Sexual harassment has been making the news lately. Dozens of powerful men in Hollywood (especially) and business and government are being accused of misconduct by vulnerable young women (and men in some cases).
Post Traumatic Stress Disorder can result from any trauma. Car accidents, animal attacks, a bad fall — not just sexual assault or war.
A high-school student doing a report for school recently wrote to me asking about PTSD. I thought my answers might be of interest to others, so I’m sharing them with you. Read more on Student Questions About PTSD…
Filed under abuse, Alternative Medicine, depression, Diagnosis, Disease, Dissociative Disorder, Doctors, Mental Illness, News, Psychiatrists, PTSD, Research by on Nov 3rd, 2017. Comment. 
I find a lot of things I like in the New York Times. This article resonated with me as few others. First, there is the purpose of the human profiled. Changing medicine into data science? God save us all.
Sometimes I feel the best thing I do for a patient is to be human. Just to have the pretension (a pretension which I do not take lightly) of being one human being in a room with another human being, trying to make them feel better. This does more, I think, to make most of my patients “better” than all of the pills I have spent years studying about. All those years studying normative use of medications on large populations of humans. And they work enough to please the powers that be.
Filed under medicine, News, Psychology, Research by on Jul 3rd, 2017. Comment.
The more I look the more I find. In reliable sources. More ways that my beloved veterans are getting screwed over that nobody knows about. I know what I am doing and I collect facts–of science and of history — and I find myself too often in crying mode. Not that the controversies are necessarily new ones. Sigmund Freud said a long time ago that a lot of psychiatry seemed to be the neurology you did not yet know. I have been treating Post Traumatic Stress Disorder for a long time. I was incredulous, shocked to my limits, when I first tried to take care of these wonderful, brave, and once fearless men, who would have crying meltdowns and end up in my arms. The best thing I did was to learn Emotional Freedom Technique (EFT) and to decide I was professional enough to do it “my way,” not according to verbatim directions, but adapting it to folks’ needs. Using EFT has put me on the spot plenty of times; with the VA, even prisons, where I have been told more than once that it robs people of “free will,” which is of course, complete and total rubbish. Patients are awake, alert, and voluntarily tap on their own acupuncture meridians. I have heard at least one hypnotherapist tell me it is “kind of like a light trance,” but patients could not, in my estimation, be more awake and alert. Read more on Another way veterans are getting screwed — crying time again….
Every honest and complete psychiatric evaluation includes screening for delusions. A delusion is a strongly held belief that is totally without basis in the factual reality that we all use to live our daily lives. I have taken care of several people, institutionalized and not, who have had such beliefs. Medications known as “antipsychotics” can be very effective on the hallucinations — the hearing voices and seeing things and such — that are the hallmark of a lack of mental “normalcy” as is generally expected and accepted in the community. The same medications may be less effective on these delusions, these beliefs. Sometimes, in a particular kind of delusion, a kind that hits folks somewhere between 18 and 90 (average age 40) where there are no hallucinations, just beliefs. They are less frequent. They are also hard to treat, with antipsychotic medicines working maybe about half the time — in those who can actually be convinced to take them. Read more on Screening For Delusions…
Filed under Diagnosis, Mental Illness, News by on Apr 7th, 2016. Comment.
The current rate of suicide among soldiers should make us angry, maybe enough to destroy our computers or, heaven forbid, write to congress or even try to stop war.
I checked out this institution¸ the National Center for Veterans Studies, the best I could. I am not sure why the Department of Defense and the Department of the Air Force seem to have a love affair with this division of the University of Utah.
Of their current projects, some of the proposed studies are randomized clinical trials of various therapies as suicide preventives. I am a great believer in research. But there is one question I am asked frequently, still, although I evaluate research but am not currently engaged in it. People ask me if I am a doctor first or a researcher first. There is absolutely no contest. I am a doctor first. I want lives saved, first. Read more on Why Soldiers Commit Suicide These Days…
Filed under News, politics by on Oct 11th, 2013. Comment.
