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Your Family Psychiatrist is a trusted resource for individuals searching for mental health answers. Our articles help you understand mental illness, substance abuse treatment, and what to expect when working with licensed mental health professionals. 

What is a Behavioral Health Specialist?

11/9/2025

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Psychiatrist behavioral health specialist
When you hear the term “behavioral health specialist,” you might picture someone who helps with mental health problems, but the field is much broader and more diverse than many realize. Behavioral health focuses on how a person’s thoughts, feelings, and actions affect their overall well-being. This includes conditions like anxiety, depression, substance use, trauma, ADHD, and many other issues that can influence daily life. The professionals who work in this field come from different backgrounds and levels of training, but all share one goal which is to help people live healthier, more balanced lives.

Understanding Behavioral Health
Behavioral health looks at the connection between how we act and how we feel physically, mentally, and emotionally. It includes mental health care, substance use treatment, and even behavioral changes that affect physical health, such as managing stress, improving sleep, or breaking unhealthy habits. Behavioral health specialists play a key role in helping people improve both mind and body.

For example, someone struggling with anxiety may see a behavioral health specialist to learn coping skills or explore medication options. Another person battling addiction may work with several specialists who focus on different aspects of recovery. No matter the issue, behavioral health professionals help patients understand their behaviors, make healthier choices, and feel more in control of their lives.

Types of Behavioral Health Specialists
There are many kinds of professionals who work within behavioral health. Each type of specialist offers a different perspective and skill set, and they often work together to create the best outcomes for patients.

Psychiatrists are medical doctors who specialize in mental health. They complete medical school and residency training focused on diagnosing, treating, and preventing mental illness. Psychiatrists can prescribe medications and manage complex conditions that may involve both mental and physical symptoms. They use evidence-based treatments that may include psychotherapy, medication, or a combination of both. Psychiatrists often oversee treatment teams, especially for patients with severe depression, bipolar disorder, schizophrenia, or substance use disorders.

Psychologists hold doctoral degrees in psychology (PhD or PsyD) and are experts in psychological testing, assessment, and therapy. They do not attend medical school and generally cannot prescribe medication in most states, though they often collaborate with psychiatrists when medication is needed. Psychologists specialize in therapy methods such as cognitive behavioral therapy, which helps patients identify and change negative thought patterns.

Licensed Professional Counselors (LPCs) and Licensed Clinical Social Workers (LCSWs) are trained to provide therapy and counseling. They often help people with anxiety, depression, relationship problems, grief, or trauma. These professionals usually hold master’s degrees in counseling, psychology, or social work. They may work independently in private practice or as part of a larger treatment team.

Marriage and Family Therapists (MFTs) focus specifically on the dynamics between couples and family members. They help clients improve communication, resolve conflict, and build stronger relationships. Because family systems can deeply affect emotional health, MFTs often play an important role in overall behavioral wellness.

Substance Use Counselors specialize in helping people recover from addiction. They provide counseling, relapse prevention strategies, and support for individuals and families affected by substance use. Many work in rehabilitation centers or outpatient clinics.

Other professionals such as behavioral analysts, school psychologists, and case managers may also be part of the behavioral health system, providing specialized services for unique needs.

How These Specialists Work Together
In many cases, patients benefit from a team-based approach. For example, someone with depression may receive therapy from a counselor, medication management from a psychiatrist, and testing from a psychologist. Collaboration ensures that all aspects of a person’s health are addressed.

Behavioral health specialists often share information and coordinate care to create a comprehensive treatment plan. This integrated model has been shown to improve outcomes, especially for patients with chronic conditions or multiple stressors affecting their well-being.

Why Psychiatrists Are the Leading Experts
While each behavioral health specialist plays a valuable role, psychiatrists are considered the leading experts in the field. This is because their medical training allows them to understand both the biological and psychological factors behind mental illness. They are uniquely qualified to identify when symptoms may have a physical cause, such as thyroid issues, vitamin deficiencies, or medication side effects that mimic depression or anxiety.

Psychiatrists also manage complex medication regimens and monitor for interactions or side effects. For patients with severe mental illness, medication can be lifesaving and requires close supervision from a physician who understands brain chemistry and body systems.

Beyond medication, psychiatrists are trained in psychotherapy and can combine talk therapy with medical treatment when appropriate. This dual perspective allows for a more complete understanding of how thoughts, emotions, and biology interact.

In addition, psychiatrists often lead multidisciplinary teams, helping to guide treatment direction and ensure continuity of care. Their expertise is particularly vital when other specialists encounter cases that involve risk of suicide, psychosis, or co-occurring medical disorders.

When to See a Behavioral Health Specialist
People may seek help from a behavioral health specialist for many reasons. These include persistent sadness or anxiety, difficulty concentrating, changes in sleep or appetite, loss of motivation, or trouble managing stress. Others may seek help for substance use, trauma recovery, or struggles with anger, relationships, or self-esteem.

Seeing a behavioral health specialist is not a sign of weakness. It is an act of strength and self-awareness. The earlier someone seeks help, the more effective treatment usually is. For individuals unsure of where to start, a psychiatrist can serve as a first point of contact. Because psychiatrists can diagnose medical and psychological causes, they can determine which type of specialist or combination of specialists will be most helpful.

The Importance of Access to Behavioral Health Care
Behavioral health affects every aspect of life, from work performance to relationships to physical health. Unfortunately, many people delay seeking help because they are unsure whom to turn to or fear being judged. Understanding the different types of behavioral health specialists and knowing that psychiatrists provide the highest level of expertise can empower people to make informed choices about their care.

Effective behavioral health treatment can restore hope, strengthen relationships, and improve overall quality of life. Whether through therapy, medication, or a combination of approaches, the right support can help individuals take back control of their mental and emotional well-being.

In the end, behavioral health specialists are guides on the journey toward balance. Among them, psychiatrists serve as the medical leaders who bring together science, compassion, and clinical skill to help people heal and thrive.
Counseling behavioral health specialist
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Anxiety Treatment Cypress

11/2/2025

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How to treat anxiety in Cypress

When people talk about anxiety, it often sounds like a simple word for nervousness, but for many people in Cypress, anxiety feels like a constant storm that never fully clears. It might start as a racing heart beat before a meeting, a stomach that twists before picking up the kids, or nights spent staring at the ceiling long after everyone else is asleep. For others, it’s more complicated like a mixture of panic attacks, obsessive thoughts, or a fear that something bad is always about to happen.

One of our patients once described it as “living with the gas pedal pressed halfway down all the time.” She tried deep breathing, herbal teas, and advice from friends who meant well but didn’t understand how relentless anxiety can be. By the time she came to Your Family Psychiatrist in Cypress, she felt exhausted from trying to appear calm while battling her own mind.

At Your Family Psychiatrist, we understand that anxiety is more than just stress. It’s a powerful emotion shaped by brain chemistry, past experiences, and genetics. In Cypress, many of our patients juggle demanding jobs, busy commutes, and family responsibilities that leave little time to reset. Over time, the body’s alarm system starts misfiring. The same system meant to protect you from danger begins to activate even when you’re safe. That’s where specialized care makes all the difference.

Our approach begins with listening. We take time to understand when your anxiety started, what triggers it, and how it affects your life. Some people have clear patterns, like anxiety that spikes before social events or after arguments. Others describe a general sense of unease that never goes away. Once we understand your story, we create a plan designed around you.

Sometimes anxiety treatment involves medication to rebalance brain chemistry and quiet constant worry. Other times, it involves therapy focused on understanding thought patterns that feed anxiety. We often combine both approaches because medication can calm the physical symptoms while therapy teaches long-term coping tools. The goal is not just to get through the day but to regain control of your life.

A patient named Jordan (anonymized), a Cypress resident and small business owner, once shared how anxiety made even small tasks overwhelming. He found himself unable to send emails or make phone calls because his mind kept imagining the worst outcome. After working with our psychiatrist, he learned how his thoughts were linked to physical tension. Over a few months, the combination of therapy and medication helped him regain confidence and enjoy his work again.

Cypress is a growing community, full of families and professionals who often carry more stress than they realize. The fast pace of modern life doesn’t give much room for reflection. At Your Family Psychiatrist, we help patients slow down and rebuild a sense of calm. We teach skills that fit into real life like breathing techniques you can use before a meeting, cognitive tools to stop runaway thoughts, and ways to manage sleep when your mind refuses to rest.

Our clinic also specializes in treating anxiety that is complicated by other conditions, such as depression, ADHD, OCD, or trauma. Many people come to us after trying to treat anxiety with other physicians, only to find the anxiety keeps coming back. When anxiety is linked to deeper emotional or biological factors, it often needs a coordinated plan led by a psychiatrist who understands how the brain and mind interact.

If you live in or around Cypress, you don’t have to face anxiety alone. Every day, we help people rediscover the calm they thought was gone. Over time, moments that once caused panic can become manageable again, and sleep can feel peaceful. Life in Cypress can feel fast and demanding, but with the right support, you can learn to meet each day with a sense of balance and control.

When you are ready to start feeling like yourself again, we are here to help right here in Cypress.  Schedule now.
The missing piece to the puzzle that is treating anxiety in Cypress
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When Should Someone Talk to a Mental Health Professional About Unwelcome Thoughts or Emotions?

10/19/2025

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calling a psychiatrist

Everyone experiences difficult emotions or troubling thoughts at times. Feeling sad, anxious, angry, or guilty occasionally is a normal aspect of being human. When these feelings become overwhelming, persistent, or begin to affect your daily life, it may be time to reach out for help. Talking to a mental health professional can make a tremendous difference in how you understand yourself, manage stress, and regain balance.

Understanding Unwelcome Thoughts and Emotions
Unwelcome thoughts and emotions are those that seem to appear without your control and cause discomfort, guilt, fear, or distress. They can take many forms, such as intrusive memories, excessive worry, self-critical thoughts, or sudden waves of sadness or anger. Sometimes, these thoughts repeat in your mind even when you try to push them away.

It is important to know that having uncomfortable or negative thoughts does not mean you are weak, “crazy,” or broken. The brain is wired to notice danger and solve problems, which can lead to repetitive or exaggerated thinking patterns under stress. When these thoughts or emotions begin to interfere with sleep, relationships, work, or self-esteem, it may signal that your mental health needs attention.

Recognizing When It’s Time to Talk to a Professional
People often delay seeking help because they think they should handle things independently. In reality, mental health care is no different from physical health care. You would not hesitate to see a doctor for persistent pain or an infection, and the same principle applies to your emotional health.

You may benefit from speaking with a psychiatrist, psychologist, or therapist if you notice any of the following signs:
  1. Persistent sadness or anxiety
  2. Loss of interest in activities
  3. Sleep or appetite changes
  4. Difficulty concentrating
  5. Excessive guilt or hopelessness
  6. Avoidance of tasks or activities
  7. Unwanted or distressing thoughts rarely cease
  8. Thoughts of self-harm or suicide

These symptoms don’t have to all be present. Even one persistent or distressing symptom is reason enough to reach out for professional support.

Why Professional Help Matters
Mental health professionals are trained to recognize patterns that may not be obvious to you. They can help you understand where your emotions come from, what triggers your distress, and what steps can reduce your suffering. Talking with a psychiatrist or therapist does not mean you have to take medication, although it can be helpful in certain cases. It simply means you are giving yourself permission to heal and learn healthier ways to cope.

Early treatment often prevents problems from becoming more serious. For example, addressing ongoing anxiety early can reduce the risk of developing depression or panic attacks later. Similarly, therapy can help people identify thinking patterns that lead to feelings of guilt or shame.

