Goodbye, Shrink Rap
When Clinkshrink, Roy, and I started Shrink Rap in April of 2006, I had no idea of the places that blogging would lead me.  We started blogging, and I became a tad obsessed.  We all loved the blog, the people we met, and the stimulating discussions and interactions we had with people from all over the world about mental health issues.  My thoughts were constantly bombarded with "I have to write a blog post about that!" And write, I did.ClinkShrink was a little more hesitant.  "You're going to get me fired!"she insisted.  Roy worried, too, and in fact, he called himself Deep Cove...
Source: Shrink Rap - August 1, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Anderson Cooper; CNN's special on Finding Hope
https://www.cnn.com/videos/us/2018/06/24/finding-hope-suicide-special-report-full-show.cnnIf you are someone with suicidal impulses, please do watch Finding Hope, it was an excellent show.  The host, Anderson Cooper, as well as many of the guests, have lost a family member to suicide. -----Listen to our latest podcast atmythreeshrinks.com or subscribe to ourrss feed. Email us at mythreeshrinks at gmail dot com Ourbook is out now. (Source: Shrink Rap)
Source: Shrink Rap - June 28, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Suicidal Thoughts and Suicide Risk/ The New MD Edge Podcast
  Today seems like a good day to talk about assessing suicide risk.As psychiatrists, we see many people who think about suicide -- suicidal ideation is a common symptom of clinical depression.  In fact, it's very difficult to get a depressed patient into the hospital if they are not thinking about suicidal. Insurers are generally only willing to pay for inpatient care for people with life-threatening psychiatric illnesses; it's a standard no other medical specialty is held to.  Even when someone is dangerous, and when their insurance is willing to authorize an admission, there is still the very difficul...
Source: Shrink Rap - June 6, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Recap of the APA's Annual Meeting in New York City
Heidi Bunes, ClinkShrink, Dr. Joanna Brandt, DinahThis year's annual meeting of the American Psychiatric Association was held from May 5th-9th at the Javits Center in New York City.  Let me tell you about it!First of all, we were so excited that our book,Committed: The Battle Over Involuntary Psychiatric Care was awarded this year's Carol Davis Ethics Award for outstanding contribution to the literature in the ethics of psychiatry.  We are pictured here with Heidi Bunes, the Executive Director of the Maryland Psychiatric Society, and with Dr. Joanna Brandt, the Chair of the MPS Ethics Committee.  We received...
Source: Shrink Rap - May 15, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

That Way Madness Lies
I thought this would be of interest to our readers!“THAT WAY MADNESS LIES…” To be screened at the Richmond International Film and Music Festival BowTie Criterion1331 N BoulevardRichmond, VA 23230Saturday, April 28. 2018 at 11:45 amTickets available at: https://riff.eventive.org/schedule/5a9b7075bc24000014eeecc2Q&A with filmmaker Sandra Luckow New York, New York April 15, 2018 – THAT WAY MADNESS LIES…, an award-winning feature length documentary (Best Feature Documentary at the Hot Springs International Women’s Film Festival) about severe mental illness and ...
Source: Shrink Rap - April 15, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Antidepressant "Withdrawal": Why Aren't Psychiatrists Seeing this "Common" Problem?
Over onTheNew York Timeswebsite, there is an article titled, "Many People Taking Antidepressants Discover They Cannot Quit. "  Benedict Carey and Robert Gebeloff write about how long-term use of antidepressants is increasing, and some people have difficulties coming off the medications with symptoms that constitute a discontinuation syndrome.  I'll let you read the article rather than quote it, because there was a lot wrong with the piece. It doesn't feel like a new idea that there are people who have protracted and miserable discontinuation syndromes--distinct from a recurrence of symptoms-- after...
Source: Shrink Rap - April 11, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Stop Stigmatizing Psychiatric Treatment!
Stigma is a sticky, two-sided issue, one that we talk about often in our field of psychiatry.  Many things are stigmatized. While mental illness is an obvious one --and I'll come back to this-- many other things are stigmatized as well.  To name just a few: drug use, smoking, being a criminal, going to jail, behaving in a disruptive way, smelling badly and being physically unkempt in certain settings, begging for money in public, being on public assistance (in certain circles), beating your children (again, in certain circles), incest (in all cultures), being morbidly obese (especially when it happens in someone ...
Source: Shrink Rap - April 2, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

