tag:blogger.com,1999:blog-26666124.comments2024-03-18T03:28:36.581-04:00Shrink RapUnknownnoreply@blogger.comBlogger22706125tag:blogger.com,1999:blog-26666124.post-80187880448224915212018-08-15T19:05:04.207-04:002018-08-15T19:05:04.207-04:00From a frequent lurker but rare commenter, you wil...From a frequent lurker but rare commenter, you will be greatly missed. Thank you for all that you have contributed to the greater good here. <br /><br />Karennoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-26543948400440435062018-08-15T13:46:57.177-04:002018-08-15T13:46:57.177-04:00Thank you all for the kind comments, for reading a...Thank you all for the kind comments, for reading and responding and being here over the years. Please note that there are over 2,200 Shrink Rap posts (psychiatry in all shapes and sizes) -- they will remain on this website and continue to be available. You can scroll through old posts, use the search box in the top portion of the screen, or do a google search for any topic by preceding the topic with "Shrink Rap." With affection and gratitude --DinahDinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-81584362512145449332018-08-12T20:07:04.952-04:002018-08-12T20:07:04.952-04:00Thank you, I have enjoyed reading and learning. Th...Thank you, I have enjoyed reading and learning. Thank you too for not just disappearing. I appreciate your thoughts and thoughtfulness.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-10008791802754290112018-08-11T01:12:07.440-04:002018-08-11T01:12:07.440-04:00Thank You.
Your writings were exactly what I need...Thank You.<br /><br />Your writings were exactly what I needed when I was in residency and getting started.<br /><br />I will miss the writings, but I am glad you are making decisions that fit your life. <br /><br />God bless and good luck.Simple Citizenhttps://www.blogger.com/profile/13100369477704457506noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-64190013988456099012018-08-10T20:49:55.086-04:002018-08-10T20:49:55.086-04:00It is a bit sad to see it go, though I must say, t...<br />It is a bit sad to see it go, though I must say, there are very few blogs that last a decade. I do look forward to running into our "blog friends" here and there, on the webs and IRL. Cheers to Dinah for being the one to turn out the lights.<br /><br />I've kept up the podcast server (from which iTunes gets the feed) and will keep it up until some year when I forget to pay the bill, so download them soon if you want. (MyThreeShrinks on iTunes.)<br /><br />Best to all,<br />"Roy"Anonymoushttps://www.blogger.com/profile/04403399390420921365noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-80971916060388943252018-08-06T01:59:55.265-04:002018-08-06T01:59:55.265-04:00NO!!!!
I'd guessed this was coming for a while...NO!!!!<br />I'd guessed this was coming for a while now and while it is sad to hear, I've super enjoyed the journey you took us all on. You were the first psychiatrists I could conceive as actually being human after been very badly treated at the beginning of my mental health journey and at a time I was still hoping to get into medical school. You've heard time and time again how badly some people are treated in their forays into mental health land, and you provided perspective to me in your posts that these experiences are not always the case and that it can and should be better. I now have a super good psych, who treats me like a REAL human being and wants the best for me. You've helped me with my studies (thank you for that email - it went into my junk folder and I didn't see it for months, but I did get it and I greatly appreciate it!) and you've helped me have a less isolated and more academic outlet for my interests into mental health. <br />It's been tops and I'll miss your posts. <br />BecBAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-60630918622502453162018-08-04T20:12:00.781-04:002018-08-04T20:12:00.781-04:00This comment has been removed by a blog administrator.Clara david https://www.blogger.com/profile/05216245305519084488noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-14160239223319990182018-08-03T22:04:39.408-04:002018-08-03T22:04:39.408-04:00Good luck in future endeavors...
To be candid, wh...Good luck in future endeavors...<br /><br />To be candid, when you don't publish with regularity, people don't follow the site after some time, and that's why you didn't have comments, in my opinion.<br /><br />Be safe and be well, save the world one at a time?Joel Hassman, MDhttps://www.blogger.com/profile/18428102819014299270noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-71422375633480509332018-08-03T20:10:18.483-04:002018-08-03T20:10:18.483-04:00Thanks for the memories.
