Shows / Clinical Deep Dives
Clinical Deep Dives
Clinical Deep Dives is a Medlock Holmes podcast for clinicians and learners who want understanding, not just information. Using classic medical and surgical texts as a guide and the generative power of AI, each episode explores ideas with curiosity and clarity, designed for learning on the move and knowledge that actually sticks.
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Episodes
Clinical Deep DivesPSYCH 174: Other Psychiatric Emergencies
London, 1895. At three o’clock in the morning, an urgent summons brought Medlock Holmes and Dr Watson to a mysterious institution on the banks of the Thames…
Clinical Deep DivesPSYCH 173: Suicide Treatment
London, 1895. A disturbing message arrived at Baker Street from St Bartholomew’s Hospital. A young woman had survived a suicide attempt and was preparing to…
Clinical Deep DivesPSYCH 172: Suicide - Epidemiology, Risk and Protective Factors, Treatment, and Prevention
London, 1895. A strange series of events had unsettled the city. A young student, overwhelmed by humiliation and loneliness, had survived a suicidal crisis. An…
Clinical Deep DivesPSYCH 171: Computers in Psychiatry
London, 1895. A mysterious invention had arrived at St Bartholomew’s Hospital: an extraordinary machine capable of storing medical records, transmitting…
Clinical Deep DivesPSYCH 170: Physician and Medical Student Mental Health
The House of the Wounded Healers It was approaching midnight when Medlock Holmes received an unusual invitation to St Bartholomew’s College of Medicine. The…
Clinical Deep DivesPSYCH 169: Psychiatry and Spirituality
The Sanctuary of the Unseen A peculiar case brought Medlock Holmes to an ancient sanctuary on the outskirts of London. Its visitors had arrived seeking answers…
Clinical Deep DivesPSYCH 168: Disaster Psychiatry: Disasters, Terrorism, and War
The City That Forgot Tomorrow It was just after midnight when the first bell rang. Then came another. And another. Across London, telegraph lines fell silent…
Clinical Deep DivesPSYCH 167: Micronutrient Monitoring and Supplementation in Psychiatric Illness
The Laboratory of the Missing Elements A curious case arrives at Baker Street. Four patients have been referred to Medlock Holmes. Each has a psychiatric…
Clinical Deep DivesPSYCH 166: Complementary, Alternative, and Integrative Approaches in Mental Health Care
The House of Unconventional Healing A patient arrives at Baker Street carrying two bags. The first contains prescribed antidepressants. The second contains…
Clinical Deep DivesPSYCH 165: Physical Violence on Adults
The House of Broken Safety A woman arrives at Baker Street with a fractured wrist. She tells Medlock Holmes that she fell down the stairs. Her husband…
Clinical Deep DivesPSYCH 164: Genetic Counseling for Psychiatric Conditions
The House of Inherited Shadows A sealed letter arrives at Baker Street. Inside is a family tree spanning four generations. Several names are marked in crimson…
Clinical Deep DivesPSYCH 163: Psychiatry and Reproductive Medicine
Medlock Holmes investigates the extraordinary relationship between the reproductive system and the human mind. On a cold London morning, Medlock Holmes…
Clinical Deep DivesPSYCH 162: Cultural Assessments in Psychiatry
Medlock Holmes investigates the hidden cultural assumptions that shape diagnosis, treatment and the therapeutic relationship. The House of Many Mirrors On a…
Clinical Deep DivesPSYCH 161: Cultural Concepts of Distress
understanding how culture shapes the experience, expression, explanation and treatment of psychological distress. The Museum of Untranslated Suffering Medlock…
Clinical Deep DivesPSYCH 160: Relational Problems
understanding how relationships shape psychological distress, psychiatric illness, recovery and resilience. The House of Invisible Bonds Medlock Holmes arrives…
Clinical Deep DivesPSYCH 159: Borderline Intellectual Functioning and Academic or Educational Problems
The Mystery of the Invisible Barrier Medlock Holmes enters The Academy of Hidden Potential, where a puzzling pattern has emerged. Some students struggle…
Clinical Deep DivesPSYCH 158: Adult Antisocial Behavior, Criminality, and Violence
Medlock Holmes enters The Chamber of Violence, where the question is not simply who committed a crime, but why human beings become capable of harming others…
Clinical Deep DivesPSYCH 157: Malingering
distinguishing genuine illness, exaggeration, deception and the powerful influence of external incentives. Medlock Holmes enters The Hall of Uncertain Truths…
