Posts filtered by tags: Psychiatry[x]


 

Why aren’t patients with eating problems following your advice?

What do you think about your patients whom you believe need to lose weight? Do you consider them lazy or non-compliant? Or wonder why they don’t they take better care of themselves and listen to your diet or exercise advice? You’re not alone in feeling frustrated and maybe even professionally inadequate treating patients who struggle […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Conditions, PA NP, CRNA


It’s important to keep tight controls on benzodiazepines

When I completed my residency training in 2017 I never imagined so much of my clinical efforts would be directed towards educating patients about controlled substances. As I stepped into clinical practice and took over patients who had long-term relationships with providers that had retired or moved to other positions I began to notice a […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Meds, PA NP, CRNA


What the Media Get Wrong About the Goldwater Rule

Whenever I read an article about someone diagnosing a person from afar, inevitably the journalist will mention the “Goldwater rule.” This is an ethical guideline created by the American Psychiatric Association in 1973 in reaction to a claim that arose from a magazine article that surveyed psychiatrists about presidential candidate Barry Goldwater’s mental health. Journalists roll this “rule” out to try and explain why mental health professionals shouldn’t make statements about celebrities and po...
Tags: Psychology, Celebrities, Psychiatry, Association, Trump, APA, Barry Goldwater, Goldwater, American Psychological Association, American Psychiatric Association, The American Psychiatric Association, American Psychological Association APA, Minding the Media, Goldwater Rule, Psychiatry Ethics, Psychology Ethics


Richard Green obituary

American psychiatrist and lawyer who made a great contribution to gay and trans rightsAcross five decades the American psychiatrist and lawyer Richard Green, who has died aged 82, contributed to landmark achievements for gay and trans rights, risking his reputation and career to advance the understanding and acceptance of sexual and gender minorities.In 1962 the US immigration service had moved to deport a Nicaraguan man, Chester Morales, on account of his homosexuality – despite the fact that h...
Tags: Books, Gender, US, US news, Green, Psychiatry, Brooklyn, US television, LGBT rights, Adoption, Richard Green, Same-sex marriage (US, Chester Morales


A physician’s first 100 days on Twitter

Since finishing my medical training recently, many of my friends have embraced their newfound freedom as attendings in traditional ways: reviving long-neglected hobbies, finally exercising regularly, enjoying more time with loved ones. Me? I joined Twitter. It may seem like a strange step, but after years of caution regarding the perils of social media as […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Twitter, Social Media, Psychiatry, PA NP, CRNA


How the influence of a grandfather affects this physician

I remember Grandpa Larry’s visits remarkably vividly. He would lumber into the house hunched over, grunting loudly and reeking of cigarettes. He was unshaven and haggard, with wild grey-black hair streaking out horizontally from the sides of his head. He would rock and turn uncomfortably until he could find a chair, then once seated would […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Larry, Physician, PA NP, CRNA


Mental Health Professionals: US Statistics 2017

The mental health workforce in the United States is barely keeping up with the growing need for its services. According to the Department of Labor’s Bureau of Labor Statistics (BLS), there are more than 577,000 mental health professionals practicing in the U.S. today whose main focus is the treatment (and/or diagnosis) of a mental health or substance abuse concern. The data, the latest available, are from the 2016-2017 period. As people become more aware of the value of good mental health, th...
Tags: Psychology, General, US, Psychiatry, United States, Statistics, Mental Health And Wellness, Industrial And Workplace, Department of Labor, Bureau of Labor Statistics BLS, Mental Health Professionals, Salsberg, Mental Health Statistics, Mental Health Professionals Statistics Here, Social Worker Statistics Social


A veteran tells an unexpected story

“You ever work with vets?” asks the young man sitting across from me in the hospital waiting room. He’s been sitting there all morning. So have I. Since 5:30 a.m., my father-in-law, 88, has been undergoing surgery to remove a tumor in his lung. The surgeons just sent word that they’ve finished, and my wife […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Patient, PA NP, CRNA


The sweet path to hell: addiction in medical professionals

K: “I was assaulted by an intoxicated female. She punched me and ruptured two discs in my back. I lost my whole self. I could no longer take the CPR course required. I lost my income that was supporting me and my three children. I needed the narcotics — not only to dull the physical […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, CPR, Physician, PA NP, CRNA


It’s time to acknowledge the developmental behavioral pediatric workforce

There are roughly 15 percent of the nation’s children who suffer from a developmental-behavioral condition or about 1 in 6 children. Unfortunately, many of those children often do not get the help they need. Children with developmental and behavioral challenges can easily be missed, especially when the behaviors are more subtle or impacts on function […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pediatrics, Conditions, PA NP, CRNA


