Amazingly enough, I have avoided writing about Charlie Sheen so far.
I do not believe his story to be that unusual — just different from others in a matter of degrees.
No, he is not my patient and I have not officially examined him. I have figured out that the writers of his show seem to have done a lot of basing the character he plays on — well, him.
His creative and limit-pushing exploits seem to be a little more over the edge than most. My guess — and it is a guess at this point — is that he, like other actors (seems to me David Arquette has complained of “racing thoughts” in the not too distant past), is probably what we call a “dual diagnosis;” that is, underlying bipolar illness with some substance abuse associated.
Filed under Celebrities by on Mar 4th, 2011. Comment. 
I was making one of my rare but periodic attempts to watch commercial television. Sometimes I amaze myself that I have not given up, especially when I saw a few minutes of “the View.” I mean, someone has to get in there and promote stereotypes about women, and they are doing an incredible job, what with asking women involved in politics about bathing their babies or something.
Claire Danes in "Romeo + Juliet"
I admittedly learn a great deal from the commercials.
Like Claire Danes — whom I used to consider a Shakespearean-quality actress — does not seem to be getting any good roles, because she did this incredible commercial, where her eyelashes and face were photographed every couple of weeks. Admittedly, after four to six weeks, she had pretty lush looking eyelashes compared to week 1.
Here is the prescription drug— yes prescription drug — she was advertising. On the website they have Brooke Shields, too.
Filed under prescription drugs by on Mar 2nd, 2011. Comment.
Most people tend to eat what they have around. The marketing of food is a science — marketing anything is a science. You can bet that a lot of thought has gone into how and where you spend your dollars anytime and anyplace.
From dresses to movies, they know what we want and why we want it, probably more than we do. So the thing to do is to be aware of the wiles of the people who are — make no mistake about it — motivated by pulling the money out of our purses and NOT by getting anything nutritious into our bodies.
“Knowledge is the antidote to fear.” — Ralph Waldo Emerson
But it could also be the antidote to buying food neither you nor your body needs, and endorsing a system that can be getting you to buy some expensive but nutritionally not-what-you-have-in-mind stuff.
Filed under Psychology by on Feb 28th, 2011. Comment.
Gail Sheehy, author of the groundbreaking book “Passages,” (and 15 subsequent spin-off books) is still using that way of looking at life to make a living. I certainly give her points for having figured out how to do that.
The reason is because one of the immutable laws they give you in marketing class is that it is essentially impossible to sell “prevention.” If you do not do “fill in the blank” something horrible will happen.
Something like illness.
When I thought I had diabetes (I don’t) and followed the directions I was given, I told my beloved husband — as well as my parents of blessed memory, who thought that since I was always thought of as a healthy and reliable one and couldn’t possibly be REALLY sick — that I would take good care of myself so that my old age would see me being strong. And comfortable. And of course, reliable to others.
That was when I really believed things that doctors told me., Especially the things that academic doctors told me. They were the people who had taught me, after all, be that in one country or another.
Filed under Memory by on Feb 23rd, 2011. Comment.
When you work with poor people, there will be at least one who earns his or her daily bread in the world’s oldest profession. Some of them may even admit it.
I have done lots of work in various county mental health clinics in various states and I developed a couple of hard and fast rules for when I work with economically disadvantage people.
I always try to “connect” with them. I have always loved the quote “I am human, so nothing that is human is foreign to me” by Publius Terentius Afer, better known as Terence. He was the Neil Simon of the ancient Roman empire, an author of comedies.
I have always imagined the modern embodiment of this quote to be the state of being stuck with a perfect stranger in an elevator. I want to believe that if I am not only a good psychiatrist but a good human being, I can generate a conversation with anybody. And the people who enter my office in some of these placements are poor folks whose experience of life on the planet is very, very far from my own.
Read more on I Never Officially Practiced “The World’s Oldest Profession”…
Filed under Prostitution by on Feb 21st, 2011. Comment.
I have not been a chronic television watcher since early childhood, mainly because the projections on a two dimensional screen seem to be to be — at best — a weak distillation of the human drama that happens in my office.
Hamburger Helper puppet needs a helping hand -- in Rehab
But for my patients, I know well that the line between what they see on television and what they see in their living room is blurred at best.