A Plea For Smart Guns, The #MarchForOurLives Rally, and Talking with Dr. Weinstein About his Experiences With Involuntary Care
Yesterday, I was reading an article on how people make assumptions about animal motivation.  It is called  "Is This Dog Happy," and it reminded me of a post I wrote on Shrink Rap years ago called "What Max Wants," about the desires of our beloved late pet, Max.   I showed my daughter the old post from 2006, and as I was surfing around those early days of Shrink Rap, I remembered that I used to blog here a lot more.  In  2007, when all three of us were actively blogging, we had over 300 post.  Also, I realized  I used to be a lot more FUN.  Or at least I use t...
Source: Shrink Rap - March 28, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

On Forcing Street People to Get Psychiatric Treatment
In theNew York Times, Benjamin Weiser has a beautiful and moving story about Nakesha Williams, a lovely and vibrant woman who graduated from Williams College and then became ill with a psychotic disorder. She lived for years on the street in New York City.  Please do surf over to Mr. Weiser's story,"A 'Bright Light' Dimmed in the Shadows of Homelessness." The story is a tragic one about a promising woman whose future, and ultimately her life, are lost to mental illness.  Despite so many people who loved and cared about her, and so many who tried to get her help, Ms. Williams dies alone on the stree...
Source: Shrink Rap - March 4, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

What's Caught My Attention Lately....
It's been just about a month since I last posted here, and what a month it's been.  I was away for a couple of weeks on a wonderful family vacation to Vietnam and Cambodia.  While it was a mostly psychiatry-free trip, the sign above did grab my attention.  It was a sign at the ecolodge where we were staying in Mai Chau, a rural area of Vietnam where water buffalo are still used as work animals in the rice paddies.  Why are persons with mental illness not permitted in the pool?  I have no idea, but it seems that stigma is rampant everywhere.  So do let me give links to the things I've been...
Source: Shrink Rap - March 1, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Insurers, Not Legislators, are the Gatekeepers to Care, and a Call to Deep Six the Term "Worried Well."
Over onPete Earley's blog, there is a post titled:Senators ’ Letter To SAMHSA Is Misguided: Dr. McCance-Katz Is Doing What Congress DemandedPete is on the Interdepartmental Serious Mental Illness Coordinating Committee,  a group operating under the Department of Health and Human Services. He is an extraordinary writer and a tremendous mental health advocate.  His post inspired me to rant at him (Me rant?  Shocking, I know...) and Pete and I are both posting my response.  I can't begin to capture the essence of his post on the controversy over the NREPP website, nor will you need to understand that...
Source: Shrink Rap - February 1, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

One Doctor's Struggles With Depression, Addiction, and Recovery: Finding Hope in An Intolerant Profession
Psychiatric News is running a series on Physician Burnout, part of an initiative by APA President Dr. Anita Everett.  They asked me to write about medical licensing for the series, and in the course of writing the article, I spent a while talking to Dr. Luther Philaya, an Emergency Room doc who lost his license for his addiction to alcohol and opiates.  Dr. Philaya sought help and things did not go smoothly.  Instead of writing about licensing, I ended up writing about Luther, and I'll invite you to read, "System Changes Needed to Support Physician Seeking Help." Dr. Philaya had more to say ab...
Source: Shrink Rap - January 9, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

