Check out this thoughtful Opinion piece from today’s New York Times. As a fan of the comic/writer Louis C.K., I’ve been rooting for him to use the personal and public […]
We’re revisiting a past article by Dr. Allen Frances, a prominent psychiatric “insider” who now spends his time railing against the overprescribing of psychiatric medications. Here he talks about the New York Times article which connected the proliferation of “ADHD” in kids to the profiteering by the drug companies. This is a wake up call to parents and professionals alike. Frances says, “as it stands now, we are doing an uncontrolled experiment on our kids with no clue about the long term effects of the meds on their brains and behavior.”
Here Dave proposes the countercultural idea that problems like depression, ADHD, bipolar and other “disorders” are often healthy responses to the pain of unhealthy relationships.
Check out this article from the New York Times on what a different kind of anti-sexual harassment training for women can look like. The writer describes classes taught by a […]
The psychological defense mechanism of projection can distort a parent’s judgement about their kids, or it can create a wedge between a couple, since projection interferes with the ability to see one’s partner as she truly is. The (unconscious) grip from the past gets in the way. Here’s a therapy session that looks at how this projection process played out in one family, and how it was–for the moment-transformed.
Check out this compelling Op-Ed by Professor Carol Cohn from the New York Times. As a security analyst, she’s got a window into the dangerous mix between “masculinity” and weaponry. […]
There’s a lot of attention focused now on sexual transgressions as a part of the power imbalances between men and women. But what about the subtler, historic, forms of inhibiting […]
Surgeon Atul Gawande’s book, Being Mortal: Medicine and What Matters in the End, has a lot to say about the unintended consequences of doctors’ failure to acknowledge the dying process. Here’s a case of a young woman whose complicated grief over her mother’s death reflects this failure.
Our current cultural model for conditions like anxiety and depression uses language like “chemical imbalance”, implying that suffering is related to our brain chemistry. In this post, Dave Keith offers another perspective that looks at our moods as dynamic states related to the context of our living patterns.
Many doctors feel under pressure to prescribe medications to patients with even moderate anxiety or depression. But it doesn’t have to be that way: Here’s a case of a physician with courage and imagination who takes an unexpected path to help her patient.
“Chemical Imbalance” has become a generally accepted way to think about psychological conditions like depression and anxiety. But David Keith offers another perspective: In fact, emotional problems may be a sign of mental health.
Check out the moving tale of courage and pain on the part of this impressive Saudi woman.
Good physicians take a clinical history in the interest of arriving at a diagnosis. While the clinical history is a review of ‘facts’, there are in fact, few ‘facts’ about human experience. Different examiners will get different histories depending upon what they ask about. Different family members give different reports of the same set of events. In my view clinical histories are a form of fiction pretending to be ‘objective’.
The idea of being “ruthless” sounds jarring at first, until we realize how it’s an essential ingredient in healthy living, both personally and professionally. It speaks to how we maintain our integrity in the face of demands for conformity.
Dave offers his reflections about what it’s like to be a psychiatrist disguised as a family therapist. Hint: The language is different, and no medications required
This Family Medicine hospital consultation involved a mute patient who had just had her leg amputated. The hospital staff was angry at her. Then this young doctor took the time to learn what was going on and everything changed.