Although heroin-then known as diacetylmorphine-was first derived from morphine in England in 1874, it was the Bayer company in Germany that saw its commercial value as a cough remedy and pain reliever.
Dr. Fishman, you are boarded in both internal medicine and psychiatry, and have gone on to specialize in pain medicine. Can you outline your basic approach to pain symptoms in a psychiatric patient?
Here's a fairly typical scenario: An elderly woman comes to you as a referral from her PCP for the treatment of depression and anxiety. She hands you a well-worn 3-by-5 card with her meds listed in shaky handwriting.
Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.