November 27, 2015 Marriage in America: On Life Support? The fact that Al Gore and Tipper Gore are separating after 40 years together has been billed by many as the "failure" of their marriage. But I think there's another way to see it_ Any marriage that lasts 40 years (or 20 years, for that matter), which results in children and which includes many years of mutual support and fulfillment is a wild, out-of-this-world success. A grand slam homerun. There's really nothing to grieve and certainly nothing to criticize here.
November 27, 2015 Emotional Vampires In myth, vampires drink the blood of others in order to keep themselves "alive," if only marginally. The story of the "living dead" is essentially one of desperate and thirsty people draining the life blood out of others.
November 27, 2015 Irrational Markets As Americans watch their stock accounts rise and fall precipitously in the coming months and years, it will become necessary to determine whether financial markets are behaving in predictable ways, or are seemingly cut loose from fundamentals entirely. In other words, volatility seems assured, but the basis for it may be tied more and more to perception and less and less to objective facts.
November 27, 2015 Woman Fakes Kidnapping, May Find Truth At 6_30 a.m. May 12, Nancy Salas, 22, disappeared from her family's home in Glendale, California, prompting a massive search. Late on May 13, nearly two days after she had vanished, she walked into a carpet store in Merced, California, hundreds of miles away, seemingly disoriented and reporting that she had been abducted at knifepoint and managed to escape her captors.
November 27, 2015 Is it Religious Extremism or Psychosis? The Times Square bomber Faisal Shahzad and Fort Hood shooter Major Malik Nadal Hasan (and many other religious extremist killers, including Scott Roeder, who shot abortion provider Dr. George Tiller) bring up a core question that hasn't been fully addressed by the field of psychiatry or law. When do rigid and extreme "spiritual" views and acts cease to be an expression of religious fervor and actually constitute mental illness? When does an unwavering and extreme interpretation of scripture of one kind or another cross the line from "faith" to delusional thinking-as in, psychosis.
November 27, 2015 How Many Hours Before I Switch Psychiatrists? Again and again, I meet patients who arrive at my office with depression or panic disorder or alcohol dependence or marriages in disarray who are questioning whether the help they've gotten from their psychiatrists or psychologists has been everything they've needed. Not infrequently, these men and women report that they feel "a little better" or "about the same, but no worse" since beginning treatment. When I ask them how long they have been working with their therapists, they often say it has been years, or even a decade.
November 27, 2015 Getting High: Medical Marijuana and Government Entitlements Advocates of making medical marijuana legal are gaining ground in Washington, D.C. and around the country.
November 27, 2015 Nurses Masquerading as Doctors The growing shortage of medical doctors, which will be made much worse by health care reform, will mean more and more patients are cared for entirely by "nurse specialists" and nurse practitioners, instead of physicians. Nurses are lobbying for increased prescribing privileges and for the right to be addressed as "doctor" in health care settings.
November 27, 2015 The Psychological Value of Property The fact that Congress has passed health care reform-requiring Americans to buy health care insurance whether they want to or not-raises a fundamental question about whether having money and using it as one pleases is important psychologically.
November 27, 2015 Are Tiger Woods and Jesse James Sex Addicts? Shortly after their extramarital affairs became public knowledge, Tiger Woods and Jesse James sought treatment for sexual addictions. In doing so, their obvious contention is that their relationships with women outside their marriages are essentially no different than an alcoholic's binges or a compulsive gambler's junkets. Some people argue that sexual addictions don't even exist-that all such behavior is entirely willful and reflects no underlying psychological disorder at all. I disagree with the naysayers. I believe there are, in fact, those who use sex compulsively to distance themselves from underlying depression or anxiety or severe low self-esteem. They seek out sex for the "high," in order to not dwell on troubling thoughts or feelings-such as a gnawing sense of not being loveable at all. They aren't having sex simply because it is available to them and they enjoy it. They're "driven" to their drug of choice, much as others are driven to gamble, or work ceaselessly, or get high on marijuana. It's all about distracting themselves with powerful erotic energy that makes their bodies and their brains speed up in a futile attempt to outdistance their emotional pain. Indeed, there may be those whose brain chemistry makes them more vulnerable to needing an escape. Those who tend neurologically (perhaps genetically) toward depression or anxiety or addiction may be at special risk. But, let's get back to Tiger and Jesse. True addicts generally can't hide their addictions from loved ones for years. They tend to need their drugs so much that they lose control and run into problems that make their disorders very apparent. Alcoholics get drunk, fall down, have trouble at work, drive under the influence or end up gravely disappointing their spouses or kids or friends. Heroin and oxycontin addicts end up with tolerance to their drugs-needing more and more to get the desired effect, until they don't work at all. Then they go into withdrawal and/or collapse into depression. Compulsive gamblers end up in debt, losing homes and retirement accounts and businesses and, yes, marriages. Tiger and Jesse have very strange addictions, if they have them at all. These "addictions" were silent until revealed by the media. These "addictions" would, if the two men were unmarried, possibly be called their lifestyles, plain and simple. You see, every other addiction involves using too much of one thing, not needing a wide variety of it. Alcoholics don't go shopping for new, pretty bottles of beer. They often stick to one brand, in fact, almost religiously. Compulsive gamblers don't scour the world for the sexiest new casino. They like being high rollers at their special table. Heroin users don't switch dealers again and again and again and again. Workaholics stay long hours at one job; they don't moonlight at 16 of them. I wonder when someone will get caught with a lover outside of marriage and simply say, "I enjoyed it. I chose to indulge my passion. I didn't think I would be caught and I intended to hide this forever. I'm not sure I would make a different decision today, except for the price tag I am now paying. I was ill-equipped for marriage. I felt like I was suffocating. And, anyhow, it's really none of your business." That kind of honesty might heal us all a little bit.