Category: Psychiatry

Physician suicide: Putting words into action

“The parts of me that used to think I was different or smarter or whatever, almost made me die. ” — David Foster Wallace in an interview by David Lipsky Recent physician-suicides and all those before were committed by people; people caught in an organization rigged against them  —  one that breeds new and exacerbates existing, mental […]

The satisfaction of Suboxone treatment

My second foray into Suboxone treatment has evolved in a way I had not expected, but I think I have stumbled onto something profound. Almost six months into our in-house clinic’s existence, I have found myself prescribing and adjusting treatment for about half of my medication-assisted treatment (MAT) patients for co-occurring anxiety, depression, bipolar disease […]

Prescription drugs are killing students and the educational system

The Centers for Disease Control and Prevention reports that 63,632 individuals died in 2016 as a result of drug overdose. Among these, 66 percent died from opioid overdose. The statistics are derived from in-depth research that was carried out by the research institute in 2016. The Centers for Disease Control and Prevention warns that cases […]

The problem with the adults in Netflix’s 13 Reasons Why

Just like so many teenagers out there, I found myself hooked on the Netflix show 13 Reasons Why from the first episode. The only difference is that I am not a teenager, but a physician practicing child and adolescent psychiatry and managing inpatient child and adolescent psychiatric units for the last nine years. I was […]

What I wish my family had known about medical residency

I sometimes get messages from people who have lost physician colleagues and loved ones to suicide. It’s the specifics of these stories that wound me: a note left for an unexpected person; an insignificant fight at sign-out that in retrospect is full of meaning; the white coat that a woman wore when she jumped to […]

Depression is personal to this physician

Kate Spade. Anthony Bourdain. Two celebrity icons splashed the headlines recently as both figures committed the unthinkable act of suicide. Both left behind young daughters and significant others reeling in the background wondering what had just happened. Kate Spade was the colorful fashionista of purses and dresses. Anthony Bourdain was the connoisseur of delectable eats […]

A pediatrician’s healing spirit: treating depressed, anxious, and suicidal teens

I had not one, but two suicidal teen patients today. This is only one day after I had an eight-year-old suicidal patient come to see me. Three weeks ago, a 17-year-old female walked in, she had hung herself in her closet one month earlier — saved only by the timely breaking of the crossbar of […]

How Anthony Bourdain and Kate Spade could change mental health

Many people in our country, or I should say in this world, have been shocked and devastated by recent celebrity suicides. Many wonder how can someone whose life looks so perfect be depressed? Well, people are starting to recognize that anyone, no matter how successful, how rich or how attractive can experience severe depression. Many […]

Treating mental illness: Quality of life matters

Quality of life matters. This straightforward assertion gets complicated when we discuss the treatment of depression. Depression is common, part of a family doctor’s daily schedule; it can affect anyone, although certain groups are at higher risk. There have been many hypotheses as to why we as a species are susceptible to depression (and its […]

Celebrity suicides make the irony of our era clear

These recent weeks have been hard for me, and I suspect for a lot of other people as well. Not because I spent it in a board review course listening to lectures for 12 hours a day, and not because I drank enough coffee to practically burn a hole in my stomach, but because the […]