You searched for Psychiatry - CLOSLER

"Corridor in the Asylum," Vincent van Gogh, 1889. The Met Museum.

March 5, 2018 | 3 min read

Demystifying Psychiatry

By Margaret Chisolm, MD, Johns Hopkins Medicine

Demystifying psychiatry for patients is the heart of my work. In its existential aspects, psychotherapy calls for the imagination of alternative possibilities.

August 28, 2018 | 4 min read

6 things you need to know about geriatric psychiatry

By Susan Lehmann, MD, Johns Hopkins Medicine

In older adults, as in younger people, poor mental health undermines general health, quality of life, and overall functioning. Given the dearth of specialty-trained geriatric psychiatrists and geriatricians, it is crucial for all clinicians to have skills in the diagnosis and management of common mental health conditions affecting older adults.

"Wheat Field with Cypresses," Vincent van Gogh, 1889. Metropolitan Museum of Art.

May 7, 2019 | 2 min read

Finding Balance

By Danielle Johnson, MD, Lindner Center of HOPE, University of Cincinnati

Small gestures while supporting patients through trauma and grief can make a big difference.

Georgia O'Keeffe, Series 1, Number 8.

November 20, 2018 | 2 min read

The Healing Power of Words

By Helen Bradshaw, MD, Johns Hopkins University School of Medicine

What we say to patients has the power to promote healing.

Evening Star, Number III, Georgia O'Keefe, 1917, Museum of Modern Art

November 21, 2018 | 1 min read

Asking Difficult Questions

By Julia Ross, MD, Johns Hopkins University School of Medicine

Asking probing questions is difficult, but can make a difference in understanding your patient.

"The Persistence of Memory," Salvador Dali, 1931, The Museum of Modern Art.

November 19, 2018 | 2 min read

Learning from Learners

By Margaret Chisolm, MD, Johns Hopkins Medicine

Teaching is the best way to learn. In the end, I am not only a teacher and my residents are not only learners, but we are both a little of each.

November 18, 2024 | 3 min read

Starting from scratch

By Erica Richards, MD, Johns Hopkins Medicine

Eliciting detailed stories about patients’ experiences is invaluable in healthcare. Approaching history-taking in a thorough manner allowed me to discover that a brain tumor was causing a patient’s psychiatric symptoms.

August 8, 2024 | 2 min read

Unspoken

From my experience working on an inpatient psychiatry unit, I learned to look for hidden messages in the patient’s story and explore these with curiosity. Sometimes a patient’s cry for help is cloaked in other behaviors.

March 21, 2024 | 2 min read

Young LGBTQ+ patients deserve more

By Brady Hanshaw, medical student, Harvard Medical School, Thara Nagarajan, MD, UCSF

36% of LGBTQ+ youth are unsure they’ll live until the age of 35. These mental health outcomes are even more severe for LGBTQ+ youth of color. It’s critical that clinicians create a safe space to talk about anxiety, depression, self-harm, and suicidal ideation.

August 6, 2020 | 3 min read

5 tips for supporting people with autism

By Roma Vasa, MD, Johns Hopkins Medicine

It’s critical to make time to understand how your patient communicates best, learn their strengths, empathize with their challenges, and give them as much autonomy and choice as possible.

October 27, 2021 | 4 min read

Digital Media Addiction: It’s Complicated

By Natalie Gukasyan, MD, Johns Hopkins Medicine

It’s tempting to resort to simple explanations for complex behaviors like digital media use. Deep relationships with patients can help you understand what’s behind the behavior.

March 19, 2018 | 5 min read

Deep and Active Listening

By Susan Lehmann, MD, Johns Hopkins Medicine

The essence of good doctoring is to listen attentively and respectfully to the concerns of your patient.

February 19, 2019 | 4 min read

On Feeling Helpless: A Psychiatrist Reflects on the Aftermath of a Patient Suicide

By Dinah Miller, MD, Johns Hopkins University School of Medicine

If you've been distressed by the loss of a patient to suicide, I hope my story will provide a moment of relief as you begin the process of healing; I hope that you may feel less alone.

June 22, 2020 | 4 min read

Doing Something or Doing Nothing: Health Disparities, Racial Justice, and the Risk of Failing to Meet This Moment

By Hal Kronsberg, MD, Johns Hopkins University School of Medicine

Truly addressing health disparities and racial justice requires an intense and challenging examination of our own clinical practices and how they may perpetuate inequalities. We must continually hold ourselves and our institutions accountable on the path to building a more just medicine.

October 19, 2021 | 2 min read

Asking About Your Patient’s Pet

By Elizabeth Steuber, MD, Johns Hopkins Medicine, Todd Brenner, MD, Johns Hopkins Medicine

Ask patients about their pets. This can build a bridge to talking about topics like functional status, home life, and family dynamics.

July 14, 2021 | 1 min read

How to Respond to Off-putting Comments from Patients

By Elizabeth Steuber, MD, Johns Hopkins Medicine

Sometimes comments from patients are rooted in their own unmet fears or needs. Instead of reacting to your own discomfort in the face of such comments, remaining curious and asking open-ended questions may help you understand what’s behind such unpleasant remarks.

