Category: Psychiatry

A pediatrician finds her “why”

Last Friday, as I sat finishing up notes on the last of my almost 30 physicals (this number is never any surprise for us pediatricians this time of the year, it’s back to school week, so every Thomason, Dickinson, and Harrison is lining up for sports physicals and regular physicals and all sorts of clearance […]

Why this physician sees a therapist

I’ve had a lot of ups and downs throughout my schooling and career — not just related to my profession but personally as well. In the past, it has crossed my mind that I should probably seek professional help, but then some way or another, I would get past my issues and life would normalize. […]

Words can hurt those on benzodiazepines

There exists a large, mostly-underground, a growing community consisting of those iatrogenically harmed by benzodiazepines. Guilty only of following doctors orders, these patients are marginalized and misunderstood. This has been enabled, at least in part, by poor terminology. Recently on Twitter, Michael P. Hengartner and Marnie Wedlake both posted critical questions in response to a […]

Reach out to your colleagues: This can have more impact than you can imagine

I just heard. A colleague, a man of integrity and warmth, a hard-working physician with ideals, ethics and many valued contributions, has taken his own life. His perspectives may have differed from mine at times, but every interaction was infused with respect. He was a good man. Much has been written about the rate of […]

Burnout doesn’t start in medical school

Burnout affects as many as 50 percent of physicians. Interventions have been proposed at virtually every stage of a physician’s life, from medical school to residency training to professional practice. While the rigors of medical training certainly contribute to the high levels of burnout in the profession, there are indications that the trouble begins at […]

A resident physician’s story of depression

It was 4:30 a.m. on a freezing cold winter morning when I dragged myself to my car and started down the street to the hospital. I was working in the ICU for the month, and sleep had become a commodity I no longer enjoyed. I tried to shake my brain out of the dense fog […]

Domestic abuse can affect anyone, even physicians

A good friend of mine, B., once told me a few years ago that before her divorce, her husband was verbally and occasionally even physically abusive toward her. Somewhat shocked by this news, I expressed how glad I was that she had gotten out of that situation. I did not think that B. would be […]

How do you see psychosis?

If you’re not a mental health professional, your exposure to psychosis may come through a variety of channels. You may know someone with a psychotic disorder; you may have a psychotic disorder yourself. You may have taken an introductory class on psychology in high school or college, and you may be aware of psychotic episodes […]

Why “happy” doctors commit suicide

He was the go-to sports guy in Washington, DC. A masterful surgeon with countless academic publications, he trained orthopaedic surgeons across the world and was the top physician for professional sports teams and Olympians. Dr. Benjamin Shaffer had it all. Yet Ben was more than a stellar surgeon. He was a kind, sweet, brilliant, and […]

How and why to treat sleep disturbance from depression

One of the aspects of depression that’s particularly difficult is the sleep disturbance which accompanies it and often continues after the traditional symptoms of depression have finally gotten better. When studied in the laboratory, the sleep of depressed person is short, shallow (with less deep slow-wave sleep), and frequently interrupted by awakenings. Additionally, there are […]