Psychiatry
The effects of the nationwide stimulant shortage on a private psychiatry practice
I have a solo outpatient private practice focusing on psychiatric medication management and brief therapy for adults. Early on, I decided to accept insurance to help address the shortage of psychiatrists in this country. Because of the advances in telemedicine since the pandemic, I can see patients throughout the state where I am licensed. This should be the happiest time in my career. After several years of working as an …
Postpartum depression or psychosis: Understanding the reality behind Lindsay Clancy’s story
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 …
Navigating the health care system as a chronic patient and physician [PODCAST]
Innovative strategies for managing disruptive behaviors in health care settings [PODCAST]
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Join us on our latest episode as we explore the importance of addressing violent behaviors in health care settings. We’ll be discussing the role of Behavioral Emergency Response Teams (BERTs), trained in non-violent intervention techniques, in managing …
Forgiveness vs. self-preservation: the difficult decision of caring for an abusive parent
“My parents abused me as a child. I went no contact with them over ten years ago, but now my dad is in the hospital with a serious diagnosis and the discharge planner keeps asking me to be involved. I don’t want to. What are my rights?”
I read the lengthy message several times, feeling an overwhelming sense of dread. I was in the same “no contact” situation with my own …
The unspoken epidemic: Why health care professionals aren’t talking about burnout
We don’t talk about burnout.
I recently reunited with a former medical school classmate for lunch and realized that I talked more to him in two hours about my experiences over the past few years than with my hospitalist colleagues at work or my closest friends. I’ve only ever dared to mention anything to my wife and brother (both physicians).
Lots of sources define burnout as the accumulation of stress over time …
Missed signs: a doctor’s reflection on depression [PODCAST]
Teen substance use rebounds after pandemic
Among high school seniors using marijuana, the pandemic forced the largest one-year decline in use over the past 48 years. Marijuana use fell from 35.2 percent in 2020 to 30.5 percent during 2021. In 2022, it remained pretty much unchanged at 30.7 percent.
Alcohol drinking among high school seniors fell from 55.3 percent of seniors in 2020 to 46.5 percent during the pandemic year. However, in 2022, alcohol use among seniors …
Navigating the emotional impact of a medical malpractice lawsuit [PODCAST]
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In this episode, we explore the emotional impact of medical malpractice lawsuits on physicians and how they can navigate the process. Attorney Christine Zharova shares her insights on how these lawsuits can affect relationships with colleagues, staff, …
Pediatric mental health is a growing epidemic. Here’s how Illinois is leading the way to solve that.
One of my friends in middle school was known for her uncanny ability to brighten up any space she walked into. But when we hit high school, she had become more withdrawn and dejected, and her self-esteem plummeted. She was clearly struggling, but at the time, I didn’t know what the signs of depression were and was at a loss for how to support her. She and I had no …
Nurse’s heart-wrenching encounter with newborn going through withdrawal
I always knew my work schedule, but this time I got it wrong … or maybe I got it right. I clocked in and reported to the ICU for my night shift to start, but I wasn’t on the schedule. Strangely enough, they had enough nurses that night. The nursing supervisor asked if I would be willing to go to the neonatal ICU (NICU) and rock a baby. Except for …
The link between thoughts and emotions: How to change your feelings by changing your thinking
Your emotions result from the way you think about things. Before you can experience (feel) any event, you must process it with your mind and give it meaning (thought). You must understand what is happening to you before you can feel it. Every time you feel sad or have intense negative emotions about something, try to identify the corresponding negative thought that you probably had just prior. By learning to …
The unspoken contract between doctors and patients: Navigating mental illness in the jail setting
There exists an unspoken contract between doctors and patients. The patient tells the doctor what is wrong with as much detail as possible, and the doctor uses their knowledge and skills to make the patient feel better. However, this paradigm does not always work.
