Category: Psychiatry

Lessons from VA hospitals: Meeting basic needs improves wellbeing

I started my career at a state hospital but transitioned to a VA hospital in 2007. I had been a resident at the hospital and was familiar with the unit and population. The unit had 19 beds, and typically these were filled. Often, admissions were for cr…

Skills for resident physicians to increase distress tolerance

Picture yourself as a junior resident on morning rounds with a senior and a rotating intern. You’ve been up almost all night on call, and you’re almost at the end of the patient list. Your senior asks you about the next patient, and you stu…

A doctor’s journey through narcissistic abuse [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Karla Lester, a pediatrician and certified life and weight coach, as she shares her compelling journey from dedicated medical professional to a survivor of narcissistic abuse within th…

America’s young men are facing a mental health crisis. Can we help them before it’s too late?

September was National Suicide Prevention Month. In a short while, we also approach the 41st birthday of the late Stephen “tWitch” Boss, a widely beloved dancer and executive producer of The Ellen DeGeneres Show whose death by suicide is st…

The essence of health narratives, including poetry

In the vast universe of all that has been written, writing about loss, illness, and death is probably second only to writing about intimacy, relationships, and longing. In the world of narrative medicine, the order is reversed. Patients are harnessing …

How to facilitate caregiver learning and support to improve clinical care outcomes

Caregivers are arguably the most important members of a patient’s care team, with more touchpoints and access to a patient and their lifestyle than any provider or specialist. With approximately 43.5 million caregivers in the U.S., 40 percent are…

A teenager’s perspective: the pressing need for mental health days in schools

Mental health in children and teens is worsening, and there are not enough providers to support them. This is a cause for significant concern. As a teenager who has experienced firsthand the challenges of maintaining positive mental health amidst a dem…

Challenging the diagnosis: dehydration or bias?

The mediation was scheduled for noon. When the attorney in charge of the mediation was an hour late, his assistant began earnestly to find him. This was not typical behavior at all. A phone call to the condominium where the attorney lived sent security…

Practicing medicine with conviction

What does it take for physicians to practice with conviction – to practice medicine with a sense of confidence and commitment, passionate about your work? What factors allow medical students to enter the resident pool each July and turn their timidness…

Levamisole is good for your dog, but bad for your cocaine

In recent years, public attention has been focused on the presence of Fentanyl-laced cocaine. It has overshadowed another new threat just as heinous yet relatively unknown – that of levamisole. Since the turn of the century, the use of levamisole has g…