Burnout is a myth. Dedicated clinicians, working under circumstances that connect their skills and compassion with opportunities to impact patients, won’t experience burnout any more often than they might by doing other jobs. The story we tell — …
Category: Psychiatry
Physicians can choose not to be powerless against opioid addiction
I didn’t become a primary care doctor to treat opioid addiction. I wasn’t trained for it. To be honest, it scared me. But when you work, like I do, at a clinic that serves a lot of people who have little money or who struggle with mental health and sub…
Social isolation is a health risk
More than two-thirds of Americans use social media, and 90 percent of adults in the U.S. have a cell phone. With these tools surrounding us, we must be more connected with one another than ever before. Right? It doesn’t feel like we are. At least, the …
Esketamine is not a breakthrough new drug: Why the nasal spray for depression is old news
The FDA has given official approval to market eskatamine as a treatment for depression. As expected, there has been great fanfare (press releases, morning TV talk show guests, NPR segments and so on). The news leaves me salty. The esketamine story reve…
The tip of the iatrogenic benzodiazepine iceberg
Life experience gives one an intimate appreciation for the meaning behind the saying “just the tip of the iceberg.” Everyone’s encountered something that turned out to be much larger and more complex than was initially understood. In my experience, med…
Here’s why pediatricians ask about trauma and violence
As a behavioral pediatrician, I see children with behavior problems. Kids with aggression, kids who have been kicked out of multiple daycares or schools and kids who are not doing well at home or school. One of the things I always look for are clues as…
How social media can advance humanism in medicine
“In any given moment we have two options: to step forward into growth or step back into safety.” – Abraham Maslow. The New York Times recently published the op-ed “Dr. Google is a Liar,” written by cardiologist Haider Warraich, MD. Dr. Warraich d…
A Xanax prescription that should have been rejected
In hindsight, I should have never accepted a Xanax prescription from my doctor. What followed was catastrophic — rapidly developing tolerance and physical dependence on the drug and a prolonged illness. Three-and-a-half years later, I am still slowly t…
How physicians should respond to the words, “I am depressed”
My response to a colleague who says, “I am depressed,” is critical for many reasons. As doctors have tough masks, it has been difficult for my colleague to disclose this. Due to mental illness stigma in the medical profession, this doctor may have been…
A psychiatrist’s attempt to stop burnout
I don’t want to go back. Starting at 6 a.m., the intern entered the hospital with coffee from the bodega down the street, anxious about the patients that were admitted to the ward the previous evening. I deserve it. At 8 a.m., he had already rounded on…