June 23, 2021 | 6 min read

Aducanumab: The Clinical Wisdom of Being Conservative, Careful, And Transparent

By Constantine Lyketsos, MD, Johns Hopkins Medicine

Clinicians frequently face thorny ethical dilemmas when caring for patients. Take time to reflect on all components of these issues before discussions with patients.

A crowd organized by the Student Non-Violent Coordinating Committee sang “We Shall Overcome” in Farmville, Virginia, in 1966, after a speech by Stokely Carmichael.

January 18, 2019 | 9 min read

From Clinic to Senate

By Kali Cyrus, MD, MPH, Johns Hopkins Medicine

Advocacy does not have to mean changing legal precedents; it can also be taking a mentee out for coffee, giving feedback about your colleague’s stereotyping of a patient, or not patronizing restaurants with unfair wage practices.

January 8, 2019 | 1 min read

Book Review of “Wolf Constellation”

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

This novel prompts us to consider a family's story across generations and its influence on the emergence, manifestation, diagnosis, and treatment of illness in an individual. We routinely inquire about, and document, every patient's family history, but the simple listing of a diagnosis in other family members does not tell the whole story. We need to be curious about that story, because it can tell us much about our patients' strengths and vulnerabilities.

December 20, 2018 | 9 min read

You’re not getting my f-ing box cutter: paradoxical ways kids ask for limits

By Hal Kronsberg, MD, Johns Hopkins University School of Medicine

The most important lesson I’ve learned as a child psychiatrist is how badly kids want limits when they’re struggling, even when they keep that wish to themselves. Kids are smart, and when we catch them breaking a rule, we need to be curious about why it happened.

November 6, 2023 | 2 min read

Believing Patients

By Chloe Lee, MD, MPH, University of Rochester

When patients share their traumatic experiences, trust that they are almost always telling the truth. We must be empathic and compassionate to build therapeutic connections.

A patient's Maine coon kitten, pug puppy, and knitting project.

September 14, 2020 | 3 min read

The Unexpected Benefits of Seeing Patients Virtually

By Susan Lehmann, MD, Johns Hopkins Medicine

Telemedicine allows patients and clinicians to see and respond to each other’s facial expressions. Plus, clinicians are offered deeper insight into their patient’s world.

August 26, 2020 | 6 min read

How to Discuss Minority Stress With Patients

By Chase Anderson, MD, University of California San Francisco

If your patient identifies as part of a minority group, it could be helpful to ask if they’ve experienced stress because of this. Doing so may allow you to better understand your patient’s story.

April 14, 2022 | 3 min read

Equity and Ethical Considerations With The Use of Psychedelics

By Ian Pocock, LICSW, Washington

Psychedelic medicines may help patients suffering with PTSD and treatment-resistant depression. As with many new therapies, ethical considerations and ensuring equal access for everyone are works in progress.

January 20, 2022 | 2 min read

Reflecting on Boundaries During Times of Loss

By Leslie Miller, MD, Johns Hopkins Medicine

Recently, my eyes filled with tears upon learning of a death in my patient’s family. Empathizing with patients who have suffered a loss can bring up strong feelings. How much of this is ok for clinicians to reveal?

February 15, 2023 | 2 min read

Speaking from my heart

By Leslie Miller, MD, Johns Hopkins Medicine

When deeply worried about the mental health of patients, make sure they feel heard, validated, and empowered.

May 28, 2020 | 4 min read

Masking Safety

By Paul Nestadt, MD, Johns Hopkins Medicine

Some patients are unable to understand the need for protective measures against COVID. Clinicians working with these patients are at increased risk, and may need to advocate for additional PPE for their healthcare team.

January 31, 2023 | 1 min read

Brain Candy

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

Because we don't know yet how social media affects our brain, it needs to be consumed in moderation. Scheduling times to spend time with friends and family may make it easier to get offline.

"Heart Meditation," original painting by the author. Copyright by the author.

March 19, 2020 | 3 min read

Returning to Medicine of the Heart During a Pandemic

By David Kopacz, MD, University of Washington

How can we practice the kind of medicine that we so desperately need right now? Perhaps it is time to return to a medicine of the heart and of the soul.

January 12, 2023 | 1 min read

Pain Talk

By Will Frye, PhD, Johns Hopkins All Childrens, St. Petersburg, Florida

Chronic pain is sometimes a challenging topic to discuss with patients. I’ve learned that the most important thing is to validate my patients’ experience of suffering.

March 16, 2020 | 4 min read

Capacity Evaluations: A Clinical Tale in Two Parts

By Elizabeth Ryznar, MD, MSc, Johns Hopkins Medicine

Patients face medical decisions constantly. Assessing capacity for decision-making protects their autonomy.

September 13, 2022 | 2 min read

Psychedelics and Health

By Mary Yaden, MD, Johns Hopkins Medicine

Psychedelic therapies have long been feared and avoided. We must acknowledge that there are clinical indications where these treatments are profoundly beneficial.

