Category: Psychiatry

Stolen checks and maybe some forgiveness

It took some getting used to in dealing with Mae. My main function soon became acting as her bookkeeper. Each month, I would write checks for her. She was illiterate, and signing her name was about all she could do. Mae was a fairly ordinary looking la…

During the pandemic, it’s OK to be a “good enough” parent

The social media posts exhaust me.  I see parents with colorful schedules for children to abide by during this pandemic and others who have made a zillion fabric masks to donate. Meanwhile, I’m trying to test the technology to see patients from my new …

Be a little patient with people, and the rewards can be significant

Correna is full of simplistic Henny Youngman-type one-liners (many of you readers, I understand, may never have heard of the comic, Henny Youngman, but no matter). But her one-liners are not particularly funny. She might say as we drive along, “I…

The crisis after COVID-19: Why doctors won’t get treatment

I’ve been telecommuting for two weeks, and I already feel like Bill Murray’s character in the film Groundhog Day. A college friend of mine had a term for this feeling—déjà movie. I ease into my day with the repetitive normalcy of feeding th…

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 …