Oh For A Self-Correcting World
Good bye, 2017.  Personally, it was a good year.  Politically, not so much.  Our country has become so alarmingly polarized, and it seems we have so many problems!  Here in Baltimore, things are difficult for so many people: firearm deaths have surged, with 345 deaths this year -- a far higher number than New York City where there are under 300 deaths, even though New York has many times the population that Baltimore has.  Overdose death have surged as well. Crime, poverty, homelessness,--they are all big problems.  The latest tax cuts promise to help corporations, and perhaps they will b...
Source: Shrink Rap - December 30, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Oh For.A Self-Correcting World
Good bye, 2017.  Personally, it was a good year.  Politically, not so much.  Our country has become so alarmingly polarized, and it seems we have so many problems!  Here in Baltimore, things are difficult for so many people: firearm deaths have surged, with 345 deaths this year -- a far higher number than New York City where there are under 300 deaths, even though New York has many times the population that Baltimore has.  Overdose death have surged as well. Crime, poverty, homelessness,--they are all big problems.  The latest tax cuts promise to help corporations, and perhaps they will b...
Source: Shrink Rap - December 30, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Recent Reads: Black Man in a White Coat and Vengeance
I just wanted to put up a quick note about two books I've read recently.Black Man in a White Coat is a memoir written by Duke psychiatrist Damon Tweedy.    So what's it like to be a black med student and doctor, and not just anywhere, but at Duke.  Tweedy notes that he was accepted at other top medical schools, but that he went to Duke because the only way they could attract African American students was by giving large scholarships.  That gives you a hint as to what the environment was like.  So it's not surprising to read that Tweedy was standing with a classmate, purposefully dressed in a p...
Source: Shrink Rap - December 4, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Happy Holidays from Shrink Rap: Free Kindle Novel Promotion!
Happy Holidays!At this time of year, I like to set up free downloads to two of my novels. You can get these books for free on your Kindle from Tuesday, November 28th through Saturday, December 2nd at no cost.Double Billing is the story of a woman whose life changes when she discovers she has an identical twin. It's a quick read with a little  psychiatry sprinkled in.  One reviewer said: The book was a page-turner because of elegant structure and pacing.  I really cared about the author ’s take on things –because she is a psychiatrist? because I’ve followed  her blog for a while? &...
Source: Shrink Rap - November 27, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Laura's Law (outpatient commitment): The Answer to Preventing Mass Murder?
2017 has broken the record for the most mass murders in a single year -- not something to be proud of, my fellow Americans.After the latest mass shooting in Tehama, California, John Snook, the executive director of the Treatment Advocacy Center had an op ed piece in the The Sacramento Bee titled"Tehama Country had a tool to Get the Shooter Into Treatment.  It Just Didn't Use it and the System Failed."  The article notes thatLaura's Law, where a judge orders a patient to get outpatient treatment, exists in many California counties, but not the one where the shooter lived.  If only, if only.We know l...
Source: Shrink Rap - November 20, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

When Paranoia Meets Reality: Your Medicine Snitching On You
Medication non-compliance is a problem: patients don't take their pills.  We hear about it all the time in psychiatry: people don't take their medications and they relapse.  Sometimes they decide they don't need them when they do, sometimes they don't like the side effects or risks of the medications, but mostly, they just forget.  You may hear about this problem as if it belongs to psychiatry, but it doesn't. Patients don't take their cardiac medications, either; in fact humans are only randomly compliant with all types of meds.Swoop in technology, here to solve the problem.  Now sensors placed in...
Source: Shrink Rap - November 14, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Let's Talk About Jails and Mental Health
Really, this is a post for ClinkShrink, but she's been busy with other things.  Do you miss her? Let me invite you to listen to Clink's interview on Tier Talk/Corrections One, where she was interviewed aboutAre Prisons Turning Into Mental Health Hospitals? Yesterday, I heard Dominic Sisti talk at Sheppard Pratt Hospital about mental health and incarceration: Dr. Sisti is the director of the Scattergood program for the Applied Ethics of Behavioral Health Care at the University of Pennsylvania, where I was an undergraduate just a few (hmmm) years ago.  I tweeted the lecture, as best as I could, along with phot...
Source: Shrink Rap - October 12, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

The Chronically Suicidal Patient and Stigma from Within the Mental Health System
There's an on-line psychiatrist discussion group where docs exchange information, ideas and resources.  As in all things on-line, it's sometime is invaluable, and it sometimes makes me shake my head.  Today, I was tagged in a post that discussed an article in Psychiatric Times calledWe Need to Talk About Stigma in the Mental Health System.  Louise Harvey writes about her hospitalizations in the UK.   Here is an excerpt so that you get the idea, and in the UK the term "sectioned" means involuntarily hospitalized.Quickly it became clear that I was considered to be a histrionic, attention-se...
Source: Shrink Rap - September 23, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

