Category: Psychiatry

Why the pandemic will impact mental health for years, and 3 concerning side effects

Consumer demand for mental and behavioral health services reached a fever pitch in 2020.  From prolonged social distancing and financial strains, to the burnout of extra caretaking, grief over tremendous loss, and the monotony of working from home, the…

Ketamine’s non-anesthetic powers: Please wait for the science

Ketamine (colloquially called “K,” “Special K,” or “Vitamin K”) is a potent, dissociative anesthetic. More specifically, it is a nonselective NMDA antagonist that initiates a wide array of physiological effects, alre…

Organizations that nurture physicians’ careers can attract and retain the best doctors

Over the years, I’ve had the privilege of assisting more than 2,000 distressed physicians – some with burnout, others with “rough edges,” still others with psychiatric conditions or misuse of drugs and alcohol.  Some of these doctors were s…

The unspoken pandemic in frontline health care workers

The pandemic has impacted many of us around the world, especially the frontline health care workers — myself included here in Melbourne, Australia. It is time we address these issues and bring the conversation into the open. Politicians talk about open…

Restoring the heroes in the aftermath of the pandemic

You stand up from your desk, take a deep breath, and get to work. It’s business as usual. There are exams to perform, test results to review, referrals to be made, and patients to console. A patient’s son is on the phone, concerned about his mom’s upco…

Restoring the heroes in the aftermath of the pandemic

You stand up from your desk, take a deep breath, and get to work. It’s business as usual. There are exams to perform, test results to review, referrals to be made, and patients to console. A patient’s son is on the phone, concerned about his mom’s upco…

Shame and the medical profession [PODCAST]

“We can’t escape shame. But don’t despair, dear reader, because shame resilience can be cultivated. There are mental-fitness skills that can be learned which are self-perpetuating. I taught myself these skills and, in doing so, healed my own woun…

As the pandemic winds down, another crisis may be looming

Imagine this scenario: a busy mom struggles to balance work and parenting during the pandemic when suddenly her teenage son begins to anger. He gets out of control, screams threats, and kicks a hole in the wall. Neighbors call the police, who recommend…

Can a magnet treat depression?

The rates of depression in the U.S. have tripled over the last year, with over 25 percent of adults expressing symptoms of depression. While depression was always a leading cause of mental illness and disability, it has become a worsening problem durin…

A physician hung himself. That could have been me. [PODCAST]

“We eventually got the news that Dr. Rathburn had hung himself from one of those beautiful trees that the wind made dance. How sad. It adds to my own grief. Who had found him? How did he look? Babies born with a nuchal cord have the cord wrapped …