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Thinking About Mental Health

Occasional thoughts on psychiatry, diagnosis, psychopharmacology, treatment, and the practice of medicine.

Why I Don’t Accept Health Insurance

My decision not to accept health insurance is rooted in a simple conviction: psychiatric care should be guided by the needs of patients, not the requirements of insurance companies.

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Sometimes It Takes a Village

Sometimes It Takes a Village

In child psychiatry, we routinely seek information from parents, teachers, and others. Why do we so often abandon this valuable approach when patients become adults?

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Why Diagnosis Matters

Why Diagnosis Matters

In psychiatry, as in the rest of medicine, it is important to distinguish between symptoms and the underlying cause of those symptoms—the diagnosis

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