The Academy by Psych Scene

“Highly recommended. The course was well structured, which made the content easy to understand and integrate into clinical practice.”

Knowing what to do is not the same as being able to actually do it under distress.

That is where patients experiencing emotional dysregulation may struggle.

For clinicians, the task is helping patients practise skills that remain usable when arousal is high, impulses are strong and relationships are under strain.

Led by Dr Kimberly O’Keefe and Dr Sanil Rege, our Dialectical Behaviour Therapy (DBT) – A Practical Guide for Clinicians course provides clinicians with a structured approach to working with emotional dysregulation in practice.

This course covers validation and boundary setting before building skills in mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.

In this course, you’ll learn how to:

- Recognise the principles, evidence base and clinical applications of DBT

- Assess suitability and use validation, psychoeducation and boundary setting

- Teach practical mindfulness and distress tolerance skills

- Apply emotion regulation techniques to reduce unhelpful emotional patterns

- Use interpersonal effectiveness tools such as DEAR MAN, GIVE and FAST

Accreditation:

✅ 7 CPD hours (EA 4, RP 2, MO 1)
✅ Self-accreditable with RANZCP and Other Relevant Organisations
✅ Certificate of Completion

Start learning today. Link in the comments below.

1 day ago |[YT] | 1

The Academy by Psych Scene

Maternal stress can affect how the fetal brain develops.

The fetus may not experience the psychological stressor directly.

But it develops inside the biological changes that stress creates in the mother.

For more evidence-based psychiatry insights like this, join the Psych Scene newsletter.

We share clinical frameworks, research updates, diagnostic explainers, and practical resources designed to support mental health professionals in practice.

Link in the comments below.

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2 days ago |[YT] | 7

The Academy by Psych Scene

Insulin resistance may be more clinically relevant to bipolar disorder than its metabolic label suggests.

Its onset has been associated with a 12-fold increase in bipolar morbidity.

Here’s how IR may help explain why some cases of bipolar disorder become more chronic and harder to treat.

To learn more about insulin resistance in psychiatry and how metabolic health can be incorporated into psychiatric care, click the link in the comments below and check out the full course inside The Academy.

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3 days ago |[YT] | 5

The Academy by Psych Scene

You see a patient with ADHD who is increasingly hyperactive despite sleeping for only 2 hours.

While worsening baseline ADHD is one possibility, this pattern may also reflect the emergence of a superimposed activated state.

Here's how to tell which is which.

To learn more about how to differentiate ADHD hyperactivity from emerging hypomanic activation, and how to use sleep, energy and goal-directed behaviour to assess complex ADHD ‘presentations’, click the link in the comments below and check out the full course inside The Academy.

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5 days ago |[YT] | 12

The Academy by Psych Scene

To learn more about clonidine’s role in ADHD treatment and how hyperarousal patterns guide dosing decisions, click the link in the comments below and check out the full course inside The Academy.

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5 days ago |[YT] | 8

The Academy by Psych Scene

ADHD has been linked to a higher risk of Parkinson’s disease later in life.

That does not mean ADHD leads to Parkinson’s disease.

But when ADHD-like cognition appears alongside certain non-motor features, the differential may need to widen.

Which is why ADHD formulation needs to go beyond the diagnostic label.

Join Dr Sanil Rege on 28 November for Advanced ADHD Masterclass: From Neurobiology to Individualised Care, exploring how neurobiology, sleep and pharmacological variables can inform more precise ADHD formulation and individualised treatment.

28 November 2026 | 9:00 am - 5:30 pm AEDT

Book your spot now.

Links in the comments below.

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1 week ago |[YT] | 11

The Academy by Psych Scene

“The course was absolutely fascinating, and I learned a great deal. Psych Scene has become one of my main sources of education in psychiatry and has significantly strengthened my clinical skills.”

Acute psychosis does not always reflect a primary psychiatric disorder.

