patient-relationship | CARLAT PUBLISHING

Racism and Psychiatry

May 1, 2022

Kali D. Cyrus, MD, MPH

Assistant professor, Department of Psychiatry, Johns Hopkins Medicine, Baltimore, MD. Physician-activist in private practice, Washington, DC.

Dr. Cyrus has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Race and identity are hot topics, even for White people, so psychiatrists need to find a better way to talk about it. The pandemic brought the dynamics of oppression and inequality to the forefront in medicine. Racism is not just happening in the news, the protests, and the Black Lives Matter movement.

Working With Severe Personality Disorders

January 4, 2022

Dan H. Buie, MD and Interview by Marcia L. Zuckerman, MD.

Dan H. Buie, MD Psychiatrist, psychoanalyst, and associate professor of psychiatry, Tufts Medical School, Boston, MA. Author of numerous publications on empathy, aggression, suicide, and borderline personality disorder, including the classic article “Countertransference Hate in the Treatment of Suicidal Patients,” which he coauthored with Terry Maltsberger in 1974 (Maltsberger JT and Buie DH, Arch Gen Psychiatry 1974;30(5):625–633).

Interview by Marcia L. Zuckerman, MD. Board member of The Carlat Psychiatry Report; outpatient psychiatrist, Hallmark Health, Medford, MA; clinical assistant professor in psychiatry, Tufts School of Medicine. Dr. Buie and Dr. Zuckerman have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Psychoanalyst Dan Buie, MD, addresses the powerful emotions that can build up – or tear down – the therapeutic relationship when working with severe personality disorders and other “difficult” patients.

How to Write an Open Note

June 29, 2021

Tony Thrasher, DO, DFAPA.

Tony Thrasher, DO, DFAPA. President, American Association for Emergency Psychiatry (AAEP). Medical Director of Crisis Services, Milwaukee County Behavioral Health, Milwaukee, WI. Clinical Associate Professor, Medical College of Wisconsin, Milwaukee, WI. Dr. Thrasher has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Medical notes may never be the same again. The Open Notes policy allows patients to read their record without delay, and nearly prevents doctors from withholding notes in the interest of safety. Here we share tips on how to use this policy to enhance the therapeutic relationship.

Patient Reviews of Substance Use Services

December 10, 2020

Thomas Jordan, MD.

Thomas Jordan, MD. Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

What is important to patients as they choose a treatment setting? This retrospective analysis examines online ratings and reviews that patients in specific Pennsylvania drug treatment facilities completed from 2010-2018 to assist in identifying quality metrics.

SAMHSA Relaxes Regulations on Methadone and Buprenorphine During COVID-19 Emergency

June 10, 2020

Benjamin Oldfield

Benjamin Oldfield Editor-in-Chief of CATR. Clinical Instructor in Medicine and Pediatrics at Yale School of Medicine; Chief Medical Officer at Fair Haven Community Health Care, CT. Dr. Oldfield has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In the context of a pandemic, how can and should our practices change to continue to meet the needs of patients with opioid use disorder? We summarize recent changes to the regulations surrounding medications for opioid use disorder: buprenorphine and methadone.

When Further Medication Trials Seem Futile

June 10, 2020

Joseph Goldberg, MD

Joseph Goldberg, MD

Dr. Goldberg is a clinical professor of psychiatry at the Mount Sinai School of Medicine and maintains a private practice focused on mood disorders. He has published three psychiatric textbooks and is completing a fourth on psychopharmacology. Dr. Goldberg has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Joe Goldberg believes we do a disservice by shuffling patients through medication trials that have little chance of working. He shares techniques to engage patients, motivate change, combat demoralization, as well as his top pharmacologic strategies for highly resistant depression.

A New Way to Talk to Patients about Medication

August 30, 2019

Shawn Christopher Shea, MD

Shawn Christopher Shea, MD

Director of the Training Institute for Suicide Assessment and Clinical Interviewing. Internationally recognized innovator in the fields of clinical interviewing and suicide prevention and author of seven books, several of which are included in Doody’s Core List of the most important books in psychiatry and medicine. Dr. Shea has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Shawn Christopher Shea, MD has been fine-tuning the art of doctor-patient communications for over 30 years. He shares his tips on talking about medications.