Category: Psychiatry

Should the telemedicine boom persist after the COVID-19 pandemic?

It was 2013. High-tech entrepreneurs were excitedly “disrupting” industries, bringing goods and services closer to users. Uber replaced cabs, Kickstarter replaced investors, and telehealth companies offered convenient, at-home medical care over smartph…

Coronavirus is forcing us to confront addiction treatment paradoxes

On March 19th, the federal government loosened regulations around methadone and buprenorphine, two medications used to treat opioid addiction. The change was triggered by the novel coronavirus and concerns that current practices would either contribute…

Even as a pediatrician, I didn’t realize stress started so young

Despite four years of medical school, three years of residency, and over a decade in practice, I was never taught the profound connection between high childhood stress and increased risk of chronic disease. It was at a community event sponsored by our …

Redefining the role of psychiatrists in the time of COVID-19

The unparalleled and pervasive nature of the evolving COVID-19 pandemic has touched all of us in some way. There is limited, albeit growing, research on the mental health effects of disasters.  A recent review article pointed out the potentially negati…

COVID-19 and the toll on health care workers’ mental health      

It is well known that physicians are more likely to screen positive for depression and have higher rates of suicide than their counterparts in the general population. But how is this fact exacerbated by the global pandemic of fear, anxiety, and mountin…

Anticipatory grief during the COVID-19 pandemic

I woke up today wearing the lead suit of grief. I was tired, irritable, and tearful.  I was angry at the lack of PPE and the risk that this poses to my colleagues.  I was sad, anticipating the loss of my colleagues who are still alive and well.  I was …

Physician burnout is a patient safety issue

He was supposed to be the first patient of the day — not the last. He started as a “no-show” on an already overbooked afternoon office schedule. A gift of sorts, I thought, making clinic a little bit easier and a tiny bit quicker. But Jim s…

Mental health and college students: What parents can do to support their children

The percentage of U.S. college students who are living with mental health issues, including depression, anxiety, eating disorders, substance, and alcohol misuse, and self-harm are significant. Approximately 39% of college students experience a signific…

The next pandemic will be in mental health

I had my first full day of telemedicine today. Telemedicine is my happy place.  For the last two years, I have provided telepsychiatry for a rural facility in my home state. I had the privilege of talking to my patients in their homes today. I was beyo…

Who are truly non-essential during the coronavirus pandemic?

In light of the COVID-19 pandemic, people across the country are grappling with the question, “What and who is essential?” Instructions to reduce non-essential activity hit differently in crisis compared to our normal mindset that our day-p…