Category: Psychiatry

The unremitting adventure of COVID recovery 

COVID-19 is taking a toll on my mental well-being in a way I had not expected. I have a rather high distress tolerance. I am a pediatric emergency psychiatrist. Now I am a wounded healer battling anxiety and fears from the constant unknown taking place…

Flattening the curve of COVID’s emotional impact

For weeks, our health care workforce has been on the frontlines of the COVID-19 pandemic staring straight at mortality – their patients and their own.  They have been single-mindedly focused on the task at hand, doing what needs to be done while …

Is everyone anxious? The mental toll of the pandemic.

The chart for the first patient of the morning states, “elevated blood pressure for two weeks.” As I enter the room, I see a frail, elderly woman perched gingerly in the chair. She has on large sunglasses and a fabric mask. She looks apprehensive, so I…

How the COVID-19 pandemic is traumatizing health care professionals

Many of us (especially psychiatrists and physician coaches) have been warning the medical profession at large for weeks now that we are headed for unprecedented numbers of physicians, nurses, other health care workers, and first responders suffering fr…

How COVID-19 is hurting the most vulnerable mentally ill: observations from the frontline

“My partner doesn’t want me to come back home now that I’ve come to the hospital. He is worried I’ll come back and infect him and his parents. I have nowhere to go”. Fear and guilt were palpable in the young woman sitting before me. She had decided to …

Physicians and the psychological trauma of COVID-19

In April 2020, Dr. Lorna Breen, an emergency medicine physician from New York-Presbyterian Medical Center, came to the University of Virginia Medical Center, not as a physician, but as a patient. She had been working at the height of the COVID-19 epide…

How to work from home and not lose it

Your alarm may still go off at the same time, but I’ll bet what happens next is not the same as it was back in February. There is no denying our daily lives have been turned upside down in both stressful and heartwarming ways. While recent stories have…

With COVID-19, we have a unique opportunity and need to deregulate buprenorphine prescriptions

My patient was a young man who wanted to be placed back on buprenorphine. He had started using again. He often missed appointments, did not pick up phone calls. So when I saw him in the room, I masked my surprise. “What makes you want to start today?” …

Loneliness is a silent epidemic crying out to be heard

She reached for my hand, her hands gnarled, the skin fragile, translucent, road mapped by bluish veins: Hands that had done much in her 87 years. She looked at me from her hospital bed and with voice trembling, her eyes tearing, spoke words that penetr…

A vaccine alone will not be enough to recover from the impact of COVID-19: Emotional antibodies against it are needed as well

I was seven years old when I first got my heart broken. I was swiftly rebuffed by my second-grade crush, Brett who, upon getting gently pecked on the cheek by me one afternoon following recess, grimaced and began aggressively wiping off the invisible r…