Category: Psychiatry

The promise and challenge of integrating primary care into community-based mental health centers

There is ample evidence that patients with severe mental illness are at high risk for significant medical comorbidities. A complex combination of factors contributes to this excess risk and consequential poor outcomes. Socioeconomic factors, side effec…

How the pain of unexpected and tragic deaths lingers with physicians [PODCAST]

“The memory of these patients, and their families’ utter anguish, stays with me. There was nothing I could have done to save them, nothing I did wrong. I’ve lost sleep, questioned my career choice, and sought mental health counseling to manage th…

Jealousy and missed opportunities in medicine

“Julie” began the telehealth encounter in her car, greeting me with a cheerful smile. The sun glimmered through the driver-side window, illuminating the water spots to sparkle like diamonds. “How are you doing with your suboxone dose? Do you feel that …

What’s in your grief toolkit?

Loss is incurable, but grief is metamorphic. The end of another human life is a fluid experience for those left behind. For most of us, grief legitimizes the range of human emotion and, at least temporarily, erases the idea of being too sensitive. Ther…

Telehealth in underserved populations needs telecommunication expansion [PODCAST]

“COVID-19 has propelled the nation into widespread telehealth services to provide consumer-based care, especially for those who access this technology. Equity issues arise when using digital communication because many underserved populations lack…

The shadow pandemic of intimate partner violence

As COVID-19 cases surge across the country, we appear to have another long winter ahead of us in 2021. In March of 2020, stay-at-home orders were put in place, schools closed, and many people were spending more time at home than ever before. While bein…

What if the hierarchy in medicine was dismantled?

About a year ago, before the pandemic hit, I was at the local fitness center, having just completed a group exercise class, when my former residency program director entered the room. I hadn’t seen him in 20 years. He looked exactly the same, give or t…

Suicide in veterinary medicine is a huge problem right now [PODCAST]

“I am a veterinarian. More specifically, I am a veterinary specialist, board-certified in emergency and critical care. I don’t play with puppies and kittens. I treat the worst of the worst in a specialty hospital setting with a state-of-the-art E…

Managing stress with coping strategies for the perfectionist-driven physician

As doctors, we are taught the art of assessing our patients through the doctor-patient relationship. We learn a series of open-ended questions to gain insight into our patients’ values and thoughts regarding their personal health. We learn how to…

Hazard to our health: Moral injury undermines care

In addition to the medical risks of COVID-19, the pandemic’s occupational hazards are numerous for health care workers. The threat of walking into the clinic or hospital and being exposed to the increasingly contagious novel coronavirus is a now-…