What to Expect During an Appointment
At your first visit, a psychiatrist or therapist will ask about your symptoms, background, stressors, and goals. You can be open and honest. Discussions are confidential. Together, you will explore what has been troubling you and create a plan for support. That plan might include talk therapy, coping techniques, lifestyle changes, and possibly medication if symptoms are severe.

Many people describe a sense of relief just from sharing their thoughts in a nonjudgmental space. You may start to see progress within a few weeks as you learn new ways to think about and respond to your emotions.

When Thoughts Feel Dangerous or Overwhelming
​If you ever have thoughts of harming yourself or believe you might be unsafe, seek immediate help. You can call or text 988 in the United States to reach the Suicide and Crisis Lifeline, or go to your nearest emergency room. These services are available 24 hours a day and can connect you to people who will listen and guide you to safety.
Reaching out in a crisis is not a sign of weakness. It is an act of strength and self-preservation. Many people who have reached this point go on to recover and lead fulfilling, meaningful lives.

Taking the First Step
Sometimes the hardest part of seeking help is making that first call. You may wonder if your problems are “serious enough.” You don’t have to wait until things feel unbearable. If your thoughts or emotions are interfering with your happiness, relationships, or ability to function day-to-day, that is reason enough to reach out.
Talking to a professional can help you gain insight, build resilience, and develop practical tools to manage stress and uncertainty. It is an investment in your health and your future.
Calling to schedule an appointment
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What is Wrong with Me?

10/3/2025

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How to discover
It’s a question many people ask themselves when they start to struggle with emotions, thoughts, or behaviors: “What is wrong with me?” This feeling can be frightening, especially when symptoms begin to interfere with work, relationships, or everyday life. Experiencing mental health symptoms does not mean something is permanently “wrong” with you. It means your mind and body are sending signals that deserve attention. A psychiatrist’s role is to help you make sense of these signals, identify possible causes, and work with you toward healing.

Common Psychiatric Symptoms People Experience
Psychiatric symptoms come in many forms, and it’s normal to wonder whether they point to a specific diagnosis. Here are some of the most common experiences people report:
  • Persistent sadness or loss of interest – Feeling down most days, no longer enjoying things you once loved, or struggling to find motivation.
  • Excessive worry or panic – Constant anxiety, racing thoughts, restlessness, or sudden panic attacks.
  • Changes in sleep – Trouble falling asleep, waking too often, or sleeping much more than usual are frequently linked to both depression and anxiety.
  • Irritability or mood swings – Quick changes in mood, frustration over small things, or feeling “on edge” could point to underlying stress, bipolar disorder, or other mood conditions.
  • Difficulty concentrating – Trouble focusing, forgetfulness, or feeling mentally “foggy” can be related to depression, ADHD, or anxiety.
  • Physical complaints without clear cause – Headaches, stomachaches, or unexplained pain sometimes stem from psychological stress.
  • Withdrawal from others – Avoiding friends, family, or activities may be a way of coping with overwhelming emotions but can worsen loneliness and sadness.

​These symptoms overlap across different conditions, which is why a professional evaluation is so important. What feels like “just stress” could be depression. What looks like ADHD might be anxiety. Untangling these patterns requires a trained eye.
Solutions to what is wrong with me
Pinpointing the Underlying Cause
When people ask, “What is wrong with me?” they are usually searching for clarity. Psychiatric symptoms rarely exist in isolation. They often have multiple contributing factors, such as:
  • Biological factors – Brain chemistry, genetics, medical conditions, or side effects of medications.
  • Psychological factors – Past trauma, negative thought patterns, or difficulty managing stress.
  • Social factors – Relationship struggles, financial stress, isolation, or lack of support.

A psychiatrist takes all of these into account. Rather than assuming there is a single simple explanation, the goal is to understand how these layers interact and lead to the symptoms you are experiencing.

What a Psychiatric Evaluation Looks Like
Many people feel nervous before their first psychiatric appointment, often imagining it will be cold or judgmental. In reality, a psychiatric evaluation is designed to be supportive, structured, and thorough.

Here’s what you can expect:
  1. Detailed conversation – The psychiatrist will ask about your current symptoms, how long they’ve been present, and how they affect your daily life.
  2. Personal history – You may be asked about past medical issues, family history of mental health conditions, substance use, and any significant life events.
  3. Mental status exam – This involves observing your mood, thinking patterns, memory, attention, and overall emotional state.
  4. Collaborative discussion – Rather than just labeling you, the psychiatrist will share possible explanations for your symptoms and discuss treatment options that fit your situation.

The evaluation is not about being judged. It’s about being heard. Many patients say it’s the first time someone has truly listened to the details of their struggles without minimizing them.
Making sense of feelings
How a Psychiatrist Can Help

A psychiatrist’s role goes beyond diagnosis. Once an understanding of your symptoms is formed, the psychiatrist can:
  • Offer treatments such as medications, therapy referrals, or lifestyle strategies.
  • Provide clarity by explaining how different symptoms fit together.
  • Develop a plan to address immediate struggles while building long-term coping strategies.
  • Work as a partner in your recovery, adjusting the plan as your needs change.

​Treatment can be as simple as learning stress-management techniques or as structured as combining medication with therapy. The goal is always to reduce suffering and improve quality of life.

Feeling Heard and Starting the Path Forward
Asking “What is wrong with me?” is not a sign of weakness. It’s a sign of self-awareness and courage. When you sit down with a psychiatrist, you are giving yourself the chance to turn confusion into clarity. The evaluation process can leave you feeling understood and validated, often for the first time in a long while.

With that foundation, you can begin the journey toward better mental health. One that includes hope, direction, and practical solutions. You don’t have to keep guessing about your symptoms or fighting them alone. Help is available, and with the right guidance, it is possible to move from feeling “wrong” to feeling whole again.

Beginning to understand
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Infographic - Children with Depression

7/20/2025

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Infographic on childhood depression under age 12

Depression in children under age 12 is a serious mental health concern that can have lifelong consequences. Parents and healthcare professionals often feel torn between the risks and benefits of antidepressant medications in young patients, but the evidence shows that these medications can be life-changing when used thoughtfully.

Prozac (Fluoxetine): The Only FDA-Approved Antidepressant for Depression Under Age 12
Among all antidepressants, fluoxetine (Prozac) is currently the only medication approved by the U.S. Food and Drug Administration (FDA) for treating major depressive disorder in children under the age of 12. This indication by the FDA was granted in 2003.  This means that we are currently at 22+ years without an additional medication option.

Other antidepressants, while not FDA-approved for depression in this age group, have also been studied:
  • Zoloft (sertraline): 2 positive studies under age 12
  • Celexa (citalopram): 1 positive study under age 12
  • Paxil (paroxetine): 3 negative studies
  • Lexapro (escitalopram): 1 negative study

These results indicate that while Prozac leads the way, other medications may provide significant benefit. Working with a child psychiatrist to understand the research and the many options is important.  Note that Lexapro is FDA approved for depression between the ages of 12-17.  It is the only other antidepressant FDA approved younger than age 18. Other options are certainly used off-label, but selection of an alternative is very nuanced.  

How Effective Are Antidepressants in Children?
The effectiveness of antidepressants is very encouraging, especially when combined with therapy. A notable study involving adolescents with moderate to severe depression found that after 36 weeks an impressive 86% of participants receiving both an antidepressant and cognitive behavioral therapy (CBT) responded to treatment. This combination remains the gold standard for improving mood, functioning, and preventing relapse in children.

Suicide Risk: What the Numbers Really Say
One of the most discussed concerns around antidepressant use in children is the risk of suicidal thoughts or behaviors. It is crucial to interpret this data accurately.
  • The lifetime prevalence of a suicide attempt among depressed adolescents is approximately 4.1%.
  • No single antidepressant has an adjusted relative risk above 1.0 for suicide attempts. This means that no medication has been shown to increase the overall risk of a suicide attempt when statistical adjustments are made. The study that supported this data had over 35,000 youth enrolled.
  • Suicide attempts rose in the general population after the 2004 FDA black box warning was added to antidepressants. The warning led to a sharp drop in prescriptions, and many patients who needed treatment discontinued their medications. This correlated with a spike in suicide attempts and hospitalizations. This paradox highlights a critical point. Untreated depression is far more dangerous than properly monitored antidepressant use.

Long-Term Risks of Untreated Depression
Beyond short-term mood symptoms, depression in childhood can have long-term consequences. One study found that early-onset depression in males was associated with a significantly increased risk of never having children later in life. This suggests potential lifelong impairments in relationships and functioning when mood disorders go untreated.

What If the First Medication Doesn’t Work?
It’s relatively common for the first antidepressant to be partially effective or even ineffective. One high-quality study looked at teens who didn’t respond to their initial SSRI and found no statistically significant difference in response rates when switching to either a second SSRI or to venlafaxine (Effexor). This means that both options are reasonable, and decisions can be based on side effect profiles, patient history, and other factors.

A Positive Outlook on Medication for Depression
Antidepressants are not a cure-all, but they are one of the most powerful tools we have to treat depression in children and adolescents. When used correctly, they can improve quality of life, reduce symptoms, and prevent long-term complications. It’s essential to monitor side effects and assess risks carefully. The larger truth is that the risks of untreated depression often outweigh the risks of treatment. With careful evaluation and compassionate care, children struggling with depression can thrive, and antidepressants can help them get there, especially when used in combination with talk therapy.

If you are a parent or guardian and believe your child may be experiencing depression, please reach out to a local child psychiatrist for an evaluation.  
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Psychiatrist is Such a HARD Word to Spell

7/10/2025

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Psychiatrist is hard to spell
Let’s face it: Psychiatrist is not an easy word to spell. It has a silent “p,” an unexpected “ch,” and just enough vowels to throw anyone off. In fact, it’s such a tricky word that it’s one of the more commonly misspelled Google searches by people trying to get help. Ironically, even the word “misspell” is one of the most misspelled words in the English language.

Here’s the real problem: spelling errors can actually get in the way of finding accurate mental health care. If you type the wrong thing into a search engine, you might end up clicking on irrelevant websites, outdated resources, or giving up altogether. 

Why Does It Matter If People Misspell "Psychiatrist"?

You might think a misspelling is no big deal. Autocorrect will fix it, right? Not always. While search engines have improved, many people still get different results depending on how they type a word. That means patients looking for help with depression, anxiety, ADHD, bipolar disorder, or OCD might not find a qualified psychiatrist, especially if they’re typing something closer to “sikeatrist.”

That’s important, because according to the National Alliance on Mental Illness (NAMI):
  • 1 in 5 U.S. adults experience mental illness each year.
  • Nearly 60% of adults with a mental health condition don’t receive treatment.
  • Delays in treatment average 11 years from symptom onset to intervention.

​If the first step to getting help is looking for a psychiatrist and you spell the word incorrectly, it might just delay getting that help.

The 20 Most Common Misspellings of “Psychiatrist”

Below are some of the most frequently searched or mistyped versions of the word psychiatrist. If you’ve ever typed one of these, you’re in good company:
  1. sychiatrist
  2. sikeatrist
  3. psycologist (that’s a whole different profession although also spelled wrong)
  4. psycitrist
  5. sikatrist
  6. sykiatrist
  7. phsychiatrist
  8. psykaitrist
  9. psyhiatrist
  10. psychitrist
  11. psykatrist
  12. sykatrist
  13. psychyatrist
  14. psycheatrist
  15. psyciatrist
  16. physiatrist (a real profession—but different!)
  17. psyhciatrist
  18. psychistrist
  19. psytrist
  20. siciatrist

Many of these are understandable. The confusion between a psychiatrist and a psychologist is also common, especially because they sound similar but have different training and roles. Psychiatrists are medical doctors who can prescribe medication. Psychologists often focus on therapy and assessments but don't typically prescribe.
getting help when you need it

Why Is Psychiatrist So Hard to Spell?