The value of personal narratives in addiction treatment and integrated care

I was standing behind my trolley in our local supermarket when, in my wallet, I came across that drawing of a human heart. In the miniature pen-and-ink composition, the heart is suspended between two birds’ wings. At the bottom is a dateline: Opioid Vigil, October 19, 2012. Memory is a slippery thing, but I recall […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Patient, Pain Management, PA NP, CRNA


Treating depression with ketamine: We need incremental treatment for depression

Recently, the Food and Drug Administration approved a nasal spray version of the drug Ketamine, named Spravato (esketamine), for use as a supplement to oral antidepressants taken by adults living with treatment-resistant depression. The announcement was accompanied by a flurry of media excitement as Spravato is the first medication for depression with a new mechanism […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Food And Drug Administration, Meds, PA NP, CRNA, Spravato


Adverse childhood experiences: How changing a child’s environment can help

Some children present to me with complex problems or multiple problems that fail to resolve after the typical interventions. I recall a child with severe abdominal pain. He had tried numerous medicines and had had scopes and studies galore. It had reached the point where he was being scheduled for exploratory surgery to try and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pediatrics, Conditions, PA NP, CRNA


Clarity amidst chaos: an evolving perspective on resilience-building

I found myself in the privileged position recently of participating in the National Stop the Bleed Research Consensus Conference, at the table with an extraordinarily committed and compassionate group of thought leaders exploring the role, challenges and implications of this crucial initiative. My perspective as a consultation-liaison psychiatrist interested in trauma-informed care was aptly described […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs n...
Tags: Health, Psychiatry, Physician, PA NP, CRNA, Bleed Research Consensus Conference


We need RVUs for obtaining a prior authorization

I haven’t counted how many times this happens every month, but I find it annoying. I send a prescription for a drug (sometimes not even expensive) to the pharmacy and soon after, I get a fax asking me (or my medical assistant) to go online and print a prior authorization form to complete and fax […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pain Management, Medications, Physician, PA NP, CRNA


Teaching medical professionalism through literature

A excerpt from From Reading to Healing: Teaching Medical Professionalism through Literature (Literature and Medicine). There are several traditional ways to teach about professionalism. Some training programs have didactic lectures on this issue. These typically focus on principle-based ethics and “rules” about professionalism. “Do this. Don’t do that.” Most educators and students will agree that lecturing […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA j...
Tags: Health, Education, Psychiatry, Medical School, PA NP, CRNA


Refuse to accept that burnout is a natural experience in health care

Burnout is a myth. Dedicated clinicians, working under circumstances that connect their skills and compassion with opportunities to impact patients, won’t experience burnout any more often than they might by doing other jobs. The story we tell — the one that dissatisfaction is this system’s inevitable byproduct — perpetuates more harm than we know. This […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Practice Management, Physician, PA NP, CRNA


Does Calling Depression an Illness Worsen Stigma?

I plead guilty to expounding on the biochemical vulnerabilities and abnormalities in neural wiring of depression to make the case that it is a legitimate illness alongside lupus, breast cancer, or psoriatic arthritis. I thought I was doing a good thing by quoting experts like Peter Kramer, M.D, who believes that because depression can be associated with the loss of volume in parts of the brain, it is the “most devastating disease known to mankind.” My intention, like so many other mental health ...
Tags: Psychology, General, Research, Mental Health, Self-help, Depression, Treatment, Psychiatry, Mental Illness, Stereotypes, Stigma, Joe, Mental Health And Wellness, Brain And Behavior, Mood Disorder, Hahn


Physicians can choose not to be powerless against opioid addiction

I didn’t become a primary care doctor to treat opioid addiction. I wasn’t trained for it. To be honest, it scared me. But when you work, like I do, at a clinic that serves a lot of people who have little money or who struggle with mental health and substance use issues, there comes a […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Primary Care, Conditions, PA NP, CRNA


Social isolation is a health risk

More than two-thirds of Americans use social media, and 90 percent of adults in the U.S. have a cell phone. With these tools surrounding us, we must be more connected with one another than ever before. Right? It doesn’t feel like we are. At least, the people who engage with the health care system don’t […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Conditions, PA NP, Public Health & Policy, CRNA


Esketamine is not a breakthrough new drug: Why the nasal spray for depression is old news

