Shirah Vollmer MD

The Musings of Dr. Vollmer

Fear of Abandonment

Posted by Dr. Vollmer on May 21, 2015

Why do we fear abandonment? How do we balance dependency with self-reliance? These are the core issues of happiness in that if we can feel both self-reliant and dependent then we have reached a sweet spot of confidence and pride. Psychotherapy promotes dependency on the therapist, while at the same time, stressing self-reliance as a goal post. This duality, by its nature, supports the notion that dependence and self-reliance are not mutually exclusive. The fluidity of self-reliance alternating with dependency is an art, which throughout life, and particularly through traumatic experiences is the challenge. Too much tilt in either direction leads to pathology and unhappiness.

Marnie, twenty-eight, comes to mind. She is very anxious to have relationships such that she creates fantasies in her mind which stem from brief  “hook ups”. Each brief encounter with a man gives her a feeling of security, short-lived, leading to a persistent cycle of these very brief connections. She is aware that she feels desperate and this solves her problem, but like the alcoholic who knows that alcohol is a problem, this does not translate into a change in behavior. Marnie and I work together to help her see herself deserving more, more stability, more love, and more stimulation, while at the same time we work on her appreciating herself and all of the qualities that she brings into a relationship. The work involves both an in-depth approach to her judgment as well as an in-depth approach to her lack of self-esteem. The more she can appreciate herself, the more likely she will find someone who she can appreciate. The big picture is clear. The work involves helping her tolerate difficult feelings without acting them out, without seeking immediate gratification. Gaining frustration tolerance is the key towards her maturity. Marnie has a bright future, but she has to reflect and not act in order to reboot her emotional life.

Posted in Psychotherapy | 2 Comments »

When Should Psychiatry Residents Learn Outpatient Psychiatry?

Posted by Dr. Vollmer on May 7, 2015

Most psychiatrists leave academic medical centers and practice in the outpatient setting, and yet, many four-year training programs do not begin to expose residents to outpatients until year three. Medical education has typically been skewed towards the notion that if you can treat the sickest patients, then treating less acute folks will follow easily. This has never made sense to me, as although I think it is critical to see severely ill patients to learn the scope of illness, it is also critical to learn the skills of dealing with less intense, but still troubling symptoms. More specifically, in psychiatry, outpatient psychiatry is a very different skill set than inpatient psychiatry. With hospitalized patients, the goal is to stabilize them so they can leave the hospital, typically in three to five days. Stabilizing means getting symptoms under control. By contrast, with outpatients the goals are to improve functioning at work and at home. Here the skill set requires stimulating the patient to care about himself such that he makes good decisions which yield a sense of fulfillment, or “to love and to work,” as Freud would say. The goal post changes over time, as the patient gains greater self-esteem and confidence. To learn outpatient psychiatry one needs to take a longer view of health, and as such, continuity of care is critical for learning. If outpatient work began in year one, then the resident would have the opportunity to watch both patients grow, and watch themselves grow as a clinician. Utilizing time, the four years of training, as a way to emphasize that change takes time and as such, time is critical to professional development. Psychoanalytic training adds on, with a high-intensity clinical demand, but it is not a substitute for the challenging transition from medical student to psychotherapist. My rant continues. Psychotherapy needs to be a valuable part of psychiatric training and more pointedly, it needs to start when the student becomes responsible for patient care. I dream of this world where psychotherapy returns to psychiatric training in a way which builds confidence in the residents. I know it is a dream, but maybe, just maybe, it can get some traction.

Posted in Psychiatry in Transition, Psychotherapy, Teaching, Teaching Psychoanalysis | 2 Comments »

Context

Posted by Dr. Vollmer on May 6, 2015

Drugs provide symptom relief, so a psychopharmacologist inquires about symptoms and provides medication. Yet, this makes no sense to me. Symptoms occur in a context, in a setting of relationships, childhood attachments and struggles of identity and meaning. If we, as psychiatrists, try to  put symptoms in a framework with personal meaning to the patient, and provide medication which offers symptom relief then we are providing comprehensive care. We must also understand the meaning of the medication for the patient.  On the other hand, if we only focus on symptom relief, we are making our profession narrow and limited. Yes, this is my rant. Yes, understanding context is time-consuming and expensive. And yet, if we do not attempt to help the patient have insight into his symptoms then we are colluding with the world of drive-through psychiatric care. We, as psychiatrists, must care about history, and we must encourage patients to care about that as well. I went into psychiatry because other specialists were too focused on disease and not the person with the disease. Psychiatry offered me a space to explore how the patient integrated his medical and psychiatric issues into the context of his personal story. Each symptom has a unique meaning to the patient, and inquiring about this meaning is the excitement and therapeutic aspect of my work. So, it is obvious why I am saddened that psychiatry, as a profession, has lost this curiosity. Symptoms, quite honestly, are not that interesting. How the patient manages with those symptoms never cease to be fascinating. Drugs are a great tool, as is good history taking. I am going to stick with that, while at the same time, mourn the change in my profession.

