Category: Psychiatry

Is gaming disorder a real addiction, and how can I tell if it’s affecting my child?

Studies have shown that video games and other addictions, such as alcohol and nicotine, affect neural pathways in similar ways: They all lead to an increase in dopamine levels in specific pleasure centers of the brain. While drugs increase dopamine lev…

I lost my attending to suicide: a story of loss and ladybugs

I lost my attending to suicide. A lot of things about life changed that day. In the days of grief that followed, I was consoled by my mentor who suggested we meet outside on a patch of grass near the hospital. As we shrinks say, we needed time to emoti…

How many beers is too many?

“I drank beer with my friends. Almost everyone did.” Alcohol has become constitutional to American culture: “grabbing a drink” after work, happy hour, cheers before meals, on New Year’s, or just because. Our society’s normalization of drinking creates …

Do whatever it takes to conquer this depression. Now and forever.

“Ms. Taylor*?” “Yes, it’s me. I’m so deeply sorry to you and the team. You all helped me so much when I was here. But I started drinking a day after I left and blacked out.” Two weeks ago, Ms. Taylor was found by her…

How to talk with a struggling physician colleague

My friend, Lello Tesema, and I were sitting in a restaurant in Harvard Square. It was the first, feverish bit of spring when it seems like the entire city has emerged en masse from their winter dens. We were sitting outside under patio lights, wearing …

The problem with high-potency marijuana

Advocates for the legalization of medical and retail marijuana are quick to point out all the possible benefits that a community might see from such a venture. These include increased jobs, increased tax revenue, possible medical benefits and they adve…

How this student took care of his severe depression in medical school

We learn about it in school as a formula. There is a checklist that we are given, and we ask our patients these eight questions and then calculate whether or not they have depression. It’s so simple. Anyone can do it! I never once thought that I would …

Marijuana will not fix the opioid epidemic

Marijuana has been used for reported medical purposes for thousands of years when the plant had THC content of 0.5 to 3%. The most common reported medical use is for pain. Several states and the District of Columbia have some form of legalized marijuan…

A physician who lost his daughter

The day is etched in my memory. The knock at the door. Two detectives and one police officer. I knew the news was bad. We sat at our dinner table, and the dreaded words came: “Your daughter is dead.” “How?” I asked. “She hung herself during the night.”…

Qualifying conditions for medical marijuana

An excerpt from The Medical Marijuana Guide: Cannabis and Your Health. Despite the fact that the U.S. Department of Health and Human Services applied for a patent on cannabinoids as neuroprotectants and antioxidants in 1999 and was granted that patent …