September 17, 2019 | 5 min read

Being Human First

By Kultaj Kaleka, MD, RN, Central Michigan University

Family and friends frequently ask medical trainees for their medical advice. Naturally, our recommendations are not based on medical experience, but rather our shared humanity.

June 6, 2022 | 2 min read

The Weight of Victory

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

Increasing numbers of female collegiate athletes are taking their lives. Athletes, like all patients, need a nonjudgmental environment to help them feel more comfortable sharing their thoughts, feelings, and behaviors.

"Sun Rise," by David Kopacz.

August 8, 2019 | 2 min read

The Circle of Re-Humanizing Medicine

By David Kopacz, MD, University of Washington

We need human-based medicine in conjunction with evidence-based medicine. If we only identify as scientists and not as healers, we risk dehumanizing our patients and ourselves.

May 19, 2022 | 2 min read

Recognizing Relapse

By Susan Lehmann, MD, Johns Hopkins Medicine

The earlier that the return of psychiatric symptoms is detected, the more quickly a patient’s mental well-being can be restored.

September 5, 2019 | 2 min read

Book Review of “In Pain”

By Traci Speed, MD, PhD, Johns Hopkins University School of Medicine

Clinicians need to understand that patients' pain is real to build rapport and reassurance, which will help patients be open to the full range of treatment options.

May 16, 2022 | 1 min read

Sharing Mental Health Diagnoses With Patients

By Leslie Miller, MD, Johns Hopkins Medicine

For some patients, a mental health diagnosis brings relief. For others, it doesn’t. Regardless, we must take the time to educate patients and caregivers about symptoms, what to expect during the course of illness, and warning signs that suggest the need for attention.

August 19, 2019 | 6 min read

Holding Hope

By Jennifer Goetz, MD, Massachusetts General Hospital and McLean Hospital

By highlighting the strength and courage of our patients, we can sustain hope for our patients and their families.

March 15, 2022 | 1 min read

Clinicians And Faith

By Susan Lehmann, MD, Johns Hopkins Medicine

In these turbulent times, faith can be a bulwark against cynicism and despair. It can help us maintain a generosity of spirit toward patients, colleagues, and ourselves.

July 31, 2019 | 3 min read

The Healing Circle as a Holistic Framework

By David Kopacz, MD, University of Washington

As can be learned from a Native American healer, to heal profoundly, one must holistically integrate mental, emotional, physical, and spiritual aspects of being human.

January 27, 2022 | 2 min read

Fostering Connections During the Pandemic

By Leslie Miller, MD, Johns Hopkins Medicine

It’s been challenging for everyone to stay social through the ongoing pandemic. Trying a new hobby with a friend, and encouraging our patients to do the same, will help us stay connected through these difficult times.

"New Zealand Landscape," original artwork by the author, 2011.

July 18, 2019 | 4 min read

Circle Medicine: A Holistic Approach to Health for Clinicians and Patients

By David Kopacz, MD, University of Washington

It can be helpful to see the circle path of the hero's journey as the healer's journey, the path that we take through our lifelong medical education. For the true healer, this is not a journey we make just once, but periodically we embark on exploring new depths of the suffering of the world, reaching deep into ourselves to find new resources for healing to bring into our work and world.

December 2, 2021 | 3 min read

TikTok: The Good, The Bad, And The Ugly

By Colleen Schreyer, PhD, Johns Hopkins Medicine

For patients who are on social media, encourage them to engage with pro-mental health content on TikTok by watching, liking, and sharing.

March 5, 2019 | 3 min read

From Film School to Medical School (Part 3 of 3)

By Margaret Chisolm, MD, Johns Hopkins Medicine

Using both words and images, John Berger and Jean Mohr's photo-essay, "A Fortunate Man," provides an intimate glimpse into the role of the doctor: "To cure sometimes, to relieve often, and to comfort always."

October 26, 2021 | 3 min read

What is The Scope of a Clinician’s Work?

By Margaret Chisolm, MD, Johns Hopkins Medicine

We must help our patients achieve a state where body, mind, and spirit are working as a whole. We can help them do more than survive. Let’s help them thrive!

January 22, 2020 | 2 min read

How to Help Patients who Feel Angry

By Leslie Miller, MD, Johns Hopkins Medicine

Asking your patient open-ended questions about how they're doing can lead to a much deeper conversation that not only illuminates the origin of their anger and suggests treatment strategies, but can also be therapeutic in itself.

October 13, 2021 | 2 min read

Social Media During The Pandemic

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

While social media is contributing to increased rates of depression during the pandemic, it also keeps us socially connected during challenging times.

Saint Brides Bay (Bae Sain Ffraid), Pembrokeshire, Wales, Author's Photo.

January 24, 2019 | 4 min read

Cultivating Caring

By David Kopacz, MD, University of Washington

Compassion begins with caring for ourselves and working to grow as full human beings. It is not just the lives of our patients that depend on us learning this component of caring, the quality of our own lives depend upon learning this as well.

August 30, 2021 | 3 min read

TIPPS For Reducing Patients’ Anxiety

By Elizabeth Steuber, MD, Johns Hopkins Medicine

Helping patients engage in paced breathing and progressive muscle relaxation can be calming when they are feeling stressed.