Having been in the private practice of psychiatry for over 30 years, I am glad to say that I still very much enjoy providing direct care for my patients. With equal conviction, I can safely state that like most of us who work in health care I am not a big fan of all the paperwork that goes along with my practice. This is not to say that medical records don’t have a place in our work. But, the situation has mushroomed to the point that we are incredibly consumed by the avalanche of paperwork that can take up more time than what we provide for our patients. In recent years, the biggest and most increasing offender has been, in my opinion, the prior authorization process. [Read More]

I have certainly seen my share of changes in the field over that time. There is a distinct increase in the percentage of male patients I see in my practice now compared to when I started. The amount of ADHD I treat in both children and adults has also grown over the years for a variety of reasons. However, the biggest surprise to me has little to do with the type of patient I meet with or the actual diagnosis being treated. Instead, it has to do with the tremendous importance pets have on the lives of my patients. [Read More]

I have had the opportunity to work with patients who have a variety of conditions. Many of my patients over the years have dealt with substance abuse issues and at one time or another that is what brought them into the office or the hospital. One of the delightful parts of practice is seeing a patient who is in recovery and working his or her program. Acknowledging the problem with alcohol or other substances may be half the battle, but the other half of the battle can sure be a challenge. [Read More]