Publications

Reflections on the role of narrative in diagnostic paradigms.

Hard Talk columnists note that many patients enter treatment with concerns about their political beliefs. (MDedge, Medscape)

Patients with schizophrenia 'deserve to have their thoughts addressed in a therapeutic framework', philosophy can provide tools on how to do so. (MDedge, Medscape)

An examination of the role of "de-diagnosing" in our movement to deprescribe certain patients

A review of the continued role of Section 7.3 in psychiatry.

A discussion on the role and impact of methamphetamine in our understanding of paraphilias. (MDedge, Medscape)

An examination of conservatorship and the role of psychiatry in its implementation.

A reflection on society changing attitudes towards people who use substances of abuse. (MDedge, Medscape)

An examination of the use of sociopathy and trauma by court evaluators.

A spotlight on the often unrecognized heroes of the COVID-19 pandemic. (MDedge, Medscape)

A challenge for psychiatry to consider the dehumanizing aspects of fragmented care and increasing sub-specialization.

A reflection on the role and use of excited delirium as well as the need for psychiatry to comment on this common label.

An examination of the role of validation, shame, and responsibility in psychiatry and psychotherapy.

A challenge to Medical Boards to examine biases in the evaluation of aging providers and consider more relevant examinations. (MDedge, Medscape)

The 'Defund the police' movement raises some important questions for the role of psychiatry in how society addresses certain behaviors and emergencies.

In our complicated times, it is important to reflect on lessons which can be learned for psychiatry. (MDedge, Medscape)

Is burnout repackaged depression to protect professionals from stigma or is it bringing a humanity lost in the medicalized DSM?

An examination of the sequential intercept model because it deserves to work

A challenge for psychiatrists not to fall for political traps

Criminality poses nosological and logistical problems for psychiatrists in emergency departments

An examination of our understanding and justification for suicide risk assessments

A challenge for the American Psychiatric Association to make more scientifically sound statements

Is ketamine's rapid action challenging psychiatry's conceptualization of depression?

Deprescribing can be performed safely and effectively (Podcast about the article)

A clinical guide to ethical dilemmas in the involuntary treatment of patients with mental illness

A critique of current diagnostic paradigms in defining trauma and its consequences

An examination of the limitations of the medical model in addressing homelessness

A reflection on gun violence and the consequences of mental health reporting laws. The article points out the danger in alienating a vast number of our patients

A critique of society's over-reliance on medication compliance as marker of mental health recovery. The article looks at examples through the media, and the legal system

An examination of the difficulties posed by personality disorders in the forensic system through an example in mental health competency

A case presentation of a forensic (competency restoration) patient with psychosis and court ordered involuntary treatment who successfully completed treatment without antipsychotics

A California mother kills her son with a diagnosis of schizophrenia. The article examines in psychiatry responsibility in creating the false narrative that our patients are violent

A psychiatrist sentenced to an 18-month suspended prison for failing to prevent a murder. The incident leads to reflections on the challenges facing psychiatry when simultaneously treating and assessing violence risk

Antipsychotics are clearly indicated for patients in the acute phase of psychotic illness, however the evidence for long-term use is less convincing and may not justify compulsory long-term use

An ode to psychiatry residency

The case of a patient for whom different providers had different interpretations, despite similar presentations. A combination of cognitive errors led to repeated diagnostic oversimplification in the case.

A review of substance use disorders in older adults