My Friends in High Places on the HHS's Interdepartmental Serious Mental Illness Coordinating Committee
Move over, there's a new federal mental health committee in town.  The department of Health and Human Services has formed theInterdepartmental Serious Mental Illness Coordinating Committee.  My friends Pete Earley and Elyn Saks are both on the committee, and Pete has beenbloggingabout the committee for a couple of weeks now-- the good, the bad, the ranting, and the missed opportunities after the first day of meetings last week.  You'll be pleased to know that I didn't miss the opportunity to put in one of my concerns: I emailed Pete and Elyn to tell them how pre-authorization for medications is having a nega...
Source: Shrink Rap - September 5, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Inpatient Psychiatry: Not All Bad
I'm going to send you over to theWashington Postfor an article that was published last week, written by Stanford psychiatry resident Dr. Nathanial Morris:  please check out'Psych Wards' aren't what you think. Morris makes the point that the inpatient psychiatry units is portrayed something out of a horror show,  when really it is a place of healing.  He writes:These are places where patients put their lives back together, picking up the pieces torn apart by such illnesses as depression, bipolar disorder and schizophrenia. Caregivers from doctors and nurses, to social workers and psychologists work to he...
Source: Shrink Rap - August 1, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Swiping for Therapists
Over inThe New York Times, Melissa Miller has an article titled "How to Find the Right Therapist."Miller compares it to dating, and she makes the very valid point that good chemistry helps, it's really nice to like and respect your psychotherapist, and to feel a sense of rapport.  In psychotherapy, the talking is an integral part of the treatment and the relationship itself can be healing.  So it is important in therapy that the patient be comfortable confiding in the therapist, be open and honest, and feel safe saying things that can make one feel vulnerable.Miller compares it to dating, and talks abou...
Source: Shrink Rap - July 18, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

The Interesting Thing About Reviews of Committed.....
Hello!  It's been a month since the last Shrink Rap post, and it's now summer.  I love the long days and the slower pace.  There have been many times when I have read something and have thought, 'I want to write a blog post about that....' but then time gets the best of me and I end up tweeting it instead. I do believe my brain has reduced itself to 140 character thoughts.  Please do follow me on Twitter at https://twitter.com/shrinkrapdinahhttps://twitter.com/shrinkrapdinahAs you may know,ClinkShrinkand I are the authors ofCommitted: The Battle Over Involuntary Psychiatric Care, released by Johns Hopki...
Source: Shrink Rap - July 8, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

NAMI: or It's All in the Words....
As I mentioned earlier, I've written apost over on PsychologyToday about how I believe the upcoming NAMI election and the question of whether NAMI will cover a 'big tent' or a 'small tent' -- a focus on severe mental illness versus all mental illness-- is about forced psychiatric care.One the candidates for office, DJ Jaffe, responded to my PsychologyToday post and said it's wrong, and I should change it. It's an opinion, not a statement of fact, so I'm hanging out with my first amendment right to free speech.  Mr. Jaffe included his whole campaign speech and you're welcome to check it out.  His contention is tha...
Source: Shrink Rap - June 6, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

