The Immersive Psychiatry podcast is for anyone interested in learning about the uses of immersive technology (virtual reality, augmented reality) in healthcare. Dr. Brandon Birckhead is a physician who has been working on virtual reality clinical studies since 2016. The goal of this series is to illustrate the numerous ways this technology will impact psychiatry using specific mental health-related examples in each episode.
Immersive Psychiatry
Claim This Podcastby Brandon Birckhead, MD, MHDS
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7 episodes
Updated Daily
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Podcast Overview
The Immersive Psychiatry podcast is for anyone interested in learning about the uses of immersive technology (virtual reality, augmented reality) in healthcare. Dr. Brandon Birckhead is a physician who has been working on virtual reality clinical studies since 2016. The goal of this series is to illustrate the numerous ways this technology will impact psychiatry using specific mental health-related examples in each episode.
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Publishing Since
3/11/2021
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Recent Episodes
June 29, 2021
Precision VR Therapy: AI + Psychiatric Formulation
<p>This episode provides thoughts on how we could implement custom virtual reality therapy programs for each patient using artificial intelligence, specifically using natural language processing. If you are interested in studying questions related to this, just <a href="https://www.linkedin.com/in/bjbbirckhead/">reach out to me </a>or <a href="https://www.linkedin.com/in/buddha314/">Brian Dolan</a> on Linkedin.</p> <p>Outline</p> <p><u>Part 1: Precision Medicine</u></p> <p><a href="https://youtu.be/jmxfbsU551w">The Future of Psychiatric Epidemiology</a> - Great intro to the topic. </p> <p><a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2020.607508/full">On the Road to Personalized Psychotherapy: A Research Agenda Based on Cognitive Behavior Therapy for Depression</a> - Why we won't have "Precision VR Therapy" for several years. </p> <p><u>Part 2: What is Psychiatric Formulation (2 types discussed)</u></p> <p><a href="https://www.psychdb.com/teaching/biopsychosocial-case-formulation">Biopsychosocial Model and Case Formulation</a> </p> <p><a href="https://www.psychiatrist.com/pcc/delivery/integrated-care/beyond-dsm-perspectives-psychiatry-approach-patients/">Beyond the DSM: The Perspectives of Psychiatry Approach to Patients</a></p> <p><a href="https://www.amazon.com/Perspectives-Psychiatry-Paul-R-McHugh/dp/0801860466">The Perspectives of Psychiatry</a> </p> <p><u>Part 3: When VR Therapy Might Need AI-assisted Development + Kinds of Programs Related To It. </u></p> <p><a href="https://www.verdant.ai/portfolio/?mgi_171=430/e-9000">Medical Virtual Asset Management System (An NLP based assembly program)</a></p> <p><a href="https://shunsukesaito.github.io/PIFuHD/">Generating human avatars based on external media</a></p> <p><a href="https://www.unrealengine.com/en-US/digital-humans">Realistic virtual humans (MetaHumans by Unreal) </a></p> <p><a href="https://dl.acm.org/doi/abs/10.1145/3349537.3352766">Virtual Humans in Augmented Reality: A First Step towards Real-World Embedded Virtual Roleplayers</a></p> <p><a href="https://youtu.be/MBHDAGCKKUQ">Virtual Humans: Putting Realistic People in Realistic... (Michael Black)</a></p> <p><u>Part 4: How Psychiatric Formulation can be combined with AI</u></p> <p>Lifestory Perspective</p> <p><a href="https://www.amazon.com/Body-Keeps-Score-Healing-Trauma/dp/B08TX585RN/ref=sr_1_1?crid=22EZVEIWFA9Z0&dchild=1&keywords=the+body+keeps+the+score&qid=1625346830&s=books&sprefix=The+body+keeps+the+sc%2Cstripbooks%2C162&sr=1-1">The Body Keeps The Score</a></p> <p><a href="https://youtu.be/uflTK8c4w0c">Mother meets her deceased daughter through VR</a></p> <p>Dimensional Perspective</p> <p><a href="https://open.spotify.com/episode/3iGeL9W8pGx56zQzJ3bzdo">Research Related to Big Five Personality (Neuroticism) and Therapy</a></p> <p>Behavioral Perspective</p> <p><a href="https://www.addiction-ssa.org/knowledge-hub/what-is-cue-exposure-therapy/">What is… Cue-Exposure Therapy?</a></p> <p><a href="https://www.frontiersin.org/articles/10.3389/fnins.2019.01409/full">Virtual Reality (VR) in Assessment and Treatment of Addictive Disorders: A Systematic Review</a></p> <p><a href="https://www.oculus.com/experiences/quest/3709471542441846/?utm_source=oculusapplab.com">Help Club: VR Peer Support Group Platform</a></p> <p>Disease Perspective</p> <p>[Review of] <a href="https://www.annualreviews.org/doi/pdf/10.1146/annurev-clinpsy-081219-115923">Virtual Reality Therapy in Mental Health</a></p> <p><a href="https://youtu.be/uaIyndhm5eo">Use of VR to reduce the severity of auditory hallucinations </a></p> <p><u>Part 5: Limitations</u></p> <p><u>Conclusion</u></p>
May 11, 2021
Virtual Reality for Chronic Pain and Remote VR Clinical Trials
<p>This episode covers the non-drug related treatments of chronic pain as well as my work over the last 3 years studying psychological informed virtual reality programs that can be self-administered by the patient in their home. It's a long episode because I cover not only chronic pain, but also remote clinical trials. Given my interest in psychiatry and my previous work, this episode does not focus as much on physical therapy as it does psychology-related treatments. However, several of the resources below pertain to physical therapy for chronic pain. In the discussion on remote trials I provide a few key takeaways for startups and researchers. </p> <p><br></p> <p><u>Challenges facing chronic pain treatment</u></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/26472298/">Workforce projections 2010–2020: annual supply and demand forecasting models for physical therapists across the United States</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/26803844/">Pain psychology: A global needs assessment and national call to action</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/22553896/">Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research</a></p> <p><u>Nondrug