One of my former residents, who I supervised regularly, recently graduated & now is an attending physician herself. Now no longer the student, but the teacher, she asked me to advise her on my approach to teaching and mentoring. Here’s what I wrote to her: My...
Temperament reflects the biological component of personality; it is about half genetic, and appears to be basically stable from childhood into later life. Mood temperaments can be conceived as basically mild versions of depressive or bipolar illness,...
Explaining Suicide Complex, but not unpredictable Fill up a small baseball stadium, like Fenway Park in Boston, with people. About 41,000 persons. Those are the number of people who kill themselves every year in the US. That comes out to over 100 persons daily, about...
Antidepressants in bipolar depression: Common practice, poor science The context The use of antidepressants in bipolar depression is extremely common and yet it has little scientific evidence to support it. In fact, antidepressants are the most commonly used class of...
Akathisia: Not exactly what you think Importance of akathisia Akathisia can sometimes be sufficient reason to change the neuroleptic medication, when lowered dosing or addition of beta-blockers, as described below, are either ineffective or not indicated. In any...