Psychiatry
Overcoming the lies of depression: Senator John Fetterman’s struggle with mental health
In February, just a few months after being elected to the United States Senate, Pennsylvania politician John Fetterman entered into a treatment program for depression. In an interview with CBS News show Sunday Morning last month, he recounted suffering a stroke in May 2022, then fighting through a grueling Senate race that severely impacted his mental health. “You may have won,” he recalled thinking, “but depression can absolutely convince you …
A mentor’s legacy in medicine, leadership, and embracing evidence-based care
As a graduate of Temple University’s medical school and psychiatric residency program, and as a current faculty member, I had the good fortune of studying under highly respected physicians who served not only as chairpersons, but also as presidents, CEOs, and chief medical officers. Anthony (Tony) F. Panzetta, MD, was one of them. Panzetta passed away in 2021 at age 87. As with all great mentors, he had multifaceted talents …
The tragic story of Mr. G: a painful journey towards understanding suicide
A most memorable message awaited me on my desk one morning: a brief note from Mrs. G asking, “Why did my husband take his own life today?”
Startled, I reflected on Mr. G’s history as I had been treating him in my urology clinic for the past few months. It had recently come to my attention that his complaints were related to painful recurrent renal colic.
Anticipating a distressing phone call, I …
Healing trauma and reconnecting: Unmasking the impact of dissociation [PODCAST]
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Join us as we dive into a conversation with Christine Gibson, a family physician and trauma specialist. Christine shares her expertise on dissociation, trauma, and the profound impact they have on health care. Discover the importance of …
Why allowing yourself to embrace discomfort is necessary for personal growth
Life coach and author Martha Beck’s 4-Phase Change Cycle begins with Phase 1: “Death and Rebirth.” Martha’s blog contains the Phase I Mantra: “I don’t know what the hell is going on … and that’s OK.”
Many of us try to skip Phase 1. It’s uncomfortable. It’s painful. And, it’s necessary.
I finally accepted the value of Phase 1 after years of trying to jump into Phase 3 of Martha Beck’s Change …
Urgent innovation is needed to address the growing mental health crisis among children and families
The growing mental health crisis affecting our children and families has reached a breaking point. As a child and adolescent psychiatrist, I know well the current mental health crisis is dire and demands immediate attention. And I worry we are not moving fast enough to help those in need.
The number of kids and teens aged 3 to 17 diagnosed with depression or anxiety spiked by 30% from 2016 …
Finding your ideal work-life balance: tips for prioritizing personal life and achieving professional success
Recently, someone mentioned that the whole work-life balance issue is overrated. They argue that they have enjoyed focusing on academics and work most of their life and feel very satisfied despite the lack of balance. There was also an assertion of a happy family life despite that so-called lack of balance.
That point is well taken, but the work-life balance is subjective, and everyone has their own preferences and priorities in …
How can there be joy in medicine if there is no joy in Mudville?
The following article is part satire and part imagination.
The classic poem “Casey at the Bat” delves into the dashed dreams of 5,000 frenzied fans who gathered to watch the “Mudville Nine” play baseball, pinning their hopes on their star player, Casey. Do they have unrealistic expectations of Casey, or is his prowess over-hyped? And what implications does this time-honored poem have for medical practice?
Parables – short stories that teach a …
Physician entrepreneurs offer hope for burned out doctors
As I leave a conference organized for a group of physician entrepreneurs, I have so many thoughts running through my head. Some of these thoughts revolve around making my small, fledgling medical practice run more smoothly, reaching more people (and serving them better), and always remembering my why. These are the “business mastermind” skills I signed up to learn at the conference. But I may have come out of this …
Is the rise in mental illness due to greater awareness or a true increase in incidence?
Someone asked me recently if there is a significant increase in the prevalence of mental illness since it seems everyone is in treatment somewhere. It was a good question and got me thinking.
The prevalence of mental illness has been increasing in recent years, but it is unclear if this is solely due to more people seeking treatment or if there is a true increase in the incidence of mental illness.
In …
Integrating mental health services into primary care for children and adolescents [PODCAST]
Restoring our connection to the cosmos: a vital step for healing our minds, bodies, spirits, and planet
How do we balance the desire to stay connected with the cosmos with the demands of modern life?