NonStandard MindThanks for the memories.<br /><br />NonStandard MindAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-12522718880841955572018-08-03T19:06:32.490-04:002018-08-03T19:06:32.490-04:00This will always be a resource for others.
And... ...This will always be a resource for others.<br />And... if you ever find yourself with something to say, a place to post. Even if the blog itself is not updated regularly.<br /><br />Most of all, think of yourself for once. Right now, I think many patients and therapists are under unprecedented - but not unpresidented - stress. Some more than others. We live in interesting, even historical, times.<br /><br />Just remember, things can always get worse. So anything that lightens the load is good.<br /><br />I'll miss not coming round to this site every month for a look see. I wish you all the best though, and my grateful thanks for past efforts. If I had a medal to give, you'd get it, for efforts above and beyond the call of duty.Zoe Brainhttps://www.blogger.com/profile/13712045376060102538noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-15587439948171278632018-08-02T21:48:36.440-04:002018-08-02T21:48:36.440-04:00Dang. And I was just talking about you with a podc...Dang. And I was just talking about you with a podcast-loving intern today!Scott A. Oakmanhttps://www.blogger.com/profile/00970589114389990827noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-7965184691919317402018-08-02T19:05:55.965-04:002018-08-02T19:05:55.965-04:00What a crazy world. I recently started a job in t...What a crazy world. I recently started a job in the mental health industry and was looking for sources to educate myself. I found this blog just a couple days ago and it sounded great, but the website refused to load for some reason. I come back today to see that it's done.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-63061985535214529632018-08-02T10:30:20.556-04:002018-08-02T10:30:20.556-04:00Thank you so much for the experience of belonging ...Thank you so much for the experience of belonging to the Shrink Rap family. You all educated me and affirmed my values in practice. I also value the transition from online friends to in real life friends. Many hugs. Judith Kastenberghttps://www.blogger.com/profile/06004159861172138970noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-86098602248806950332018-08-02T08:53:49.431-04:002018-08-02T08:53:49.431-04:00Oh no, one of my favorite blogs written by doctors...Oh no, one of my favorite blogs written by doctors, whom I greatly admire, is signing off? Say it isn't so! Thank you for your many years of thoughtful advice and your passion. Your blog and books have been a great resource for me as a parent, advocate and writer. More importantly, thank you for your friendship. Pete Earleyhttp://www.peteearley.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-68041722822126783772018-08-01T22:57:26.908-04:002018-08-01T22:57:26.908-04:00Thank you. I’ve followed this blog for years and ...Thank you. I’ve followed this blog for years and wish you each the very best. DaPuffinnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-4843665613579167322018-08-01T21:53:03.166-04:002018-08-01T21:53:03.166-04:00I'm glad you're my friend.I'm glad you're my friend.ClinkShrinkhttps://www.blogger.com/profile/13316134491751195651noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-60041501711268139602018-05-22T03:33:23.442-04:002018-05-22T03:33:23.442-04:00Since you mentioned ADHD, I have two questions.
1...Since you mentioned ADHD, I have two questions.<br /><br />1. How well known is this recent result? (I've seen this result reported elsewhere, and I don't know if this particular site is flaky or not (it's just what came up when I Googled for the result), so, please, don't write this off as just due to a flaky secondary source.)<br /><br />https://www.additudemag.com/youngest-students-grade-adhd-diagnosis/<br /><br />2. What's your take on it?<br /><br />Anonymoushttps://www.blogger.com/profile/16317248278298169528noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-91764893945478150892018-04-18T14:26:04.314-04:002018-04-18T14:26:04.314-04:00ok, take careok, take careAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-58044134322862840362018-04-18T13:08:15.199-04:002018-04-18T13:08:15.199-04:00Thanks for a reply, nope, don't read Mein Kamp...Thanks for a reply, nope, don't read Mein Kampf prior or now, and hope your week goes well.<br /><br />My point to the Nazi example is asking to show compassion is perspective and intent, I became a doctor because I believed, and still do to a point, of being concerned and caring, but, I see less people as patients who show insight to be concerned and caring of their choices and goals. Can't help people who won't instinctively help themselves, so hope that clarifies my comments of late.<br /><br />Again, the gray zone, not about all or none per meds. But, we live, no, we are entrenched in a quick fix, immediate gratification zone of demanding to be better yesterday. Meds won't do it, and certainly doing the same thing over and over won't give different results.