Great article, Andrew, and thanks for sharing! The way that you deftly parsed out and elucidated the distinctions (and the overlap) between BPD and bipolar is a welcome reminder. A reminder to LISTEN first, to think critically, to remain curious and open to our patients' experiences, and to put ourselves in their shoes before asking them to accept the risks of our proposed treatment.
Love this thoughtful reflection. I have never lost a patient's trust by being humble and letting them know I'm unsure of something and am going to take time thinking about it, researching it, or discussing with a mentor. The trust is gained overtime when your treatment plans work.
Great article Andrew! I think this book serves as an inflection point in our current political era and skepticism toward psychiatry. As a profession, I agree that thoughtful introspection of our own limitations and uncertainty is not weakness but an ethical obligation.
Great article, Andrew, and thanks for sharing! The way that you deftly parsed out and elucidated the distinctions (and the overlap) between BPD and bipolar is a welcome reminder. A reminder to LISTEN first, to think critically, to remain curious and open to our patients' experiences, and to put ourselves in their shoes before asking them to accept the risks of our proposed treatment.
Thanks Vince - I stumbled across this today that might be of interest - https://www.youtube.com/watch?v=pHTqu-_nq3k
Thanks, Andrew. I hadn't heard of the Psychofarm podcast, but I am a subscriber now!
This is SO spot on and SO well written.
Love this thoughtful reflection. I have never lost a patient's trust by being humble and letting them know I'm unsure of something and am going to take time thinking about it, researching it, or discussing with a mentor. The trust is gained overtime when your treatment plans work.
Great article Andrew! I think this book serves as an inflection point in our current political era and skepticism toward psychiatry. As a profession, I agree that thoughtful introspection of our own limitations and uncertainty is not weakness but an ethical obligation.
I 100% agree, Mike. If we didn't do that, we'd still be prescribing bloodletting and arsenic.
Nicely done, Andrew. Good to see convergence on many points in our respective reviews! https://www.psychiatrymargins.com/p/a-memoir-for-the-iatrogenic-age
A minor point: my memory of details is a bit fuzzy now but I don’t recall Delano specifically crediting DBT (skills) as being a part of her recovery.
That may have been a bit of confabulation on my part, Awais... I'll have to go back and look. Thanks for your note and for the inspiration!
extremely well written Andrew. Would love to speak with you about a chapter in a book I'm writing which touches on this subject.
Hi Wesley - feel free to drop me a line at andrew.penn@ucsf.edu