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Lloyd I. Sederer, MD
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 $3.6 billion per year mental health system which annually serves over 700,000 people and includes 24 hospitals, 90 clinics, two research institutes, and community services throughout a state of ~ 19 million people.

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 2013, Dr. Sederer was given the Irma Bland Award for Excellence in Teaching Residents by the American Psychiatric Association, which in 2009 recognized him as the Psychiatric Administrator of the Year. He also has been awarded a Scholar-in-Residence grant by the Rockefeller Foundation and an Exemplary Psychiatrist award from the National Alliance on Mental Illness. He has published seven books for professional audiences and two books for lay audiences, as well as ~ 400 articles in medical journals and non-medical publications like, The New York Times, The International Herald Tribune, The Wall Street Journal, The Washington Post, Commonweal Magazine, and Psychology Today. He is Medical Editor for Mental Health for the Huffington Post/AOL, where ~200 of his posts and videos have appeared. He is now also writing a regular column on mental health for US News & World Report.

His new book, The Family Guide to Mental Health Care
(Foreword by Glenn Close), is for families of people with mental illness. His even newer book, co-authored with Jay Neugeboren and Michael Friedman, is The Diagnostic Manual of Mishegas (The DMOM), a parody on the DSM.

Dr. Sederer’s website is

Entries by Lloyd I. Sederer, MD

Just Mercy by Bryan Stevenson

(0) Comments | Posted July 27, 2015 | 11:12 AM

On Nov. 1, 1986, Ronda Morrison, an 18-year-old white woman and college student from a respected Monroeville, Alabama, family was found dead at Monroe Cleaners, where she had worked. She had been shot three times in the back.

Monroeville was famous for Harper Lee, author of To Kill A Mockingbird,...

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How Doctors Think: Addiction, Neuroscience and Your Treatment Plan

(0) Comments | Posted June 29, 2015 | 6:03 PM

Ever wonder how a (good) doctor comes up with her/his recommendations for treatment? What the critical thinking underlying the suggestions might be?

As an example, we can look at a comprehensive treatment plan for drug and alcohol addiction (forthcoming posts will look at other conditions, like depression, bipolar disorder and...

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Refusing to Accept the Way Things Are: Making a Difference With Schizophrenia

(1) Comments | Posted June 22, 2015 | 10:58 AM


As many as half of those ill with schizophrenia do not receive any treatment, at all (1,2). Yet schizophrenia is a serious and persistent mental illness affecting millions of Americans, and impairing their functioning, diminishing their quality of life and -- if untreated...

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7 Things to Know About Mental Health After a Disaster

(1) Comments | Posted June 9, 2015 | 5:08 PM

Are disasters becoming part of the new normal? Or have disasters become our new (ab)normal?

Disasters are extraordinarily varied in their nature, ranging from accidents (from local motor vehicle accidents to major train or plane crashes); natural catastrophes (like the recent floods in Oklahoma and Texas, hurricanes like Katrina and...

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A Writer's Writer and Teacher Is Gone

(1) Comments | Posted May 15, 2015 | 4:41 PM


New York Times 5.12.2015

On May 11, 2015, at the age of 92, Bill Zinnser died in his home on the Upper East Side of Manhattan. Many will wonder, who was he? A sports star? A celebrity? An inventor? A...

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A Prescription for Mental Health in America

(16) Comments | Posted May 13, 2015 | 9:16 AM

The future for the next 10 years of mental health in America will not derive from sudden breakthroughs in decoding our DNA or fashioning designer drugs that are categorically different from what we have now -- though either or both would of course be welcome. A sanguine future is possible...

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'Ex Machina': A Film Review

(2) Comments | Posted April 20, 2015 | 9:28 PM

Ex Machina
A Film Review by Lloyd I Sederer, MD

An innocent looking, 27-year-old computer programmer, Caleb (Domhnall Gleeson), discovers in his morning email that he has won the company competition to spend a week with its legendary founder and CEO,...
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Safety and Professional Standards 'From the Inside Out' -- A Not So Modest Proposal

(0) Comments | Posted April 7, 2015 | 11:48 AM


The Germanwings catastrophe raises, again, the question of whether "the fox can guard the chicken house?"

In two articles last week I pleaded for innovative solutions to certain problems of public safety, which generally have been left in...

