Resources

The things about medicine that you don't learn in medical school... Photo by Gianfranco Grenar on Unsplash Why I'd Still Choose Medicine-But Differently Me as a newly wed new doctor with high hopes and ambition to conquer the world There are many things medical school teaches exceptionally well. It’s a four-year wide-open fire hydrant flood of information. There are also many topics it barely touches — even though they shape your life just as much or more as your clinical sk

How depression changes with time, sex, and substances Photo by Gianfranco Grenar on Unsplash Our Patients are Less Depressed-But More Empty In recent years, an increasingly common clinical pattern has emerged across both outpatient and inpatient settings: many patients no longer present with the classic “deeply sad” and tearful depressive picture that once dominated diagnostic frameworks. Instead, many describe a pervasive sense of emptiness, an anhedonic inability to enjoy

In memory of Nolan Williams, MD— research pioneer, colleague, friend Photo by Agence Olloweb on Unsplash Physician Grief My friend and colleague Dr. Nolan Williams died by suicide last year. Upon hearing the news, my first reaction was not shock in the way people usually mean it. It was pure disbelief. Complete cognitive dissonance. The facts did not match the reality. As both a psychiatrist and neurologist, Nolan was not only respected—he was transformational to modern inte

It's a core feature of the human experience...not a flaw. Photo by Sydney Latham on Unsplash What Are Co-Occurring Disorders? Co-occurring disorders—also known as dual diagnoses—refer to the presence of both a substance use disorder (SUD) and a mental health condition in the same individual. This combination is far more common than most folks realize. In fact, more than half of those who experience a substance use disorder will also experience a mental illness during their l

The data is there. But the drive to implement is lacking. Photo by Dre Nieto on Unsplash Emergency departments (EDs) are often ground zero in the opioid overdose crisis. Yet despite growing awareness of Medications for Opioid Use Disorder (MOUD) as the gold standard treatment for opioid use disorder (OUD), buprenorphine remains vastly underutilized in acute care settings where our patients need it the most. The 72-Hour Rule Many clinicians are still unaware that any provider