Transcript of Dr. John Dacey’ podcast Dr. John Dacey: Today I have a guest who is my first psychiatrist that I’m going to be eagerly listening to a lot of the things he has to say about anxiety disorders. His name is Jack Lloyd, Dr. Jack Lloyd and I’m going to welcome him to the studio today. Hi Jack. Dr. Jack Lloyd: Hi John. So nice to be here. Dr. John Dacey: Thank you. Jack, I want start off by asking you to describe your clientele to me as much as , in as much detail as you can. What kinds of people do you typically see? Dr. Jack Lloyd: well John, I work by in large with the college undergraduate and graduate student population. I’d say 80% of the clients I see are in that category. Dr. John Dacey: Ok Dr. Jack Lloyd: I also work with some... Dr. John Dacey: Are they at a college some place? Dr. Jack Lloyd: Yeah, primarily at a university. Dr. John Dacey: You’re at MIT if I remember correctly. Dr. Jack Lloyd: Right. Dr. John Dacey: No shortage of anxiety problems. Dr. Jack Lloyd: Yeah, it’s a good anxiety generator. I think that for all, it’s that age is rife with reasons to be anxious. And I also work in my private practice with some older adults middle age and even older adults so I really run the gamut but I don’t work with children. Dr. John Dacey: OK. All right.  fine. That’s good because that’s not what we’re talking about too much here anyway. I have another colleague who does work almost entirely with college students. Her name is Dr. Elizabeth Brocker. And, I, So I’m glad to be talking to you. I want to talk to you of course about the psychological side of things but you’re also able to speak about the physical side of things. Maybe we should start right off with that. I know that I have a very good friend who is a psychiatrist. And when I see, quite a few clients  I’ve seen over the years have needed some mild tranquilizer situation, some kind of medication, because they found it very hard to pay attention when they’re in the middle of an episode. And they find it very hard to remember what I told them to do. And if they can remember what to do, they’re fine. They can work things out pretty well. But it’s very hard to remember when you’re really having, when you’re really having a bad case of the jitters. So, what percentage would you say of the clients that come to you as opposed to a psychotherapist, I imagine A fairer number, you get more serious cases. Am I right?   Dr. Jack Lloyd: Well, yes, I suppose I probably do. And I may, I may, some of my clients may be individuals who have been working  in therapy for a while and making the best use they can, as you say, of cognitive behavioral therapy, and of exposure and response prevention; Different techniques, mindfulness meditation, Behavioral techniques, exercise. And I think When those techniques haven’t quite gotten as far as the therapist and the client would like, they will often refer them to me, and I, I actually think that for everybody those therapy and behavioral techniques ought to be the real cornerstone of treatment. But as an adjunctive, as an adjunctive measure and treatment, I certainly prescribe medications. And in my, I also do therapy, And so I sometimes in a sense would refer to myself in an analogous way, and there are a number of medicines that can be helpful. Would you like me to talk about some? Dr. John Dacey: Yeah I really would like you to talk about them. I would like to About the various categories and I think it would be wonderful chance to to to go to the horses mouth here so to speak.