Category: Psychiatry

The present moment as a refuge

An excerpt from How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and Their Caregivers (Second Edition). Copyright 2018 by Toni Bernhard. Excerpted with permission from Wisdom Publications.  In the years since I’ve been chronically ill, more essential to me than formal meditation has been mindfulness outside of meditation. Mindfulness refers to paying attention […]

The phone calls physicians make in the middle of the night

I don’t miss making the phone calls in the middle of the night. “Hi, this is Dr. Yang calling from the psychiatric emergency service. May I speak to Mr. or Mrs. Doe?” “Yeah, this is Mr. Doe,” he’d reply, his voice thick and slow with sleep. “I’m sorry to call so late. Your son is […]

Personal intimacy as an overlooked antidepressant

Depression is commonly linked to career disappointments, financial setbacks, and disruption of normal routines — especially sleep pattern — as well as social pressures and conflict in personal relationships. It is this last factor that has captured my attention in relation to depression. Personal relationships, in particular, the most personal, love partnerships, have a profound […]

The “untouchables” of mental health care

When I was first reading up on JM (identifying information changed), I thought the case would go smoothly, well, as smoothly as any inpatient psychiatry case can go. All I had known about her is that she was an elderly woman who was recently released from jail. When the staff came to escort JM to […]

Why do doctors treat their own so cruelly?

Medicine has created a culture where public embarrassment, bullying, and passive-aggression have become pedagogy. How can we seek to care for others, when we treat our own so cruelly? I recently met Angie (name changed), a young university student who had entered the clinical years of medical school. Like many, she was introduced to medicine […]

Don’t ignore incest: advice from an incest survivor

In the era of #MeToo, Missy Elliot, Whitney Houston, Tyler Perry, Oprah, Ashley Judd, Gabrielle Union, Teri Hatcher and, now, Padma Lakshmi — keeping kids safe and helping adults heal is our job as physicians. I am a pediatrician — and I am an incest survivor. My perpetrator was also a physician. I bore a […]

We have to deal with the trauma in veterans early on

My medical center recently cemented an agreement with the Veterans Administration to offer care to veterans who could not be accommodated at the VA. We need paying patients, they need doctors of our caliber — establishing mutual benefit. Military veterans have always been among our patients. During my professional lifetime that has included men of […]

Reflections after finishing the first year of medical school

I am both relieved and nervous because they say that the first year is the worst, but now I have the overarching cloud of doom following me around during second year: Step 1. Now that I’m home, I constantly am wondering how I made it this far — in disbelief that I passed all my […]

Is there parity in mental health or are we still dealing with a paucity?

With the recent 10-year anniversary of the Mental Health Parity Act being signed into law, comes the reminder that we still have so much work to be done. Unfortunately, blatant discrimination in health insurance coverage for mental health and substance abuse has continued despite this legislation. The Parity Act required that dollar limits on mental […]

Physician well-being: lessons from positive psychology

The absence of burnout does not equal wellness. While the focus on physician burnout as an epidemic is finally gaining more attention, we may be missing a larger issue. Most physicians are not burned out. We are able to function. We get through our days, make it to some of our kids’ activities and even […]