Psychiatry
Traditional Chinese medicine’s holistic approach [PODCAST]
Healing the mind and body
An excerpt from The Healing Book.
When Allie’s canoe tapped the dock in Iquitos, Peru, she didn’t know which was greater: her exhaustion or her anticipation. After hours on the Amazon River, she was sticky with sweat, and her arms and legs itched and ached in the wake of countless mosquito bites. However, their arrival meant she was that much closer …
How one doctor’s stories transform lives [PODCAST]
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Join Laya Jalilian-Khave, a physician and post-doctoral fellow in psychiatry. Laya shares her profound journey from medical school in Tehran to practicing medicine in diverse settings, including the border regions of Iran and Afghanistan. Discover how she …
Revolutionizing health care: Rethinking burnout and resilience
I read all the time about the strategies and measures physicians and other health care professionals take to mitigate, reduce, or immunize themselves against burnout, moral distress, and empathic strain. We have been talking about this for decades, with an increase in “burnout” as a result. It seems time to shift the paradigm to allow for more productive discussions, acceptance, and strategies. Instead of talking about burnout, resilience, and self-care …
To address youth mental health, we must address insurance barriers
It’s been two years since the American Academy of Pediatrics declared a national state of emergency in children’s mental health. Yet sadly, very little has changed. This year, 25 percent of youth have been diagnosed with a mental health condition. More than 20 percent of teens have seriously considered suicide, and more than 40 percent of high school students reported that they’d felt so sad …
Medical professional gaslighting: the lack of psychological safety in medicine
Toward the end of my third year of medical school, I was 25, newly married, and overwhelmed by responsibility. I hadn’t enjoyed the clinical rotations. The hours and the degree of human suffering were just too much. My husband and I fought about how unavailable I was. I had to complete my 6-week psychiatry rotation 3 hours away from home. I wasn’t sleeping well, so I went to student health …
An approach to conflict resolution: More than one thing can be true
The past months have unearthed and amplified passionately opposing opinions about international events, in particular regarding Palestine and Israel. In addition to attending protests, calling my representatives, and having conversations with people I know, I’ve been publicly sharing my feelings about Palestine and Israel. While I stand firm in what I believe, my feelings around it are complex: I’m Jewish, and I’m anti-Zionist.
We encounter complex beliefs and feelings, many of …
The surprising science of gratitude: How it boosts your well-being
I have never been a very touchy-feely person. I was trained as a biologist and chemist, then went to medical school where more science on top of science was aimed at me like a gushing firehose. I learned to put science and evidence first and to try in my practice of medicine to use only the therapeutic techniques that had some evidence base. That assured me that my patients would …
Why patients ghost their therapists [PODCAST]
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Join Holly MacKenna, an integrative psychiatrist, as we explore the challenges and nuances of acknowledging goodbyes in the world of mental health treatment and professional relationships. Discover why patients often “ghost” their providers, the impact of business …
Thriving under pressure: How medical residents can excel with distress tolerance [PODCAST]
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Join Frances Mei Hardin, an otolaryngologist, as we delve into the world of distress tolerance in medical residency training. Discover practical techniques, real-life anecdotes, and evidence-based practices to help residents navigate the intense and challenging environment of …
Words of caution when considering the use of “terminal anorexia”: perspective from lived experience
After reading the article “Terminal anorexia nervosa: three cases and proposed clinical characteristics,” I was grateful to have not had access to the article a year earlier – when I would have personally met criteria. I was holding on to a sliver of hope at the time that I could enter back into a quality of life worth living, though my exhausted mind wanted to allow anorexia nervosa to …
Addressing the enormous scale of work-related burnout and mental injury in doctors
When a 24-year-old laborer’s apprentice used a chainsaw without training, they sustained a jagged laceration through their left quadriceps. When I saw them 12 months later in my general practice, their laceration was well healed. However, they remained unemployed because their untreated post-traumatic stress disorder (PTSD) was aggravated on their return to work when their boss put a chainsaw in their hands to help …
The DEA’s war on addiction doctors
Tennessee Dr. Ralph Thomas Reach is a vastly experienced addiction medicine physician. Continued application of his knowledge and pioneering experience could improve the opioid drug overdose death rate in his state. Unfortunately, the state government revoked his medical license, and Dr. Reach will soon begin serving six months in federal prison, followed by 18 months under house arrest.
After obtaining approval from the Drug Enforcement Administration, Dr. Reach had been treating …
How to thrive in medicine during festive seasons
We all do it at one time or another.
Maybe the office or clinic is closed, but you’re on call, waiting for the phone to ring and take your attention away from family, friends, and festivities.
Is it a source of stress, or have you learned to go with the flow?
There are many things that trigger us in medicine and in life.
In the first few years as an attending physician, holidays were …
Physician burnout’s little voice [PODCAST]
Unlocking the healing power: Bridging medicine and psychotherapy
I’ve been conceptualizing this for several years now – ideas about what I would like to do with perspectives from my long-time practice as a physician and those always developing as a psychotherapist. I love both; each brings a unique skill set and way of being in the world, and I am well-immersed in the confusions one has for the other. I am an adult therapist with a deep love …
Safety on campus, except for Jews: a parent and psychiatrist’s perspective
After watching most of the five-plus hours of the December 5th congressional hearing on the state of antisemitism at three of the U.S.’ top universities – Harvard, University of Pennsylvania, and MIT – I’ve concluded that unfortunately, the sound bites replayed in the media are not one-liners taken out of context, but spot-on summations.
As my husband and I prepare for our oldest son to reach a tremendous milestone in less …
Why write? Physicians share their stories of healing through writing.
I’ve read countless articles, posts, blogs, and books over the past year and a half, written by physicians, and I’ve learned an incredible amount!
Every physician’s voice is special, distinct, and remarkable.
Why write? Write for yourself. Many articles, including at least one study by the American Psychological Association, speak to writing as being a powerful tool for stress relief and healing.
Some physicians write as part of a gratitude practice, some write …
Navigating life’s crossroads: Change, accept, or leave [PODCAST]
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Join Deepti Gandhi, a family physician. We delve into the powerful mantra of “change, accept, or leave” and explore real-life scenarios where individuals are faced with this choice. Discover practical strategies, personal stories, and expert insights to …
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