Jacob M. Appel, MD, JD, MPH
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Latest articles
Drugs and prescribing

Psychedelic-assisted therapy (PAT) represents one of the most promising developments in psychiatry in decades. The treatment typically involves the infusion of a compound such as LSD, psilocybin, or MDMA during an extended therapy session with licensed professionals. Although it lacks…
Psychedelic-assisted therapy (PAT) represents one of the most promising developments in psychiatry in decades. The treatment typically involves the infusion of a compound such as LSD, psilocybin, or MDMA during an extended therapy session with licensed professionals.
Although it lacks widespread regulatory approval or clinical use, significant advances have been made in the study of PAT in the past decade, with a pronounced increase in recent years. Recently, a …
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Prudence and promise in psychedelic-assisted therapy
Physician voices

COVID-19 has raised many ethical challenges for health care providers, including the level of risk they must take when providing patient care. Early in the pandemic, the ability to mitigate these risks was relatively limited, especially when caring for hospitalized…
COVID-19 has raised many ethical challenges for health care providers, including the level of risk they must take when providing patient care. Early in the pandemic, the ability to mitigate these risks was relatively limited, especially when caring for hospitalized patients. Shortages of personal protective equipment rendered mitigation even more challenging.
As a result, it has been reported that 3,607 frontline health care workers died of COVID-19 in the U.S. from …
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Is it ethical to force unvaccinated patients to use telehealth only?
Physician voices

This is the text of the keynote graduation speech given to the child and adolescent psychiatry residents at the Mount Sinai Hospital in New York City on June 18, 2020. Let me begin by confessing that I am not a…
This is the text of the keynote graduation speech given to the child and adolescent psychiatry residents at the Mount Sinai Hospital in New York City on June 18, 2020.
Let me begin by confessing that I am not a child psychiatrist.
I am an adult psychiatrist.
Or, as my mother says, I’m almost a real doctor.
One of the first things one learns as an
…
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Wisdom for child fellows and fellow children
Physician voices

I was recently asked to give a speech to the graduating residents in my department, and while preparing my talk, I reflected upon what I wish I had known when I had first embarked on a career in academic medicine…
I was recently asked to give a speech to the graduating residents in my department, and while preparing my talk, I reflected upon what I wish I had known when I had first embarked on a career in academic medicine — and what nobody was willing to tell me. So what follows are a few thoughts that I learned on the job, often without warning, sometimes too late. I should …
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What they don’t tell you at medical graduation
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