As a clinical psychiatrist and researcher, my goal is to uncover new treatments for people like John, who have tried standard treatments, but who continue to have severe symptoms. John has tried all of the research studies offered in our research clinic, and those offered in other academic settings in New York City. Now he is my office and at the end of his rope. Could he be a candidate for a surgical procedure called deep brain stimulation, also called DBS?
One line of criticism holds that the DSM focuses too much on superficial symptoms of mental disorders, ignoring underlying dynamics. Instead of focusing on and naming clinical syndromes, critics say, the manual (and the field) ought to target the specific, disordered cognitive processes that underlie labels.
My whole life, I was called a picky eater, but I was always assured that I would grow out of it. My parents had both been "picky" (according to my grandparents), but like most children, they had grown out of it. As a kid, I believed that eventually, that would happen for me too. Until it just didn't.
Because ketamine has FDA approval, it can be prescribed legally by any physician. In fact, there are multiple private clinics advertising ketamine infusions, for a fee. But ketamine is still in an early stage of development for depression and OCD. I have my concerns and we need more evidence for its safe use in individuals suffering from these mental illnesses.