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...BECAUSE IT'S STYLISH TO TALK ABOUT MENTAL HEALTH, ESPECIALLY HOW WE MAINTAIN OUR OWN.

Category:

Psychiatry

Psychiatrytherapy

PMS Moment

written by freudandfashion
PMS Moment
PMS Moment

I used to hate it when people would tell me to “Stop PMS’ing!” during my snappy, pissed off moments until I discovered the cyclical nature of the times that I internally wanted to tell people to f*** off.  This past weekend I found myself crying hysterically and feeling emotionally sensitive to things that normally don’t bother me.  The sad part of me wanted to stay home and watch past seasons of “Sex and the City,” so I rejected every invitation to go out.  I put on my pajamas and reached for the ice cream when one of my friends texted the following:

“Remember Opposite to Emotion Action.”

I honestly didn’t know what that meant until I googled “Opposite to Emotion Action” (link here) and found that it’s a technique used to change painful emotions.  Basically, you should do the opposite action (i.e. go for a walk, talk to a friend) of what you’d normally do (i.e. sit on the couch crying and watching tv) in order to counteract the suffering you’d otherwise feel from the distressing emotion (i.e. sad, depressed).

I figured I’d give it a try, so I ran on the treadmill, met with a friend, cooked a healthy dinner, and thought about a few things that make me happy:

{my dog}

{the beach (Santa Monica pier)}

{shopping…or at least window shopping on Rodeo Dr}

I definitely felt better later that night and am excited to say that I feel quite chipper today.  Check back with me in a month though (and no PMS jokes please).

Tip of the Day:  Give “Opposite to Emotion Action” a try!  Next time you get angry, avoid the person making you angry.  Next time you’re sad, do something active.  Next time you feel shameful, let it go.  After all, you can’t feel any worse than you already feel, right?

July 20, 2010 6 comments
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PsychiatryTravel

Year 3

written by freudandfashion
Year 3
Year 3

{Welcome BBQ 2009}

Time flies.  One year ago, I packed my bags and moved from my comfortable home in sunny California to a rainy, agricultural town in Oregon for my 2nd year of residency.  Though I truly hated the first few months being away from my family and friends (and fabulous shopping malls), I can now willingly admit it was for the best.  I work with amazing Psychiatrists, gained friendships that will last a lifetime, and most importantly, I’m learning more about myself.  I guess these next two years of residency won’t be nearly as painful as I originally thought.

{Team Building River Raft trip 2009}

{Residency Retreat in Bend, OR}

{Snowshoeing event in Bend, OR}

{End of Year Party at Ankeny Vineyard}

July 2, 2010 0 comment
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Psychiatry

It’s In Their Eyes

written by freudandfashion
It’s In Their Eyes
It’s In Their Eyes

{Snapshot after receiving my certificate for completion of my Internship}

There’s certain patients that you remember, some patients you struggle to recollect, and the patients who somehow manage to pop up in your mind for no apparent reason.  Keeping patients alive was my goal during intern year; ensuring my patients’ safety was the goal of my 2nd.  When you fail to attain that goal, the initial response is believing that there was nothing more you could do to save them.  But after hours pass by, you find yourself replaying certain moments in your mind…over, and over again.  Wondering.  Pondering.  Questioning if there were signs you wish you caught, but failed to recognize.  But, the one thing you’ll always remember is their eyes.

June 29, 2010 0 comment
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Psychiatry

Memory Hurts

written by freudandfashion
Memory Hurts
Memory Hurts

Twenty-five days ago, an elderly male with Alzheimer’s arrived at our unit from his nursing home with arms flailing and required 4 people to hold him down.  He intensely stared at me as I reached out to examine his arms, which quickly turned into clenched fists.  I fearfully backed away.

Today, he politely asked how I was doing, then said “May God bless you.”  He couldn’t recall my name nor the food he ate 5 minutes ago, and the year was “1931.”  I slowly reached out to shake his hand, which he gently held and said “God will protect you…you are a good person.”

Four hours later, I walked towards him and he angrily pointed his finger at me yelling “These young folks better stay away from me!”

Wish I could rewind back to four hours ago.