When the trajectory is atypical, assuming it does can delay the right work-up.

Rapid change, cognitive fluctuation, catatonia, seizures or autonomic instability should shift the question:

Could this be autoimmune?

Inside The Academy, our Autoimmune Psychosis & Autoimmune Encephalitis course helps clinicians recognise when acute or subacute psychosis may signal autoimmune encephalitis rather than a primary psychotic disorder.

It provides a structured pathway through red and yellow flags, MRI, EEG, CSF and antibody testing, Neuropsychiatric Checklist for Autoimmune Psychosis (NEPCAP), diagnostic certainty and treatment thresholds.

In this course, you’ll learn how to:

- Recognise autoimmune encephalitis syndromes that can present with psychosis

- Identify red and yellow flags and when MRI, EEG, CSF and antibody testing are indicated

- Apply NEPCAP to structure the diagnostic work-up and weigh diagnostic certainty

- Differentiate autoimmune psychosis from primary psychiatric disorders

- Link diagnostic certainty to immunotherapy, psychiatric care and psychotropic management

Accreditation:

✅ 2 CPD Hours (EA 2)
✅ Self-Accreditable with RANZCP and Other Relevant Organisations
✅ RACGP Accredited
✅ Certificate of Completion

Start learning today. Link in the comments below.

1 week ago |[YT] | 1

The Academy by Psych Scene

Why are nightmares so common in PTSD?

Part of the answer lies in REM sleep, where fear memories are consolidated and trauma-related memories can reactivate.

Let’s look at how traumatic memories can resurface during REM and contribute to recurrent nightmares.

To learn more about the nuanced neurobiology of PTSD, and how its underlying mechanisms can inform clinical assessment and formulation, click the link in the comments below and check out the full course inside The Academy.

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1 week ago |[YT] | 13

The Academy by Psych Scene

In ADHD care, symptom improvement suggests that treatment is working.

But if daily function remains impaired, the clinical problem is not fully resolved.

A patient may be less inattentive or impulsive, but still struggle with motivation, sleep, emotional regulation or follow-through.

For clinicians, the challenge is understanding why symptom response has not translated into meaningful functional change.

Led by Dr Sanil Rege, join us at The Academy for Advanced ADHD Masterclass: From Neurobiology to Individualised Care.

This clinically grounded masterclass explores how neurobiology, sleep and pharmacological variables can be integrated into more precise ADHD formulation and individualised treatment decisions.

After this masterclass, participants will be able to:

- Explain why knowing what to do may not lead to action using reward, effort, learning and internal-state regulation.

- Use interoception, predictive processing and active inference to understand attention, motivation and arousal.

- Construct a 24-hour formulation integrating sleep, circadian timing, cognition and medication effects.

- Individualise pharmacotherapy using functional targets, dose, formulation and timing.

Event details:

📅 Date: 28 November 2026
🕖 Time: 9:00 am – 5:30 pm AEDT (Melbourne Time)
🔀 Format: Hybrid (Live In-Person + Online)
📍 Venue: Pullman East Melbourne
🎟️ Access: $597 AUD for On-site Access / $397 AUD for Virtual Access

🏷️ Early Bird Price: $497 AUD for On-site Access / $297 AUD for Virtual Access

Upon completion, all participants will receive:

✔️ CPD Certificate
✔️ 13.5 CPD hours including 5 Measuring Outcomes
✔️ Q&A
✔️ 30-Day Replay Access

Click the links in the comments below and reserve your spot now.

1 week ago |[YT] | 7

The Academy by Psych Scene

You see a patient with depression who is restless and agitated.

The chart says: depression + anxiety.

But melancholic depression can also produce psychomotor agitation that looks very similar.

Here’s how to tell the difference.

To learn more about how to recognise and diagnose melancholic depression and distinguish its clinical features from other depressive ‘presentations’, click the link in the comments below and check out the full course inside The Academy.

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1 week ago |[YT] | 9