I often think of the well-known expression “perfect is the enemy of good” when I am endlessly rewriting an article to make it better (when it is already good enough) and in the process just make or even miss a deadline. But this old saying also reflects the dark view many people have of perfectionism. As a personality trait, it is seen as obsessive and at times pathological. People who are perfectionists may become so focused on setting a high standard for themselves that they live their lives as if graded constantly on a report card.
But perfectionism has a bright side, too. Desirable aspects of this personality trait include conscientiousness, endurance, satisfaction with life, and the ability to cope with adversity. This helps explain why some perfectionists become corporate leaders, skilled surgeons, or Olympic champions.
Dr. Jeff Szymanski, a clinical instructor of psychology at Harvard Medical School and executive director of the International OCD Foundation, believes it is possible to become a better perfectionist—by building on the strengths of this quality and learning to minimize its drawbacks. In his new book, The Perfectionist’s Handbook, he discusses this theory in greater detail and provides exercises people can try at home. Read more »
One reader asked why it’s weird to want to see your shrink’s notes and why shrinks refuse to show them on the grounds that they may distress the patients. Another reader asked why doctors write “patient denies” as though they don’t believe the patient. These are both great questions worthy of their own post.
Why don’t psychiatrists like to show patients their notes? Are they really going to “harm” the patient? There are a few reasons why a psychiatrist may not want to show a patient her notes. Here is my list of thoughts as bullet points. Please feel free to add to it. Read more »
*This blog post was originally published at Shrink Rap*
When I asked Meaghan Martin (star of Mean Girls 2, 10 Things I Hate About You and Camp Rock among others) what was the most difficult thing about being a teen these days, she didn’t hesitate: “Being a teen has always been difficult, but today there are so many ways to be rejected. Between Facebook, Twitter, and other online sites, it seems as if every day there’s a new way to be un-friended, excluded, or picked on.”
I interviewed Meaghan about her perspectives on teen self-esteem issues and the impact that physical appearance can have on young men and women. You can listen to the edited interview here (starts at minute 12:02):
The most striking thing about Meaghan is that she is a genuinely nice person. Down-to-earth, confident, empathic – she exudes an inner peace that is downright wholesome. How did she escape her teen years relatively unscathed by hormonal angst, I wondered? The secret, she said, was loving parents.
“I was a typical nerd as a kid. I had glasses, braces, and an asthma inhaler. But I didn’t care what others thought of me, because my parents told me that I was a good person who could do anything I wanted in life. They taught me self-confidence, and supported me 100% in anything I wanted to do. I was so blessed to have parents like that.”
I chuckled as I remembered my pre-teen and teen years, sharing with Meaghan that I was a lot like her – except that I had traded the asthma inhaler for acne. For me, Read more »
Most patients with major depression require a second medication. A psychiatrist suggests that exercise could fulfill that need, too.
Because most patients with major depression don’t fully respond to just one drug, it’s common to try a second drug or cognitive behavioral therapy. But the rate of non-response in this group is prompting researchers to look for an intervention that most patients could do and that would add to current therapies.
Moderate and intense levels of daily exercise can work as well as administering a second antidepressant drug, as long as Read more »
*This blog post was originally published at ACP Internist*
If you haven’t seen Anderson Cooper catch a case of the giggles on live TV, you can still watch it on YouTube. I missed the first showing, but saw Mr. Cooper replayed it on his own Ridiculist List. But what’s this doing on Shrink Rap?
I watched the re-run, and I found myself laughing out loud. Only, it wasn’t a good, happy, hearty laugh, it was an embarrassed and uncomfortable laugh, and I realized I’d taken on the feelings of the newsman. If I were a psychiatrist (oops, I am, even in August), I might say that Anderson Cooper Read more »
*This blog post was originally published at Shrink Rap*
If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…
If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…
My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…
Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…
Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…
When I asked 