June 18, 2010 1 comment
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Psychiatry

Top Psych Movies

written by freudandfashion
Top Psych Movies
Top Psych Movies

I get annoyed (but somewhat embarrassed) each time I’m asked if I’ve watched a classic “everyone’s seen it but you” movie.  Growing up, I was deprived of many American cultural must-haves such as meatloaf, baseball, and American Graffiti.  At least I can proudly say that I’ve watched each episode of “I Love Lucy” twice and mastered the art of moonwalking.

Therefore, I made it a goal to catch up on classic American movies (specifically ones related to Psychiatry) so I can at least be up to speed with the iconic movies of my profession.  I began compiling a list, but I’m sure there’s several noteworthy ones missing.  Any further suggestions would be much appreciated.

One Flew Over the Cuckoo’s Nest (done)

A Beautiful Mind (done)

A Clockwork Orange (done)

Girl, Interrupted (done)

Fatal Attraction (done)

Memento (done)

Rain Man (done)

Sybil (thanks Pablo)

Charlie Bartlett (thanks Minesh)

Donnie Darko (thanks Matt)

American Psycho

Three Faces of Eve

Primal Fear

Reign on Me

Fight Club (haven’t seen it yet, but I thought it was more awe of Brad Pitt than psych-related)

 

Image via http://www.masslive.com/blogs/

June 16, 2010 4 comments
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FashionPsychiatryTravel

5 Ways to Look Older

written by freudandfashion
5 Ways to Look Older
5 Ways to Look Older

{yummy Spanish latte at Urth Caffe, Beverly Hills}

1.  Wear black.

2.  Be around a group of friends who look at least 5 years older than you.

3.  Wear professional clothing.

4.  Pile on the makeup (especially foundation and smokey eye shadow).

5.  Listen to NPR to stay up-to-date with current events talk (and not so much on the latest celebrity gossip & what’s hot on the fashion runways).

For my birthday, I contemplated cutting my hair short, dyeing it black, and wearing a professional black outfit in attempt to look closer to my age.  I can say with confidence that I look at least 20 yrs old.  For the longest time, I got offended each time someone looked shocked that I was a doctor, every time someone told me I look like I just graduated from high school, each time I was asked if I was a nurse despite wearing my lengthy white coat.  In general, I get commented on how young I look almost every other day.  On my way to celebrate in Los Angeles this weekend, I was carded at the wine bar in the Portland Airport, then carded the following day at Pizzeria Mozza in West Hollywood.  Yet, after my birthday, I had an epiphany.  This time around, I wasn’t so bothered…if anything, I fully embraced the fact that I look younger for my age and profession.  In fact, if I’m still carded at the age of 40, I’ll consider it a major compliment (and a genetic accomplishment).

Tip of the Day:  Embrace who you are.  If you change aspects of yourself, do it for your own happiness, and not for the sake of convincing others of the type of person you’re expected to be.

May 31, 2010 0 comment
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Psychiatrytherapy

Mindfulness Candy

written by freudandfashion
Mindfulness Candy
Mindfulness Candy

I first tried Mindfulness to help with my attention issues, which I documented here .  Yet, Mindfulness can be applied to nearly any aspect of daily life.  Here’s a simple exercise you can try:

Do you recall the last time you truly savored a piece of food?  And no, I don’t mean devouring a mouth-watering morsel, but instead, actually truly recognizing each component…each ingredient…each texture…each burst of flavor.  Now, start by making an M&M (or Skittle if you’re not a huge chocolate fan like me) last in your mouth for about 2 minutes (or as long as you can) and be aware of every single sensation you experience in relation to that one piece of candy.  Be aware of its texture.  Notice your increase in salivation.  Feel how it changes from smooth to slightly bumpy.  Place it against the roof of your mouth with your tongue.  Sense its temperature change from cool to warm.  Recognize details of its flavor – sweet, rich, fruity, slightly bitter, etc.  Feel the breaking of its shell as it splits into little pieces.  Recall your sweet childhood memories of happily walking through the candy store, carefully selecting each yummy treat, sharing them with friends, or keeping it all to yourself.

