November 13th, 2011 by Dinah Miller, M.D. in Opinion
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We’ve been having a great discussion over on the post Tell Me…. An Ethical Dilemma. The post talks about a young man who wants to know if he can check “no” to a question about whether he has a psychiatric disorder if his illness is not relevant to the situation. The comments have been fascinating — do read them– and very thought-provoking.
One reader asked, ” If a patient asked if they were boring you, and they were, would you say yes?”
This is a great question, and of course the right thing to do is to explore with the patient what meaning the concern has to him. But is that all? I’m not very good at doing the old psychoanalyst thing of deflecting all questions, and mostly I do answer questions when they are asked of me. This can present a really sticky situation because one can not think of any clinical scenario in which it would be therapeutic to have a therapist tell a patient, ‘Yes, you’re boring, OMG are you boring,’ or ‘No, in fact, I don’t like you.’ And not answering could be viewed as negative response by the patient –if you liked me, you’d tell me, so clearly you don’t like me. So if the exploration of the question doesn’t take care of the issue, and the patient continues to ask, what’s a shrink to do? Read more »
*This blog post was originally published at Shrink Rap*
November 3rd, 2011 by Dinah Miller, M.D. in Opinion
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Next week, it will be my turn to write our article for the Clinical Psychiatry News website. Over there, we try to have our writing more specifically aimed at an audience of psychiatrists. I’m going to be writing an article on Siri and the Psychiatrist….in honor of my new iPhone 4s and the “personal assistant” function named Siri. Okay, I’m obsessed. Everyday, I find new things it can help me with. Today, I asked it, “What’s the meaning of life.” What, you don’t ask your cell phone the finer existential questions? Siri answered, “All available evidence suggests chocolate.” Wow! How old is Liza Minelli? 65 years, 7 months, 20 days. Calculate a tip? No problem. Convert Celius to Fahrenheit? A cinch. And she takes dictation. “Siri, please text Patient A Read more »
*This blog post was originally published at Shrink Rap*
October 25th, 2011 by Dinah Miller, M.D. in Announcements, Opinion
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I’d like to ask your help for a moment. I’m going to write a blog post for this week’s Clinical Psychiatry News on Bipolar Disorder. I’d like to know how you see the term used, or the symptoms that are hallmarks of the illness for you. If you respond as my favorite commenter, “Anonymous,” could I ask that you define yourself…psychiatrist, psychologist, pediatrician, patient with bipolar disorder, friend of someone diagnosed with bipolar disorder….
Also, please just off the top of your head, I can read DSM or Google myself, and I’m more interested in Read more »
*This blog post was originally published at Shrink Rap*
October 17th, 2011 by Dinah Miller, M.D. in News
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U N I T E D N A T I O N S
THE SECRETARY-GENERAL—MESSAGE ON WORLD MENTAL HEALTH DAY: 10 October 2011
There is no health without mental health. Mental disorders are major contributors to illness and premature death, and are responsible for 13 percent of the global disease burden. With the global economic downturn – and associated austerity measures – the risks for mental ill-health are rising around the globe.
Poverty, unemployment, conflict and war all adversely affect mental health. In addition, the chronic, disabling nature of mental disorders often places a debilitating financial burden on individuals and households. Furthermore, individuals with mental health problems – and their families – endure stigma, discrimination and victimization, depriving them of their political and civil rights and constraining their ability to participate in the public life of their societies.
Resources allocated for mental health by governments and civil society are Read more »
*This blog post was originally published at Shrink Rap*
October 13th, 2011 by Dinah Miller, M.D. in Opinion
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Oh, we’re not kiddy shrinks, so this post is not really about children. But I like the term, it implies that the person needs something more, that they have special– presumably increased– needs. It says nothing about potential. I use the term often, and sometimes with a bit of humor, to remind people that the playing field is not always level. There are people who start any given race with a handicap– a learning disability, dyslexia, major health problems, mental illnesses, horrible childhoods, addictions — and these set them on a slightly different course.
Some people overcome tremendous adversity. They function ‘as if’ they had no special needs. They have stories that would let you understand if they didn’t do very well in life, stories that would explain burying their heads in the sand, or crawling under a large rock. Sometimes these special needs people are Read more »
*This blog post was originally published at Shrink Rap*
