Category: Psychiatry

Why aren’t you treating opioid addiction?

Our community had one of “those” providers — a midlevel who was the local pain person. If you had pain, go to her. She would write you for anything you could want and more. It’s unclear if she was unscrupulous or just inept. But last year, the DEA fina…

Want to create a review course? Here’s how this physician did it.

When I told my colleagues that I was going to try to create the first psychiatry review course at the University of Toronto, I received the same two responses: “It’s about time somebody did that!” and “What is wrong with you?&#8…

Should physicians lie when asked these questions?

Dear colleagues, I know you have seen these questions: Do you currently have any physical or mental impairment that could limit your clinical practice? Are you currently taking any medication? Have you ever been hospitalized for any reason? Have you ev…

How to manage narcissistic doctors

Anyone can exhibit narcissism or narcissistic personality traits or types from time to time in different forms from mild to severe. When doctors are under stress, they can “act out,” or their behavior can worsen. Greater awareness of damaging behaviors…

How to manage narcissistic doctors

Anyone can exhibit narcissism or narcissistic personality traits or types from time to time in different forms from mild to severe. When doctors are under stress, they can “act out,” or their behavior can worsen. Greater awareness of damaging behaviors…

$34,000 to save mothers and their children from postpartum depression

A swimming pool. Most of a Tesla. Not nearly enough to have your kid swapped out during their sham SAT test. Nor would an ICU bill for a stay that resulted in survival — $48,744 is the cost of that. What costs an alarming amount more is the bill the US…

Communities can help women cope with maternal depression

When a baby is born, people stop acting like themselves. Gruff grown-ups make goofy faces at infants. Nostalgic moms share their birthing experiences with pregnant strangers. Shy kids clamber onto strollers of babies they don’t know, just to coo at new…

If medical students are already experiencing burnout, how are they going to survive residency?

My interest in understanding burnout among medical trainees started during my second year of medical school. With Step 1 nearing, I noticed a dynamic shift in my classmates. The growing tension, petty arguments, and constant worry surrounding our futur…

Why this burned out physician turned to meditation

There are aspects of practicing medicine that will always be challenging and stressful, even in a perfect system. Avoiding dangerous drug-drug interactions. Keeping up with the overwhelming amount of new data on diagnostic and treatment modalities. Tel…

How to spot a narcissistic doctor

How is it possible that endemic bullying persists in medicine despite myriad initiatives to improve awareness, mutual respect and medical culture? In some cases, we can blame health systems issues, such as medical workforce shortages, lack of funding a…