NAMI's Upcoming Elections: Is It All About Involuntary Psychiatric Care?
Ah, so first visit Pete Earley'sblog.  His last two post talk about the upcoming elections for NAMI's Board of Directors.  Big Tents, Small Tents,  a letter from the President of the Board, he's got the issues outlined.I throw in my two cents over on Psychology Today's website: This discussion of who NAMI should serve-- those with severe mental illnesses and their families, or those will all mental illnesses?--is really about forced psychiatric care. Read my thoughtsHEREand I'd love to hear what you think.-----Listen to our latest podcast atmythreeshrinks.com or subscribe to ourrss feed. Email us at mythrees...
Source: Shrink Rap - June 5, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Join Us At APA!
It's days away: the American Psychiatric Association's Annual Meeting will be in San Diego.  I'd like to tell you about the talks we'll be involved in and invite you to come listen and participate. Please do come say hello!--------------------To search for sessions by topic or presenter, go to this link:http://s4.goeshow.com/apa/annual/2017/itinerary_planner.cfm Session ID: 3019 Symposium Outpatient Commitment: A Tour of the Practices Across States Date: Tuesday, May 23 Time: 8:00 AM –11:00 AM Speakers: Chair: Dinah Miller (Maryland) Presenter: Ryan C. Bell, M.D., J.D. (New York State) Presenter: Kimbe...
Source: Shrink Rap - May 17, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Negotiated Rates: What No One Talks About in Health Care Legislation
Last week, the House of Representatives passed legislation for the American Health Care Act, the first step in repealing the Affordable Care Act, or as some would call it, Trumpcare versus Obamacare.  The American Psychiatric Association and the American Medical Association (and many other medical societies) oppose the new legislation.  An enormous concern is that the new legislation won't require insurance companies to cover preexisting conditions, or require coverage for mental health treatment or prenatal/maternity care.  Over the coming years, the new legislation is predicted to leave 24 million more Ame...
Source: Shrink Rap - May 7, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Roy on the Pros and Cons of Medical Marijuana
Medical marijuana was legalized in Maryland two years ago, and this summer we will be getting our first dispensaries.  Psychiatrists are starting to ask what this means in terms of treating patients.  Roy did a great job summing up some of the research for our colleagues:Unfortunately, because of the many historical restrictions on research, there is increasing amounts of data available, yet few "facts" to go by ("fact" as in "a thing that is indisputably the case"). These data are often viewed from differing perspectives. Such as absolute vs relative risks. Harm reduction vs harm av...
Source: Shrink Rap - April 3, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Guest Poster Dr. Maher on Dealing with Changes in Psychiatry Through the Years (But Especially Now)
Obviously, psychiatry has changed over time. We've gone from a field where treatment was mostly psychotherapy-- I'll purposely omit insulin shock, leeches, and lobotomy-- to one of symptoms, prescriptions, and side effects, as though these things occur outside of the context of a person's life.  Ah, you've heard merant before.  And like all of medicine, it's no longer just about treating patients, it's about checking the right boxes, coding what happened in the session by the minute, those damn CPT codes, and now about the technology and the hits your fees take if you won't e-prescribe, file PQRS (?huh) data, and...
Source: Shrink Rap - March 26, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Committed has a Website
http://www.committedbook.com/You are cordially invited to visitCommittedBook.com to read about our book on involuntary psychiatric care.  There are links to reviews, radio shows, and some stuff about us and where we'll be speaking.I hope you like the new website.And while I have your attention, I'd like to send you to apersonal essay in the New England Journal of Medicine by Dr. Adam Hill.  He talks about fighting stigma and his own struggles with depression and alcoholism.  My kudos to Dr. Hill. Medicine is not a gentle world and I admire his bravery in making his struggles so public.-----Listen to our late...
Source: Shrink Rap - March 24, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Really? Can't we be nicer? Objecting to sending those in mental health crisis directly to jail.
Hi, it's been a while.  I have been ranting in other venues, and caught up a bit in the All-Trump-All-The-Time phenomena.  So my latest thing to rant about is hospitals that send patients to jail when they don't have beds.  I don't mean people who've committed crimes, I mean people who are in crisis, who are presumed to be a danger to themselves or others.  Here are some of my thoughts:On Psychology Today's website, I wrote "A simple solution to the bed shortage? Unfortunately, Jail"  The link to that isHere.Over on Clinical Psychiatry News, I did a little more research on the topic ...
Source: Shrink Rap - March 7, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Still More on Guns and Mental Illness
The issue with mental illness and guns is so hard to explain to people. While there have been mass shooters with mental illness, in very few cases does the "mental illness" serve to explain what happened, and statistically, you should be much more worried about being killed by your spouse, the car next to you on the highway, that extra pain pill you take (especially if you take it with a sleeping pill or a drink), than you ever should be about a mentally ill mass shooter ina public place. Where the numbers of gun deaths rise is when you mix guns with substance abuse, especially in people prone to violence, anger,...
Source: Shrink Rap - February 11, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Assorted Frustrations, Plus a Book and TV Series Review
I've been finding the world to be a frustrating place, and when I'm frustrated, I write.  It could be worse.  I've written a lot this week.  First I'll send you to a commentary piece I wrote for the Wall Street Journal asking the Senate not to repeal a ruling that prohibits those who are both disabled by chronic, severe, mental illnessesandare unable to manage their finances (often because they are cognitively impaired or have poor judgement.  I would not have concocted nor supported this original ruling under the Obama administration because I don't think mental illness and gun legislation mix, bu...
Source: Shrink Rap - February 9, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Breaking Heroin's Grip: a documentary by Maryland's Department of Health and Mental Hygiene
Breaking Heroin ’s Grip: Road to RecoveryAiring Saturday, February 11 at 7pmBreaking Heroin's Grip: Road to Recovery is a poignant and personal documentary shedding light on our region ’s pressing heroin problem. Told through the lens of adults that have experienced heroin’s grip first-hand, viewers will get an authentic look inside the complexities of this harrowing epidemic.The program includes a 40-minute documentary followed by a 20-minute live phone bank offering viewers expert information about treatment. The documentary is produced by Maryland Public Television in partnership with theMaryland Depar...
Source: Shrink Rap - February 1, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Breaking Heroin
’s Grip: Road to RecoveryAiring Saturday, February 11 at 7pmBreaking Heroin's Grip: Road to Recovery is a poignant and personal documentary shedding light on our region ’s pressing heroin problem. Told through the lens of adults that have experienced heroin’s grip first-hand, viewers will get an authentic look inside the complexities of this harrowing epidemic.The program includes a 40-minute documentary followed by a 20-minute live phone bank offering viewers expert information about treatment. The documentary is produced by Maryland Public Television in partnership with theMaryland Department of Health...
Source: Shrink Rap - February 1, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

