Dani Chammas
speaker
1,436 appearances
4 recordings
1 series
first heard Apr 2020
last heard Dec 2024
Dani Chammas’s voice in public audio — every appearance, attributed to the second.
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Always a pleasure.
Something around that.
Maybe it can be a shoot-off, like under the umbrella of Jerry
More to talk about there.
There's
tertiary reason, too, which is that Alex said no to the first, like, ten
Yeah, it's an important distinction.
And I think the evolving terms that try to get at what you're talking about, there's palliative care psychiatry, which you started by referencing.
We're pretty familiar with that in palliative care.
That's how do we treat the
mental health needs of patients with serious medical illness, right?
Everything from normative reactions like existential distress, anticipatory grief, to comorbid psychiatric illness like depression, anxiety, PTSD, which we know is really prevalent in our populations, out to sort of patients with severe psychiatric comorbidities, which we probably drop the ball on more.
There's a lot of health discrepancies there and them getting high quality palliative care, but that's
Palliative care psychiatry.
Palliative psychiatry is a distinct idea where the focus of our palliation is the mental illness itself rather than any medical illness.
That's our target.
And we're generally thinking about treatment resistant, serious mental illness that we think is likely to result in a lot of morbidity and mortality when we talk about it.
So in those cases, can we adopt an approach to mental health care that centers primarily around quality of life of patients and their families?
I mean, yeah, to add, though, a little bit more nuance, the symptoms that we are choosing to target, the symptoms that we're choosing to decrease in psychiatry tend to be decided upon by us as the providers, right?
And so I think there's this one way where if we added palliative care philosophies to all of psychiatry alongside the standard of care, that could be beautiful for everybody because we're going to take in the patient's perspective maybe more than we were trained to.
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