Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • 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

Why this doctor became a psychiatrist

Margaret Smith Chisolm, MD
Physician
March 19, 2020
Share
Tweet
Share

Serving others

My career path has been non-traditional, but my mission and values as a psychiatrist emerge from the traditions of medicine and religion. Although I studied visual arts in college, I was drawn to the challenge and meaning of a career serving others.

Understanding patients

During residency at Hopkins, I was trained in a psychiatry that recognizes that similar distressful mental symptoms can emerge from several different sources and that psychiatric disorders fall into distinct families. This approach to psychiatry is aimed less at addressing diagnoses or classification and more on understanding patients better and making treatment more whole. It also removes a great deal of mystery from the discipline, for patients and physicians.

Supporting the broader community

After residency, while raising my family, I used this visionary clinical approach to treat students at the Homewood campus and individuals from the broader community in my private practice. Throughout this time, I was an active member of the part-time faculty at Hopkins and continued to teach Hopkins psychiatry residents. As my family’s needs waned, I returned to academics, where I now enjoy an expanded role combining clinical care, teaching, and scholarship–including co-authoring one book for clinicians, Systematic Psychiatric Evaluation: A Step-by-Step Guide to Applying The Perspectives of Psychiatry, and working on a new book for patients and their families on how one can flourish despite psychiatric illness.

Demystifying psychiatry 

Demystifying psychiatry for patients has been the heart of my professional activity for over 25 years. My clinical experience, shared by other psychiatrists trained in this method, has shown patients appreciate learning about the group of conditions to which their problem belongs.

For patients, this dispels much of the mystery surrounding their disorder and helps them forge the therapeutic relationship needed for a shared effort to overcome their condition. This approach is not foreign to the rest of medicine, which has demonstrated that medical patients gain from learning what type of illness–infectious, metabolic, etc., explains their symptoms.

Practicing and teaching psychotherapy

Another important aspect of my mission to demystify psychiatry centers around the practice and teaching of psychotherapy. Although the term psychotherapy evokes the idea of an incisive intervention, psychotherapy is fundamentally different from any procedure found in medicine or surgery aimed at curing a disrupted body. Psychotherapy does not aim to cure the body or even the brain– it aims to persuade a person in distress to think and behave differently. It is a method, common in some form to all cultures, which addresses human mental problems.

One of my mentors, the late Dr. Jerome Frank, was a psychiatrist and an esteemed scientific investigator of psychotherapy. By studying therapies that succeeded and failed, he was able to define several characteristics common to all successful therapies. In addition, he found that patients seek psychotherapy for reassurance, hope, and support, much as they did in the past from the clergy. Frank concluded, in his book of the same title, that psychotherapy–at its core–is simply Persuasion and Healing. The practice and teaching of this powerful and timeless treatment, often used in conjunction with newer pharmacologic therapies, is a central part of my mission as a psychiatrist.

As a member of the full-time faculty, I have had the opportunity to extend this passion for teaching the art of psychotherapy to a greater and more diverse group of psychiatry trainees, and via the casebook will be able to reach an even broader audience of caregivers. My ultimate aim is to write a book demystifying psychiatry and psychotherapy for patients and the general public.

A mission of hope

Psychiatry rests on the borders of medicine, religion, narrative, and philosophy. In its existential aspects, psychotherapy calls for the imagination of alternative possibilities. This mission of hope has wide applicability to all patients seeking relief from suffering. We live in a time when managed care bureaucracy and technologic innovation have the potential to overshadow the personal dimension of medicine. It is essential to convey to patients, caregivers, and the larger society, the crucial role psychiatry and psychotherapy has to play in health care.

Margaret Smith Chisolm is a professor of psychiatry and behavioral sciences, Johns Hopkins University School of Medicine, Baltimore, MD.

Image credit: Shutterstock.com

ADVERTISEMENT

Prev

Medical community recommendations for a better COVID-19 response

March 19, 2020 Kevin 0
…
Next

On the frontlines of the coronavirus pandemic

March 19, 2020 Kevin 0
…

Tagged as: Psychiatry

Post navigation

< Previous Post
Medical community recommendations for a better COVID-19 response
Next Post >
On the frontlines of the coronavirus pandemic

ADVERTISEMENT

Related Posts

  • Doctor, how are you, really?

    Deborah Courtney
  • Osler and the doctor-patient relationship

    Leonard Wang
  • Finding a new doctor is like dating

    R. Lynn Barnett
  • Be a human first and a doctor second

    Sarah Murad
  • Becoming a doctor is the epitome of delayed gratification

    Natasha Abadilla
  • International medical graduates ease the U.S. doctor shortage

    G. Richard Olds, MD

More in Physician

  • How tragedy shaped a medical career

    Ronald L. Lindsay, MD
  • A doctor’s guide to preparing for your death

    Joseph Pepe, MD
  • How policy and stigma block addiction treatment

    Mariana Ndrio, MD
  • Why don’t women in medicine support each other?

    Jessie Mahoney, MD
  • IMGs are the future of U.S. primary care

    Adam Brandon Bondoc, MD
  • The high cost of gender inequity in medicine

    Kolleen Dougherty, MD
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast

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

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • 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...