Posted in Psychotherapy, Psychoanalysis, Teaching, Teaching Psychoanalysis | 2 Comments »

The Initial Interview: Structured or Open Ended?

Posted by Dr. Vollmer on May 4, 2015

When meeting a patient for the first time, in an outpatient setting, should the interview be structured or open-ended, meaning should the doctor have a list of questions, or should the patient determine the flow of conversation? Physicians are taught to have more closed-ended questions in an effort to get through a lot of “material.” Psychoanalysts are more curious how the patient constructs his/her narrative. Being in both camps, a physician and a psychoanalyst, I tilt towards being curious about how the patient creates an impression of himself. Does he start with where he is born, his siblings, his parents, or the “here and now” issues, as Dr. Yalom labels the current complaints. Yet, medical training fights against narratives as the pressure towards electronic medical records, corresponding to billing pressures, forces the physician to ask very specific and limited questions. This aspect of EMR (electronic medical records) is yet another unintended consequence in that EMR changes how the physician obtains a history and in so doing, the narrative is short-changed. This has been my fear for some time, but chatting with newly minted physicians, my fears are confirmed. The art of listening to narratives, like reading books, or watching movies, is diminishing in this time of monetizing clicks for billing purposes. Can we bring back this narrative, the opportunity for the patient to speak in ways which convey his subjectivity, his vulnerabilities, transmitted through changing eye contact, switched subjects and tone of voice. Dreams too, are another avenue of rich exploration, lost to the physician struggling to make sure he/she does all the right boxes on the EMR. A utilization review person will poke them if a box is not checked, but if they fail to ask about the nature of the patient’s dreams, there is no immediate consequence. My rant persists. The loss of the patient narrative, listening to how the patient wants the physician to hear his life story, is tremendous, both for patients and for physician satisfaction.

Posted in Psychoanalysis, Psychotherapy, Teaching, Teaching Psychoanalysis | 4 Comments »

Do Therapists Have To Be in Psychotherapy?

Posted by Dr. Vollmer on April 30, 2015

Yes. Therapists having psychotherapy is essential to growing as a psychotherapist. The question becomes for how long, with whom, and should this be monitored, that is, should the therapist have a say as to whether the patient is qualified to be a psychotherapist? These are questions which have been battled for years. In many psychoanalytic institutes, historically speaking, the training analyst, those deemed qualified to be the therapist for therapists in training, were mandated to report to a committee if the patient was a suitable therapist. The confidentiality, the bedrock of the therapeutic relationship, was destroyed, and so most psychoanalytic institutes no longer require training analysts to report to progression committees. Many schools of psychology and social work require that the student be in psychotherapy with a therapist in the same discipline. Is this necessary? Why does a social worker have to see a social worker, when seeing a psychologist could be on par? It is one thing to go to therapy because something is bothering you and it is another thing to go as part of a training program. Should the trainee be told when to start and stop therapy, or should this be determined by the patient? As with psychotherapy, there are no known answers, only speculation about what makes sense. In a field with more questions than answers, this post should sound familiar.

Posted in Psychotherapy, Teaching, Teaching Psychoanalysis | 4 Comments »

