Lloyd I. Sederer, MD
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LLOYD I. SEDERER, M.D., is Medical Director of the New York State Office of Mental Health (OMH), the nation's largest state mental health system. As New York's “chief psychiatrist”, he provides medical leadership for a $4 billion per year mental health system which serves more than 650,000 people every year and includes 26 hospitals, two research institutes, and community services throughout a state of 20 million people. He serves as Acting Director of The Nathan Kline Institute for Psychiatric Research, the OMH research institute affiliated with New York University. Dr. Sederer is an Adjunct Professor at the Columbia/Mailman School of Public Health.

Previously, Dr. Sederer served as the Executive Deputy Commissioner for Mental Hygiene Services in NYC, the City’s “chief psychiatrist”. He also has been Medical Director and Executive Vice President of McLean Hospital in Belmont, MA, a Harvard teaching hospital, and Director of the Division of Clinical Services for the American Psychiatric Association.

In 2009, Dr. Sederer was recognized as the Psychiatric Administrator of the Year by the American Psychiatric Association and awarded a Bellagio Scholar in Residence grant by the Rockefeller Foundation. He has received an Exemplary Psychiatrist award from the National Alliance on Mental Illness. Dr. Sederer has published seven books and some 250 articles and reports in professional and lay publications. His writings have appeared in The New York Times International Herald Tribune, The Washington Post, and The Boston Business Journal. He is Medical Editor for Mental Health for The Huffington Post, where his posts appear regularly. His website is www.askdrlloyd.com.

Blog Entries by Lloyd I. Sederer, MD

Book Review: The Guardians -- An Elegy

(3) Comments | Posted May 15, 2012 | 2:05 PM

Harris Wulfson died July 23, 2008. He had walked for some 10 hours from midtown in New York City to the Riverdale Metro-North train station (north of Manhattan), where he jumped before an oncoming train to his crushing death.

His loss is beyond measure to family and friends who loved...

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Movie Review: The Best Exotic Marigold Hotel -- For the Elderly and Beautiful

(2) Comments | Posted May 3, 2012 | 2:07 PM

Why do people of older age seem so incapable of transformation? What circumstances and settings can unleash irresistible forces of change upon human passerbys, regardless of their age?

Conjure up those transformative forces. Aim them at persons of advanced age, entrenched habits and deeply-rooted fears. Throw in the wondrous catalyst...

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Neuroethics: Whose Mind Is It Anyway?

(8) Comments | Posted April 23, 2012 | 5:26 PM

If you lost a limb, would you think twice about getting a mechanical prosthesis that could be operated with your thoughts? If you lost hearing or vision, you might want a cochlear implant or a visual prosthetic. What if you lost a chunk of memory, or lost your ability to...

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Book Review: Monday Mornings

(0) Comments | Posted April 13, 2012 | 6:48 PM

Book Review:
Monday Mornings
By Sanjay Gupta, M.D. -- Grand Central Publishing, N.Y., 2012

When this book was released, as a great fan of Dr. Sanjay Gupta, I immediately marched down to my local Barnes and Noble and picked up a copy of his novel. Yes, a...

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Comparing Psychiatric and General Medical Medications: What Does the Evidence Say?

(44) Comments | Posted March 28, 2012 | 8:17 AM

The debate continues to rage about whether psychiatric medications work. This controversy especially has brewed about antidepressants and antipsychotic medications, some of the most widely used medications in the world. An important study just published in the British Journal of Psychiatry sheds light (not just makes for heat and wind)...

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Neurotechnology: Science Fiction or Applied Science?

(19) Comments | Posted March 21, 2012 | 4:07 PM

"Any sufficiently advanced technology is indistinguishable from magic."
--Arthur C. Clarke

In fact, advances in neurotechnology are capitalizing on the brain's remarkable sleight of hand.

Neurotechnology refers to the applied science of understanding the brain, consciousness, thought, and higher-order activities of the mind. Neurotech's brainchildren are today's mental...

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Les Grands Hamsters d'Alsace

(4) Comments | Posted March 8, 2012 | 3:00 PM

You might recall the scandalous behavior that led to the 18 million € ($25 million) in reparations ruled earlier this year by the European Union's highest court (The Court of Justice) to be paid by the government of France. No, it was not related to Dominique Strauss-Kahn (DSK). It was...

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Trauma and Adversity in Childhood: History Need Not Be Destiny

(56) Comments | Posted February 27, 2012 | 9:00 AM

Once again, the American Academy of Pediatrics is demonstrating its clinical leadership. Two recent, groundbreaking reports -- "The Lifelong Effects of Early Childhood Adversity and Toxic Stress" and "Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health" --...

