Silence in session: what happens when the patient stops speaking
When speech stalls in analysis, it is not the patient's failure — it is one of the most important clinical materials the process offers. Freud, Bion and the five forms of silence that psychoanalysis recognizes in the consulting room.
Psychiatric second opinion: when to ask, how to ask, and why it is not a betrayal of your current doctor
In oncology it's routine; in psychiatry, almost taboo. Patients spend years in suboptimal treatment for fear of “offending” their doctor. Five situations in which a second opinion makes sense — and how to ask for one without breaking the bond.
The physician who becomes patient: when the narcissistic wound is the greater resistance
Self-prescribing, years of postponement, dropping out of treatment early. Freud and Kohut help explain why a physician's resistance to being a patient is internal, not social — and what changes when a psychiatrist recognizes this dynamic.
Insurance or private practice: what changes in psychiatric care
A 15-minute insurance appointment versus 60 to 90 minutes in private practice is not fussiness — it is what separates maintaining simple cases from investigating complex ones. How to decide based on what the condition requires, not only on cost.
Generalized anxiety: when worry stopped protecting and started getting in the way
Being an anxious person is not the same as having GAD. The line between a functional style and a disorder lies at the point where worry has lost its anchor in reality and become continuous noise. Freud, and the exhaustion nobody can explain.
What accelerates (and what delays) the response to an antidepressant — the role of psychiatric management
When a patient says “the antidepressant didn't work for me,” the problem is usually not the medication — it's the management. Careful choice of molecule, intelligent titration, active management of side effects. What makes a pharmacological treatment work.
Psychiatrist or general practitioner: who should prescribe an antidepressant — and why it matters
Many first antidepressant prescriptions come from a general practitioner — and in some cases that works. In others, it doesn't. What separates the two groups, and clear signs that the condition calls for a psychiatrist.
The lawyer under continuous pressure: when the body collects the debt before the mind sounds the alarm
A lawyer with an active caseload somatizes before recognizing psychological suffering: insomnia, reflux, a tight chest before a hearing. Why the body collects first in this profile, and what a psychiatric evaluation that respects this reality offers.
ADHD or not? The differential diagnoses that turn a stimulant into a poison
Not every concentration problem in an adult is ADHD. And a stimulant prescribed on the wrong diagnosis can accelerate bipolar conditions, mask depression or make anxiety chronic. What a careful psychiatric evaluation looks to rule out first.
I leave the session worse than I came in: when this is work, when it is a warning sign
Leaving a psychotherapy session feeling worse can mean two opposite things: working through in progress, or a technical problem in the process. The clinical criterion for telling one from the other — and what to do when the discomfort keeps coming back.
Have a question? Would you like to book an appointment?
Click the button below and get in touch with us on WhatsApp!
We will be happy to help you!