Shrink Rap Today

Three psychiatrists explain their work

Media
Defining Who We Mean by "The Mentally Ill"

Dinah Miller M.D. on February 4, 2014

A social media survey shows we have no consensus on who we mean when we talk about people with mental illness.

A social media survey shows we have no consensus on who we mean when we talk about people with mental illness.

Bias
Who Are These "Mentally Ill" People We Hear So Much About?

Dinah Miller M.D. on December 11, 2013

We hear about "the mentally ill" all the time. What constitutes "mental illness?" Please take a brief survey.

We hear about "the mentally ill" all the time. What constitutes "mental illness?" Please take a brief survey.

Psychopharmacology
Psychiatric Medications for Life?

Dinah Miller M.D. on September 17, 2013

Is it true that an episode of psychosis requires medication for life? Dr. Thomas Insel talks about some interesting data that says 'maybe not for everyone.'

Is it true that an episode of psychosis requires medication for life? Dr. Thomas Insel talks about some interesting data that says 'maybe not for everyone.'

Health
Medical Privacy: Gone for Good?

Dinah Miller M.D. on June 18, 2013

Who has access to your medical records? Your friends? Neighbors? The guy who stalks you? Do you know that your information gets pumped straight to the a databank the state holds?

Who has access to your medical records? Your friends? Neighbors? The guy who stalks you? Do you know that your information gets pumped straight to the a databank the state holds?

Suicide
Rising Suicide Rates: Have We Simply Failed?

Dinah Miller M.D. on May 8, 2013

Last week the CDC released figures that unequivocally show that suicide rates are increasing, most notably for baby boomers. What they don't show is why. There are many theories, but maybe the mental health system is failing? We need to know more about the people who suicide and the treatments they do or don't receive.

Last week the CDC released figures that unequivocally show that suicide rates are increasing, most notably for baby boomers. What they don't show is why. There are many theories, but maybe the mental health system is failing? We need to know more about the people who suicide and the treatments they do or don't receive.

Health
The End of The 50 Minute Hour?

Dinah Miller M.D. on December 2, 2012

In January, the way that mental health professionals bill for their services is going to change. It's all new, it's all too soon, and we have to wonder if all the complexity will add anything to helping patients.

In January, the way that mental health professionals bill for their services is going to change. It's all new, it's all too soon, and we have to wonder if all the complexity will add anything to helping patients.

Psychiatry
Search Me?

Dinah Miller M.D. on April 10, 2012

A psychiatrist asks questions about the policies regarding patient body searches.

A psychiatrist asks questions about the policies regarding patient body searches.

Psychiatry
You're a Whore

Annette Hanson M.D. on February 5, 2012

A reader recently sent me this comment: "Frankly, I have little respect for Forensic Psychiatry these days. It is a whore subspecialty until proven otherwise, as it is doing what is financially convenient for the MD and just making general psychiatrists pick up the messes."

A reader recently sent me this comment: "Frankly, I have little respect for Forensic Psychiatry these days. It is a whore subspecialty until proven otherwise, as it is doing what is financially convenient for the MD and just making general psychiatrists pick up the messes."

Psychiatry
Technology and the Psychiatrist: Welcome Siri?

Dinah Miller M.D. on November 16, 2011

An overview of technology and psychiatric practice with links to tech-specific blog posts. Inspired by Dinah's experiments with Siri in clinical practice.

An overview of technology and psychiatric practice with links to tech-specific blog posts. Inspired by Dinah's experiments with Siri in clinical practice.

Psychopharmacology
"Xanax Is My Favorite Palindrome"

Steven Roy Daviss MD, DFAPA on September 25, 2011

Dinah described a New York Times piece last week about a Kentucky clinic that has been so overwhelmed by patients requesting and abusing this very addictive anxiety medication that they have banned it from their practice.

Dinah described a New York Times piece last week about a Kentucky clinic that has been so overwhelmed by patients requesting and abusing this very addictive anxiety medication that they have banned it from their practice.

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Cut-offs cut deep and wide, their emotional impact reverberating far beyond the combatants. Because much of the suffering is hidden, repair is challenging for everyone, not least of all therapists.

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