Bittersweet Season: This time of year, I always see a sharp increase in patients who are suffering emotionally. Whatever it is - too much togetherness, too many unmet expectations, financial stress, temporal stress - the week before Christmas my practice sees an influx of depression and anxiety. And always - always - the final office day before Christmas, someone comes in threatening suicide. Do you know how hard it is to find a psychiatrist on the last day of the week before Christmas? As hard as it is to convince a suicidal patient to go to the emergency room for a psychiatric evaluation and admission.
The spring suicides are most likely manic-depressives who are newly activated. Suicide requires a certain level of energy and planning. If you're really depressed and anergic, you may not be able to follow through with suicide.
It's especially sad when people lose loved ones around the holidays. I see quite a few patients that are depressed because their family is too far away to visit or that they are stuck in the hospital rather than at home... It's sad..
Clinical depression and adjustment disorders are highly disparate entities. Yet whether or not medicalization is possible is not necessarily...unfortunately...relevant to risk level. As an ex-psych reg (ie risk assessor)...the first thing we know, is how little we know.
Hello "nurse pract etc". You have blocked me from your blog when i questioned your ethos. I think i said:
I just tried to post a comment after your reply to my looking for a debate on the pros and cons of "NP's" earlier...and you have banned my comments it seems.
Childish, petulant and disappointing. I thought you Americans believed in freedom of speech, not suppression of reasoned debate !!
You've certainly lost me as a visitor! By the way, I don't have a blog, too busy unfortunately :)
Best of luck...although we differ on the role of nurses vs doctors it seems...and perhaps on our willingness to consider opinions contrary to our own...I do respect someone studying fulltime with 4 kids.
Best wishes, Dr T.
As I recall, I had much more to say, but it was deleted, as it didn't pander to your perspective.