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…
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…
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…
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…
In November each year, I usually attend an all-day conference in Louisville on the subject of depression. Some of it can become a little grim, but there is an especially tasty free box-lunch that I appreciate. Suicide is a big subject at depression con…
Since the coronavirus outbreak, reports of anxiety have increased, especially among physicians. Physicians face numerous stressors, including fears of contracting the coronavirus, concerns about potentially infecting loved ones, PPE shortages, testing …
Past experiences should inform, but not determine, future action. This has been much on my mind as we bolstered outpatient psychiatric services in response to the COVID-19 crisis. The effort has felt deeply personal, as well as professionally imperat…
In February, I had my first patient ask about my thoughts on the coronavirus. At that time, I was aware of the coronavirus and cautiously optimistic about the situation. My advice to the patient was to have a healthy level of concern about the virus, g…
One week ago, a mere glance at my phone between patients would have sufficiently caught me up on 30 minutes of disconnect from both social and mainstream media. Today, as I closed one virtual appointment and waited for my 9 o’clock follow-up to join me…
Physician burnout. Physician suicide awareness. Buzzwords. Words that get tossed around. People in leadership seem to be concerned about. Institutions say they care. “Solutions” get created. Solutions that look great on paper. Sometimes under the guis…