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Suicide, Violence and Mental Illness

(2) Comments | Posted March 30, 2015 | 1:51 PM

Photo: AP

The story of 27-year-old Andreas Lubitz, co-pilot of Germanwings Flight #9525 who, reportedly, resolutely defied medical letters not to work because of illness and took 150 people, including himself, to a brutal end will surely ignite yet another round of...

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The Public Health Message of House of Cards, Season 3: A Series Review

(2) Comments | Posted March 10, 2015 | 10:15 AM

The Public Health Message of House of Cards, Season 3
A Series Review
Lloyd I. Sederer, MD


As just about everyone in North America with a television knows, Netflix released Season 3 of House of Cards in its now customary...

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The Second Best Exotic Marigold Hotel: A Movie Review

(6) Comments | Posted March 6, 2015 | 8:06 AM

The Second Best Exotic Marigold Hotel
A Movie Review by Lloyd I. Sederer, MD


We enter this film by viewing one pair of the characters who charmed many a heart in The Best Exotic Marigold Hotel. We see a...

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Vets Who Commit Crimes: Madness or Badness?

(43) Comments | Posted February 20, 2015 | 9:29 AM


PTSD, Depression, abuse of alcohol and drugs, and psychosis are pervasive, insidious forms of mental illnesses seen in Vets who commit crimes. Are they mad or bad?

The capital murder trial of Eddie Routh, the Marine veteran accused of killing sniper Chris Kyle,...

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3 Little Words: How Apology Can Enhance Romance -- A Valentine's Day Series, Part 3

(0) Comments | Posted February 13, 2015 | 10:19 AM

There are three little words that may be harder to say than "I love you" ...

Tomorrow's Valentine's Day -- and we hope that our apology series has got you thinking about how the superwords, "I am sorry," might rekindle romance in your relationship.

In part one...

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3 Little Words: How Apology Can Enhance Romance -- A Valentine's Day Series, Part 2

(0) Comments | Posted February 11, 2015 | 11:03 AM

There are three little words that may be harder to say than "I love you"...


Valentine's Day is fast approaching. In part one of our apology series we talked about how love sometimes means saying: "I am sorry."

These superwords,...

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That Which I Love Destroys Me: 'Veterans Fought for Our Freedom. Now It's Our Turn to Fight for Theirs'

(6) Comments | Posted February 11, 2015 | 9:24 AM

That Which I Love Destroys Me: "Veterans Fought for Our Freedom. Now It's Our Turn to Fight for Theirs"


Lloyd I. Sederer, MD

"Everyone can be broken..." Tyler Grey, a former Tier 1 Delta Force operator, who...

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3 Little Words: How Apology Can Enhance Romance -- A Valentine's Day Series, Part 1

(0) Comments | Posted February 9, 2015 | 8:25 AM

There are three little words that may be harder to say than "I love you" ...


"Love means never having to say you're sorry," or so goes the catchphrase from the infamous 1970s novel Love Story. If only that were true.


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Hope: Entertainer of the Century -- A Book Review

(0) Comments | Posted January 26, 2015 | 11:13 AM

Hope: Entertainer of the Century
By Richard Zoglin
A Book Review by Dr. Lloyd Sederer


My father looked like Bob Hope, especially his nose, which was long in its arc and pointed a bit upward at the...

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Je Suis Charlie: A First-Person Account From the Paris Rally

(4) Comments | Posted January 12, 2015 | 7:59 AM

Je Suis Charlie:
Today, in Paris, the nation stood up against terrorism

A first person account from the Paris Rally of Sunday, January 11, 2015


Isabelle Amado, M.D., Ph.D.
With Lloyd I. Sederer, M.D.

On Sunday afternoon,...

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Suspicious Minds, By Joel Gold and Ian Gold

(0) Comments | Posted January 6, 2015 | 9:27 AM

Suspicious Minds, By Joel Gold and Ian Gold
A Book Review by Dr. Lloyd Sederer


When I was a medical student on an arranged rotation in England I spent two weeks living in a mental hospital outside of London....

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A Most Violent Year

(0) Comments | Posted December 31, 2014 | 8:12 AM

A Most Violent Year
A Film Review by Dr. Lloyd Sederer

In 1981, there were 1,841 homicides in New York City. The rate proceeded to escalate to a record high of 2,245 in 1991. In 2013, there were 333 people murdered in...
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