Our internal life is often mirrored by our external world. It is no surprise that the health of our bodies and our planet is under fire. Mental health illnesses, including active addiction, depression, and anxiety, are increasing along with the number of unnatural forest fires, melting glaciers, and rising sea levels. How we …
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The 4 stages of suicidal ideation: a physician’s experience with burnout and self-compassion
I am a physician, a urologist, and a survivor of multiple suicide attempts related to physician burnout. In dealing with my psychopathology, I experienced a devolution in my mental status, culminating in suicidal behavior. I can remember the exact moment when I acknowledged that suicide was a possible solution to my problems. At one moment, I felt revulsion at the idea of suicide but crossed over to accept it. This …
Stop saying you “are OCD” if you don’t have OCD
When people (especially women) are highly organized, hyper-focused, and efficient they often label themselves (or are labeled by others) as OCD. In essence, “being OCD” is a superpower that leaves us with clean houses, well-manicured appearances, and detail-oriented work products. A person might even flaunt their “OCD personality” as a positive in an interview. But, saying you “are OCD” takes away from the very real anxiety that people who “have …
Inside the psychiatric unit: a PhD’s god-like status, ECT, and the harsh reality of mental illness treatment
PhD, the big man on the psych unit’s eighth floor, puffed on his pipe while listening to the dialogue of the broken, misfits, psychotics, schizophrenics, and bipolar patients. Many were beaten at birth, both physically and emotionally. In this land of serpents, he felt like a god. He’d select patients one by one for ECT, electroconvulsive therapy, with electrodes attached to their heads and a mouthpiece in place. They were …
Powerful strategies to overcome burnout and reignite passion in your medical career
Medical professionals have consistently demonstrated high levels of burnout and job dissatisfaction in recent times. This has become a significant concern for the health care sector and the general population since it affects the quality of health care services provided to patients. The stigma surrounding burnout and increasing awareness has made it easier to discuss openly among medical communities. The problem seems rooted in how doctors view themselves as medical …
Breaking the silence: the truth about mental health challenges among medical students and why medical schools must take action
Medical school can be a challenging and demanding experience, and it’s no secret that many medical students struggle with mental health challenges as a result. In fact, according to a systematic review and meta-analysis published in JAMA, the prevalence of depression, depressive symptoms, and suicidal ideation among medical students is higher than in the general population. Despite this concerning trend, mental health support for medical students has often been lacking …
Revolutionizing depression treatment: Breaking free from ineffective medications for rapid relief
If you want to know whether a standard-of-care medication will work to treat your depression, flip a coin.
More than half of all patients treated for major depressive disorder (MDD), the clinical name for what is typically thought of as depression, don’t respond to the first treatment option prescribed to them. Even those who do respond often won’t see the full clinical benefit for up to 12 weeks. And yet, prescribing …
Remembering Heather Armstrong: the tragic loss of the “Queen of Mommy Bloggers” sparks a global conversation on mental health
The blogging universe mourns the loss of a remarkable figure, Heather Armstrong, fondly known as the “Queen of the Mommy Bloggers.” Armstrong’s blog, Dooce, was a sanctuary for mothers and individuals wrestling with mental health issues and addiction. Tragically, Armstrong ended her life prematurely in an apparent suicide following a sobriety relapse. The legacy she leaves behind extends far beyond her two children, etching her name as one …
Past Week
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Forced voicemail and diagnosis codes are endangering patient access to medications
-
How President Biden’s cognitive health shapes political and legal trust
-
The One Big Beautiful Bill and the fragile heart of rural health care
-
America’s ER crisis: Why the system is collapsing from within
-
Why timing, not surgery, determines patient survival
-
How early meetings and after-hours events penalize physician-mothers
-
Past 6 Months
-
Forced voicemail and diagnosis codes are endangering patient access to medications
-
How President Biden’s cognitive health shapes political and legal trust
-
Why are medical students turning away from primary care? [PODCAST]
-
The One Big Beautiful Bill and the fragile heart of rural health care
-
Why “do no harm” might be harming modern medicine
-
The hidden health risks in the One Big Beautiful Bill Act
-
Recent Posts
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Beyond burnout: Understanding the triangle of exhaustion [PODCAST]
-
Facing terminal cancer as a doctor and mother
-
Online eye exams spark legal battle over health care access
-
FDA delays could end vital treatment for rare disease patients
-
Pharmacists are key to expanding Medicaid access to digital therapeutics
-
Why ADHD in women requires a new approach [PODCAST]
-
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Past Week
-
Forced voicemail and diagnosis codes are endangering patient access to medications
-
How President Biden’s cognitive health shapes political and legal trust
-
The One Big Beautiful Bill and the fragile heart of rural health care
-
America’s ER crisis: Why the system is collapsing from within
-
Why timing, not surgery, determines patient survival
-
How early meetings and after-hours events penalize physician-mothers
-
Past 6 Months
-
Forced voicemail and diagnosis codes are endangering patient access to medications
-
How President Biden’s cognitive health shapes political and legal trust
-
Why are medical students turning away from primary care? [PODCAST]
-
The One Big Beautiful Bill and the fragile heart of rural health care
-
Why “do no harm” might be harming modern medicine
-
The hidden health risks in the One Big Beautiful Bill Act
-
Recent Posts
-
Beyond burnout: Understanding the triangle of exhaustion [PODCAST]
-
Facing terminal cancer as a doctor and mother
-
Online eye exams spark legal battle over health care access
-
FDA delays could end vital treatment for rare disease patients
-
Pharmacists are key to expanding Medicaid access to digital therapeutics
-
Why ADHD in women requires a new approach [PODCAST]
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