Probably because of a combination of my parents’ heavy smoking and horrible fighting, I was hospitalized with pneumonia for several weeks at age three; back then family didn’t stay at the hospital, so I was alone and scared. My parents divorced when I was four, after which my mother became severely depressed. After two years of misery and shock treatments, she ended her life. My older sister and I then moved to a new city (in fact, I moved every year until age ten) to live with my father and his new wife. The stepmother hated children, especially the kids of her husband’s dead ex-wife, and she reacted with calculated and extreme cruelty. Not long afterward, my sister suffered a major psychiatric breakdown, and for some weeks it fell to me to guard her against her own delusions and hallucinations. My father was both a workaholic and an alcoholic; he was either gone at work, gone out drinking, or home but still gone in a drunken haze my whole childhood. The bright spot in my upbringing, and the reason I turned out more or less OK, was that I spent summers thousands of miles away from my father’s house. Half of each summer I spent at a nice camp, and the other half with a variety of nice relatives. But this was not enough to counterbalance the underlying message that I was unwanted and a burden.
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Although I trained and practiced as a physician, my background does not include formal instruction in psychiatry beyond basic medical education. This journal presents ideas about treatment philosophy, but must not be considered therapeutic advice. Abrupt changes in one's psychiatric medications can trigger profound cognitive, emotional, and physical symptoms, including suicidal thoughts and actions. Consequently, pharmaceutical agents should not be increased or decreased without supervision by a mental health clinician. -
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