In my work as a physician, one thing that has always bothered me is the patient with “neuropathic pain”. Here is the typical scenario: A patient with a history of chronic pain (usually back pain) and pain medication use comes to the hospital for surgery. Post operatively, the patient’s... Read more →

Are you reading this at work during your lunch break? Has anyone come into the lunchroom to tell you about the cold they had lately, or their children’s chicken pox, or their aging father’s hip replacement? I bet this happens quite a bit. Just about everyone talks about these maladies, small... Read more →

In recent decades, societal conceptions of mental health and mental illness have evolved significantly. Compared to prevailing attitudes of the early 1900’s, the general public and scientific community alike have become much more aware and knowledgeable of mental illness: its causes, severity,... Read more →

Every year in the United States, approximately 44 million people are diagnosed with a mental disorder. Of those diagnosed, roughly 19 million suffer from depression and 4 million others suffer from some form of generalized anxiety disorder. Unfortunately, not everyone with a mental disorder seeks treatment.... Read more →

Borderline Personality Disorder (BPD) is characterized by a pattern of unstable relationships, a self-image that is always changing, and poor impulse control. The person suffering from BPD fears abandonment and will go to any lengths to prevent this, including threats of suicide. Self-harm is a characteristic. There... Read more →

Who wants to admit that they need to see a psychiatrist? There is often an inner sense of shame and disgrace when people seek psychiatric consultation, yet the pain of mental illness compels many people to seek help from family doctors or psychiatrists. Most people who suspect mental illness initially... Read more →

It has only been within the past decade or two that we have begun to better understand the biochemical causes of mental illness. Although there is still much to be discovered, it is now known that mental illnesses are similar to physical illnesses, since they often have biochemical causes and medical... Read more →

The power of stigmatization of the mentally ill is so strong that it keeps mental health low on the list of public priorities for spending. One of the barriers to treatment for the mentally ill is the inability to pay for it, and another is how to access it. Policy-making and funding decisions for mental... Read more →

There is a time when a mentally ill person may realize that they need help. Symptoms worry them or others enough that they consider getting treatment. But the White House Conference on Mental Health identified stigma as the most important barrier to treatment for the mentally ill. (1) More than any other... Read more →

Think about what it would be like to spend most of your time alone because being around other people is just too difficult. You feel that others are judging you for your mental illness, and so you are scared to face the world. You withdraw to avoid this stigmatization. This social withdrawal is emotionally... Read more →

There are many people with common neurotic anxiety disorders who continue to work despite their condition, depending on severity. However, people with more serious psychiatric disabilities such as schizophrenia or bipolar I disorder, often drop out of the workplace when their mental condition reaches... Read more →