Category: Psychiatry

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…

Emergency psychiatry during COVID-19

The reaction to the COVID-19 pandemic in the comprehensive psychiatric emergency program (CPEP) began insidiously, with an initial sense of unease. Patients are brought into CPEP when they pose a danger to themselves or others. Often they are brought b…

A psychiatrist crashes into telemedicine during the pandemic

As far as psychiatrists go, I admit I’m odd, even in a field known for its quirks. I’m fast-talking, irreverent, and most patients tell me I’m not what they expected, but they come back. I’m not for everyone, and that’s OK…

Should we stress about stress? Protecting ourselves during the pandemic.

COVID-19 has exposed us to a wide variety of different stressors. In the short term, our stress response is useful as it helps us respond quickly and effectively. But when the stress lasts longer, we have to identify and acknowledge the “downside” risk…

Incorporate art therapy into healing spaces

Art is a way to find yourself and lose yourself at the same time. When troubled, we experience the monkey mind, thinking of worst outcomes, or replaying past events. A creative pursuit helps stall that process by helping us actively practice mindfulnes…

The hidden wounds of COVID-19

By the time we started to have a significant number of COVID-19 patients in our hospital, I was working as the attending on the inpatient infectious disease service.  Along with the rest of my infectious disease colleagues, we had all been tracking the…

Addressing medical school needs for our frontline responders and health care providers

Coronavirus. Doctors. Nurses. PPE. Social distancing. Sound familiar? Our entire conversation about the COVID-19 pandemic surrounds those words and phrases. We see celebrities, companies, coworkers, family members, and friends donating PPE and money to…