Although heroin-then known as diacetylmorphine-was first derived from morphine in England in 1874, it was the Bayer company in Germany that saw its commercial value as a cough remedy and pain reliever.
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Dr. Fishman, you are boarded in both internal medicine and psychiatry, and have gone on to specialize in pain medicine. Can you outline your basic approach to pain symptoms in a psychiatric patient?
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When a patient tells you that she has fibromyalgia, what should you, a psychiatrist, do? Should the diagnosis alter your treatment in any way?
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Here's a fairly typical scenario: An elderly woman comes to you as a referral from her PCP for the treatment of depression and anxiety. She hands you a well-worn 3-by-5 card with her meds listed in shaky handwriting.
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Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.
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