Let’s take a quick look at the word itself. “Psychiatrist” comes from Greek:
  • Psyche = mind
  • Iatros = healer

​The word literally means “healer of the mind.” Beautiful, right? Unfortunately, “psyche” is one of those words that start with a silent “p” and ends with letters that aren’t pronounced how they look. Add in “-iatrist” (which looks nothing like it sounds), and you’ve got a word that trips up even English majors.

Is It Really a Big Deal?

Surprisingly, yes. While the internet is getting smarter, people still report frustration when looking for mental health professionals online. A 2022 Pew Research study found that 41% of Americans looking for mental health support online felt overwhelmed by the number of confusing or irrelevant results.

Many patients search things like:
  • “sikeatrist near me”
  • “do I need a sychiatrist”
  • “find a sikatrist for depression”

Without strong search engine optimization (SEO), legitimate psychiatrists might not appear in these results, especially if their websites don’t account for common misspellings.
calming drink to focus on getting help

What Can Be Done?

  • Mental Health Clinics Can Optimize for Misspellings
    Believe it or not, websites like YourFamilyPsychiatrist.com often account for misspellings behind the scenes using SEO tools, alternate keyword phrases, and metadata. That means if someone searches for “siciatrist Houston,” they’ll still find a qualified psychiatrist.
  • Better Public Awareness
    School health classes, social media influencers, and even TV shows are starting to emphasize mental health. By teaching what a psychiatrist is and how to spell it, people become more comfortable seeking help.
  • More Compassion Toward Ourselves
    If you’ve ever looked up “psykologist for anxiety” or “phsychyatrist,” don’t feel bad. What matters is you took a step toward healing.

Don’t Let Spelling Get in the Way of Healing

Mental health is too important to be blocked by a tricky word. Whether you’re dealing with depression, anxiety, trauma, ADHD, or anything else, the first step is reaching out. If that step involves spelling "psychiatrist" wrong, who cares? You're still taking action and that counts.

So next time someone says, “I don’t even know how to spell that,” just smile and say:
“You don’t have to spell it right. You just have to start.”
happy to have gotten mental health help
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How Long Does it Take to Become a Psychiatrist

7/5/2025

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Psychiatrist in Training
Training, Specialties, and What Psychiatrists Really Do
If you’ve ever wondered, “How long does it take to become a psychiatrist?”, the short answer is, a long time. There’s a good reason for that. Psychiatrists are medical doctors who specialize in mental health, meaning we study both the brain and the body. Our training includes diagnosing mental illnesses, providing therapy, prescribing medications, and understanding how physical health and mental health are connected.

Step-by-Step: Education and Training to Become a Psychiatrist

1. Bachelor’s Degree (4 Years)
Before medical school, future psychiatrists must complete a 4-year college degree. Most students major in something related to science or psychology, but any major is acceptable as long as medical school prerequisites are completed.

2. Medical School (4 Years)
After college, students enter medical school to earn their MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) degree. Medical school lasts another 4 years. During this time, students study anatomy, pharmacology, diseases, and treatments, and gain clinical experience in hospitals and clinics. Here the focus is becoming a well-rounded doctor first.  Expect to do surgical, pediatric, ob/gyn, family medicine, and other similar rotations.  While there will be aspects of mental health learning in every rotation, the focus is developing the student into someone prepared to enter advanced, specialty training.  

3. Psychiatry Residency (4 Years)
After graduating from medical school, new doctors begin a psychiatry residency, which is a paid, hands-on training program that lasts 4 years. Pay is typically $40,000-65,000 per year and the pay differential is mostly related to local cost of living. You can't negotiate it. During residency, you focus specifically on psychiatry, learning how to diagnose and treat conditions like:
  • Depression
  • Anxiety
  • Bipolar disorder
  • Schizophrenia
  • PTSD
  • ADHD
  • Personality disorders
  • Substance use disorders

Residents often work 50–80 hours per week, treating patients in hospitals, emergency rooms, outpatient clinics, and even correctional facilities.  There is no overtime pay.

Total time to become a general psychiatrist: 12 years after high school.

Optional: Fellowship Specialties in Psychiatry (1–2 Extra Years)

Some psychiatrists choose to complete a fellowship after residency. This is specialized training in a specific area of psychiatry, which usually lasts 1–2 additional years. Below are the most common specialties and what they involve.

1. Child and Adolescent Psychiatry (2 Years)
Child and adolescent psychiatrists specialize in treating patients ages 3–17. Mental health in children often looks different than in adults, and early intervention can make a lifelong difference.

These psychiatrists treat conditions such as:
  • ADHD
  • Autism Spectrum Disorder
  • Anxiety and depression in children
  • Oppositional and conduct disorders
  • School refusal and bullying-related stress
  • Childhood trauma and attachment issues

Training includes working closely with families, schools, pediatricians, and therapists. It also involves learning how to modify treatments to suit a child’s developmental stage.

Total time: 14 years (4 college + 4 med school + 4 residency + 2 fellowship)

2. Geriatric Psychiatry (1 Year)
Geriatric psychiatrists specialize in working with older adults, usually age 65 and above. As people age, they may face unique mental health issues due to physical illness, memory loss, or isolation. The ability to metabolize medications decreases.

Geriatric psychiatrists treat:
  • Alzheimer’s disease and other dementias
  • Depression linked to aging or chronic illness
  • Late-onset anxiety or psychosis
  • Coping with loss of independence or bereavement
  • Medication management in older bodies with complex conditions

They often work in nursing homes, hospitals, memory clinics, or private practice.
Total time: 13 years

3. Addiction Psychiatry (1 Year)
Addiction psychiatrists focus on treating patients with substance use disorders, including alcohol, opioids, stimulants, and other drugs. They understand how addiction affects both the brain and behavior, and they treat the underlying mental health issues that often come with addiction.
​
They help with:
  • Detox and withdrawal management
  • Medication-assisted treatment (like Suboxone or Vivitrol)
  • Dual diagnoses (e.g., depression and substance use)
  • Therapy for relapse prevention
  • Harm reduction strategies and recovery support

These psychiatrists often work in rehab centers, hospitals, VA clinics, or outpatient programs.

Total time: 13 years

4. Forensic Psychiatry (1 Year)
Forensic psychiatrists work at the intersection of psychiatry and the law. They evaluate individuals involved in legal cases and may testify in court as expert witnesses.
​
They perform assessments related to:
  • Criminal responsibility (e.g., insanity defense)
  • Competency to stand trial
  • Risk assessments for violence
  • Mental health evaluations in prisons
  • Child custody or abuse investigations

Their work often involves writing legal reports and working closely with attorneys and judges.

Total time: 13 years

5. Consultation-Liaison Psychiatry (1 Year)
Also known as psychosomatic medicine, this specialty focuses on mental health in medically ill patients. These psychiatrists are often found in hospitals and collaborate with doctors from other specialties like cardiology, oncology, or surgery. Usually other specialties consult or request assistance from the Consultation-liaison psychiatrist.  

They treat patients who are:
  • Coping with serious medical diagnoses like cancer
  • Experiencing depression or anxiety due to chronic illness
  • Struggling with adherence to treatment plans
  • Experiencing delirium or medication side effects

This field is especially helpful in improving whole-person care in complex medical settings.

Total time: 13 years

6. Neuropsychiatry (1–2 Years)
Neuropsychiatrists specialize in patients with neurological and psychiatric overlap, often caused by brain injury, stroke, epilepsy, or neurodegenerative diseases.

They treat:
  • Traumatic brain injury (TBI) with behavioral changes
  • Parkinson’s disease and mood symptoms
  • Seizures and psychosis
  • Memory loss with mood disturbance
  • Complex cases involving both neurology and psychiatry

These specialists often work in academic centers or with neurologists on difficult-to-diagnose cases.

Total time: 13–14 years

Becoming a psychiatrist requires at least 12 years of education and training after high school. Many go on to complete another 1–2 years of fellowship training to specialize in areas like child psychiatry, addiction, or geriatrics.

Why does it take so long? 
Mental health is complex. As psychiatrists, we’re trained not only to diagnose and treat emotional distress, but also to understand the medical, psychological, and social factors that influence a person’s well-being.

If you’re considering seeing a psychiatrist, know that you’re not alone, and the person you’re meeting has spent over a decade learning how to help people just like you.

If you’re looking for a board-certified psychiatrist in Houston for yourself or a loved one, we’re here to help. Request your appointment online today and take the first step toward feeling better.
Mental health specialist
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Cy Fair Psychiatry

6/12/2025

2 Comments

 
Cy Fair Psychiatrist
 
​Are you looking for a trusted psychiatric clinic right here in Cy‑Fair ISD?  
Your Family Psychiatrist is your mental health partner located right in the middle of Cypress, TX. We're proud to be the preferred psychiatry clinic for Cy‑Fair ISD serving students from kindergarten through high school.  As a Cypress Mental Health Clinic, we are committed to professionalism and providing a supportive environment for every patient.  Our expertise and presence in Cypress make us a leading choice for families seeking mental health care in the region.      


Why Choose Your Family Psychiatrist in Cy‑Fair?

Trusted by Cy‑Fair ISD
We are the preferred psychiatric clinic for Cy‑Fair ISD, working closely with school counselors and administrators. We regularly meet with the psychological services department.  

Local Roots, Local Lives
What makes us feel like family?  One of our psychiatrists grew up in the Cy‑Fair area and now serves the students where they once studied. Another psychiatrist in our group has children who currently attend Cy‑Fair ISD.  They're living the Cy‑Fair journey as a parent every day. It means we don’t just work here.  We live, shop, and volunteer here too.

The vast majority of our team lives in Cypress and Tomball neighborhoods. We attend local events, support school fundraisers, and see neighbors at community gatherings.  We’re part of your community, and you’ll see us there.

A Clinic Right Where You Need Us
Your Family Psychiatrist is located in the heart of Cy‑Fair ISD, making access easy and quick for families in Cypress, Jersey Village, Tomball, and beyond

We treat all grade levels within Cy‑Fair ISD.  The most common issues we see:
  • Elementary – anxiety or ADHD challenges
  • Middle school – anxiety, mood swings, depression
  • High school – stress, depression, ADHD, life transitions
  • Adults – Depression, Anxiety, ADHD

We address a wide range of mental health issues thorough diagnosis and treatment  to support each individual's unique needs.

Benefits of Choosing a Local Mental Health Partner
Fast Appointments
As we are right here in Cypress, you can often get fast help.  No long drives and no waiting months to be seen. That quick access can make all the difference during a crisis.  In-person appointments directly address patient needs to ensure that care is tailored and specific.  

Coordination with Schools
We partner with Cy‑Fair school counselors and the district’s Mental Health Intervention Team which includes LPCs, psychologists, and trained mental health officers (cfisd.net). That coordination supports your student in and out of school for better results.

Trust and Continuity
From crosswalks to classrooms to weekend football games and summer camps, we’re part of this community. We understand your neighborhood, the schools, and what your family faces.  That kind of continuity builds real trust between families and therapists.

Our Services for Cy‑Fair Families
Comprehensive Psychiatric Care
  • Medication management for ADHD, anxiety, depression, mood disorders
  • Initial evaluations and ongoing follow-ups
  • Integration with other medical providers
  • Lab work-ups to rule out medical causes

We take a careful approach to prescribing and managing psychiatric medications, ensuring safety and effectiveness for each patient.  Our psychiatrists integrate physical health considerations into psychiatric diagnosis and treatment.  We recognize the connection between mental and physical well-being.  

