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 | Doctor accepting new patients
  • 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?

ADVERTISEMENT

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

  • Why a chief wellness officer hid her medication use for 13 years

    Michael F. Myers, MD
  • Physician patient advocacy: Fighting insurance denials effectively

    Neil Baum, MD
  • Health care’s Upside Down: Addressing systemic dysfunction and burnout

    Ganesh Asaithambi, MD, MBA
  • In the age of AI, what makes a physician REAL?

    Harvey Castro, MD, MBA
  • The cost of clinician absence in the boardroom: a 30-year perspective

    Christopher Mastino, MD
  • My wife wants me to retire

    Sandy Brown, MD
  • Most Popular

  • Past Week

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
    • Why medical education assessment kills curiosity in residents

      Mythili Ransdell, MD | Education
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Mobile wound care in 2026: Navigating regulatory pressures

      John F. Curtis IV, MD | Conditions
    • Why smaller hospitals may be faster for cancer diagnosis

      Gerald Kuo | 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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
    • Why medical education assessment kills curiosity in residents

      Mythili Ransdell, MD | Education
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Mobile wound care in 2026: Navigating regulatory pressures

      John F. Curtis IV, MD | Conditions
    • Why smaller hospitals may be faster for cancer diagnosis

      Gerald Kuo | 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...