I don’t know when the word burnout came into my vocabulary, but I feel that we use it constantly in our health care world today. I always thought I was immune to this concept of burnout. My self-talk was that I was strong and nothing would ever happen to me. As a psychiatrist and a yoga practitioner, I thought I was better equipped to “handle my feelings” and be in …
Group therapy can be a powerful treatment modality when done right. Research affirms it as equally effective compared to individual therapy, and the relatively lower cost puts this service within reach of patients who struggle to access behavioral health care due to financial constraints.
Meeting the growing need for mental health support in the United States, recent research published by American Psychologist states that group therapy could save more than $5.6 …
In a post-election fog on the morning of November 6, I attended my third-grade daughter’s Veteran’s Day assembly. It was deeply moving and full of the trust, hope, and optimism that we want all children to have. They enthusiastically sang “Proud to Be an American” and a less well-known song, “American Tears.” The lyrics hit hard that morning in the auditorium, and many of the audience members were shedding them. …
Famous artists and athletes who succumbed to suicide:
Robin Williams (American actor and comedian) – August 11, 2014; 63 years old.
Anthony Bourdain (American celebrity chef, author, travel documentarian) – June 8, 2018; 61 years old.
Robert Enke (German goalkeeper, part of German national soccer team) – November 10, 2009; 32 years old.
Goo Hara (South Korean singer and actor) – November 24, 2019; 28 years old.
Ruslana Korshunova (Kazakhstani model) – June 28, 2008; …
One of the biggest lessons I’ve learned on my hero’s journey is the importance of learning to accept ourselves (our full selves).
I couldn’t sit across from patients, clients, friends, or family members the way I wanted to until I started to love all parts of me. When I am grounded in love for all parts of me, I show up differently. I show up better able to love all parts …
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that impairs focus, attention, and behavioral control. ADHD hinders and compromises major life activities. Initially considered exclusively a disorder afflicting children and adolescents, it is now widely accepted that ADHD continues into adulthood, impacting the lives of those plagued by this impairment and disability. Furthermore, ADHD symptoms may fluctuate over the lifespan of an individual who struggles with a myriad of …
The U.S. is grappling with a mental health crisis. The National Institute of Mental Health estimates that one in five US adults live with a mental illness. This includes disorders such as depression, anxiety, bipolar disorder, schizophrenia, and more, ranging in severity from mild-moderate to severe.
Telehealth has proven to be an effective tool in addressing the crisis by improving access to care, reducing stigma, and providing flexible, timely support.
Imagine …
As someone working in the health care field, I have become all too familiar with the need for early intervention and how important it can be for a child’s overall progress.
There are parents who travel to larger states in search of better medical care and services, of which early intervention is a significant one. One particular case comes to mind, where Spanish-speaking parents sought early intervention for their daughter, but …
The state of mental health care in the U.S. is dire, and with the telehealth prescription waivers projected to expire at the end of the year, it’s only going to get worse. If a temporary extension is granted, we can leverage technology and present data for clearer decisions moving forward, if it is not, we are leaving patients and clinicians without a clear understanding of how to care for their …
Much has been written about Robert F Kennedy Jr.’s radical health plans to eliminate fluoride from the drinking water and suppress vaccines, among other lame-brain schemes. But relatively few people are aware of his anti-psychiatry views, possibly endangering the health of a large swath of the populace.
Kennedy is pitching the idea that users of illicit drugs be sent to the “wellness farms,” and users of antidepressants and ADHD medications should …
It was that bewitching hour. 0300. Behavioral health unit/behavioral health intensive care unit.
She was a small young woman. Her eyes appeared black as coal, as if her soul had been sucked out repeatedly. There were bruises around her eyes, black and blue punch marks up and down her arms. Several superficial cuts on her forearm—self-destruction. She was quiet, almost invisible. She wanted to sit in the corner of her bed, …
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We dive into the intricate world of food choices, body image, and the science behind nutrition myths with psychologist and author Charlotte Markey. Charlotte unpacks the sometimes overwhelming dietary information people encounter daily, …
For over twenty years, I’ve had a recurring nightmare: I’m back in medical training, and my patient is crashing. To save them, I must enter my medical orders into the electronic health record (EHR). The only problem is, there are no open computers. I could give a verbal order in a real-life emergency, but those aren’t the rules in this nightmare world. I go from computer to computer, begging for …
According to the National Institutes of Health, the majority of individuals experience several traumatic events in their lifetimes, but do they all develop post-traumatic stress disorder (PTSD)? If you question the general populace or the media, they would indicate that PTSD is extremely common. Although it varies by sub-population, for the general populace, 13 and above, the rate of diagnosed PTSD is 4 percent to 8 percent. It is highest …
Recently, I encountered a stark reminder of the challenges facing our mental health care system. A 16-year-old Black boy came to us at Boston Community Pediatrics (BCP) in a state of crisis, expressing suicidal thoughts and a deep sense of fear. As part of our integrated behavioral health model, my mental health colleague and I immediately recognized the urgency of his situation. We arranged for an Uber to transport him …
In the weeks after her mother died, Stacy’s mind was filled with thoughts about things she believed she’d done wrong and ways she’d let her mother down. “I shouldn’t have gotten so impatient with her”; “I should have been kinder, should have spent more time with her.” She was even tormented by the inaccurate belief that she had caused her mother’s death by failing to “try harder to get her …
I spend most of my working hours trying to unlock superpowers. When I chose to pursue medicine—pediatrics, and later, developmental behavioral pediatrics—I didn’t realize I would be learning to decode languages. These languages aren’t always spoken, yet over time, I’ve developed a sharp instinct for reading them. Every time I step into an exam room, my task is to slowly unravel how a child sees the world, communicates with it, …
Over the past several months, I’ve’ been busy assembling various essays into a book—essays I’ve written and published here on KevinMD and elsewhere. The manuscript is now complete. Here’s a brief pitch I’ve given to about two dozen publishers (I do not have an agent):
Dear Acquisitions Editor:
I am writing to ascertain your interest in publishing my manuscript tentatively titled Narrative Rx: A Quick Guide to Narrative Medicine for Students, Residents, …
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We speak with Shivana Naidoo, a child psychiatrist, about the critical steps parents can take to prevent youth suicide. Shivana shares practical advice on recognizing early warning signs, creating a safer home environment …
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