Therapy for Students & Adults
  • One-on-one sessions tailored to each age group
  • Evidence-based approaches: CBT, therapy for trauma, stress, grief
  • Family therapy and parent coaching
  • Support during school transitions and peer pressure

In-person assessments are essential for the development of effective, personalized treatment plans in children. 

Telehealth + In-Person
We offer both in-office appointments and secure online visits.  Flexible options mean you choose what works best for your schedule and comfort level.  We understand that not all appointments will be in-person due to extracurricular activities, school, work, and other factors.  

Living the Cy‑Fair Life: Popular Cypress, TX Events
We’re proud to be local residents so we know what brings Cy‑Fair families and friends together! Here are a few events that highlight our community spirit:

🌟 Cypress Cars & Coffee (June 14, 2025)
Held at the Cyprus Community Center parking lot, this free, family-friendly gathering draws car lovers and coffee drinkers every month. Classic cars, new rides, and conversations under the sun. This is where neighbors meet neighbors.


🎨 The Cypress Market (April 12, 2025)
Hosted by Cy‑Hope, this market features local vendors, crafts, farm-fresh produce, and live music.  It is a real community celebration in Cypress.


🎤 Live Music Nights at The Frio & The Barn
Local country and Americana artists come to Cypress’s own Frio restaurant and concert venue showing us that culture thrives here too. Keep an eye out for summertime shows like Maggie Baugh’s concert in July (friogrill.com).


🎪 Seasonal Festivals Near Cypress
The Tomball German Heritage Festival, Taste of Cy‑Fair, Polish Festival, and Houston Celtic Festival are all nearby and beloved by Cy‑Fair families. They bring families together for food, fun, and community pride.


Why Local and Personal Care Matters
We believe mental health care should feel like talking to a friend who truly knows you.

We’re not just “another clinic.”
We at 
Your Family Psychiatrist enjoy serving your family, your school, and your mental health right here in Cypress, TX.  Our practice is recognized in the Houston and Texas mental health community for our commitment to quality care and community involvement.  

Frequently Asked Questions (FAQs)
Q: Who can you treat from Cy‑Fair ISD?
A: All grade levels from elementary through high school and adults (parents, teachers, staff).

Q: Do you coordinate with schools?
A: Yes. We regularly speak with Cy‑Fair counselors and the Mental Health Intervention Team.

Q: Is therapy in-person or online?
A: Both. You choose what works best for you.

Q: Can I get help fast?
A: Yes.  We will work on getting you in to be seen with a child psychiatrist or child counselor as soon as possible.

Our Promise to Cy‑Fair Families
At Your Family Psychiatrist, our guiding principles are built on being local, trusted, and accessible:
  • We are Cypress-based making it easy to get to with flexible hours for families.
  • Our team has deep ties to Cy‑Fair ISD from students to parents to staff.
  • We attend local events monthly, showing up for you beyond the office.
  • We’re here for the whole family from students and adults alike.
  • We follow evidence-based care while staying real, friendly, and easy to talk to.

Our team includes highly trained psychiatrists and therapists, each with extensive knowledge in mental health care.  Every doctor on our staff is dedicated to thorough evaluations and compassionate care.  When you visit, you may meet with Dr. Heathman, Dr. Hinthorn, or Dr. Keller who are all recognized for their expertise and commitment to patient well-being.  

The heart of CyFair Psychiatry is our dedicated team of psychiatrists, therapists, and support professionals.  Each member of our staff has completed rigorous training in mental health care and brings a wealth of experience in treating a wide range of mental health conditions from ADHD and mood swings to trauma and anxiety.  Our doctors and therapists are passionate about ongoing education, regularly engaging with current research and best practices to ensure our patients receive the most effective treatments available.  

At CyFair Psychiatry, we understand that every patient's journey is unique.  That's why we offer a wide range of treatment options designed to address diverse emotional challenges and mental health needs.  Our services include individual, family, and play therapy, medication management, and innovative treatments like ketamine assisted psychotherapy for those with treatment-resistant depression.

We believe in the power of talk therapy to help patients process their experiences, develop healthy coping strategies, and build resilience.  Our therapists are skilled in evidence-based approaches such as cognitive-behavioral therapy and psychodynamic therapy.  We also provide lifestyle counseling to support overall well-being.  In times of crisis, our clinic is equipped to offer immediate support and intervention.  We work closely with local schools and community organizations to ensure that our services are accessible and that families receive the education and guidance they need to thrive.  


Let’s Talk: Getting Started
Whenever you need us, call Your Family Psychiatrist at 281‑849‑4080. We’ll help you:
  • Choose an early appointment
  • Find a psychiatrist or therapist who fits your PK–12 student or family member
  • Complete school paperwork if needed
  • Answer any questions about sessions, staff, or billing

We understand the importance of timely phone communication, and we ensure our staff is responsive to calls and messages. 

Mental health is important. Whether you are managing school stress, supporting a kid, or juggling family life, we can assist. Here in Cypress, we are the local, caring, and trusted psychiatric clinic that knows Cy‑Fair ISD.

Whether you come to us through your child’s school, word of mouth, or a community event, you’ll find that Your Family Psychiatrist is here to help you and not just as clients, but as neighbors, fellow parents, and members of the Cy‑Fair family.

Let’s build your mental wellness together, right in the heart of Cy Fair Psychiatry.
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Physician Burnout - Information and Treatment

5/16/2023

47 Comments

 
Treat Physician Burnout

​Physician burnout
is a world-wide phenomenon that has increased during recent decades. Various sources report that roughly half of physicians display burnout symptoms. This article looks beyond past burnout stereotypes to its global definition, associated signs, and contributors. Assessment resources and methods are presented and discussed.

Although article content touches on the overall risks burnout presents within healthcare systems, the primary focus is on those physicians at risk for and suffering because of burnout’s toll. Heightening awareness of this occupational phenomenon is required to identify and research solutions, particularly by linking contributors with systems and organizational function.

Burnout Basics
The history of burnout dates back to the 1970s and 80s when Freudenberger described a set of symptoms as “burn-out.” Christina Maslach with the Maslach burnout inventory has provided further discussion and study of this phenomenon, including its occurrence among medical personnel. Regardless of occupation, Maslach and colleagues describe three definitions, or indicators, of burnout, those being:
  • Emotional exhaustion,
  • Depersonalization, and
  • Low personal accomplishment.

Each of these three definitions is associated with various signs discussed in burnout literature and included in the World Health Organization (WHO) description. It notes that burnout is an occupational phenomenon that is listed in the International Classification of Diseases (ICD). The ICD-11 has added detail to the definition provided in the ICD-10. The updated definition includes signs found throughout burnout literature, such as:
  • Energy depletion,
  • Mental distancing from work, often with associated cynicism, and
  • Reduction in professional efficacy.

WHO makes particular note that burnout is not a medical condition. Rather, it refers specifically to phenomena in the occupational context and is not appropriate for application to other areas of one’s life. This point is especially vital when considering burnout contributors, much as occurs in this article’s primary section.

Various relatively current sources indicate the rate of reported and/or assessed burnout at almost 1 in every 2 physicians. In a 2019 report, 44% of more than 15,000 physicians in at least 30 specialties reported to Medscape that they feel burned out. This reflects a steady increase since 2013.

Levels of burnout across specialties range from 28 to 54%. Women are more likely than men to report burnout with data comparisons of 50 to 39%, although males accounted for 60% of survey respondents. Self-report of burnout, as applied in the Medscape report, has been noted to have an accuracy rate 72% of the time when compared with the Maslach Burnout Inventory. Although this is older data, it is worthy of consideration given the proportion of physicians reporting burnout at an increasing rate.

Burnout: Its Definition and How It’s Assessed    This article’s opening paragraphs provided burnout definitions presented by Maslach and the WHO as part of an overview discussion. Burnout assessment involves expanded discussion of its definition with particular emphasis on how it is described by those living with feelings associated with burnout.  

Definition Overview
Although emotional exhaustion has been noted to be a primary burnout indicator, others report that depersonalization is more likely associated with negative outcomes. These physicians have high cynicism scores, reflective of being detached and uncaring. Those who score high in emotional exhaustion report feeling over-extended as well as physically and emotionally drained. A high inefficacy score is related to physicians having diminished confidence and doubting that their work matters. It is reported that healthcare burnout researchers omit low personal accomplishment, replacing it with job satisfaction measures.

Burnout Assessment
The National Academy of Medicine (NAM) provides information about valid and reliable instruments for measuring burnout and other related factors. The page links to sources that offer additional guidance for organizations. It presents the most commonly used assessment as being The Maslach Burnout Inventory (MBI) that assesses the three areas noted above and measurement of workplaces factors that may be contributing to burnout.

Mind Garden offers the MBI and other assessments. The Maslach Burnout Toolkit for medical personnel includes, as part of its survey, items that measure work environment factors that may contribute to burnout. The entire assessment, including workplace and individual measures, can be completed in about 30 minutes. Discussion presented by the NAM and other researchers indicate successful use of a limited number of MBI queries to improve response rates.

Woven within discussion in the resources presented thus far are burnout contributors. Given that about half of physicians report regular feelings of burnout, there is compelling need to examine contributing factors. Doing so leads to inquiry that ultimately can provide solutions.

Burnout: The Burden of Contributors
This article examines contributors that are systems and/or organizational in origin. Doing so is well supported in medical burnout literature, including resources cited here. Consider that burnout among physicians is double that of other American workers, even with controls applied.

At times, this discussion seems personal. That is because loss of sleep, financial concerns, and extended work hours are just that—very personal. As are concerns about depression, coping mechanisms, and work/life imbalance.

The 2019 Medscape report asked respondents to report on what contributed most to burnout. Almost 60% indicated this to be too many bureaucratic tasks including charting and paperwork. The next highest ranked at 34% was too much time at work, followed by increases in technology use such as EHRs/EMRs at 32%, and lack of respect from administrators and colleagues at 30%.

Burnout’s root causes noted above are affected by organizational structure and functionality. Consider how healthcare organizations and systems affect these contributors:
  1. Lack of power/control: Physicians who have historically served in leadership roles that guide clinical decisions have had to relinquish these to administrators. This power shift toward business models causes concerns that the focus is now on money, rather than on optimum patient care and physician satisfaction.
    • There is a notable increase of burnout for those who spend less than 20% of their work effort on personally meaningful endeavors.
  2. QI programs: “Quality Improvement“ (QI) programs that require more paperwork,  another bureaucratic, busy-work burden for physicians. It fulfills a requirement rather than encouraging professional systems in which physicians develop their own QI strategies by listening to patients to continually enrich practice expertise. 
    • From the same report noted in item 1, there is burnout increase due to “clerical burden.”
  3. Inefficient workflow: Clinical functions should be stream-lined to benefit the medical professionals providing patient care by having non-medical tasks efficiently handled by staff. This approach frees time to see more patients, increase revenue, and allow you to do the most enjoyable part of medicine – seeing patients.
  4. Electronic medical records (EMR’s) were designed to increase productivity and efficiency though that has not come to fruition. Moving through numerous pages or screens to complete an encounter is neither efficient nor satisfying.  
    • These are regularly cited as a burden, including the task of physician order entry with computers.
  5. Staff shortcomings: Physicians are caring individuals who believe staff are trustworthy and able to complete tasks efficiently. Regardless of cause, when an employee does not meet job expectations, it is time to document their behavior and have a personal discussion about short-comings. Inability to improve needs to result in termination.
  6. The 2019 Medscape study noted lack of respect from patients as a 16% cause of physician burnout. This can cause practitioners to feel abused and powerless, especially considering the added effects of those 30% of physicians who reported burnout due to lack of respect from employers, colleagues, and staff.
  7. Lack of leadership training: There has been a recent rise in physicians starting a private practice. Although taking this step can be stressful, it is very rewarding to design a clinic around your needs and those of your patients. Once the clinic is up and running, many physicians run into issues that require a firm handle on leadership, financial, legal, and marketing skills. Think too of how lack of physician leadership training limits workplace functionality without fully accessing the decision-making capacity of bright, caring professionals.

