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. www.advancedconsultation.com Dr. Rachel LaFleur, Licensed Psychologist @ Stony Run Psychology & Wellness Dr. Stephanie Deverich Davis, Licensed Psychologist @ Dr. Davis Therapy Dr. Julie Brownley, Psychiatrist @ Psychiatry for Women

Episodes

  1. 4d ago

    Postpartum Psychosis vs OCD - The Difference That Can Save Lives

    The conversation delves into the critical topic of postpartum mental health, covering perinatal mental health conditions, postpartum psychosis, and postpartum OCD. It also explores medication, psychothearpy, and social support considerations for postpartum mental health. The conversation covers a range of topics related to postpartum mental health, including medication management, challenges in diagnosis and treatment, the impact of mental health on parenting and vise versa, the role of sleep, pressure on new parents, support systems, flexibility in postpartum planning, maternal mental health and breastfeeding, postpartum trauma and recovery, prioritizing maternal mental health, treatment approaches for postpartum OCD, balancing media exposure, and resources for postpartum mental health. Resources: Call or text the National Maternal Mental Health Hotline: 1-833-852-6262 Call or text the National Suicide Prevention Hotline: 988 Information page on postpartum psychosis help Chapters 00:00 Introduction to Postpartum Mental Health01:29 Perinatal Mental Health Conditions03:05 Postpartum Psychosis04:36 Postpartum OCD06:03 Differentiating Intrusive Thoughts, Delusions, and Hallucinations19:24 Recognizing Mania and Psychosis25:19 Medication Considerations for Postpartum Mental Health28:09 Postpartum Medication Management29:07 Challenges in Diagnosis and Treatment30:36 Impact of Mental Health on Parenting31:34 The Role of Sleep in Postpartum Mental Health32:58 Pressure on New Parents33:25 The Postpartum Experience35:19 Support Systems for New Parents36:22 Flexibility and Adaptability in Postpartum Planning37:04 Maternal Mental Health and Breastfeeding38:01 Postpartum Trauma and Recovery38:58 Postpartum Mental Health and C-Sections39:13 Prioritizing Maternal Mental Health43:42 Treatment Approaches for Postpartum OCD45:12 Managing Intrusive Thoughts in Postpartum OCD51:25 Balancing Media Exposure and Mental Health54:32 Resources for Postpartum Mental Health

  2. 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

  3. 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

  • 3 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. www.advancedconsultation.com Dr. Rachel LaFleur, Licensed Psychologist @ Stony Run Psychology & Wellness Dr. Stephanie Deverich Davis, Licensed Psychologist @ Dr. Davis Therapy Dr. Julie Brownley, Psychiatrist @ Psychiatry for Women

Information

  • Creator
    Rachel LaFleur, PhD
  • Years Active
    2026
  • Episodes
    3
  • Rating
    Clean
  • Copyright
    © 2026 Rachel LaFleur, PhD