Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

We all have glitches. I know I do.

Greg Smith, MD
Physician
February 3, 2017
Share
Tweet
Share

He was a small but very intelligent and articulate young man. I had seen him before, but it had been quite a while. He came to me complaining (as did his family) that he was having some trouble controlling his anger, dealing with quarrelsome students at school, and not always getting his assignments inside or outside of school completed in a timely manner.

We discussed the usual ways to approach this, I asked him about his goals that he wanted to work on with his counselor, and we established that he was not in need of any medication from me.

When I asked for triggers for his troublesome times, like the times that his assignments went missing in action, he told me that he had the most trouble right after someone made him angry or slighted him in some way.

“I call those times my glitches,” he stated matter-of-factly.

Glitches.

We all have them, don’t we? I know I do.

When I have been up for too many nights until too late, have been working too hard, or have neglected to exercise or eat right, I am prone to be glitchy.

How do my glitches show up?

I am (more) forgetful. I might forget a name, which doesn’t mean much for me since I did not inherit the gene that allowed my father to remember someone’s name, the number of children they had and what all their shoe sizes were, twenty years after he first met them. I might let an important piece of an assignment slide, then remember it the next day. I might think about something I need to do, but then forget to put it on mu master to do list.

I get fearful. I worry about things that I have no control over, that might not even concern me, or that I have no business fretting over in the first place. If my guard is down, and my worrying is up, look out glitches!

When I am overwhelmed emotionally, look for a glitch or two to be in the mix. I wrote previously about a week when “I had all the feels.” That kind of week, with its stresses good and bad, its changes big and small, and its uncertainly about the future, is a glitch magnet.

If I have too many tasks on my plate, too many projects to finish easily, or too many interactions that will be stressful for me, I tend to not pay close enough attention to the things that are important.

If I say yes too often, even knowing that I have no more time or energy to possibly do what I just told Mr. Jones I would be happy to do, glitches are coming.

Yes, my friends, sometimes I am just too big for my glitches.

How about you? Are there times that you forget, don’t complete something or that you are not thorough enough?

Greg Smith is a psychiatrist who blogs at gregsmithmd.

Image credit: Shutterstock.com

Prev

Schools should discontinue support for football. Here's why.

February 3, 2017 Kevin 7
…
Next

MKSAP: 45-year-old man with cough and right-sided chest discomfort

February 4, 2017 Kevin 0
…

Tagged as: Psychiatry

< Previous Post
Schools should discontinue support for football. Here's why.
Next Post >
MKSAP: 45-year-old man with cough and right-sided chest discomfort

ADVERTISEMENT

More by Greg Smith, MD

  • Finding peace after years of abuse: a journey through grief

    Greg Smith, MD
  • What would you save if your house was on fire?

    Greg Smith, MD
  • Lessons learned in psychiatry: How experience shapes your career

    Greg Smith, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • The black physician’s burden

    Naomi Tweyo Nkinsi
  • Why this physician supports Medicare for all

    Thad Salmon, MD
  • The dangers of being always connected

    Greg Smith, MD

More in Physician

  • How corporate health care ruined the medical profession

    Edmond Cabbabe, MD
  • The true crime community is radicalizing kids online

    Dexter Ingram & Matthew Turner, MD & Stephen Sandelich, MD
  • Navigating medical training and residency as a female plastic surgeon

    Smita Ramanadham, MD
  • 13.1 reasons running a half marathon beats practicing medicine

    John Wei, MD
  • Why experiential consent is replacing traditional medical consent forms

    Ron Tongbai, MD
  • Why career pivots are a valid path in medical training

    Whitney Black, MD
  • Most Popular

  • Past Week

    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
    • 25 of 32 years of life expectancy came from this

      Richard A. Lawhern, PhD | Education
    • The family caregiving truth nobody wants to admit

      Barbara Sparacino, MD | Conditions
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
  • Past 6 Months

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Recent Posts

    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • A physician’s journey with a hidden CSF leak and delayed diagnosis

      Anonymous | Conditions
    • Bariatric surgery vs. semaglutides vs. endoscopic visceral lipectomy

      Robert Cucin, MD, JD | Conditions
    • Failing the residency match: What I learned from not matching

      Camellia Russell | Education
    • Why the U.S. needs more preventive medicine and public health doctors

      Jacob Player, MD, MPH | Policy
    • The hidden costs of delayed diagnosis and diagnostic ambiguity

      Bita Ghatan | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
    • 25 of 32 years of life expectancy came from this

      Richard A. Lawhern, PhD | Education
    • The family caregiving truth nobody wants to admit

      Barbara Sparacino, MD | Conditions
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
  • Past 6 Months

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Recent Posts

    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • A physician’s journey with a hidden CSF leak and delayed diagnosis

      Anonymous | Conditions
    • Bariatric surgery vs. semaglutides vs. endoscopic visceral lipectomy

      Robert Cucin, MD, JD | Conditions
    • Failing the residency match: What I learned from not matching

      Camellia Russell | Education
    • Why the U.S. needs more preventive medicine and public health doctors

      Jacob Player, MD, MPH | Policy
    • The hidden costs of delayed diagnosis and diagnostic ambiguity

      Bita Ghatan | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...