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

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physician

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Finding Balance

written by freudandfashion
Finding Balance

{McDowell Sonoran Preserve, Scottsdale, AZ}

During my stay in Arizona, I was fortunate to reunite with friends from my residency training program and was especially excited to spend time with one of my closest friends from medical school.  One of the subjects we talked about most was the struggle to obtain or achieve work/life balance.  Balance and avoidance of burnout is essential for overall emotional and physical health.  Burnout has been shown to be more prevalent in medical students, residents, and early career physicians compared to the general U.S. population.

My life is much more balanced than it has ever been, and I believe the biggest barrier towards accomplishing this in the past was the perceived lack of time as an undergrad, medical student, and psychiatry resident.  I emphasize the word perceived because I truly believed that sacrificing my personal life for the sake of my future career was well worth the burnout.  Well, by choosing to become a physician, yes, an immense degree of sacrifice is required.  If I failed at any point in the process, would I have been upset?  Hell yes!  And I actually did almost fail because I put so much pressure on myself to do well that my anxiety sky-rocketed and impacted my test-taking abilities.  Therefore, my scores were in no way reflective of the amount of time I spent studying, which really sucked (no need for a more formal term for my emotion; “sucked” pretty much sums it up).  At that point, I broke down, cried, and told my parents that I wanted to quit medical school.  And it wasn’t until then that I realized they didn’t care which profession I chose — they just wanted me to be happy.  What a huge relief!  All this time I thought I’d dishonor my traditional Asian family if I didn’t become a physician.  Suddenly, at that moment, the weight and pressure to please my family lifted.  I felt liberated.  However, the remaining pressure I possessed was the pressure I placed on myself because I didn’t know of any other way to approach life while working towards my medical degree.

Looking back, if I had the opportunity to offer my past medical school self any advice, I’d tell her the following:

  1. To sacrifice a few hours of studying a week in order to instead go out and do something enjoyable to enhance personal growth and interests.
  2. To be less self-critical.  Little does she know that she’ll be just fine if she doesn’t graduate from the most prestigious, academic medical school or get accepted into the most renowned residency program.
  3. Just try your best and don’t beat yourself up in the process.  After all, one of the top 5 things people regret most on their deathbed is “I wish I hadn’t worked so hard.”  I definitely know that I’d never say I regret not working or studying more.  Simple activities, such as enjoying nature and going on hikes, are far more memorable in my mind compared to the insomnia I experienced trying to squeeze in last-minute studying for a histology exam.

March 17, 2015 7 comments
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Psychiatrytherapy

Are you ready?

written by freudandfashion
Are you ready?

IMG_3253The Great Sand Dune, Point Mugu

I may prescribe psychiatric medications, but the one treatment I advocate for the most is psychotherapy.

Psychotherapy = general term for talk therapy, counseling; meeting with a mental health clinician for support, insight, and development of coping skills for life challenges.

Patients often ask me whether or not I think they should see a therapist.  My general answer: “I think everyone can benefit from therapy.  I think therapy will help you for (insert reason I believe patient will benefit from psychotherapy here based on my formulation of his/her issues).”  However, despite my recommendation of therapy, the more important question is: “Are YOU ready for therapy?”

Here’s a few reasons why I believe this question is so important:

– Therapy can be challenging.  As humans, we develop defenses to help prevent us from feeling the full extent of deep, emotional pain.  Therapy may lower your defenses, which allows you to experience and process painful emotions in a safe environment.  The well-known phrase “no pain, no gain” applies to therapy as well.  With pain = growth and healing.

– Talking about yourself can be uncomfortable.  You might feel like you’re being judged, which is especially difficult.  And if you’re one who loves talking about yourself, perhaps talking about yourself (and not acknowledging others) may be the reason for your problems (a good therapist should be able to point this out).

– You can never predict what might come up in therapy, so being open to the process can lead to development of great insights.  There might be times when you want to stop therapy or may question if it’s even helping.  Being open to processing your resistance may lead to great insights as well (i.e. any material that comes up in therapy may have meaning and be subject to processing during session).

I write this post not only as a clinician, but also as one who has experienced all I mentioned above in my own therapy process.  Even as a psychiatry resident physician, I resisted starting therapy because I feared what I might learn about myself.  I grieved the loss of my grandfather, struggled to adapt to my move to Oregon for residency, and felt depressed because I wasn’t performing as well academically, and various other reasons.  In effort to avoid therapy, I first turned to exercise, shopping therapy (not the best on your credit card), and talked to friends, which helped temporarily but didn’t help me learn to better cope with my issues.  I eventually gave in, faced my fears, and as a result I’m much more self-aware, insightful, and comfortable with myself as a person.  I’m also a much better psychiatrist to my patients (nothing makes you more empathetic towards your patients than putting yourself in their shoes and sitting in the patient’s chair).

P.S.  Not all therapists are the same.  If you don’t have a connection with your therapist, don’t give up on finding the right one! (stay tuned for a future post on how to find the right therapist)

IMG_3280

 

September 25, 2014 4 comments
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Psychiatry

Know Your Limit

written by freudandfashion
Know Your Limit

266

 

Came home from work late today…again.

I’m passionate about my job as a psychiatrist and spent about two hours with each patient that I was called to consult on the medical floor this weekend.  Lunch and dinner were an afterthought.  I felt the hunger pangs, but pushed on because the appreciation received from each patient for taking time to understand their situation made hypoglycemia worthwhile.

Today, I spent several hours on a complicated case.   Coordination of care took place, notes thoroughly written, and necessary calls made.  I left the clinic with a goal to leave work behind.  However, the patient is still on my mind.  Accepting that I can’t save a patient is one of the most difficult aspects of my job.  No words of appreciation expected, no reassurance of their safety, no guarantee of tomorrow.

I can’t cure, I can’t heal, I can’t save, but it would be out of my character not to at least try.

December 4, 2012 30 comments
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PsychiatryTravel

Back to Work

written by freudandfashion
Back to Work

After returning from a week-long vacation, I dreaded the pile of catch-up work and voicemails waiting for my much-needed attention.  I assumed that I’d be in vacation-mode and perform sluggishly on my first day back, but surprised myself at how easily I resumed my normal routine.  Even more surprising was noticing the level of comfort I had while interacting with new patients whereas in the past I’d be concerned about whether or not my patients would feel connected to me or question my knowledge being a mere resident instead of a full-fledged Psychiatrist.  One word to describe this new-found feeling? — Confidence.  Confidence may come easily for some, but for me (and most, I assume), it required self-evaluation and rising after feelings of inadequacy and failure.  Once that feeling is obtained, savor the moment the way you savor a great vacation.

November 17, 2010 1 comment
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