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Join us on this episode, where we welcome Brian Boxer Wachler, an ophthalmologist and author of Influenced: The Impact of Social Media on Our Perception. During the COVID shutdowns, Brian had a lot of extra time on …
TikTok takeover: How social media consumed my life [PODCAST]
My personal doctor and two of my cherished mentors died within the past several years, each “after a long illness,” according to their obituaries. Rock legend David Crosby (The Byrds and Crosby, Stills, Nash & Young) recently died “after a long illness,” as stated by his wife, Jan Dance.
David Crosby’s co-musicians were perplexed that his widow would attribute his death to a long illness. Crosby certainly …
What does it mean when we say someone has died after a long illness?
What would you expect to see if you threw a pebble in a pond? You would likely see a ripple in the water, extending wider than the diameter of the pebble. Seeing a pebble drop into a pond and create ripples is always mesmerizing. It’s amazing to observe the concentric circles slowly expanding outwards from the point of impact. It’s a fascinating example of how energy can travel through water, …
The pebble versus the rock: a case for mental health reform
At her first visit, still lightly jaundiced, Jennie wanted to talk about a liver transplant.
I told her that she had to be sober for six months before they would consider putting her on the list. She told me proudly that she had been sober for three weeks.
“How are you doing without alcohol?”
“Going without alcohol would be very hard for me,” she said, “I have just one glass of wine each …
Miscommunication leads to misunderstandings: the tragic consequences of misinterpreted sobriety
An excerpt from If I Betray These Words: Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First.
In late March 2021, during a lull between the third and fourth waves of the coronavirus pandemic, I drove to the small town three hours west of the …
Breaking free from corporate medicine: one doctor’s quest for ethical care
Several years ago, a good friend and colleague – the chairman of a psychiatry department – notified people about his retirement in a department newsletter. He wrote, “I sent out a letter to the alumni and adjunct faculty that I will retire on June 30 [2021]. I had decided five years ago that when I reached a certain age, I was going to retire. Such decisions have multiple determinants and …
Does ageism lurk behind mandatory retirement for physicians?
Virtue and self-sacrifice were supposed to be my protection. As a first-generation immigrant, the necessity of hard work had long been ingrained like a birthmark. I never questioned the belief if I overworked and overprepared, I would fulfill my responsibilities, be accepted, and become worthy of happiness. By the time I finished medical training, I had checked off the first two boxes, but worthiness? Fulfillment?
I never considered asking those questions …
Finding emotional presence in a dehumanizing system: a physician’s journey
Until recently, mainstream science has not recognized the field of spiritual science because the consensus has been that science and spirit (soul) are like oil and vinegar — they do not mix. Science is all about facts and evidence relative to the hypothesis, theory, and actual proof. At the same time, it is said that the spirit and the soul cannot be proven and are solely based on faith.
However, thanks …
The rise of spiritual science: Uniting the soul and science
A strange mental health issue affects millions of people every year. Yet, almost no one in the medical community is aware of it. Many suffer in silence without having the right guidance and support. In this article, I’d like to help you understand what depersonalization-derealization disorder is and how you can overcome it.
Depersonalization-derealization disorder, often referred to as DP/DR, can be a debilitating and scary mental health disorder for the …
The hidden illness: Understanding and overcoming depersonalization-derealization disorder
My patient, a retired teacher, looked embarrassed as he said it.
“I don’t have a smartphone. I don’t have a computer.”
I had to check the readings — somehow, despite this lack of technology in his life, his heart rate was perfectly normal. His oxygen reading was also in the normal range. Skin color looked perfectly healthy. He even wore a smile on his face.
Quickly, trying to keep him from noticing, my …
Assess your tech health in 2023: How screen use is affecting your life and ways to improve
Stress is ubiquitous, and Americans are struggling to deal with it effectively. The tag #mentalhealth on TikTok has amassed 65.5 billion views and counting.
Still not sure about that?
Answer this question quickly: What do you do when you’re hungry? Many would respond that they eat; it’s a straightforward answer to a common experience.
But what if you tweak the question with one word: What do you do when you’re stressed? This, …
Breathing your way out of stress: the simple solution to a growing epidemic
Valentine’s Day marks the most romantic day of the year. For this Hallmark holiday, this country displays our love for each other by spending approximately $25 billion on cards, roses, chocolates, and dinners. Why so much? WTF!
Like one’s dating status on Facebook, the origin of Valentine’s Day is “complicated.” Formal messages or valentines appeared as printed cards in the late 1700s. Today, Hallmark sells about 145 million cards at an …
Hug it out: the power of oxytocin on Valentine’s Day
We are over 25 years apart in our careers. One of us began her medical career in a time before the internet and email. The other is a digital native. Remarkably, though, our experiences have been very similar in one respect. We have spoken with colleagues who decided to avoid seeking care for their mental health concerns. Why? Due to fears that this type of medical care might adversely impact …
Breaking the stigma: Why doctors are afraid to seek mental health treatment
“Raise your hand if you said you wanted to become a doctor to help people during your medical school interview. I see practically every hand in the room raised. Keep them raised if you told your interviewer you also wanted to become a doctor to overcome personal trauma.”
Everyone lowered their hands.
“I’m dismayed there are no honest people here,” I joked to attendees at an annual meeting of the American Psychiatric …
Trauma motivated me to become a doctor
As patients, we often think of our health care providers as infallible beings who can easily handle their profession’s emotional and physical tolls. However, the reality is that health care professionals are human too, and they are not immune to the effects of burnout, depression, and even suicide.
One forgotten fact about our health care system is that providers are constantly exposed to the suffering of others and are faced with …
A thank you to those who take care of us
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In this episode, we have Taylor Gurley, a professor of occupational therapy as our guest. She will be discussing the new recommendation by the United States Preventive Services Task Force for primary care physicians to screen their …
How occupational therapy can help the anxiety epidemic [PODCAST]
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 …
The effects of the nationwide stimulant shortage on a private psychiatry practice
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 …
Postpartum depression or psychosis: Understanding the reality behind Lindsay Clancy’s story
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In this episode, we talk to Holly MacKenna, an integrative psychiatrist, about her experience as a chronic patient in the health care system. Holly shares how emotional and overwhelming the process was, and how she was able …
Navigating the health care system as a chronic patient and physician [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 …
Innovative strategies for managing disruptive behaviors in health care settings [PODCAST]
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