I accidentally watched Dr. Drew Pinsky’s “Life Changers” and it put me in a state of utter stupefaction.
That was fortunate, as I found myself unable to destroy the television. Doubly fortunate, in that this was a hotel-room TV and the bill would have been padded for replacing the set.
Okay, so I was in a hotel flipping channels during the day. I do this once in a while to see what is being communicated to the TV-watching public, especially about health.
Dr. Oz has a show. His guest was Rachel Ray showing how to fix things you might screw up in the kitchen. Common sense fixes with repartee. I did not see this as a health problem and I did not make it to the end of the show. Read more on Dr. Drew Pinsky’s “Life Changers”…
Filed under Psychiatrists, PTSD by on May 23rd, 2012. Comment.
Many people are proud of the state from which they came. But I value the state they (we, all of us) can go to.
It’s called a “Resource State.”
Don’t bother looking on a map – unless it is a map of the cerebral cortex. Yet, it isn’t clearly defined as a location in the brain either.
I know it sounds mysterious, but it is easy to access and the benefits once you get there are astronomical. I think I need to give you some illustrations to make my point.
Once when I was in prison (that always gets attention – but actually I was employed as a prison psychiatrist and not serving time for criminal activities) I treated a young man of 28 who was doing time for armed robbery. His problem was depression with occasional suicidal ideation. Read more on The Resource State — Your Magic Ticket To Happiness…
Filed under Brain Surgery, depression, medicine, News, prescription drugs by on Feb 16th, 2012. Comment.
One of my Frequently Asked Questions is “why do you hate prescription drugs so much?”
And the answer is, I DON’T. Not at all. I have used, and will continue to use, prescription drugs whenever they are the best treatment for an individual.
What I DO hate is the way they are mis-used, and the way some companies push their drugs for inappropriate purposes, or in dosages that are harmful when they could be helpful in (usually lower) doses. Read more on A Remarkable Medicine And Its Champion…
Filed under prescription drugs by on Apr 29th, 2011. Comment.
I was commissioned a captain in the United States Army in a northern Midwest city. The physician who examined me before I took the oath was senior and experienced and as avuncular as they come.
He said the most interesting people (and far and away the smartest) he got to meet in his life were commissioned women. The one he had seen before me was a woman who had been a professional musician, a clarinetist I think, and was going straight to Wahington, D.C. to play in a dance band at the White House. He told me about women rocket scientists and others. Me, I figured I was only a doctor, a half-trained neurosurgeon. As a generalist he felt somehow he needed to show me enough respect. He really didn’t want to do a physical, so he did a cursory and discrete one, and I asked him about being a civilian physician attached to the military. In particular, I asked him about neurological and psychiatric screening. Although he told me he knew how to do a pretty detailed neurological examination, he said he never had to do one. Anyone with that kind of illness would, he thought, be likely to be screened out long before. After all, these were generally healthy young men. Basically, the most important part of the examination was checking them for hernias. Read more on Military Mental Health — A Contradiction?…
Filed under News by on Apr 6th, 2011. Comment.
Here are some phrases that you might not expect to hear sweet, friendly Dr. G use very often:
“No, there is no way in hell I am going to renew that prescription as written.”
“Read my lips. No more oxycodone. We gotta get you into a rehab, sweetie.”
“Sure, you can see another doctor. I don’t know how long it will take to get an appointment. If I am your doctor, you go on a tapering schedule. Today.”
“If I did what you want, I could kiss my license goodbye. I am not prescribing outside my specialty and certainly not this crap. Yes it is crap. I am sorry you don’t like how I talk, but it is crap. I can start getting you off it.”
These are all things I have actually said. Usually loud, yelling over the patient. Read more on Pill Mills Are Death Traps — Marginally Legal…
Filed under Addictions, prescription drugs by on Mar 28th, 2011. Comment.