It is particularly relevant to consider all of the above in relation to reports that organizations that offer physicians control over workplace issues result in higher professional satisfaction and less stress.

Other burnout contributors are associated with workload and workplace culture. Added to these are a physician culture that would benefit from shorter shifts, heightened peer support, and reversal of blame. Until workplace factors improve, these contributors to burnout will continue:
  1. Skipping lunch: Physicians may habitually skip lunch or eat a snack while charting to complete documentation and catch up due to workload and workplace inefficiencies. If the workplace culture condones this practice, physicians sacrifice their deserved breaks and mealtime.
  2. 50+ hour work weeks: The 2019 Medscape survey notes that burnout reporting increases with number of hours worked. Emotional exhaustion sets in, particularly as practitioners sacrifice their personal and family needs. Towards the end of a 60-hour week, physicians wonder how many others lack the mental stamina to maintain their high level of work.  Each additional hour of work and night or weekend call increases burnout risk by 3 to 9%. Think of how quickly that adds up.
  3. High Debt is common among physicians due to extended education that is expensive and not sufficiently relieved by loan forgiveness incentives. There is then the draw to accept added hours to meet financial obligations, adding to the catch-22 of burnout. 
  4. Neglecting sleep at the end of a long day or week is tempting in order for physicians to spend time with family, friends, or participating in a hobby. Balancing these with household responsibilities leaves physicians stretched thin and sleep suffering. Sleep deprivation and exhaustion affect the quality of patient care and an overall drop in mood/patience.
  5. Ignoring one’s own advice. It is fascinating to listen to physicians complaining about their patients not following preventive care tips and healthy habits when they themselves aren’t doing so either. If patients take the advice, so should physicians. Caring for self and monitoring one’s own health are hallmarks of wellness.
  6. Vitamin D deficiency. The evidence supporting vitamin D deficiencies and depression is mixed, yet everyone should get some quality time outdoors. Enjoying the sunlight and getting outside is quite refreshing. Consider the value of workplaces that encourage all staff to get outside to enjoy and appreciate nature and soak up some vitamin D.
  7. Charting on weekends is unpaid work. Apparently there are healthcare settings in which physicians save their charting for the weekends. The idea of procrastinating on documentation and then trying to remember what was done days ago is likely associated with job dissatisfaction and workplace issues. 
  8. Under-utilization of other professionals such as attorneys and accountants. Physicians have invested over a decade achieving an education to be excellent physicians. They know patient care, yet have not learned about tax laws, investing, home repair, and the basics of contracts. Unless physicians outsource these tasks to improve work/life balance by enjoying off-time, burnout concerns will continue.

This article’s broad discussion of physician burnout prompts a number of questions about workplace factors, the effects of burnout on patient outcomes, and how to transform healthcare systems. Each contributor to physician burnout holds answers on how to improve systems, from education to documentation, on behalf of physicians, those they care for, and those who care for these noble practitioners. As noted on one of the Mind Garden physician burnout solutions pages, “In order to fully remedy and prevent burnout, solutions must focus on organization change—not personal change.”  
 
Request Dr. Jared Heathman for speaking engagements on physician burnout.  Contact our office at 281-849-4080 with your information for further details.
 
References 
Dyrbye, L. N., Shanafelt, T. D., Sinsky, C. A., Cipriano, P. F., Bhatt, J., Ommaya, A.,…Meyers, D. (2017). Burnout among healthcare professionals: A call to explore and address this unrecognized threat to safe, high-quality care. Retrieved from https://medschool.ucsd.edu/som/hear/resources/Documents/Burnout-Among-Health-Care-Professionals-A-Call-to-Explore-and-Address-This-Underrecognized-Threat.pdf
 
Kane, L. (2019). Medscape national physician burnout, depression & suicide report, 2019.
 
Mind Garden. (2018). Maslach burnout tool for medical personnel. Retrieved from https://www.mindgarden.com/documents/Maslach-Burnout-Toolkit-for-Medical-Personnel-Intro-Sheet.pdf
 
Mind Garden. (2019). Physician burnout solutions. Retrieved from https://www.mindgarden.com/content/34-physician-burnout-solutions#horizontalTab1
 
National Academy of Medicine. (2020). Action collaborative on clinician well-being and resilience. Retrieved from https://nam.edu/initiatives/clinician-resilience-and-well-being/
 
Ostrov, B. F. (2018). Stanford’s chief wellness officer aims to end physician burnout. Retrieved from https://californiahealthline.org/news/stanfords-chief-wellness-officer-aims-to-prevent-physician-burnout/
 
Stehman, C. R., Testo, Z., Gershaw, R. S., & Kellogg, A. R. (2019). Burnout, dropout, suicide: Physician loss in emergency medicine, Part I. Western Journal of Emergency Medicine, 20(3): 485-494. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526882/
 
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: Contributors, consequences, & solutions. Journal of Internal Medicine, 283(6): 516-529. Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1111/joim.12752
 
World Health Organization. (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases. Retrieved from https://www.who.int/mental_health/evidence/burn-out/en/
47 Comments

Mental Health in the Workplace

6/23/2021

8 Comments

 
stress at work

At this time, about 63% of Americans are part of the labor force.  Many employers offer programs designed to promote wellness and connect individuals with treatment options.  In addition, they promote the ability to handle and reduce stress. 
 
The CDC (Centers for Disease Control) reports that 1 in 5 adults (18 and older) reported suffering from mental illness in 2016.  Additionally, 71% reported headaches, feelings of being overwhelmed, or anxiety, all overt symptoms of stress. 
 
Mental health disorders are also closely linked to other physical conditions like heart disease, diabetes, and muscular problems.  Treating the physical and mental disorders separately will cost two to three times more than treating those without combination issues.  By combining the treatment plans, the savings could amount to $37 billion to $67 billion each year.  This means employers can reduce health care costs across the board and have healthier employees.
 
Further, the CDC says that employees with a high risk of depression had the highest health cost during a three year period following the initial assessment.  This includes others at risk from smoking and obesity.  Depression will affect performance at least 20% and affects cognitive abilities about 35%.  However, of those who report moderate depression only 57% receive treatment and for those with severe depression only 40%.
 
Excess stress and other mental health issues translates to negatively affecting:
  • Job performance
  • Productivity
  • Interactions with other employees
  • Communication
  • Physical issues
  • Functionality
 
Especially when mental and physical treatment plans are combined, employer sponsored wellness programs have proven beneficial to both the company and the employees.  Through a combined plan:
  • Communications can be combined using the structures already in place
  • Social networks become available
  • Programs and policies are united
  • Offering incentives for healthy behaviors
  • Employers can track progress
 
As an employer you have some options.
  • Offer self-assessment mental health tools
  • Establish clinical screenings by qualified mental health professionals with clinical referrals as appropriate.  These can be free to the employee or offered at a reduced cost.
  • Reduce co pays on depression medications
  • Programs for lifestyle changes
  • Host in-office programs to discuss stress reduction techniques
    • Breathing exercises
    • Meditation
    • Mindfulness
    • Focus improvement
  • Treat disrespectful comments or actions as you would any other form of prejudice or discrimination
  • Provide managers and supervisors with the tools to identify signs of stress and depression
  • Give employees the opportunity to voice opinions
 
There are a number of insurers who provide plans to help implement a mental health program.  This can include videos, emails, education and other initiatives to help management and employees deal with the issues in the workplace.

anxiety effecting work
8 Comments

Aging and Mental Health

6/16/2021

8 Comments

 
Elderly Depression

​​The CDC (Centers for Disease Control) estimates that 20% of adults over the age of 55 will experience some form of mental health disorder.  This can include some sort of cognitive issue (forgetfulness all the way to some degree of dementia), mood swings (generally depression), and anxiety. 
 
With depression as the most common form of mental disorder in seniors, it can affect social interactions and impair the ongoing treatment of other chronic conditions.  It is often dismissed as a normal part of aging or under treated. 
 
In reality, depression or other mental illnesses are not a normal part of the aging process.  Left untreated, it will affect the person's ability to function, lead to a poorer quality of life, and can actually slow the healing from physical illnesses and surgeries.
 
Mental health can easily decline after a serious illness like stroke or chronic conditions like Parkinson’s, arthritis, or cancer.  Medication can often play a part with drug interactions between prescriptions that are overlooked.  Older adults have needs that change including loss of friendships, relocating to other parts of the country, and changes in living conditions.  All of this needs to be considered during the treatment of mental health issues.
 
The good news is that older adults can be helped with the same success as those who are younger.  With some psychotherapy and anti-depressant medication, it is reported that 80% will recover.
 
Some symptoms you may want to watch for include:
  • Sadness that persists.  If the person remains depressed longer than two weeks, keep tabs to see if it is improving.  If not, consider help with a mental health professional.
  • Consistent sleep issues
  • Trouble concentrating
  • Everyone forgets things.  However if it becomes consistent, occurs more frequently, or in familiar surroundings, start paying closer attention.
  • Over use of alcohol
  • Confusion with the medication regimen
If these indicators accumulate or become more serious, it is a sign that the individual may need some professional help.
 
Many older adults continue to thrive even on their own.  Some habits that seem to help are:
  • Exercising to the best of their physical ability.  This can include gardening in raised beds, walking, dancing, etc.
  • Reading.  Joining with others to discuss books is a good way to stimulate mental agility.  Reading as a group event allows for socializing and forces people to read something they would not normally pick up.  There are a number of websites that offer discussion questions.  Check with your local public library for suggestions.
 
The health system in the United States offers Medicare that covers 80% of a physical health issue but only 50% for a mental health condition.  Fear of overspending can often impact an older adult's reluctance to seek mental health assistance.  Studies have shown that over 60% of older adults with a mental health issue will not receive the help necessary to bring them back to a stable head space.
Geriatric Psychiatry
8 Comments

How to Become a Psychiatrist

6/2/2021

11 Comments

 
how to become a psychiatrist

A psychiatrist is a medical doctor (M.D.) who specialized to treat mental health issues. In the United States, there are also doctors of osteopathic medicine (D.O.) which can also become psychiatrists. If you're wondering how to become a psychiatrist, this article is about what you need to know.

Psychiatrists diagnose, treat, and help prevent emotional and behavioral disorders. To do this they use a number of techniques or methods including therapy, interventions, and medication.
​

What Schooling Do You Need to Become a Psychiatrist

​To become a psychiatrist, you must first have a bachelor’s degree from an accredited institution. These degrees are often in the pre-med area, psychology, sciences, or a combination.  The degree does not have to be science related.  Any degree with the appropriate pre-requisites will suffice.  G.P.A. matters, so you want to choose a major that will allow you to thrive.  Some degrees like engineering are particularly difficult, and admissions committees have been known to give those degrees more leeway.  Academic advisors can help you develop a program of classes to keep you on track.

