Advanced Consultation

Rachel LaFleur, PhD
  • 5.0 (2)
  • Medicine

A podcast that brings you behind the scenes of mental health consultation. Hear how clinicians think through difficult questions and stay current with emerging evidence—so you can deepen your understanding alongside us.

Episodes

  1. Aug 14

    Accommodation of Anxiety & OCD

    The conversation delves into the impact of accommodation on anxiety and OCD, the role of reassurance seeking, and how behavioral parent training can be an important framework for families of young children. The speakers seek to highlight the ways that reducing accommodation can empower clients, as well as their family members and loved ones. Drs. Davis, Brownley, and LaFleur speak the importance of fostering client self-trust and autonomy and avoiding paternalistic approaches. Takeaways Accommodation has a significant impact on anxiety and OCD treatment outcomes.There is important nuance to addressing accommodation.Empowering self-trust and autonomy is essential in OCD and anxiety treatment. Chapters 00:00 Introduction and Topic Overview02:59 The Impact of Family Accommodation09:59 Reassurance Seeking and Accommodation18:49 Behavioral Parent Training and Co-Sleeping24:51 The Myth of Supportive Parenting26:35 Understanding Behavioral Function28:00 Challenges in Accommodation Reduction29:12 Empowering Parents and Loved Ones30:26 Behavioral Psychology and Clinical Terminology32:00 Understanding Extinction Burst33:15 Collaboration and Communication with Providers35:59 Medication, Accommodation, and Trust40:24 Empowering Self-Trust and Autonomy45:29 Mechanics and Holistic Care in Treatment49:09 Empowering Self-Trust and Autonomy

  2. Jul 30

    GLP-1 Medications and Mental Health

    Welcome to the first episode of Advanced Consultation with Dr. Rachel LaFleur, Dr. Julie Brownley, and Dr. Stephanie Deverich Davis. The conversation delves into the complexities of GLP-1 medications, covering their physiological impact, psychiatric application, and influence on addictive and compulsive behaviors. It also explores the challenges of prescribing GLP-1 medications and the psychological impact of highly processed foods. The conversation delves into the limited research available regarding GLP-1 medications and mental health, the multifactorial nature of treatment resistance, the interplay between inflammation and endocrine systems, the prescription and oversight of GLP-1 medications, and the sensitivity required when addressing weight and mental health issues. Takeaways GLP-1 medications have a significant impact on hunger management and addictive behaviors.The influence of highly processed foods on hunger drive and psychological well-being is a critical area of concern. GLP-1 medications pose challenges for some individualsTreatment resistance is multifactorialInflammation and endocrine systems are interconnectedPrescription and oversight of GLP-1 medications require thorough evaluationSensitivity is crucial when addressing weight and mental health issues Chapters 00:00 Introduction to GLP-1 Medications00:49 Understanding GLP-1 Medications02:15 Prescribing GLP-1 Medications03:13 Challenges in Prescribing GLP-1 Medications04:13 Psychiatric Application of GLP-1 Medications06:03 Physiological Impact of GLP-1 Medications10:13 GLP-1 Medications and Addiction11:21 Impact of GLP-1 Medications on Compulsive Behaviors13:03 GLP-1 Medications and Hunger Management19:01 The Influence of Highly Processed Foods23:32 The Psychological Impact of GLP-1 Medications26:28 Challenges with GLP-1 Medications27:09 Multifactorial Nature of Treatment Resistance31:49 Inflammation and Endocrine Interplay41:01 Prescription and Oversight of GLP-1 Medications48:23 Weight and Mental Health Sensitivity

  • 2 Episodes

Ratings & Reviews

5
out of 5
2 Ratings

About

A podcast that brings you behind the scenes of mental health consultation. Hear how clinicians think through difficult questions and stay current with emerging evidence—so you can deepen your understanding alongside us.

Information

  • Creator
    Rachel LaFleur, PhD
  • Years Active
    2026
  • Episodes
    2
  • Rating
    Clean
  • Copyright
    © 2026 Rachel LaFleur, PhD