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The Psychiatrist as Psychotherapist – a Tale From “The Golden Age of Psychiatry”

In a prior blog posting entitled “The Psychiatrist as Psychotherapist” there was a reference to the privilege of being trained during...

Manager Diagnosed with Panic Disorder

Cynthia (not her real name) is a 38 year old manager working in a federal government agency. When she first presented...

Antidepressant Medication and the Treatment of Depression

It seems like almost every other week that we are introduced to a new antidepressant medication through an ad on TV....

Helping Your Child Following a Traumatic Experience

As parents we instinctively wish to shield our children from traumatic experiences. There is a significant value to creating an “envelope”...

Humiliation

Humiliation has been characterized as the most painful of all human emotions. Humiliation is a “public emotion” in that it involves...

“Letting Go” of Your Child as They Become an Adult

One of the more challenging epochs for a parent who is actively and lovingly engaged in their child’s emotional growth and...

Software Engineer Diagnosed with Bipolar Disorder

Alan (not his real name) is a 25 year old software engineer who presented with a history of depression over many...

Corporate Attorney Diagnosed with ADHD

Wendy (not her real name) is a 40 year old corporate attorney who first presented with her husband who was bitterly...

Adult Attention Deficits – The Psychiatrist as Detective

Given the risk that “Adult ADD” may become over-diagnosed, and stimulants may become over-prescribed, much in the same fashion as childhood ADD, it is important to recognize that there are many causes of disrupted attention in adults that bring about symptoms similar to adult ADD, but have differing origins and treatments. A careful diagnostic assessment is in order.

The Psychiatrist as Psychotherapist

Those psychiatrists trained in “The Golden Age of Psychiatry” received intensive training in various modalities of psychotherapy, such as psychodynamic, cognitive-behavioral, and family systems; as well as learning the science of psychopharmacology. These fortunate physicians are able to evaluate and treat the whole person, including the ability to address biological, psychological, social/environmental, and existential issues throughout the course of therapy with their clients, according to the Biopsychosocial Model.