Psychiatrists are medical doctors, so you'll need to complete the MCAT (medical college admissions test) before applying for a MD or DO school.  After graduating medical school (4 years), you'll begin years of clinical residency.  For psychiatry, the standard general residency is four years.  Many psychiatrists will work additional years to sub-specialize.  

In order to practice any type of medicine, physicians must be licensed in the state(s) in which they will work.  This includes psychiatrists.  This license must be maintained in good standing which will include continuing medical education credits and renewal.

Psychiatrists work with patients in private practice, hospitals, and other institutional settings.  Away from the patient, they may review notes and complete much documentation.  They may meet with patients' families, lead support groups, and may coordinate with therapists.

Specialization can involve illnesses like anxiety or psychosis, or a demographic element like children, older adults, or veterans.  In some cases, the working hours are regular 8-5 type hours, but it is not unusual for psychiatrists to work extended hours in some settings. Some psychiatrists are regularly on-call for emergencies or admissions.
  

Psychiatrists help dispel myths and stigmas and promote healthy mental and physical outlooks for their patients.

Psychiatrists will also need to understand the brain and how it works.  People perceive and process information in different ways and the interrelationship of the nervous system and behavior becomes critical in many cases. Psychiatry and Neurology are close specialties.  The governing board is the same - American Board of Psychiatry and Neurology.

Communication skills are particularly important in psychiatry. Residency training programs consider communication skills to be of high importance with how they rank applicants. 
11 Comments

What is Stress?

5/11/2021

80 Comments

 
How to handle high stress

Stress is emotional strain that is a result of difficult or adverse circumstances.  It is an emotional response, but it can have physical symptoms as well.  Some of the physical symptoms include:
  • Digestive distress
  • Diminished libido
  • Muscle tension
  • Headaches
  • Fatigue
  • High blood pressure
  • Chest Pain
 
The emotional symptoms include:
  • Irritability
  • Depression
  • Anger
  • Feeling overwhelmed
  • Racing thoughts
  • Making bad decisions
 
Situations that cause concern are called stressors.  Stressors can be external like relationship issues or financial problems, but stressors are also internal like pessimism, what-if thoughts, or poor self-esteem related.
 
Stress is basically our perception of something difficult to deal with.  Stressors are somewhat individualized.  For instance, some people find gazing off a mountain top to be beautiful and peaceful while others are terrified of the height involved. 

Common external stressors are:
  • Major life changes (good or bad)
  • Work or school
  • Relationships
  • Finances
  • Chores
  • Family commitments
 
Internal issues include:
  • Obsessions
  • Pessimism
  • Negative self image
  • Unrealistic expectations
 
Ideally, we identify stress and utilize coping skills before it negatively impacts our life.  If anxiety continues to be a problem and leads to dysfunction, it is time to meet with a psychiatrist.  Here are some indicators of dysfunction that show anxiety becoming unmanageable:
  • Work or school performance drops
  • “Self medicating” with alcohol, drugs, or tobacco
  • Withdrawal from friends, family, or social situations
  • Sudden outbursts of irritability or anger
  • Impulsivity
  • Contemplating hurting yourself or others
 
Coping Skills
Once stress begins impacting your life, it is time to get serious about learning coping skills.  When basic coping skills don't work, it is time to meet with a counselor to learn more advanced skills.  Here are some basic skills to practice:
  • Exercise – Regular exercise can reduce anxiety and improve overall mood.  Walking, dancing, rowing, biking, jogging, and swimming are all excellent choices.  Small changes can also improve activity. Park further from the entrance of work and stores. 
  • Social Interactions – Instead of texting, call or go out to socialize.  Meet friends at the gym, church activities, museum, or attend a special event. Find an activity that feels comfortable or enjoyable and do it with someone you care about.  
  • Healthy eating – Eating lean protein, fruits, and vegetables helps to regulate energy intake and improve stability of energy throughout the day.  Caffeine, sugar, and alcohol can all create spikes in energy that end in crashes.  The spikes in energy can be anxiety inducing and cause jitters. The crashes end up with you being less productive.  Diminished efficiency can result in getting behind.  This is just more to worry about. Healthy eating ends up playing a big role in our stress level.
  • Sleep - Good sleep is important for us to solidify memories and recuperate from the day before.  A lack of sleep and/or reduced quality of sleep can both end up causing anxiety the next day.  I know getting behind can causes stress, but our mind doesn't process information well when sleep deprived.  Adequate sleep is needed to be at our best.  
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Psychopath vs Sociopath Differences?

5/4/2021

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Psychopath

​In the clinical world of mental health, a sociopath and a psychopath are each classified as someone with antisocial personality disorder (ASPD).  These are individuals who cannot understand others' feelings.  In general, they have no guilt for doing harm.  They may be charming.  The terms sociopath and psychopath are often debated in academic circles, and many consider them to be the same thing.  Others apply small differences to the conditions.  
 
Shared behavior between sociopaths and psychopaths are:
  • Disregard for laws
  • Disregard for social rules or patterns
  • Disregard for the rights of others
  • No remorse
  • No guilt
  • Aggressive or even violent behaviors
 
Being selfish, acting out, or acting rebelliously are not, in themselves, cause for a diagnosis of ASPD.  However, if the symptoms are ongoing and are not altered by punishment or changes in lifestyle, the outcome is often different.  People with ASPD rarely if ever feel bad about what they are doing or how they are treating others. 
 
Sociopaths are generally nervous and can burst into anger easily.  They have few acquaintances and probably few to no friendships because they have difficulty maintaining relationships.  As a rule, they are less educated and frequently live on the fringes of society.  Crimes they commit are generally spontaneous. 
 
Psychopaths are very charming people and find it easy to manipulate others.  Because they are so charismatic, they seem disarming.  They are usually well educated and hold steady jobs.  While they do not form relationships, they learn how to imitate emotions.  They appear normal.  For this reason it can be difficult for a victim to realize they have been targeted.  Their crimes are very well planned and executed and plan for contingencies.
 
Psychiatric diagnoses usually center on the “nature versus nurture” theory.  Psychopaths are genetically predisposed to their behavior, while sociopaths are developed from childhood trauma or abuse.
 
To be diagnosed with ASPD, an individual over 18 must clearly demonstrate at least three of the following behaviors. 
  • Clear disrespect for social norms and laws.
  • Lies, uses false identities, and uses others for personal gain.
  • Avoids long-term plans; ignores consequences.
  • Aggressive behavior like frequent fights.
  • Ignores personal safety or that of others.
  • Ignores personal responsibilities like work habits or paying bills
  • Has no guilt or remorse for actions.
 
Other indicators can be:
  • Not learning from mistakes
  • Threats and intimidation
  • Frequent crimes
  • Unwarranted risks
  • Substance addiction
  • Inability to maintain relationships
  • For individuals younger than 15, animal abuse or cruelty
 
Both psychopaths and sociopaths are a risk to society and a danger to others in many cases.  Violence is not a required element for a diagnosis of ASPD but it is often found as a trait in those who have been so diagnosed.  Because of their ability to dissociate from others and lack of remorse, psychopaths are typically the more dangerous of the two.  Many convicted serial killers have been diagnosed as psychopaths.
 
Not everyone who has an antisocial personality disorder is a psychopath or a sociopath.  It is estimated that as much as 3% of the population has ASPD.  It is more common in males, those with substance abuse, and in prisons.
Psychopath vs Sociopath
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What Do Psychiatrists Do

4/27/2021

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Psychiatrist Purpose
Understanding the Role and Benefits of Psychiatrist-Led Mental Health Care

If you’ve ever felt overwhelmed, anxious, or emotionally stuck, you’re not alone. Mental health struggles affect millions of Americans every year. The good news is help is available, and psychiatrists play a central role in providing that help.

​What Is a Psychiatrist?

A psychiatrist is a medical doctor (M.D. or D.O.) who specializes in diagnosing, treating, and preventing mental health disorders. Just like cardiologists treat heart conditions and dermatologists treat skin problems, psychiatrists focus on issues that affect your mood, thinking, and behavior.

To become a psychiatrist, one must:
  • Complete four years of medical school
  • Finish a four-year psychiatric residency
  • Often pursue additional training in areas like addiction, child and adolescent psychiatry, or geriatric mental health

Because psychiatrists are physicians, they are the primary mental health providers trained to:
  • Evaluate both the mental and physical aspects of psychological problems
  • Prescribe medications to treat mental health disorders
  • Order lab tests or imaging studies to rule out medical issues
  • Coordinate care with primary care doctors or specialists

What Does a Psychiatrist Actually Do?

1. Diagnosing Mental Health Conditions
Psychiatrists use a mix of medical knowledge, clinical interviews, observation, and standardized tests to diagnose conditions like:
  • Depression
  • Anxiety disorders
  • Bipolar disorder
  • ADHD
  • PTSD
  • Schizophrenia
  • Substance use disorders

Accurate diagnosis is the foundation of effective treatment. A psychiatrist can determine whether symptoms are due to a mental health disorder, a medical illness, medication side effects, or even a combination of all three.

2. Prescribing and Monitoring Medication
Most people know that psychiatrists can prescribe medications like antidepressants, mood stabilizers, or medications for ADHD. But that’s just the beginning.
Psychiatrists also:
  • Select the right medication based on your symptoms, medical history, and lifestyle
  • Adjust dosages over time
  • Monitor side effects and interactions with other medications
  • Discontinue medications safely when they’re no longer needed

Studies show that psychiatrist-guided medication management leads to better treatment outcomes. According to a review in the journal Psychiatric Services, patients treated by psychiatrists had higher adherence to treatment and better symptom control compared to those treated in primary care alone.

3. Providing Psychotherapy (Talk Therapy)
Although some psychiatrists focus mostly on medication management, many are also trained in providing psychotherapy. This can include:
  • Cognitive Behavioral Therapy (CBT)
  • Psychodynamic therapy
  • Supportive therapy
  • Trauma-informed therapy

In complex cases, especially those involving trauma, personality disorders, or co-occurring medical conditions, psychiatrist-led therapy can help uncover root causes and develop long-term coping strategies.

4. Coordinating Care with Other Providers
Mental health doesn’t exist in a vacuum. Psychiatrists often coordinate with:
  • Primary care physicians
  • Therapists and counselors
  • School staff (for children and teens)
  • Family members or caregivers

This team-based approach improves safety, especially when medications are involved. For example, if a patient is being treated for diabetes and depression, the psychiatrist may work with the primary care doctor to avoid drug interactions and monitor for any mental health effects of physical illness.

5. Crisis Intervention and Hospital Care
In emergency situations, psychiatrists play a key role in evaluating and stabilizing patients who are suicidal, psychotic, or severely depressed. Many psychiatrists work in hospitals and provide:
  • Emergency psychiatric evaluations
  • Inpatient care for those needing round-the-clock support
  • Decisions about when it’s safe for someone to return home

Why Choose Psychiatrist-Led Care?

Psychiatrist-led care often results in better, faster, and safer outcomes. Here’s what the research shows:
1. Better Diagnostic Accuracy
According to a study published in The American Journal of Psychiatry, psychiatrists are more accurate in diagnosing mental illnesses compared to general practitioners. Misdiagnosis can delay recovery and may even worsen symptoms if the wrong medications are used.

2. Improved Medication Management
A study in JAMA Psychiatry found that patients who were treated by psychiatrists had significantly higher rates of treatment success when taking antidepressants. These patients also had fewer side effects and better long-term medication adherence.

3. Lower Hospitalization Rates
Patients receiving psychiatrist-led outpatient care had fewer psychiatric hospitalizations. A study in Psychiatric Services showed that patients managed by psychiatrists had a 25% lower risk of hospitalization compared to those managed in primary care settings alone.