Now apply this simple exercise to everyday life.  Instead of stressing about the next minute, hour, or upcoming events, savor what you experience in the present time.  Be aware of each moment.  Focus on one thing.  Let go of distractions.

 

Exercise derived from my residency’s associated Clinical Psychology Professor.  Image via flickr.

May 13, 2010 2 comments
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PsychiatryTravel

Dearest Mom

written by freudandfashion
Dearest Mom
Dearest Mom

Happy Mother’s Day!

{Mother’s Day 2009 in Napa, CA}

Ever since I moved away for medical school, my mom has grown accustomed to my busy schedule and fully understands when I can’t make it to family gatherings.  In fact, her greater concern is ensuring that I eat an appropriate meal while they enjoy a hearty celebratory meal without me.  I’m always aware of my mother’s love no matter where my location may be.  Her gift is scheduled to arrive on time, but no gift does justice to what she’s worth (especially on a resident’s salary).  I owe my mom a million thank you’s (plus a vacation to Hawaii) when I’m done.

May 9, 2010 2 comments
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FashionPsychiatryTravel

Sweet Relaxation

written by freudandfashion
Sweet Relaxation
Sweet Relaxation

3 Simple things I did for me this weekend:

1.  Sipped refreshing watermelon lemonade on the sunny deck of a cute local cafe (http://lemonadela.com/).

2.  Shopped by the Santa Monica pier and bought the perfect white dress to pair with strands of blue beads (http://zara.com/#/en_GB/woman/collection/4).

3.  Slept in without the annoying buzzing sound of my alarm clock.

I’ve noticed that my weekend getaways back home to LA have become more relaxing (and less tightly packed with scheduled activities) over time.  With work being busy, my sleep has decreased and frequency of tension headaches have been high, but I keep chugging along knowing I’d be able to catch up on sleep once the work week was over.  I’m devoted to work and the quality of care provided for my patients so much that I’m willing to stay late for impromptu family meetings and do last minute check-ins on those struggling the most.  The second most common question I’m asked by patients and staff (after “Are you old enough to be a doctor?”) is “Wow, you’re still here?”  To address the stress and overwhelming feelings that some of my patients experience from devoting nearly 100% of their time towards caring for others is asking them to take time to do something for themselves.  It’s difficult to truthfully take care of  anyone until you take care of yourself first.  What little things have you done for yourself recently that makes you happy?

May 5, 2010 1 comment
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Psychiatrytherapy

A Moment of Clarity

written by freudandfashion
A Moment of Clarity
A Moment of Clarity

I’m a perfectionist who tends to be very sensitive to criticism.  As part of my residency, I began seeing outpatients 3 months ago to manage medications and provide psychotherapy, which was extremely anxiety-provoking during the first 2 months.  My heart rate rose each time a patient burst into tears, told me they wanted to die, and disclosed traumatic experiences suppressed for years.  Each time I watched my patient unravel, I felt immense pressure to say the magic words to make them feel better and provide a brilliant synopsis of their entire life story after a 30-minute session.  Even more intimidating was knowing my supervisor was watching me through a 2-way mirror evaluating each statement I made.  I felt dumbfounded each time I paused too long and resorted to asking the most annoying question in Psychiatry: “So how did that make you feel?”

Despite being so hard on myself, a moment of clarity came this week when I saw two of my very first patients that I’ve followed regularly since my outpatient clinic started.  Three months ago, they isolated in their homes due to severe depression, had low self-esteem, and felt hopeless about life due to past trauma and abuse.  Having the opportunity to observe even the smallest changes they’ve made is rewarding.  Simple things such as going outside for a walk, cleaning the house, putting makeup on, and going on their first job interview in years, might seem like nothing to others, but for someone who’s reached rock-bottom to the point of suicide means the world.  Perhaps I contributed somewhat to their improvement by providing an outlet for disclosure of pent up feelings or gave insight into how past events effect their current emotions.  Ultimately, they gained inner strength to make such progress, which makes all the stress, palpitations, and criticism worthwhile.  They demonstrate my purpose and the reason I went into Psychiatry.

April 19, 2010 2 comments
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