What's In Committed? So Glad You Asked....
It's Sunday night, so I'm hopeful that our new president is watching TV and not signing any new executive orders that re-shape our democracy.  Seems like a good time to tell readers a little more about Committed, and what better way then by posting the Table of Contents?  Each chapter focuses on a story, and the tales of the two patients weave their way throughout the discussion of a variety of issues.  Okay, so the topics might be boring to everyone but the most interested of readers, but we hoped that by focusing on people, that it would make this important and controversial topic more approachable.  ...
Source: Shrink Rap - January 28, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

The Answer to the Problem of Violence & What I learned at #WomensMarchinWashington
Yesterday, I was among the 1% or more the US population to show up at one of the Women's Marches. These weren't just in the US, butworldwide.  If you ask me what I was marching for, I'd have to say it was an act of personal catharsis, a statement in favor of human rights, and an opposition to many of the things that our new president has said he intends to support.  I've long ago come to peace with the idea that many people have different political ideas than I do, and that is not what defines who I associate with (or even marry).  But what I haven't been able to come to peace with is our new president'...
Source: Shrink Rap - January 21, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

The Answer to the Problem of Violence
Yesterday, I was among the 1% or more the US population to show up at one of the Women's Marches. These weren't just in the US, butworldwide.  If you ask me what I was marching for, I'd have to say it was an act of personal catharsis, a statement in favor of human rights, and an opposition to many of the things that our new president has said he intends to support.  I've long ago come to peace with the idea that many people have different political ideas than I do, and that is not what defines who I associate with (or even marry).  But what I haven't been able to come to peace with is our new president'...
Source: Shrink Rap - January 21, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Another Mass Murder Spurs Many Responses
Almost two weeks ago, it happened again:a man with a history of psychiatric symptoms opened fire and killed people in the Fort Lauderdale airport.  In our book,Committed, we have researched and written about mental illness and violence, guns, and specifically addressed the question of Can Forced Psychiatric Care Prevent Mass Murders?Pete Earley, on his blog, offers the idea that it would help to change the standard for involuntary care from "dangerous" to "a need for treatment."  You can read Pete's blog,Another Mass Murder With Plenty of Warning Signs: We Need to Address the Dangerous Criteri...
Source: Shrink Rap - January 17, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Join Us at APA!
This May, the American Psychiatric Association's Annual Meeting will be in San Diego.  I'm thinking ahead here, but people often make their travel plans in January, so I'd like to tell you about the talks we'll be involved in and invite you to come listen and participate. --------------------To search for sessions by topic or presenter, go to this link:http://s4.goeshow.com/apa/annual/2017/itinerary_planner.cfm Session ID: 3019 Symposium Outpatient Commitment: A Tour of the Practices Across States Date: Tuesday, May 23 Time: 8:00 AM –11:00 AM Speakers: Chair: Dinah Miller (Maryland) Presenter: Rya...
Source: Shrink Rap - January 11, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Looking Ahead to APA in San Diego
This May, the American Psychiatric Association's Annual Meeting will be in San Diego.  I'm thinking ahead here, but people often make their travel plans in January, so I'd like to tell you about the talks we'll be involved in and invite you to come listen and participate. --------------------To search for sessions by topic or presenter, go to this link:http://s4.goeshow.com/apa/annual/2017/itinerary_planner.cfm Session ID: 3019 Symposium Outpatient Commitment: A Tour of the Practices Across States Date: Tuesday, May 23 Time: 8:00 AM –11:00 AM Speakers: Chair: Dinah Miller (Maryland) Presenter: Rya...
Source: Shrink Rap - January 10, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Honoring Carrie Fisher
10. On not being defined by your mental illness:Rene Macura / ASSOCIATED PRESS / Viabphope.com This was my favorite of the 13 things.  If you'd like to read them all on Buzzfeed, goHere.-----Listen to our latest podcast atmythreeshrinks.com or subscribe to ourrss feed. Email us at mythreeshrinks at gmail dot com Ourbook is out now. (Source: Shrink Rap)
Source: Shrink Rap - December 27, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Helping Doctors Get Help
Every year, roughly 400 doctors and medical students die from suicide.  To put this in perspective, there are roughly 100 medical students in a medical school class, and schooling takes four years: each year in the United States, we lose an entire school worth of doctors to suicide.  For some perspective: there are 141 medical schools and 31 osteopathic schools in the country; educating students takes time, money, and a tremendous amount of resources, and we have a doctor shortage.  Losing a school worth of physicians each year is an awful thing.  Furthermore, surveys have shown that roughly 30% of medi...
Source: Shrink Rap - December 25, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Home Inspection and Double Billing: Two Kindle Novels for Free, and Happy Holidays to Our Shrink Rap Readers
Happy Holidays!At this time of year, I like to set up free downloads to two of my novels. You can get these books for free on your Kindle from Sunday to Thursday.Double Billing is the story of a woman whose life changes when she discovers she has an identical twin. It's a quick read with a little  psychiatry sprinkled in.  One reviewer said: The book was a page-turner because of elegant structure and pacing.  I really cared about the author ’s take on things –because she is a psychiatrist? because I’ve followed  her blog for a while? – which meant that I was interested in th...
Source: Shrink Rap - December 17, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