4. Integrated Treatment for Complex Conditions
Mental health disorders often overlap with physical conditions. A psychiatrist can integrate treatment for:
  • Chronic pain and depression
  • ADHD and substance abuse
  • Bipolar disorder and thyroid conditions

This reduces the need to “bounce around” from one specialist to another.

Common Myths About Psychiatrists
Despite their training and value, psychiatrists are often misunderstood. Let’s clear up a few myths:
  • Myth: “Psychiatrists just hand out pills.”
    Reality: Most psychiatrists spend a significant portion of time listening, educating, and problem-solving. Medications are just one tool among many.
  • Myth: “You only need a psychiatrist if you're ‘crazy.’”
    Reality: Many people see psychiatrists for stress, anxiety, sleep problems, grief, or relationship issues. You don’t have to be in crisis to benefit.
  • Myth: “Seeing a psychiatrist means you’ll be on meds forever.”
    Reality: Many people take medication for a short time to stabilize symptoms, then taper off under supervision.

When Should You See a Psychiatrist?
Here are some signs it might be time to consult a psychiatrist:
  • You’ve been feeling sad, anxious, or irritable for more than two weeks
  • You’re having trouble sleeping, eating, or concentrating
  • You’ve lost interest in things you used to enjoy
  • Therapy hasn’t worked on its own
  • You’re using substances to cope with emotional pain
  • You’re having thoughts of hurting yourself or others

The earlier you seek care, the better the outcomes tend to be. Mental health conditions are highly treatable when addressed early.

Real-Life Example: Jessica’s Story
Jessica, a 34-year-old teacher, started experiencing panic attacks and insomnia after a difficult breakup. She tried seeing a counselor but didn’t improve much. Eventually, she saw a psychiatrist who diagnosed her with generalized anxiety disorder.

Her psychiatrist recommended a combination of an SSRI (a common type of antidepressant) and cognitive behavioral therapy. After two months, her panic attacks stopped. She continued therapy and slowly tapered off the medication after a year. Jessica now sleeps well and enjoys life again.

Stories like Jessica’s are common, and they illustrate how psychiatrist-led care can lead to meaningful recovery.

Access to Psychiatrists: What Are Your Options?

You can find psychiatrists in:
  • Private practices
  • Community mental health centers
  • University hospitals
  • Telepsychiatry services (online psychiatry)

At our clinic, Your Family Psychiatrist in Houston, we specialize in compassionate, evidence-based care. We offer both in-person and virtual appointments and treat children, teens, and adults.

We understand that reaching out can be hard. But taking that first step can make all the difference.

A Smart First Step Toward Mental Wellness
Psychiatrists are highly trained medical doctors who offer comprehensive mental health care. From accurate diagnosis to tailored medication management and therapy, psychiatrist-led care has been shown to lead to better outcomes than care without psychiatric oversight.

If you or someone you care about is struggling emotionally, a psychiatrist can help get you back on track. You don’t have to do this alone.  You don’t have to wait until things get worse.

Take the first step. Your mental health matters.
Houston Psychiatrist Purpose
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Mental Health Awareness

3/30/2021

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Houston Mental Health Awareness

​Mental health issues effect each one of us, every day.  Simple anxiety can escalate and systemic problems like schizophrenia are real illnesses just like a broken bone or cancer. 
 
By becoming aware of mental health issues you can develop a knowledge of the various factors involved in taking care of one's mental health.  Unfortunately there is still a significant stigma attached to mental health issues and diseases.  Awareness campaigns focus on productive discussions and acceptance of the reality of mental illnesses and how we can raise awareness and support those suffering from them.
 
There are a number of ways to get involved in mental health awareness:
  • Discuss mental health openly-  Sharing information on social media or through conversations is important. Just be sure the information you are sharing is based on real medical evidence and not common myths or stereotypes. 
  • Tools – There are other online blogs, screening tools, and telehealth services that offer anonymity and help others recognize symptoms as needing treatment.  Speaking about it at other wellness-oriented facilities like gyms could provide someone the impetus needed to get help.  Libraries or other public forums offer information about how to access resources in the community.
  • Support Advocacy – MHA and NAMI offer help lines and support for mental health issues. Through financial and volunteer efforts you can support these and other programs.  Encourage others to do the same.  Use social media like Facebook and LinkedIn to make others aware of the availability of help and to encourage mental health awareness.
  • Be a Friend – If possible, support any of your friends and acquaintances who you believe are having difficulty with mental health issues.  This includes those who are grieving, lonely or feeling lost.  Sometimes a friendly ear is all that is necessary.  Hearing others speak honestly about their problems can help them feel heard and respected.
  • Self Care – Take care of your own mental health.  Talk to your psychiatrist or counselor and read about new techniques and programs.  Practice wellness and participate in programs.  Take your mental health as seriously as you do your physical well being.
  • Legislative – In Congress there are pending changes to Medicaid and behavioral health funding.  Protecting funding and support for these issues is critical to continued services for many thousands of Americans.  Contact your legislative representatives and let them know how you feel about this problem and how their actions can help reduce the number of people suffering.
 
May is mental health month.  Celebrate it by spreading the word about the services available and how good mental health is important.  Don't restrict your work to a single month.  Continue the fight throughout the year to help others in need.

Mental Care in Houston
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Unique Coping Mechanisms for Stress

3/17/2021

123 Comments

 
Picture
Creative Ways to Feel Better, Backed by Science
​

Everyone feels stressed from time to time. Whether it's work, school, family life, or just keeping up with daily responsibilities, stress is a part of modern life. Too much stress, can lead to serious health problems like anxiety, depression, heart disease, and even a weakened immune system.

While many people know about common ways to cope with stress, like exercising, journaling, or talking to a friend, there are also some unique and creative techniques that can make a big difference. In this article, we’ll explore why stress matters and several unusual but research-backed ways to cope with it.

Let’s start by understanding why stress needs to be managed in the first place.

Why Is Stress Harmful?
Stress isn’t always bad. In small amounts, it can motivate us to meet deadlines or perform well under pressure. Chronic stress, stress that doesn’t go away, can damage the body and mind.

According to the American Psychological Association, 77% of people experience stress that affects their physical health, and 73% report stress that impacts their mental health.

When stress sticks around, it can cause symptoms like:
  • Headaches and muscle tension
  • Trouble sleeping
  • Digestive problems
  • Mood swings, anxiety, or depression
  • Weakened immune function

Over time, it increases the risk for conditions like high blood pressure, heart disease, and substance abuse. That’s why it’s important to have coping strategies or tools that help your body and mind respond in a healthier way.

What Makes a Coping Mechanism “Unique?
Traditional coping mechanisms include things like deep breathing, taking a walk, or venting to someone you trust. These are helpful and proven to work, but they don’t work for everyone.

Unique coping mechanisms are tools that might be a little different, less talked about, or more creative. They still help regulate emotions and reduce stress, but in ways that may be more engaging, personalized, or even fun.

Let’s dive into some of the most effective and unique options.

1. Grounding with Temperature Therapy
Changing your body temperature can have a surprising effect on your mood.
Ice Therapy: Holding an ice cube or dunking your face in cold water can help “shock” your nervous system out of a stress spiral. This works by activating the dive reflex, which slows your heart rate and calms the body.

🧊 Try this: Hold an ice cube in your hand and focus on the cold sensation for 30 seconds. Notice how your breathing and thoughts slow down.

Heat Therapy: Taking a warm bath, using a heating pad, or drinking hot tea also soothes the body. Warmth can increase serotonin, a feel-good brain chemical.
🛁 Fun Fact: A 2018 study found that people who took regular warm baths reported less depression and improved sleep compared to those who only used exercise as a treatment.

2. Scent-Based Stress Relief
Your sense of smell is directly connected to the emotional part of the brain called the limbic system. This makes scent a powerful tool for calming stress.

Aromatherapy: Lavender, peppermint, citrus, and sandalwood are some scents shown to reduce anxiety.
  • Lavender: Linked to lower heart rate and blood pressure
  • Citrus: Boosts mood and energy
  • Peppermint: Increases alertness and reduces fatigue

👃 Try this: Keep a small bottle of essential oil with you. When feeling stressed, take a few deep breaths while inhaling the scent.

📊 Study highlight: A 2020 review in the Journal of Affective Disorders found that aromatherapy significantly reduced anxiety in people with chronic health conditions.

3. Expressive Art and Movement
You don’t need to be an artist or a dancer to use creativity as a coping mechanism.
Doodling or Coloring: Coloring can create a calming, meditative state. Mandala coloring has been shown to reduce anxiety.

🎨 Try this: Spend 10 minutes coloring a pattern or doodling whatever comes to mind. Let your thoughts flow without judgment.

Intuitive Movement: This isn’t formal exercise. It’s about letting your body move freely to music or in silence. It could look like stretching, swaying, or slow dancing in your living room.

💃 Did you know? According to Frontiers in Psychology, movement-based therapies like dance and stretching can lead to lower cortisol (stress hormone) levels and improved mood.

4. Engaging in “Flow Activities”
Flow is a mental state where you’re fully immersed in a task, time seems to disappear, and you feel in control but challenged.

Some examples include:
  • Playing a musical instrument
  • Gardening
  • Cooking a new recipe
  • Building with Legos or puzzles
  • Playing video games with strategy elements

🎮 Research note: A 2021 study published in Computers in Human Behavior found that certain video games reduce symptoms of anxiety and depression, especially when they promote focus and problem-solving.

5. Laughter as Medicine
Laughter releases endorphins, relaxes your muscles, and even boosts your immune system.

😂 Try this: Watch a funny movie, listen to a comedy podcast, or talk to someone who makes you laugh.

📊 Scientific proof: A study in Alternative Therapies in Health and Medicine found that people who participated in laughter therapy sessions had lower stress levels, improved mood, and even reduced blood sugar in diabetic patients.

6. Using Objects for Tactile Relief
Some people find comfort in touching certain textures or using small objects to stay grounded.
Fidget Tools and Textures:
  • Stress balls
  • Kinetic sand
  • Velvet or soft fabric
  • Rubik’s cubes or spinner rings

These objects can provide sensory feedback that helps anchor you in the present moment.

✋ Fun Fact: Tactile input can lower stress by activating the parasympathetic nervous system, which slows your heart rate and relaxes the body.

7. Creating a “Safe Place” in Your Imagination
Visualization is a powerful technique used in therapy for trauma, anxiety, and panic attacks.

🧘‍♂️ Try this: Close your eyes and imagine a place where you feel completely safe. It could be a beach, forest, or your childhood bedroom. Picture the sights, sounds, smells, and feelings in detail.

🧠 Research insight: A study in Psychology and Psychotherapy found that visualization techniques helped reduce anxiety and increased emotional resilience in patients with chronic stress.

8. Practicing Micro-Meditation
You don’t have to sit in silence for 30 minutes to meditate. Short bursts of mindfulness throughout the day can be just as effective.

⏱️ Try this: Pause for 60 seconds. Take five deep breaths. Focus only on the feeling of air entering and leaving your body. Do this every time you get in the car, before you eat, or when you're waiting in line.

📊 Evidence: Research in Mindfulness Journal shows that even 3-minute breathing exercises reduce anxiety and improve mood over time.

9. Volunteering and Helping Others
Helping others is one of the fastest ways to reduce your own stress. It gives you a sense of purpose, increases social connection, and shifts focus away from your problems.

❤️ Ideas to try:
  • Write a thank-you note to someone
  • Donate to a food bank
  • Offer to walk a neighbor’s dog
  • Volunteer at a shelter or community event

📊 Harvard research shows that people who regularly volunteer have lower blood pressure, reduced depression, and longer life expectancy.

