“I think I got ADHD.” I can never say what I think when someone says this. I think, “get out of here you drug seeking idiot.” The great majority of people who come into my office saying this are just that. Of course, I am not that blunt — at least not to their faces. But the tragedy is that they WILL find somebody to dash off a prescription (for a price).
Filed under Alternative Medicine, Diagnosis, News by on Mar 7th, 2017. Comment. 
I have heard just a little too much about suicide among the religious — from patients, from others, now this; to the son of a published pastor who gave an invocation for the Obama folks.
I really do feel for the family, for death of the younger generation before the older one by any means including suicide by his own hand, is a horrible thing that is anti-nature and has a profound wrongness, a too-deep effect on all involved.
I was way back in residency when I attempted to gather some statistics on the association between religion and psychiatry in Kansas, sending a basic questionnaire on feelings about mental illness (and referral patterns to mental health professionals) to a big list of Wichita area “religious professionals.”
First, I had already made the assumption from the French part of my education that not too many people actually went to church, but none of them seemed to much care about mental health professionals.
In Kansas, with the world’s worst statistics (no major support on this from my
Filed under Religion by on May 1st, 2013. Comment.
I enjoy having friends, like just about everyone does. But that’s not why I’m in this business. When a patient needs help, I will do my best for them every single time. And if a few colleagues get bruised egos along the way, so be it.
She was a 53-year-old woman, but I don’t think she even would have liked to hear me to refer to her as a woman. We’re talking about someone who was short and stout and wore the kind of cap one would expect to see on a newsboy during World War I. She wore a very male looking zipper jacket, and told me she had the name of the other woman to whom she had dedicated her life tattooed on the back of her neck.
Regardless of all this, her face was red and she was crying. She told me she was chronically suicidal and never thought about anything else. Despite being medicated, her depression seemed to have gotten worse. Read more on What is there to Treat?…
Filed under Diagnosis, Disease, Doctors, medicine, News, Psychiatrists, Psychotherapy by on Oct 2nd, 2012. Comment.
Down the hall she came making sounds of distress and physical effort. When she got to my door, it didn’t get any easier. She had to push her way through the narrow doorway, one of those doors designed for thinner people of years past.
I saw a wildly obese 23 year old, with suicidal ideation, who told me her life was worthless. Doctors had found a rare uterine cancer and done a total hysterectomy. She was told that she could have no hormone replacement. So she was dealing with some symptomatic treatments of hot flashes that weren’t doing very much.
I was pretty much impressed by the doctors who had made a rare save. She seemed to be cancer-free now, although she was not “crazy” about the abdominal wall hernia repair that had been necessary to hold her stomach together. Also, she was not enthusiastic about the bimonthly pap smears. But she was alive, and granted, she could not have hormone replacement. She sat in front of me telling me all about how the doctors had taken care of her.
She was crying and depressed. It was not hard to figure out why.
“I will never have children. I will never be a mommy.” Read more on What Can You Do With Your Life?…
Filed under Self-esteem by on Nov 8th, 2011. Comment.