At some time in our lives, we all need to be told we’re good or shown the way. A simple story about giving kids from Oakland’s toughest neighborhoods a chance to rise above the violence in their communities strangely touched me and compelled me to write. As I do this, I am not that far from Oakland. I have heard enough to tell you that the culture of violence described is not exaggerated. Patients who see me for marijuana permission are happy and delighted they do not have to drive there.
So there are children who grow up in a culture of violence. I see adults. Not too long ago, I was seeing adults for social security evaluations in Los Angeles. Many of them had been caught in crossfire, perhaps shot on their way to the supermarket or even in front of their own homes. They told me they did not know why or by whom, and sometimes they still had bullets in them somewhere. Other times it was just a memory that so overwhelmed them that the quality of their post-traumatic stress disorder was like the sort of thing that you see in Vietnam veterans. Read more on It Takes So Little…
Filed under Family, Government, News, PTSD, Violence by on Jan 25th, 2013. Comment.
Nobody, but nobody, including a president of the United States, can tell a doctor what to ask about in an assessments.
Assessments are supposed to be in the strictest confidence, for openers. Anything else would be against the rules of medical confidentiality. Patients have a right to be seen alone. The doctor has a right to decide what needs to be said.
I can imagine the 2nd ammendment rights activists bursting a blood vessel if doctors are reqiured to survey patients about the guns they own and how they use them. The requirement to have doctors do this would be — most everyone will agree — anti-American.
This being said, a question about firearms is and should be standard psychiatric practice. When you are dealing with suicidal patients, which happens all too often in psychiatry, and the patient says that he or she is thinking about this, then it is absolutely essential to know if that
Filed under Government by on Jan 23rd, 2013. Comment.