Courtney Markham-Abedi is a psychiatrist.
It’s capitalism, it’s greed, it’s the hospitals, it’s all those things, but for me, it’s sadness, it’s loss, it’s crying myself to sleep. Lest I sound ungrateful, I am appreciative of the income and career it has afforded me. I am not the victim but also not the perpetrator. In reality, we are all both at one time or another.
It’s the hushed calls to let me know a dear patient …
They died by suicide—that is the politically correct way to say it. I want to be politically correct, but I am not sure words can dampen the impact. Someone just lost a friend, a son, a partner, a child. Somehow, we believe if we say the words prettily, it takes the sting away—it doesn’t. No matter how you say it, they left the world today, or yesterday, or whatever day …
At the beginning of a career – sometimes when viewed through rose-colored glasses not yet spoiled by reality – you hope to be able to lose loss to stay away. Somehow you feel like if you just try hard enough – practice psychiatry in the best way possible you can somehow prevent death by suicide. This is obviously magical thinking, and you begin to realize that there will be a …
I was faced with a stark question—one that, though I have spoken openly about women’s rights, somehow I had not distilled into the succinct question posed by a coming-of-age woman living and attempting to digest our country’s policies. Simply put: “Mom, so they don’t care if women die?”
Oof! For a person who has a plethora of words for almost anything, I was caught off guard. My first instinct was to …
The sitcom Friends was a cultural phenomenon that produced waves of nostalgia in those of us who came of age in the late 90s and early 2000s. The decade it was on spanned the era of transition from landlines to cell phones and the advent of the internet as we know it. The characters were relatable and adored by so many.
The news of Matthew Perry’s death was a shock to …
I started my career at a state hospital but transitioned to a VA hospital in 2007. I had been a resident at the hospital and was familiar with the unit and population. The unit had 19 beds, and typically these were filled. Often, admissions were for crisis stabilization due to suicidal ideation, and recidivism was very high. Typically, an unmet need other than psychiatric care was being addressed in many …
The recent case of Lindsay Clancy has weighed heavily on my heart over the past several days. According to her husband, she was a young mother who was suffering from postpartum depression or psychosis and receiving treatment in an intensive outpatient program. She allegedly took her children’s lives and tried to end her own life.
The DSM 5-TR nomenclature for this condition is peripartum onset, referring to mood onset during pregnancy …
I’m saddened to hear of the passing of Stephen “Twitch” Boss. He was a talented DJ and dancer who brought joy to many with his infectious personality and smile. He will be remembered for his incredible talent and the joy he brought to those around him. He leaves behind his wife and three children.
The truth is that psychiatry is a challenging …
As we are all processing the horrific events that occurred in Texas, as a psychiatrist and advocate for individuals suffering from mental illness, I beg you not to state this individual was mentally ill. We do not know enough information to come to this conclusion.
We know that individuals with mental illness are not more violent than peers without mental illness. We need to lean into the research, look at other …
In a world where we are constantly bombarded with bad news, it is easy to forget the manner in which news is reported can impact and cause harm to vulnerable individuals. The topic of suicide is one such sensitive subject, and there are guidelines for the appropriate reporting of deaths by suicide to help mitigate potential risk. Despite these guidelines, sensationalized stories about death by suicide are often splashed across …
I have always been a lover of words. Confusingly, I have found myself unable to define words that I would have easily been able to describe a decade ago. Due to a more weighty examination of cultural and social constructs, I am now left scratching my head thinking about how to define previously simple words like woman and mother.
When posed with the question, “When did you become a mother,” I …
New Haven, West Virginia, is a small town nestled in Appalachia and located approximately eight miles from the juncture of the Ohio and Kanawha rivers. Newspaper articles from the 1950s and ’60s suggest that the town’s demographic makeup and surrounding area as nearly 97 percent Caucasian.
In 1926, as commissioned by West Virginia, a psychiatric facility was opened and named The Lakin Hospital for the Colored Insane. In the tradition of …
“Anything that’s human is mentionable, and anything that is mentionable can be more manageable.”
– Fred Rogers
Cheslie Kryst, a former Miss USA, lawyer, and entertainment correspondent, died by suicide. She was smart, beautiful, accomplished, and young.
A police officer was quoted saying, “Not only beautiful but she was smart — she was a lawyer … she has a life that anyone would be jealous of. It’s so sad.”
The message about suicide continues …
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When the term white supremacy culture is used, people get uncomfortable — they picture the skinhead as the prototypical racist. And while those people are dangerous, whether by their openly racist views being broadcast or in other subtle ways, they are largely recognizable.
White supremacy culture is inescapable in the United States. We have been saturated in it. Our country was founded on its tenants. The far more dangerous racist is …
I enter the breast care center, check in, and take a seat. Though there are few people in the room; there is a sense of dread and trepidation that hangs in the air. It feels almost like a sacred space as I am acutely aware of all the prayers, meditations, and laments that have been spoken in this room whether aloud or silently. I can imagine behests to God, Jesus, …
When I started my career 15 years ago, I naively said I would like a job where there aren’t a lot of politics. Little did I know that my job and profession would be so strongly affected by national politics a decade and a half later.
I study human behavior and can usually conceptualize behaviors fairly easily. I have been stumped in the past four months. Truly stumped. Four months ago, …
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By deciding to forgo further competition in the Olympic Games this week, Simone Biles brought a spotlight to prioritizing one’s own mental health.
She has shown what grace under pressure looks like. Even champions make mistakes and have the right to protect their body and mind, especially when the agency tasked to protect them failed in such an egregious manner that subjected them …
“Control leads to compliance; autonomy leads to engagement.”
– Daniel H. Pink
There has been much public discussion relating to guardianship and its tenants. It is tempting to draw conclusions around topics related to current events, while knowing very little about the processes behind the scenes. Guardianship is a very complicated topic; the ethical concepts of paternalism and autonomy are at odds, and in addition, clinical and legal realms are involved to …
“Those who cannot remember the past are condemned to repeat it” is a quote by George Santayana.
It rings true in so many facets of life and medicine. In my career in psychiatry, I have held fast to this treatise.
Psychiatry, as a practice, has changed over the years. We operate with the knowledge that we must always remember our past, especially since our past has been quite …
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I recently published an essay on physician suicide: “Doctors are killing themselves, and who is taking notice?” My intent was to bring awareness to this issue and honor a fallen colleague. I want to continue the discussion.
I realized that year after year, I fill out the medical licensure recertification without much thought. I live in Kentucky and have since I was initially licensure and the recertification …
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