It Happened! Link to Yesterday's NPR Diane Rehm Show on Involuntary Psychiatric Care
The third time scheduled was a charm and we had a wonderful time going in to Washington to be on Diane Rehm's talk show.  Okay, so the car wouldn't start at first, and I missed a turn, but we got there without event.  The show included our friend, Pete Earley, and two people who had experienced involuntary psychiatric hospitalizations, Lily and Jaime -- they both did a great job of talking about their experiences.  Pete, the author ofCrazy: A Father's Search Through America's Mental Health Madness and more recently co-author of the novelTreason,  added a lot of life to the issue by talking about how har...
Source: Shrink Rap - November 29, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Involuntary Psychiatric Care-- a Discussion on NPR's Diane Rehm Show on Tuesday : the Third Time's a Charm
I've posted twice about how we will be discussing our new book,Committed, on theDiane Rehm Show on National Public Radio.  Well, national politics have gotten in the way, and we've been rescheduled for more time-sensitive issues.  So I'm excited to tell you that we will be on the Diane Rehm Show this Tuesday, November 29th, during the second hour of the show -- 11 AM if you're listening on WAMU, 88.5 FM.  Only it's gotten better -- while the show was originally supposed to be just the two authors, the programming has changed: Pete Earley, who wrote the foreword, will be joining us in the studio, and two...
Source: Shrink Rap - November 26, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Tune in to Tell Me Everything with John Fugelsang on Sirius XM #121
You're invited to tune in tomorrow, Monday Novermber 21st, when we join radio host John Fugelsang on his showTell Me Everything3PM on SiriusXM, #121We will be talking about our book,Committed: The Battle Over Involuntary Psychiatric Care-----Listen to our latest podcast atmythreeshrinks.com or subscribe to ourrss feed. Email us at mythreeshrinks at gmail dot com Ourbook is out now. (Source: Shrink Rap)
Source: Shrink Rap - November 19, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

My Neverending iPhone 7+ Fiasco
If you've already read the beginning of this, you can scroll down to the Addendum added on 1/17/17.Please note that while this is usually a psychiatry blog, today I am using it to vent for my own personal psychotherapy.  Please feel free to offer words of support, to make helpful interpretations to improve my insight, or if you know CBT techniques that may help me, I'm open to that.  Is there a 12 step group for iPhone users?  Medications to treat Post Traumatic iPhone Seven Disorder? --------------------Dear Mr. Jobs,I know you've died and left the job and I should leave you to your death in peace, but...
Source: Shrink Rap - November 18, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

An Open Letter to Steve Jobs Where Ever He May Be: My iPhone 7 Fiasco
Please note that while this is usually a psychiatry blog, today I am using it to vent for my own personal psychotherapy.  Please feel free to offer words of support, to make helpful interpretations to improve my insight, or if you know CBT techniques that may help me, I'm open to that.  Is there a 12 step group for iPhone users?  Medications to treat Post Traumatic iPhone Seven Disorder?  Maybe just a gin and tonic.  In addition, let me tell you that there are some other stressful things going on in my life: When you shower in my bathroom, it rains in the kitchen.  This has led to 6 weeks...
Source: Shrink Rap - November 18, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs