Category Archive: Psychiatry

Not all depression is alike. Here are the differences.

Adapted from Understanding Antidepressants. In his often-quoted beginning of Anna Karenina, Tolstoy wrote, “All happy families are alike; each unhappy family is unhappy in its own way.”  If we stretch this notion a little — going from families to individuals, and from unhappiness to depression — we come up with an interesting question, which is […]

A physician’s attempt to seek psychiatric help

Physicians all around us are dying from suicide. For me, some deceased colleagues I knew more closely, others were faces that you would pass on the wards. Even two physicians that I knew peripherally died just this past week. The issue of physician suicide is in the news now, and facts are available. At least […]

Physician suicide: Putting words into action

“The parts of me that used to think I was different or smarter or whatever, almost made me die. ” — David Foster Wallace in an interview by David Lipsky Recent physician-suicides and all those before were committed by people; people caught in an organization rigged against them  —  one that breeds new and exacerbates existing, mental […]

The satisfaction of Suboxone treatment

My second foray into Suboxone treatment has evolved in a way I had not expected, but I think I have stumbled onto something profound. Almost six months into our in-house clinic’s existence, I have found myself prescribing and adjusting treatment for about half of my medication-assisted treatment (MAT) patients for co-occurring anxiety, depression, bipolar disease […]

Prescription drugs are killing students and the educational system

The Centers for Disease Control and Prevention reports that 63,632 individuals died in 2016 as a result of drug overdose. Among these, 66 percent died from opioid overdose. The statistics are derived from in-depth research that was carried out by the research institute in 2016. The Centers for Disease Control and Prevention warns that cases […]

The problem with the adults in Netflix’s 13 Reasons Why

Just like so many teenagers out there, I found myself hooked on the Netflix show 13 Reasons Why from the first episode. The only difference is that I am not a teenager, but a physician practicing child and adolescent psychiatry and managing inpatient child and adolescent psychiatric units for the last nine years. I was […]

What I wish my family had known about medical residency

I sometimes get messages from people who have lost physician colleagues and loved ones to suicide. It’s the specifics of these stories that wound me: a note left for an unexpected person; an insignificant fight at sign-out that in retrospect is full of meaning; the white coat that a woman wore when she jumped to […]

Depression is personal to this physician

Kate Spade. Anthony Bourdain. Two celebrity icons splashed the headlines recently as both figures committed the unthinkable act of suicide. Both left behind young daughters and significant others reeling in the background wondering what had just happened. Kate Spade was the colorful fashionista of purses and dresses. Anthony Bourdain was the connoisseur of delectable eats […]

A pediatrician’s healing spirit: treating depressed, anxious, and suicidal teens

I had not one, but two suicidal teen patients today. This is only one day after I had an eight-year-old suicidal patient come to see me. Three weeks ago, a 17-year-old female walked in, she had hung herself in her closet one month earlier — saved only by the timely breaking of the crossbar of […]

How Anthony Bourdain and Kate Spade could change mental health

Many people in our country, or I should say in this world, have been shocked and devastated by recent celebrity suicides. Many wonder how can someone whose life looks so perfect be depressed? Well, people are starting to recognize that anyone, no matter how successful, how rich or how attractive can experience severe depression. Many […]

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