The FDA has given official approval to market eskatamine as a treatment for depression. As expected, there has been great fanfare (press releases, morning TV talk show guests, NPR segments and so on). The news leaves me salty. The esketamine story reveals so much of what is wrong about how we get useful medical science […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Fda, Npr, Medications, Meds, PA NP, CRNA


US FDA approved chemical twin of dissociative psychedelic ketamine to treat depression

Earlier today, the FDA approved esketamine (brand name Spravato), a chemical twin of the dissociative psychedelic/anaesthetic ketamine (Special K), as a treatment for depression. Spravato comes in nasal spray form meant to be administered weekly or every other week depending on the severity of the patient's depression. "There has been a longstanding need for additional effective treatments for treatment-resistant depression, a serious and life-threatening condition," said the FDA's acting dir...
Tags: Post, News, Drugs, US, Depression, Psychiatry, Fda, Ketamine, Psychedelics, Albert Einstein College of Medicine, Esketamine, Spravato, Demitri Papolos, Juvenile Bipolar Research Foundation, Papolos


US FDA approved chemical cousin of dissociative psychedelic ketamine to treat depression

Earlier today, the FDA approved esketamine (brand name Spravato), a relative of the dissociative psychedelic/anaesthetic ketamine (Special K), as a treatment for depression. Spravato comes in nasal spray form meant to be administered weekly or every other week depending on the severity of the patient's depression. "There has been a longstanding need for additional effective treatments for treatment-resistant depression, a serious and life-threatening condition," said the FDA's acting director...
Tags: Post, News, Drugs, US, Depression, Psychiatry, Fda, Ketamine, Psychedelics, Albert Einstein College of Medicine, Esketamine, Spravato, Demitri Papolos, Juvenile Bipolar Research Foundation, Papolos


The tip of the iatrogenic benzodiazepine iceberg

Life experience gives one an intimate appreciation for the meaning behind the saying “just the tip of the iceberg.” Everyone’s encountered something that turned out to be much larger and more complex than was initially understood. In my experience, medicine has yet to submerge its head underwater to discover the true depths of the sordid […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Meds, PA NP, CRNA


Sentenced to prison without committing a crime: lawsuit may end protested practice

After 30 years, a New Hampshire man’s case could change practice of transferring non-criminal psychiatric patients to prisonDouglas Butler was confused. He thought his son, Andrew Butler, had been transferred to another, more secure psychiatric hospital. But when he drove to the address of the secure psychiatric unit on the outskirts of New Hampshire’s capital of Concord, he couldn’t see anything that resembled a hospital.Instead, he saw the coils of razor wire and imposing walls of the New Hamp...
Tags: Health, US news, Mental Health, Psychiatry, New Hampshire, Concord, Andrew Butler


Here’s why pediatricians ask about trauma and violence

As a behavioral pediatrician, I see children with behavior problems. Kids with aggression, kids who have been kicked out of multiple daycares or schools and kids who are not doing well at home or school. One of the things I always look for are clues as to why. Behaviors, while stressful, are not a diagnosis. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pediatrics, Conditions, PA NP, CRNA


How social media can advance humanism in medicine

“In any given moment we have two options: to step forward into growth or step back into safety.” – Abraham Maslow. The New York Times recently published the op-ed “Dr. Google is a Liar,” written by cardiologist Haider Warraich, MD. Dr. Warraich describes the rise of fake medical news and the adverse consequences of a […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Google, Facebook, Twitter, Social Media, Psychiatry, New York Times, Abraham Maslow, PA NP, Haider Warraich, CRNA, Warraich


A Xanax prescription that should have been rejected

In hindsight, I should have never accepted a Xanax prescription from my doctor. What followed was catastrophic — rapidly developing tolerance and physical dependence on the drug and a prolonged illness. Three-and-a-half years later, I am still slowly tapering off Valium (having transitioned to a longer-acting benzodiazepine to aid in tapering) and experiencing debilitating symptoms […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Psychiatry, Meds, PA NP, CRNA


How physicians should respond to the words, “I am depressed”

My response to a colleague who says, “I am depressed,” is critical for many reasons. As doctors have tough masks, it has been difficult for my colleague to disclose this. Due to mental illness stigma in the medical profession, this doctor may have been suffering quietly for some time and could be at risk, perhaps […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Physician, PA NP, CRNA


A psychiatrist’s attempt to stop burnout

I don’t want to go back. Starting at 6 a.m., the intern entered the hospital with coffee from the bodega down the street, anxious about the patients that were admitted to the ward the previous evening. I deserve it. At 8 a.m., he had already rounded on his nine patients, one of which was an […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Physician, PA NP, CRNA