10. Talking to Yourself Like a Friend
Your inner voice matters. Harsh self-talk fuels stress. Kind, supportive self-talk builds resilience.

🗣️ Try this: The next time you’re feeling overwhelmed, ask yourself, “What would I say to a friend going through this?” Then say those same words to yourself.

📚 Study highlight: In one experiment from Clinical Psychological Science, people who used supportive self-talk had better emotional control and lower stress levels compared to those who were self-critical.

When to Seek Professional Help
While coping mechanisms are incredibly helpful, they don’t replace mental health care when it's needed. If your stress is:
  • Affecting your ability to function
  • Causing panic attacks, insomnia, or constant worry
  • Leading to substance use, isolation, or thoughts of self-harm

Then it’s time to reach out to a mental health professional.

Psychiatrists can help by:
  • Ruling out medical causes of stress symptoms
  • Recommending medications if needed
  • Offering therapy or referring you to a therapist
  • Creating a personalized plan for long-term stress management

Make Your Toolkit Personal
There’s no one-size-fits-all way to deal with stress. What matters is finding the tools that work for you. Some people love yoga; others hate it. Some relax with coloring books, while others prefer cold showers. That’s okay.

Your coping toolkit can be as unique as you are.

Try out a few techniques from this article and see what sticks. Add the ones that help to your daily routine. And remember stress is a normal part of life, but with the right strategies, it doesn’t have to control you.

At Your Family Psychiatrist in Houston, we help patients discover personalized ways to manage stress, improve mental health, and live more balanced lives. If you’re feeling overwhelmed, we’re here to help. Schedule a consultation today.
Stress Doctor Houston
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Impulse Control Disorder Symptoms

11/17/2020

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Houston Impulse Control Disorder Experts

Impulse control disorders (ICD) refer to the conditions characterized by difficulty in controlling emotions and behaviors. The behavior of the patient often violates the rights of others and results in conflict with the law and societal norms.
​
The common forms of impulse control disorders include oppositional defiant disorders, conduct disorders, kleptomania, pyromania, and intermittent explosive disorders. These disorders tend to coexist in patients with alcoholism or addiction to recreational drugs. [1]

Also, men are slightly more prone to develop impulse control disorders than women. Here is a brief discussion about the common signs and symptoms of impulse control disorders.
​
Core Symptoms of impulse control disorders
The extent to which impulse control disorders share genetic, clinical, biological, and phenomenological features is not fully understood. Yet, several ICDs share a few core qualities as given below:
  • Diminished or complete lack of control over problematic behaviors
  • An insatiable craving or appetitive urge prior to the engagement in problematic behaviors
  • Repetitive engagement in violent or aggressive behaviors in spite of adverse consequences
  • A hedonic feeling or quality experienced while performing problematic behaviors

These features of impulse control behaviors have led to a description of these conditions being behavioral addictions.

These disorders appear to have clinical overlap with compulsive behaviors and possess the domain of impulsivity and compulsivity. However, compulsivity and impulsivity usually occur simultaneously or at different times, thereby complicating our understanding of their behaviors.

What are the common signs and symptoms of impulse control disorders?
The symptoms vary depending on the specific form of impulse control disorder a patient has. They may also show varying sets of symptoms depending on their age, gender, and the environment they are surrounded by. [2]

The symptoms of these conditions can be grouped under different categories such as physical, behavioral, psychosocial, and cognitive as discussed beneath. 

Physical symptoms:
  • Burn marks on patients who engage in fire-starting tendencies
  • Presence of multiple scars and injuries from engaging in violence or physical fights or due to the episodes of aggressive actions
  • History of sexually-transmitted diseases resulting from risky sexual behaviors

Behavioral symptoms:
  • Compulsive lying
  • Tendency for stealing
  • Participating in risky actions including sexual behaviors
  • Starting fires
  • Acting violently or aggressively against people including family members, animals, property, and objects

Psychosocial symptoms:
  • Agitation
  • Irritability
  • Anxiety
  • Depression
  • Isolating oneself from family and friends
  • A feeling of low self-worth
  • Frequent episodes of emotional detachment

Cognitive symptoms:
  • Acting on impulse
  • Lack of logical thinking behind actions and behaviors
  • Inability to remain calm and patient
  • Obsessive thinking
  • Compulsive thought pattern

These symptoms of impulse control disorders are more intense in patients with alcohol addiction. However, it has been found that proper treatment of ICDs together with counseling can help to control the aggressive and impulsive behaviors to a great extent. [3] [4]

Conclusion
Being aware of the symptoms of impulse control disorders can enable patients to seek appropriate medical intervention and prevent the harmful consequences related to the same. Find a psychiatrist near you for help. 

References:
  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822522/
  2. https://www.resourcetreatmentcenter.com/behavioral/impulse-control/symptoms-effects/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2895996/o
  4. https://americanaddictioncenters.org/co-occurring-disorders/impulse-control-disorder
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Mental Health Evaluation: What to Expect

9/22/2020

7 Comments

 
mental health evaluation psychiatrist Houston

Are you new to therapy or want to look into different types of treatment for your recovery? You may have a few questions about the first steps to take? One of them may be about the mental health evaluation, which is a common, yet misunderstood initial step.
 
Yes, it can sound a bit intimidating, but this is a simple way for a psychologist, psychiatrist,  or other healthcare provider to know more about what you are currently going through. So read on to learn more about the mental health evaluation so you know what to expect!
Houston Mental Health Evaluation Center

What is a Mental Health Evaluation?


A mental health evaluation is like a psychological assessment. A medical professional, such as a psychologist, psychiatrist, or even family doctor, will perform the assessment. 
​
The evaluation could involve various components, including:
 
            •           Verbally answering questions
            •           Taking a physical test
            •           Completing  questionnaires
 
This is the first step and initial line of defense when looking for treatment for mental illnesses.  Other evaluation tools may also help professionals gain insight into one's personality.
 
No medical health professional will ever judge you for the results. They plan to work with you to help you understand and manage the symptoms that impact your life.
 
It may be a bit more comforting if you think of it as taking a medical test for a physical illness.  Let’s say, you suffer from physical symptoms. A doctor would order blood tests or X-rays to understand what causes your symptoms and develop a treatment plan for it.
 
Mental health evaluations do the same thing, with mental health professionals utilizing tools and tests to measure and observe behavior. Once they have the results, they will diagnose you and find appropriate treatments accordingly to the specific issues you have.

What Happens During a Mental Health Evaluation?


Mental health evaluations may have different components, such as behavioral observations, checklists, formal questionnaires, interviews, surveys, and more. The depth of the mental health evaluation will depend on the patient and what has to be assessed.
 
Usually, these evaluations take between 20-90 minutes, depending on why you are being evaluated. They can be done in-person or virtually, depending on your situation. Mental health evaluations online are becoming more common. 
​

The Types of Mental Health Evaluations

​
​To help you get a gist of what to expect from mental health evaluations, here are the different types:
 
       •          Physical exams are done to help determine if you have a physical disorder or neurological issue
       •         Lab tests may be done, such as blood work or a urine test to, again, rule out physical disorders. You might also be asked about medicine, drug, and alcohol use to confirm that the symptoms you experience aren’t side effects
       •       The medical health professional will ask about your mental health history and personal history. They’ll ask how long you’ve been experiencing such symptoms, the medical history of mental health, psychiatric treatments received, as well as personal history and traumas
          •           Mental evaluations will discuss your symptoms in more detail, focusing on your behaviors, feelings, and thoughts. Your healthcare provider will observe how you appear and behave as he/she asks you questions to get more detail
       •       The cognitive evaluation is different from the mental evaluation, with your healthcare provider gauging your ability to recall information, use sound reasoning, and to think clearly. 
         •        Self-evaluations or self-assessments are done to get to know your thoughts, emotions, among other symptoms before getting support. This will help figure out what therapy you need as well as a preferred communication style.
​

Mental Health Evaluation Near Me


Mental health evaluations are crucial to help determine what diagnosis you may have and what you need to treat your symptoms. Just make sure that a licensed professional will administer the assessments to get an accurate response and positive result.
 
If you would like to receive a mental health evaluation, do reach out to our office to find out more
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What Is Neuropsychological Testing?

9/15/2020

6 Comments

 
Houston Neuropsychological Testing
​Have you ever wondered, “what is neuropsychological testing and who is it done for?”
 
Read on to find out and immerse yourself into the world of neuropsychology, which combines our brain and behavior!
​

What Is Clinical Neuropsychology?

​Clinical neuropsychology is a field that has historical origins in psychology and neurology. A neuropsychologist would assess one’s brain functioning through structured and systematic observation of behavior. This is where neuropsychological tests come along.
Houston Neuropsychological Testing

What Is Neuropsychological Testing?

Neuropsychological tests are designed to help examine different cognitive abilities, such as one's speed of information processing, attention, language, memory, as well as executive functions, all of which necessary for behavior.

Neuropsychological testing began in the 20th century, which was when the modern field of neuropsychology started to emerge. It was Ralph Reitan, an American neuropsychologist, who stated the importance of such tests to help guide the systematic observations of the relationship between the brain and one’s behavior. 
 
Before using neuroimaging techniques such as the computed tomography and magnetic resonance imaging, professionals focused on the diagnosis. Because there weren’t many non-surgical methods to observe brain lesions and structural abnormalities in the living, the tests were the only way to see what part of the brain affected the patient.
 
When testing one’s cognitive abilities and examining their patterns of performance in various cognitive areas, neuropsychologists will be able to make inferences regarding the underlying brain function.
 
They would be able to help identify syndromes and disorders associated with that particular area of their brain. Furthermore, these tests can also be used as screening tests, for medical professionals to see if they require more extensive diagnostic evaluations. It can also be used in elderly people who have memory issues, so doctors can identify those who are more at risk for dementia compared to those who experience the typical age-related memory problems.
 
The tests are a vital part of assessing and treating neurological conditions, psychiatric disorders, traumatic brain injuries, as well as dementia. Furthermore, neuropsychological testing is a vital tool to examine the effects of different toxic substances and medical conditions on how the brain functions.

When Do You Need Neuropsychological Testing?

​One would require these tests when their doctor finds out if a neurological disease or recent injury might have affected their brain.
 
For instance, a concussion, or for patients suspected to have Attention Deficit Hyperactivity Disorder or ADHD. Other conditions that may affect the brain (and require neuropsychological testing) include:
 
            •           Alzheimer’s disease
            •           Dementia
            •           Epilepsy
            •           Stroke
 
And other neurological conditions, both minor and severe.
​What Is the Procedure Like?
There are different kinds of tests that can be done, depending on your medical history, the particular symptoms experienced, as well as the potential diagnosis.
 
One of the most common types of neuropsychological testing is a mere screening test. It's also known as mini-mental exams, which are usually taken during your first neurological office visit, then taken yearly afterward.
 
If it is clinically indicated, then you may take a computerized test, with the results collecting valid and accurate brain and behavioral clinical endpoints. These would give medical professionals information between the patient’s brain function (from the central nervous system) and behavioral/neurocognitive dysfunction.
 
Again, if clinically indicated, then there may be formal neuropsychological testing required, with a neuropsychologist. This is done in patients who have more serious causes of brain trauma and injury, or neurodegenerative diseases.
 
Wrapping It Up
I hope that this quick and informative guide answered your question, "what is neuropsychological testing?" Let this be the beginning of learning more about the wonders of neuropsychology and the connections between our mind and the way we act!
Houston Psychiatrist and Neurologist
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