusiasts?
High-dose cycles can cause left ventricular hypertrophy, hypertension, dyslipidemia, gynecomastia, acne, mood lability, aggression, and potential cognitive or psychiatric issues; there is also risk of iatrogenic hypogonadism if exogenous hormones suppress natural production, as well as dangerous drug interactions with stimulants and non-FDA-approved supplements.
Anabolic Steroid Use in Psychiatric Disorders
Q: What are the medical indications for testosterone replacement therapy (TRT) and how should they be approached clinically?
TRT can be appropriate for true hypogonadism or certain gender-affirming contexts, but clinicians should first assess and optimize sleep, diet, exercise, and mood disorders, and consider depression as a primary driver of symptoms before initiating hormones. If TRT is started, anti-estrogen/anti-aromatase considerations and monitoring of cardiovascular risk are essential, and therapy should be coupled with psychotherapy and broader lifestyle changes.
BONUS! Code Orange: We Got Dr. Orange on the Pod
Q: What made you post your first video?
Dr. Orange explains it came after a rough week at work when burnout and exhaustion felt overwhelming, and TikTok provided a space to vent honestly and cope.
Giving and Receiving Feedback with Paul Tran
Q: What is the best mindset to approach feedback, especially when you expect it to be difficult to hear?
Adopt a mindset that feedback is a gift, learn to seek out feedback actively, and frame requests as opportunities for growth, not as criticisms; use the wise feedback approach to engage with it constructively.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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Frequently Asked Questions About How to Be Patient

What is How to Be Patient about and what kind of topics does it cover?

The show blends clinical psychiatry, mental health education, and real-world patient care with a healthy dose of humor. Conversations span DBT, existential psychotherapy, neuropsychology, OCD, dementia, nutrition's role in mental health, and policy questions about long-term care, all anchored by practitioner-hosts who share residency realities, research insights, and practical takeaways for clinicians and lay listeners alike. Guests frequently include clinicians, researchers, and medical-education voices who bring evidence-based perspectives to accessible, story-rich discussions. A notable strength is translating complex psychology and neuroscience into usable ideas for everyday care, student training, and public understanding, often via a ... more

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How many episodes of How to Be Patient are there?

How to Be Patient launched 2 years ago and published 68 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on How to Be Patient?

Recent guests on How to Be Patient include:

1. Dr. Orange
2. Paul Tran
3. Dr. Kiki Fehling
4. Mark Mullen
5. Amanda Stuckey Dodson
6. Dr. Nataliya Kosmyna
7. Kristin Flannery
8. Alexandra Wildeson

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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