October 2010 Archives


We can’t pick our diagnoses like we pick what outfit we are going to wear.

I remember an encounter where the psych symptoms had political overtones, although I’ve handled plenty of other cases that had the same resistance to being diagnosed.

“I’m scared of this bipolar thing,” he said.  “Everyone I know who has it is really sick — like crazy — and I’m not sure I want to take medication for it.” Read more on Great Manics of History…

Filed under Diagnosis, Personality Disorders by on . Comment#


I had never seen this slightly disheveled 52 year old woman before and she was crying her heart out. Her father had died 24 hours earlier from what she could only call an “all over the place” kind of cancer. His struggle had been long and hard and she thought she had done a good job of preparing herself psychologically. But still, the depth of her grief was pretty immense, so I managed to get her to talk. She said that all her life, she felt she had never been able to please her father, and now she knew she never would. He wanted all kinds of academic achievements and prestigious jobs for her, none of which she got. It simply made her feel like a failure.

Well, even though I am mainly a “pill pushing mama” to the world, I wanted desperately to say something to ease her pain. It would not help much if I told her the truth of what is going on, that she was crying not for dad, but for her own feelings of inadequacy. Read more on Pleasing Daddy — And Failing…

Filed under End Of Life, Family by on . Comment#


The FDA has declined to approve the weight-loss drug Qnexa, which I wrote about a couple of months ago.

Generally, diet drugs are more danger than help.  But my opinion on that matter is already on the record.

Filed under News, prescription drugs, weight by on . Comment#