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The DSM-5: Will it Work in Clinical Practice?

(3) Comments | Posted February 6, 2012 | 1:30 PM

The debate rages on about DSM-5, the latest diagnostic manual of psychiatric disorders due for release next year by the American Psychiatric Association (APA).

Arguments abound about what disorders should be included (and what should be listed within each respective disorder, like autism or psychosis) and what should not...

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Mysterious Illness at Le Roy School: Understanding Conversion Disorders

(100) Comments | Posted February 3, 2012 | 9:53 AM

When we get embarrassed, our faces turn red.

When we get nervous, our hearts pound and our palms sweat.

When we feel really sad, we cry.

Our minds can -- and do -- speak through our bodies. All the time. Yet sometimes it can seem hard to believe....

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Casinos for Kids

(7) Comments | Posted January 24, 2012 | 7:41 AM

You can hear the sounds of excitement from afar -- before you see the vast well of games and the legions of children (and adults) swarming around the scores of hyperbolic machines with brilliant flashing lights and swelling sounds that rival modern atonal music. You have arrived at a casino...

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I Hear You: Responding to Cries for Emotional Help

(20) Comments | Posted January 18, 2012 | 7:42 AM

Cries for emotional help come in all forms. We witness these cries in ways direct and indirect: from outright requests to help me stay alive to the less direct but no less obvious self-starvation of anorexia or leaving empty pill bottles or illegal drugs in plain sight.

We recently...

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'The Alzheimer's Prevention Program': A Book Review

(3) Comments | Posted January 10, 2012 | 12:49 PM

Remember these eight words: bus, screwdriver, mango, playground, swallow, sun, couch and rectangle.

Wait a few minutes. How many can you recall?

How many words of three letters or more can you make from the following scrambled letters: A-E-L-S-K

How many did you create? There are 18.

How many times...

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Mastering the Anniversary Reaction: Putting Memory to Rest

(4) Comments | Posted December 25, 2011 | 8:40 AM

'Tis the season of intense emotions and evoked memories.

For some, however, the holiday time can generate feelings of grief, anxiety, loss and pain. Articles in journals and magazines talk about seasonal pathology: holiday blues, "Christmas Neurosis," seasonal mood disorders. We even hear about "Holiday Heart," a form of...

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Sleepwalking Is For Real

(19) Comments | Posted December 14, 2011 | 8:08 AM

I have had trouble sleeping for about 25 years. I am amongst legions of people who share the same trouble.

Some have difficulty falling asleep. They toss and turn as thoughts race through the brain while infusing the body with neurotransmitters and stress hormones that further rev up our engines....

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'A Dangerous Method': Notes on a Film About Freud and Jung

(26) Comments | Posted December 2, 2011 | 7:25 AM

I am no apologist for either Sigmund Freud or Carl Jung but this film was a petty, if not perverse, rendition of a profound moment in the intellectual and social history of the Western world. What makes the film's treatment (no pun intended) of this era so troubling is that...

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Should Health Care Providers Be Afraid of the 'Nocebo' Effect?

(3) Comments | Posted November 29, 2011 | 11:07 AM

We may soon see "How's my doctoring?" stickers in emergency rooms, operating suites and on the bumpers of ambulances. That's because, as of October 2012, the Affordable Care Act (aka Obamacare) requires patient satisfaction scores to be factored into how much Medicare will pay health care providers.

According to...

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Screening Our Youth for What Ails Them

(1) Comments | Posted November 15, 2011 | 6:00 AM

In another needed response to the obesity epidemic affecting American youth (and the adults they will become), the National Heart, Lung and Blood Institute, part of the Federal National Institute of Health, has declared that pediatricians should be checking cholesterol when kids reach the age of 9 and before they...

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Prescription Drug Abuse: The New Killer on the Block

(84) Comments | Posted November 8, 2011 | 7:56 AM

Every 14 minutes a person dies of a drug overdose in the United States. This means more than 35,000 deaths every year, exceeding motor vehicle crashes, homicides and suicides!

The director of the White House Office of National Drug Control Policy (ONDCP), R. Gil Kerlikowske, a former police and...

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'Unguarded:' The High Life Of Chris Herren

(3) Comments | Posted October 31, 2011 | 1:44 AM

After the movie screening in the Tribeca Cinema in Lower Manhattan as he settled into a stool, microphone in hand for the Q and A, Chris Herren rubbed his left knee -- the knee that hurt too much to continue to play for the Boston Celtics and accelerated his dependence...

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