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*
A recent article in the Archives of General Psychiatry by Hallmayer et al. discussed the role of genetic and environmental factors in autism and autism spectrum disorders (ASD). The study was a heritability analysis of 192 pairs of twins, which attributed 37 percent of the variation in risk of autism to genetic factors and 55 percent to shared environmental factors. The authors contrasted their findings with those of previous studies, which had given genetics a much higher share (up to 90%).
Rather than contradicting previous research, the new results provide more evidence that autism, like many other common diseases, results from both genetic and environmental factors. The way that these elements – often called “nature and nurture” – influence health outcomes has been discussed for decades but is often misunderstood, even among scientists.
Disease Causation is Not as Easy as… Pie Read more »
It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…
I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…
I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…
When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…
I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…
Please see my post on Clinical Psychiatry News and yesterday’s post What’s in a Note? along with the reader comments.
When I asked 
