Darkness covers the sky so that no light can enter the soul. Only a silhouette of life is possible — only a shell devoid of existence, devoid of meaningful experiences. Living is like walking in a dense forest where its canopy envelopes all who dare to enter. The falling rain is black. It covers everything […]
Category: Psychiatry
Road rage: It’s all in your head
Two cars arrive at a stop sign at the same time. Both start into the intersection. One driver speeds through, while the other jams on the brakes, avoiding a collision. This driver feels insulted, offended, diminished. Who the hell does that other driver think he is? He nearly killed me! This scenario, and countless others […]
Don’t worry, this psychiatrist won’t analyze you
“Oh, you’re a psychiatrist? I hope you won’t analyze me!” I never know what people actually mean when they say that upon learning that I work as a psychiatrist. I think they’re saying, “I hope you’re not going to spend our time together trying to discern my flaws.” Nobody wants people to seek out, highlight, and […]
Behold the power of gratitude
Gratitude may be more beneficial than we commonly suppose. One recent study asked subjects to write a note of thanks to someone and then estimate how surprised and happy the recipient would feel – an impact that they consistently underestimated. Another study assessed the health benefits of writing thank you notes. The researchers found that […]
The new mental health education mandate doesn’t go far enough
Just recently, New York and Virginia became the first two states to mandate that mental health become incorporated into school curriculums. New York passed a law for educators to teach material on mental health beginning from elementary school continuing on to high school. Virginia’s legislation intertwines mental health education with physical and health education for […]
What is it like to lose a patient to suicide?
We bear the pain in different ways. For me, it feels like you’re a combat medic and you’ve used up all your tourniquets on a wounded soldier that seems to hemorrhaging from everywhere. The blood seeps through the skin, and no matter what you do you cannot stop the soldier from choking to death on […]
Physicians don’t just suffer burnout. They suffer moral injuries.
Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury. Moral injury is frequently mischaracterized. In combat veterans it is diagnosed as post-traumatic stress; among physicians it’s portrayed as […]