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What is Borderline Personality Disorder

I receive questions frequently about personality disorders, especially narcissistic and borderline personality disorders. It is important to consider that while everyone has a personality, a “disorder” suggests the person’s style (generally) is difficult or harmful to others.  The DSM (Diagnostic and Statistical Manual of Mental Disorders) gathers traits to create categories of personality disorders through a combination...

Alienation, conspiracy theories

Alienation in mental health is when someone feels disconnected from themselves, other people, or society. This feeling can make mental health struggles worse and often leads to loneliness, emotional numbness, or a sense that life has no real meaning. Some people feel cut off from their own emotions, thoughts, or identity, which is called self-alienation....

I’m Psychotic Right Now!

The term “psychosis” is frequently used in everyday language, yet those working within mental health disciplines can readily identify its frequent misuse.[1] The same applies to “schizophrenic,” a term often incorrectly employed or exaggerated, contributing to stigma and misunderstanding. This misrepresentation creates barriers for individuals with these conditions, making it more difficult for them to...

Narcissism in the Oval Office: The Psychological Cost of Ego-Driven Leadership

Narcissism is a personality trait that includes an inflated sense of self-importance, a deep need for admiration, and a lack of empathy. While these traits can be useful in some leadership roles, they often lead to manipulation, refusal to take responsibility, and prioritizing personal image over ethical decision-making. In politics, narcissism can result in corruption,...

Why do we care about dopamine?

We have been hearing for many years now warnings about social media and its impact on our youth.  We never talk about the adults who are also likely addicted to the same social media, or smartphones in general.  We hear about “dopamine hits” and most people don’t know what that means.  We also hear about these large...

You Are What You Eat

You’ve probably heard the phrase, “You are what you eat.” But what does it actually mean? In my last blog, I talked about how people in the United States have grown heavier over time and how processed and ultra-processed foods have become more common. I didn’t take sides but shared research about obesity and food....

Food is Medicine

When I was in medical school, I remember learning about how some people who lived in the South of the United States were considered by the medical establishment as both morbidly obese and malnourished[^1]. This seemed paradoxical, and I stored it into my brain along with a whole lot of other facts about being alive...

What is Ketamine Therapy like?

The first thing to know is that ketamine therapy is a totally different, some would call it “novel” approach to treating mental illness. This is one reason why there is not a lot of literature covering the use of ketamine in this respect.  Most of the drugs in psychiatry (stimulants, antidepressants, antipsychotics, anxiolytics….) do not...

How do I know if I’m mourning or depressed?

Distinguishing mourning (grief) from depression can be tricky due to overlapping symptoms, but they differ in cause and expression. Mourning relates to a specific loss, like a death, breakup, or life change. The pain ties directly to the loss. Depression, however, may arise without a clear trigger or persist beyond a loss.¹ While there are...

Autism Testing

I receive inquiries daily regarding whether I perform Autism Testing. The answer depends significantly on the individual’s age. For younger children, typically aged 18–24 months, testing often involves comprehensive evaluations, such as a written report (commonly referred to as a “neuro-psych exam”), which assists in obtaining necessary services or accommodations.[^1]. Early identification and diagnosis are...