Category: Psychiatry

How “Joker” gets mental illness wrong

Spoiler alert: Plot points of the movie “Joker” are revealed in the following piece. “Joker” opened to a mix of rave reviews and criticism on October 2, 2019, amid fears of mass-shootings at theaters in the U.S. This left law en…

Get rid of the guilt. You matter as a physician.

“When you start seeing your worth, you will find it harder to stay around people who don’t.” – Unknown After graduating from my residency a few years ago, I accepted a job within my organization as a staff psychiatrist and a medical director. The…

Get rid of the guilt. You matter as a physician.

“When you start seeing your worth, you will find it harder to stay around people who don’t.” – Unknown After graduating from my residency a few years ago, I accepted a job within my organization as a staff psychiatrist and a medical director. The…

Second-tier, off-label treatments for anxiety

In previous posts, we have reviewed the use of selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), as well as the off-label prescribing of gabapentinoids, for treating anxiety disorders. Anxiety is …

Burnout in fashion and medicine: A fashion designer turned physician compares notes

“Fashion Is Moving Too Fast, and It’s Killing Creativity,” by Veronique Hyland, talks about burnout in the fashion industry. As a former Fashion Designer turn physician, my curiosity was peaked. If you substituted the word “medicine” …

Laughter breaks trauma’s grim spell

An excerpt from The Transformation: Discovering Wholeness and Healing After Trauma. Reprinted with permission of HarperOne, an imprint of HarperCollins Publishers. Copyright 2019 Reader’s Digest used to tell us each month that “laughter is the best med…

Should pediatricians treat ADHD with medications or behavioral treatment first?

When children are diagnosed with attention deficit hyperactivity disorder, stimulant medications like Ritalin or Adderall are usually the first line of treatment. The American Academy of Pediatrics issued new guidelines Monday upholding that central ro…

Should pediatricians treat ADHD with medications or behavioral treatment first?

When children are diagnosed with attention deficit hyperactivity disorder, stimulant medications like Ritalin or Adderall are usually the first line of treatment. The American Academy of Pediatrics issued new guidelines Monday upholding that central ro…

A patient confesses that he cuts himself

I walked into the room and said: “Hi, Jason.” “Do you think it’s deep enough to need stitches? I am really scared of needles,” was his reply to me. I said, “Why don’t you let me take a look, and we can both com…

To reduce suicides, follow the data

On Kimberly Repp’s office wall is a sign in Latin: Hic locus est ubi mors gaudet succurrere vitae. This is a place where the dead delight in helping the living. For medical examiners, it’s a mission. Their job is to investigate deaths and learn from th…