I am a jailhouse psychiatrist, working with some of the most mentally ill individuals today. Those with serious mental illness (SMI), such as schizophrenia or severe bipolar …
Creating a trauma-informed society: the role of government policy in reducing adverse childhood experiences [PODCAST]
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In this episode, we speak with Ariane Marie-Mitchell, a preventive medicine physician who discusses the impact of adverse childhood experiences (ACEs) on health and development. She discusses the challenges of using a clinical tool to diagnose patients …
A physician’s story of survival: the importance of seeking help
“Remember, today you could be standing next to someone trying their best not to fall apart. So whatever you do today, do it with kindness in your heart.” – Unknown
Today, I want to talk personally from the perspective of a Black, female, physician. I have a confession, I struggle with setting boundaries. I did not know how detrimental this challenge was until I started studying it more deeply. Did you …
Healing hearts: the power of authentic connection in medicine [PODCAST]
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In this episode, we speak with Elizabeth LaRusso, a psychiatrist who shares her experiences and insights on the importance of cultivating meaningful connections and holding space for others. She discusses the challenges of learning to hold space …
How to recognize and stop gaslighting in your relationships
An excerpt from The Gaslight Effect Recovery Guide: Your Personal Journey Toward Healing from Emotional Abuse.
Gaslighting is insidiously pervasive in today’s culture. We are inundated by an onslaught of news and information that we’re aware might not be accurate. In such a climate, we are presented with more occasions to …
Physician speaks out about being threatened by a patient and betrayed by an organization
I’ve been practicing internal medicine for over a decade now. I was drawn to this field because of my admiration for Dr. William Osler and the superb physicians I have met who embody his qualities. As an internal medicine physician, I am expected to be a critical thinker and a “doctor’s doctor,” specializing in complexity and solving problems with multiple layers, like peeling an onion. However, I never imagined that …
The incessant hounding of doctors: A look at the lengthy professional disclosures required of physicians
Can you absolutely and unequivocally answer “no” to all of the following questions:
Has your license to practice in any jurisdiction ever been limited, restricted, reduced, suspended, voluntarily surrendered, revoked, denied, or not renewed?
Have you ever been reprimanded by a state licensing agency, or are any of these actions pending with respect to your license; are you under investigation by any licensing or regulatory agency?
Has your professional employment or membership in …
Past Week
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How copy and paste in EHRs is hurting patient care
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Physicians must innovate and focus on medicine’s core, not chores
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Leading with care: How health care leadership can transform patient and provider well-being
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When protocol kills: a tragic lesson from the ER
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How a law school elective changed my perspective on medicine
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The hidden financial burdens shaping modern medicine
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Past 6 Months
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Why blaming doctors won’t fix the U.S. health care crisis
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The uncertain future of general physicians: Is it time to pivot?
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How physicians can fight medical misinformation in the digital age
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How copy and paste in EHRs is hurting patient care
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The deadly impact of the U.S. anti-abortion funding policy
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Ending physicians’ addiction to unhappiness
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Recent Posts
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Inside the calling of a pediatric intensivist: a life of sacrifice and purpose
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The key to longevity: fitness, mindset, and nutrition
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Physicians must innovate and focus on medicine’s core, not chores
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Raising financially savvy kids: a doctor’s guide to empowering future leaders [PODCAST]
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Navigating your 457 plan: key steps for physicians changing jobs
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How to get physician wellness programs funded: a proven path forward
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Past Week
-
How copy and paste in EHRs is hurting patient care
-
Physicians must innovate and focus on medicine’s core, not chores
-
Leading with care: How health care leadership can transform patient and provider well-being
-
When protocol kills: a tragic lesson from the ER
-
How a law school elective changed my perspective on medicine
-
The hidden financial burdens shaping modern medicine
-
Past 6 Months
-
Why blaming doctors won’t fix the U.S. health care crisis
-
The uncertain future of general physicians: Is it time to pivot?
-
How physicians can fight medical misinformation in the digital age
-
How copy and paste in EHRs is hurting patient care
-
The deadly impact of the U.S. anti-abortion funding policy
-
Ending physicians’ addiction to unhappiness
-
Recent Posts
-
Inside the calling of a pediatric intensivist: a life of sacrifice and purpose
-
The key to longevity: fitness, mindset, and nutrition
-
Physicians must innovate and focus on medicine’s core, not chores
-
Raising financially savvy kids: a doctor’s guide to empowering future leaders [PODCAST]
-
Navigating your 457 plan: key steps for physicians changing jobs
-
How to get physician wellness programs funded: a proven path forward
-