Clinical Deep DivesPSYCH 156: Management of Chronic Pain
behaviour and social context combine to sustain suffering and disability. Medlock Holmes enters The House of Persistent Pain. At first, the investigation seems…
Clinical Deep DivesPSYCH 155: Psychiatric Care of Burn Patients
from survival towards recovery. Medlock Holmes enters The House of Fire and Recovery. At the entrance stands a patient whose burns have been dressed, whose…
Clinical Deep DivesPSYCH 154: Organ Transplantation
recovery and life with a transplanted organ. Medlock Holmes enters The Hall of Second Lives. At its centre stands an enormous clock. Around it wait patients…
Clinical Deep DivesPSYCH 153: Psychocutaneous Disorders
how visible skin disease can reshape identity, relationships and mental health. Episode Description Medlock Holmes enters The Gallery of the Skin, an unusual…
Clinical Deep DivesPSYCH 152: Psychiatric Morbidity Following Critical Illness
and the difficult task of rebuilding an ordinary life. Medlock Holmes enters The Recovery Ward. The monitors have stopped alarming. The ventilator has been…
Clinical Deep DivesPSYCH 151: Stress and Psychiatry
and resilience. Medlock Holmes enters The Stress Laboratory, where an enormous brass apparatus is being subjected to pressure. At first, the mystery appears…
Clinical Deep DivesPSYCH 150: The Terminally Ill Patient
Medlock Holmes enters The Last Ward, a quiet wing of the hospital where medicine appears to be running out of doors. Behind the patients lie operating…
Clinical Deep DivesPSYCH 149: Psycho-Oncology
and the end of life. Medlock Holmes enters The House of Cancer, expecting to investigate a disease of abnormal cells. But he quickly discovers that cancer…
Clinical Deep DivesPSYCH 148: Endocrine and Metabolic Disorders
meaning disturbances of thyroid, adrenal, metabolic and reproductive systems can present as depression, anxiety, mania, psychosis or cognitive change. Episode…
Clinical Deep DivesPSYCH 147: Diabetes - Psychosocial Issues and Psychiatric Disorders
making mental health inseparable from metabolic health. Episode Description Medlock Holmes enters The Metabolic Control Room, an immense Neo-Victorian chamber…
Clinical Deep DivesPSYCH 146: Respiratory Disorders
and psychiatric treatment. Episode Description Medlock Holmes enters The Chamber of Breath, an immense Neo-Victorian respiratory laboratory where a pair of…
Clinical Deep DivesPSYCH 145: Obesity
the development and management of obesity. Medlock Holmes enters The Great Energy Exchange, an immense Neo-Victorian metabolic laboratory where every calorie…
Clinical Deep DivesPSYCH 144: Gastrointestinal Disorders
and the extraordinary bidirectional conversation of the brain–gut–microbiome axis. Medlock Holmes enters The Great Gut–Brain Exchange, an immense Neo-Victorian…
Clinical Deep DivesPSYCH 143: Cardiovascular Disorders
Medlock Holmes enters The Engine Room of the Heart, where an enormous mechanical heart is connected to the brain by networks carrying stress, emotion…
Clinical Deep DivesPSYCH 142: Consultation-Liaison Psychiatry and Psychosomatic Medicine
Medlock Holmes enters The Hospital of Two Wings. For generations, one wing has been labelled BODY and the other MIND. Patients are routinely carried from one…
Clinical Deep DivesPSYCH 141: Personality Disorders
Personality disorder emerges not because someone has a distinctive personality, but when enduring patterns become sufficiently inflexible and maladaptive to…
Clinical Deep DivesPSYCH 140: Adjustment Disorders
Medlock Holmes enters The House of Adaptation, where people arrive carrying the weight of events that have changed their lives: relationship breakdown…
Clinical Deep DivesPSYCH 139: Kleptomania
Medlock Holmes enters a vast Neo-Victorian department store where an unusual investigation is underway. An object has been stolen. But the person who took it…
Clinical Deep DivesPSYCH 138: Pyromania
and subsequent pleasure or relief. Medlock Holmes enters a vast Neo-Victorian fire investigation chamber where one question dominates the room: WHY WAS THE…
Clinical Deep DivesPSYCH 137: Intermittent Explosive Disorder
Medlock Holmes enters an immense Neo-Victorian institution known as The Hall of Impulsive Aggression. At first, the building seems calm. Then a small bell…
Clinical Deep DivesPSYCH 136: Sleep Disorders
Sleep disorders arise when the mechanisms controlling sleep quantity, timing, breathing, movement, arousal or dream-state boundaries become disrupted - and the…
Clinical Deep DivesPSYCH 135: Feeding and Eating Disorders
