The Reluctant Psychiatrist

3 weeks ago 

When I was a resident physician in training, I remember my excitement in mastering the principles of psychopharmacology. I was so eager to diagnose patients" problems and apply the right treatment.  The treatment plan consisted of addressing biologically correctable facets of the illness presentation and supportive psychosocial therapies. This model neatly fit my medical training and the prevailing medical model. Over the years of my practice, I have given many presentations on new medications and disease states to physician groups.

As I age and hopefully become a wiser clinician, I find myself questioning the pure medical model for many psychiatric and chronic medical conditions. I am also more averse to the risks of various therapies for my patients. I am much more aware of temperamental differences among individuals. Many people are leading hard lives and have real existential challenges to their safety and existence. Some have been badly scarred at an early phase of their lives. I am happy that I can still maintain the medical model but apply it in a much more nuanced way that takes into account the patient's experience, individual variability, and possible alternative and holistic therapies.

1 month ago

Low frustration tolerance is a hallmark of the ADHD sufferers. The scenario goes something like this: You are trying to focus on completing your expense report, and th...

3 weeks ago

When I was a resident physician in training, I remember my excitement in mastering the principles of psychopharmacology. I was so eager to diagnose patients" prob...

1 month ago

Many people who start medication therapies to treat the core ADD/ADHD symptom notice subtle changes that are not always easy to accept or manage. The character style t...

1 month ago

I saw the young man for the first time last month. He could not sit still for more than a few seconds and was constantly fidgeting. His life was a classic example of s...

3 weeks ago

The FDA's approval of esketamine (which is a derivative of the anesthetic drug ketamine) for treatment of depression has been hailed as a ‘game changer&rsquo...

1 month ago

Recently a patient whom I had not seen for almost a year showed up in my office demanding that her antidepressant prescriptions be filled for another year. She made it...

Dr. Farid Sabet

8401 Chagrin Road Suite 15A, Chagrin Falls, OH 44023, USA

Phone: 1 (440) 543-0707

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