<br /><br />Done commenting here, be safe and well to you and all readers.Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-43620049062562172762018-04-18T09:04:18.451-04:002018-04-18T09:04:18.451-04:00I'm not ignoring this chapter of history. Your...I'm not ignoring this chapter of history. Your argument is ridculous. So a Nazi once said that they showed compassion towards the Jews. For any reasonable person, this is obviously not true. In the context of this discussion, it is irrelevant. Lets agree that you show people more compassion than the Nazis did to the jews. I don't often visit "Mad in America". Do you often read "Mein Kampf" ?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-4206689074197026262018-04-18T08:42:01.633-04:002018-04-18T08:42:01.633-04:00Yeah, let's ignore that chapter of history, it...Yeah, let's ignore that chapter of history, it fits well to gloss over with certain narratives, eh? Oh, until it's convenient later...<br /><br />And I guess an excuse to dismiss the rest of my prior comment inquiry?...Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-90331160159537211812018-04-17T23:44:25.028-04:002018-04-17T23:44:25.028-04:00Your bringing the Nazis into this ? really ?Your bringing the Nazis into this ? really ?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-15889183962594138172018-04-17T18:31:22.907-04:002018-04-17T18:31:22.907-04:00Compassion is at least half perspective. Interest...Compassion is at least half perspective. Interesting I once heard a Nazi supporter claim there was compassion for the Jews to exterminate them the way the Nazis did. I honestly do not think I would have lasted 25 years without having compassion, especially working most of this time in community mental health care clinics. So, maybe you can educate me and other readers what is your definition of what meets compassion as a provider? Just give people what they want, and note not what they truly need? Maybe not give any meds at all?? Maybe call people on what they bring to the office that is not going to be fixed by meds and then risk being harassed and conjured to instead be foolishly complicit with quick fix agendas???<br /><br />Compassion is sometimes saying no, and that point gets a lot of dissent.<br /><br />I genuinely am interested to hear what defines compassion from your perspective. Just be prepared I will call you on a false narrative if that is my interpretation. <br /><br />I know that Dr Miller does not agree, but, I find that those who go by anonymous as their title as commenter are often with agendas, but, I have been wrong at times. Curious, do you read often at MadinAmerica.com?Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-48818497463521117612018-04-17T15:55:28.770-04:002018-04-17T15:55:28.770-04:00Prescription Drugs go in and out of fashion. They...Prescription Drugs go in and out of fashion. They usually get discarded after a prolonged period of denial about side effects or negative long term health implications. Drugs cost money to develop and must pay back with interest before being cast to the wayside. Anybody remember the Benzodiazapine revolution and its fall from grace ? The 'Z' drugs ? Antidepressants are heading the same way. Oh well, theres always Ketamine or MDMA. What could possibly go wrong ? After 25 years of working with patients, I would think you would show more compassion.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-65447250435151798662018-04-17T10:54:57.892-04:002018-04-17T10:54:57.892-04:00Frankly, I think a sizeable portion of the people ...Frankly, I think a sizeable portion of the people who complain the loudest about discontinuation syndrome issues with antidepressants are not just mood disordered patients, but have at least some subtle characterological issues in place as well.<br /><br />After 25 years of working with patients, the ones who make such a big deal needing to be tapered for months off meds like paroxetine or venlafaxine, even if on them for less than a year's time prior, bring a lot of interpersonal strife and other drama into the office.<br /><br />Yes, patients deserve to have an independent approach to getting off medication, irregardless of what the meds are, but, no one has died or had profound long term sequelae being responsibly tapered to discontinuation of the medication. Really, I knew a colleague who was opening up Effexor 37.5 mg capsules and counting out the pulvules every day, she estimated about 100 in the capsule and was cutting back by 10 every 3 days??<br /><br />Just my opinion, but, it's like watching Methadone patients act like the world is ending when they are down to under 20mg after being on more than 100mg for years prior. This NY Times article is only intended to forward more antipsychiatry narrative at the end of the day, I'll bet looking for relations from the author to other sources could be illuminating.Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.com