I have, however, been compared to various TV shrinks — which I have been told is a compliment. The first person who told me I was like one, I asked why. When she said “because you always say the right thing.”
I was obviously flattered since you better believe I am NOT scripted.
Filed under Substance Abuse by on Feb 19th, 2011. Comment.
THE PLACE: Medical school, France
THE TIME: 1975
I have survived the “concours,” a competitive examination that I would compare to an intellectual equivalent of “American Gladiators” and through human dissection, the anatomical study of a human who previously walked the Earth.
An Accurate Diagnosis Is The Basis Of All Treatment
Now our class is now going to start doing medicine with real, live people.
The excitement is great on our first day of an immense multispecialty class that will take the year, called “Semiologie.” The best English equivalent I can think of is “diagnostic signs.” We each receive notebooks and documents throughout the year that are signed off on by professorial-level clinical teachers who are doctors and have practices.
Filed under Diagnosis by on Feb 17th, 2011. Comment.
He was in his mid-fifties and seemed pretty clueless. What’s more, he had more abnormal movements than any 20 people and looked like he was dancing with an invisible partner.
It's Dangerous To Take Drugs Prescribed For Someone Else
He sat at home all day trying to get himself involved in things like doing laundry and watching television so that he could get himself tired enough to sleep, focused enough to avoid the voices. He was safe — no forced hospitalization was necessary or even possible here. He promised that he would not harm himself no matter what the voices said, but it became clear that he lived in a world where devils and demons gave him a continuous commentary on everything from why Obamacare would never help him to — the size of his wife’s behind. There may have been some exhortations to harm self or others in the distant past, but they were indeed distant.
He said he had no medicine for the past ten years. I asked how he lived and he said his family was no help, but his woman was. He was married to someone else but this woman was the only person who knew his day-to-day life and she had brought him to the clinic, so I got a release signed and got her in there. I told her he said he had no medicines in say, the past ten years or so. She started laughing.
“He ought to be telling you the truth. He gets his Mama’s old Seroquel whenever he can. Makes the voices shut up so he can sleep a little. ” Read more on Taking Mama’s Pills…
Filed under prescription drugs by on Feb 10th, 2011. 2 Comments.
Back when I left academics to start my private practice (this would have been around 1992), I filled in some vacant days at county mental health clinics until I could fill my private office schedule.
From the very first, I was exposed to mentally ill patients who lived in boarding homes. Some of them were reasonable – I wouldn’t say any were good – but some were tragic situations and the residents were basically trapped. They needed somebody to take care of them, and in many cases they were taken advantage of.
I just kind of tripped over this recent report of abuses in the board-and-care homes. The hard thing for me is that it is so easy to believe. I am glad the video was not released to the public because I am certain that it would be the most popular “viral video” on the internet.
The number of people in any world — mine in particular — who get off on physical cruelty is beyond mind-boggling. Since we are dealing with “care homes” I will avoid diving into what family members do to each other. In California, private homes can be licensed for “non-medical custodial care.” I have avoided setting foot in these facilities for a number of reasons, but let us say simply that the laws here permit the licensure of facilities as small as single family homes, with six guests or less living like a surrogate family, to bigger facilities that look for all the world like nursing homes. The tinier facilities account for 90% of the lot, or about 8100 facilities. Read more on Nursing Homes and Care Homes Should Not Be For Abuse…
Filed under abuse by on Feb 4th, 2011. 2 Comments.
While traveling extensively over the past year or so, I always check out “drop-in” dance classes when I get to a new city.
I’m serious. In the past year I’ve taken lessons in belly dancing, burlesque strip-tease (you should have seen that one!), classical ballet and tap.
Seriously. I can’t claim to be the next Eleanor Powell, but I have the basic steps down for real tap dancing. And yes – I have real tap shoes – a couple of different kinds.
But I had a real problem trying to get enough “sound” out of my taps. After all, one of the goals of this art is to make some noise! Otherwise it’s just “the old soft shoe.” I believe, without too much in the way of pretention, that I was able to get my feet in the right place at the right time. Other students, obviously younger, just seemed to have more slap in their tap.
Filed under Creativity by on Feb 3rd, 2011. 1 Comment.