American Physician Institute for Advanced Professional Studies
Forever Anxiety
Today I respond to a request for advice. A reader writes, “Jack, I have many patients with high levels of [...]
Cycles of Communication
Below I go on at length about an imagined scenario in a restaurant. Directly, it has nothing to do with [...]
Therapeutic Ruptures and Their Management
The therapeutic alliance is defined as a cooperative working relationship between patient and clinician. The three factors need to establish [...]
The Placebo ZigZag
When you read about the placebo effect, you invariably learn that it is due to a change in the patient’s [...]
Consultation #3: “I Can See It in Their Eyes”
Reader’s Clinical Conundrum “Dr. Jack, I’m a seasoned psychiatrist. I’ve been treating really difficult patients, many with dual diagnoses, for [...]
Sense of Badness in BPD
One phenomenon that has intrigued me for my entire career has been the frequent sense of badness that patients with [...]
Dr. Jack Consultation #3: The Problem Reveals Its Solution
A common experience I remember from my early days as a psychiatrist was the tension I’d feel before seeing a [...]
Not Depressed Still Unhappy
At the recently concluded Oasis Conference – what a joy that was! – in my “Lessons Learned from a Tertiary [...]