health become entangled - sometimes producing profound malnutrition, dangerous compensatory behaviours, loss of control over eating, nutritional deficiency…
Clinical Deep DivesPSYCH 134: Sexual Addiction
The central clinical question is not “How much sex is too much?” but “Has sexual behaviour become the person's primary way of regulating distress, reward and…
Clinical Deep DivesPSYCH 133: Gender Identity, Gender Diversity, and Gender Dysphoria/Incongruence
Medlock Holmes enters an immense Neo-Victorian institution called The Grand Observatory of Gender. At its centre stands a transparent human figure surrounded…
Clinical Deep DivesPSYCH 132: Paraphilic Disorders
Medlock Holmes enters an immense Neo-Victorian institution called The Tribunal of Sexual Interest, Consent and Harm. At its centre stands a large brass…
Clinical Deep DivesPSYCH 131: Homosexuality, Gay and Lesbian Identities, and Homosexual Behaviour
Medlock Holmes enters an immense Neo-Victorian institution called The Hall of Sexual Identity and Social Meaning. At its centre is a large brass compass with…
Clinical Deep DivesPSYCH 130: Normal Human Sexuality and Sexual Dysfunctions
Medlock Holmes enters an immense Neo-Victorian institution called The Grand Observatory of Human Sexuality. It is part anatomy theatre, part neuroscience…
Clinical Deep DivesPSYCH 129: Dissociative Disorders
Medlock Holmes enters an extraordinary Neo-Victorian building called The House of Disconnected Rooms. From outside, it appears to be one house. Inside…
Clinical Deep DivesPSYCH 128: Factitious Disorder
At first, the cases look extraordinary. A patient presents with recurrent sepsis caused by unusual organisms. Another has persistent wounds that never heal…
Clinical Deep DivesPSYCH 127: Somatic Symptom and Related Disorders
Medlock Holmes enters an immense Neo-Victorian medical complex called The House of Bodily Signals. Every corridor is crowded. One patient reports abdominal…
Clinical Deep DivesPSYCH 126: Post-Traumatic Stress Disorder
Medlock Holmes enters an immense Neo-Victorian institution called The Citadel of the Unfinished Alarm. At the centre is a vast clock frozen at the moment of…
Clinical Deep DivesPSYCH 125: Gambling Disorder
Medlock Holmes enters an immense Neo-Victorian casino called The House of the Endless Chase. At first, the place appears glamorous. Roulette wheels turn…
Clinical Deep DivesPSYCH 124: Obsessive-Compulsive and Related Disorders
Medlock Holmes leaves the Grand Dispensary of Anxiety and enters an entirely different institution: The Grand House of Repetition. At first, everything appears…
Clinical Deep DivesPSYCH 123: Anxiety Disorders - Somatic Therapies
Medlock Holmes enters an immense Neo-Victorian treatment complex called The Grand Pharmacological Dispensary of Anxiety. Rows of treatment pathways stretch…
Clinical Deep DivesPSYCH 122: Anxiety Disorders - Cognitive-Behavioural Therapy
Medlock Holmes enters an immense Victorian experimental laboratory called The Institute of Fear and Learning. Around him, patients are trapped within…
Clinical Deep DivesPSYCH 121: Anxiety Disorders - Neuroimaging and Neuroanatomical Circuits
Medlock Holmes enters the Grand Neuroanatomical Theatre of Fear. At the centre hangs an enormous transparent brain. The amygdala glows brightly. But Holmes…
Clinical Deep DivesPSYCH 120: Anxiety Disorders - Neurobiology and Neuroscience
Medlock Holmes enters the Neurobiological Citadel of Fear. At its centre stands an enormous transparent brain. It is not silent. Signals move constantly…
Clinical Deep DivesPSYCH 119: Anxiety Disorders - Epidemiology
Medlock Holmes enters the Global Atlas of Anxiety. At the centre floats an enormous illuminated globe. Every continent is marked. Every age group is…
Clinical Deep DivesPSYCH 118: Anxiety Disorders - Clinical Features
Medlock Holmes enters the Grand Gallery of Anxious Minds. At the entrance, every patient appears to have the same complaint: “I am anxious.” But Holmes knows…
Clinical Deep DivesPSYCH 117: Anxiety Disorders - Introduction and Overview
Medlock Holmes enters the Grand Observatory of Fear and Anxiety. At the centre stand two enormous warning systems. One is labelled: FEAR The other: ANXIETY At…
Clinical Deep DivesPSYCH 116: Mood Disorders - Neurobiology
Medlock Holmes enters the Grand Neurobiological Observatory of Mood. At its centre is not one brain map, but an enormous interconnected city of systems. One…
Clinical Deep DivesPSYCH 115: Mood Disorders - Psychotherapy
Medlock Holmes enters the House of Therapeutic Conversations. Unlike the pharmacological observatory, there are no bottles, serum levels, or receptor maps…