based treatments</u></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/30179389/">Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/28436583/">Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32794606/">Psychological therapies for the management of chronic pain (excluding headache) in adults</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/31682676/">Mind-Body Therapies for Opioid-Treated Pain: A Systematic Review and Meta-analysis</a></p> <p><u>My work in Chronic Pain</u></p> <p><a href="https://www.jmir.org/2021/2/e26292/">An 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality Program for Chronic Low Back Pain: Double-Blind, Randomized, Placebo-Controlled Trial Conducted During COVID-19</a></p> <p><u>Other VR papers</u></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32720308/">Virtual reality for acute and chronic pain management in adult patients: a narrative review</a></p> <p><a href="https://rehab.jmir.org/2020/2/e22620/">Virtual Reality in Pain Rehabilitation for Youth With Chronic Pain: Pilot Feasibility Study</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/33935153/">Virtual Reality Augments Movement during Physical Therapy: A Pragmatic Randomized Trial</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/33269003/">Embodiment in Virtual Reality for the Treatment of Chronic Low Back Pain: A Case Series</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/31308733/">Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32547176/">Hypnosis Associated with 3D Immersive Virtual Reality Technology in the Management of Pain: A Review of the Literature</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/31670696/">Virtual Reality as a Therapy Adjunct for Fear of Movement in Veterans With Chronic Pain: Single-Arm Feasibility Study</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/27046570/">A Virtual Reality Game for Chronic Pain Management: A Randomized, Controlled Clinical Study</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32293517/">Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial Protocol</a></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32321516/">Virtual reality distraction induces hypoalgesia in patients with chronic low back pain: a randomized controlled trial</a></p>
April 9, 2021
Virtual Reality Therapy for Phobias
<p>The first medical publication on PubMed that used virtual reality was for phobias and this is the episode on that topic. I had a great conversation with a VR expert that has been treating patients with phobias using virtual reality for 20 years, Les Posen. I then talk about the current evidence for this type of VR therapy and some of the different ways it can be delivered. </p> <p>Outline </p> <p>Define a phobia</p> <p>Categories of phobic disorders: Agoraphobia, Specific Phobias, Social Anxiety Disorder</p> <p>1st line treatment: Exposure therapy via patient's imagination, real exposure (in vivo), virtual reality </p> <p>Other diseases that are treated with exposure therapy</p> <p>Conversation with Les Posen</p> <p>Past: Why Phobias were one of the first uses of the technology? </p> <p>Present: How does virtual reality stack up against in vivo exposure? </p> <p>Future: How can therapists do virtual reality therapy remotely and how can patients self administer therapy when needed? </p> <p><br></p> <p>Links (use google podcast or anchor to click through these links)</p> <p><a href="https://smartech.gatech.edu/handle/1853/3584">Presence as the Defining Factor in a VR Application</a></p> <p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0005789405801005">Virtual reality graded exposure in the treatment of acrophobia: A case report</a></p> <p>Review papers (the last one of the 4 was the one I talked about in the episode)</p> <p><a href="https://link.springer.com/article/10.1007/s11920-017-0788-4">Recent Progress in Virtual Reality Exposure Therapy for Phobias: A Systematic Review</a></p> <p><a href="https://academic.oup.com/abm/advance-article-abstract/doi/10.1093/abm/kaab016/6209758">Using Virtual Technology for Fear of Medical Procedures: A Systematic Review of the Effectiveness of Virtual Reality-Based Interventions</a></p> <p><a href="https://games.jmir.org/2018/4/e10965/">Implementations of Virtual Reality for Anxiety-Related Disorders: Systematic Review</a></p> <p><a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01758/full">Inferiority or Even Superiority of Virtual Reality Exposure Therapy in Phobias?—A Systematic Review and Quantitative Meta-Analysis on Randomized Controlled Trials Specifically Comparing the Efficacy of Virtual Reality Exposure to Gold Standard in vivo Exposure in Agoraphobia, Specific Phobia, and Social Phobia</a></p> <p>Here are the automated studies I talked about (plus I found a third one after I made the episode) -></p> <p><a href="https://www.sciencedirect.com/science/article/pii/S2215036618302268">Automated psychological therapy using immersive virtual reality for treatment of fear of heights: a single-blind, parallel-group, randomised controlled trial</a></p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6583672/">Effectiveness of Self-guided App-Based Virtual Reality Cognitive Behavior Therapy for Acrophobia: A Randomized Clinical Trial</a></p> <p>This last that I didnt talk about in the podcast episode is awesome! They actually tested the participants with a real tower for their fear of heights. </p> <p><a href="https://www.nature.com/articles/s41746-021-00387-7">Effectiveness of a stand-alone, smartphone-based virtual reality exposure app to reduce fear of heights in real-life: a randomized trial</a></p>
7 total episodes available
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- What is Immersive Psychiatry?
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This podcast updates daily.
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This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Yes, this podcast regularly features guests.
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