Self Disclosure

Posted by Dr. Vollmer on April 29, 2015

Should I answer the question about where am I going on vacation? Should I attempt to explore where their fantasy tells them I am going? Should I tell my patients when I take off for a death in the family or should I say I need to change the appointment and remain vague? These are the questions that therapists struggle with, for which there is no answer, but only questions about technique which need to be bantered around to determine the course of action, knowing that the answer depends on the patient, the therapist, and the current issues in the therapy room. Orthodox Freudian analysts were clear that no question could be answered directly. Every question or concern for the therapist was, in their reality, a reflection of the patient’s narcissism. For example, if the patient says “I am sorry you were sick,” the Freudian analyst would respond, “yes, I am sure you were sorry because you worried that I could  not show up for you,” thereby turning a casual demonstration of concern into a self-centered question, where this is a false dichotomy because both can be true. Similarly, one can elicit the fantasized vacation and then disclose the actual vacation by saying, “I will answer that question, but first tell me where you imagine me on vacation.” More contemporary therapists easily disclose their marital status, their children and their current struggles, perhaps to the detriment of patient care. Too much self disclosure can subtly coerce the patient into being the caretaker, a role familiar to many patients, and in so doing, this recreates the early traumatic experience of not being listened to. Yet, too little self-disclosure can create a discomfort and distance which diminishes the patient’s trust in the therapist. To disclose where I go on vacation often has the unintended benefit of having the patient feel that he/she has “joined me” on vacation  and therefore feels less abandoned. Joy, a fictional patient, tells me that when I tell her where I am going on vacation, she looks at the map with great anticipation for me and my adventures. Joy tells me that if I did not answer where I am going on vacation she would worry that I am not safe. When I give her a specific location, then when she hears the news of a disaster, she immediately knows whether I am in the vicinity or not, and this helps her anxiety tremendously. I did not know, until Joy told me, how important my self disclosure was to her. Joy went so far as to tell me what restaurants I should go to and what sites I should see, based on her internet research, which I found very helpful and thoughtful. At the same time, I was aware that I needed to listen to Joy to hear how she felt, not just about my self disclosure, but about me telling her that I would be out of contact. She coped by helping me “get ready” for my trip, but at the same time, she feared that she might need me while I am away, and that caused her stress. For Joy, self disclosure was critical to her well-being, but it did not erase the uncertainty that I was giving her. I learned from Joy, that for her, telling her where I was going on vacation was important. As for my next patient, it is not so clear.

Posted in Psychotherapy, Teaching, Teaching Psychoanalysis | 2 Comments »

Teaching Psychotherapy

Posted by Dr. Vollmer on April 27, 2015

 

Do Psychiatrists need to learn Psychotherapy? This is the nagging question which focuses this blog. My answer is that yes, all psychiatrists, need to learn psychotherapy so that they can understand self-sabotaging behaviors such that when medications do not work,  when neuromodulation techniques do not work, then there is another framework in which to conceptualize human suffering. This alternative framework involves recognizing the importance of childhood relationships on adult mental frameworks. Privileging early developmental experiences as important aspects of “here and now” problems allows the therapist and the patient to deeply explore how the past impacts the present. If Psychiatric Residencies eliminate psychotherapy training then the toolbox narrows such that the field of psychiatry will be so focused on biological interventions that the vast majority of folks who have anxieties and chronic suffering will not benefit from the work of a psychiatrist. This narrowing of the field is my deep fear, not for myself or for my practice, but for my students who are entering into a world of huge student debt, along with tools which mainly focus on medication and neuromodulation. It is watching these students hatch from a University cocoon into the world that I shutter to think about the future of my profession. It is not that there are not exceptional young psychiatrists, but the majority are tuned to play very few instruments. Like a surgeon who does not emphasize physical therapy as an intervention, the future psychiatrist could limit him/herself to tools which help only a minority of patients. A surgeon should understand the benefits and limits of physical therapy, as the psychiatrist should understand the benefits and limitations of psychotherapy. However, a surgeon does not need to become a physical therapist to grasp the field, but the psychiatrist does need to do in-depth psychotherapy to appreciate the depth of human experience. The rant continues.

Posted in Psychoanalysis, Psychotherapy, Teaching, Teaching Psychoanalysis | 6 Comments »

Psychotherapy: Technique vs. Relationship?

Posted by Dr. Vollmer on April 23, 2015

The longstanding debate in the psychotherapy world centers around the issue that we, the providers, do not understand how we heal. At first pass, it might seem that this field is so uncertain, why would a person devote his/her life to work in which outcomes are vague, and mechanisms of therapeutic action are subject to deep speculation? As with all issues involving uncertainty, the management of “not knowing” involves “pretend knowing” meaning certainty when there is none, and/or embracing the opaqueness of what we do. These two camps, those who feel certain, without science to back them up, and those who coexist with the uncertainty, are antagonistic to one another. I tilt towards embracing complexity and “not knowing” and I begin to tremble at the sound of pseudoscience presenting as science. Having said that, it has felt intuitive to me that people get better through relationships, be that marriages, friendships and/or psychotherapy. Feeling understood and cared about provides the soil in which growth can take place. Yet, one can challenge me and ask that if the most important aspect of psychotherapy is the relationship, than why do I teach “technique” in that most relationships evolve over time without structure or rules. Technique, by my way of thinking, is a litany of structure and rules which is woven together with a therapeutic relationship, resulting in a thoughtfulness about applying or not applying the rules. In other words, there needs to be guidelines in psychotherapy which stimulate the therapist to decide if and when to deviate from those suggestions. Issues such as self-disclosure, doing a home visit, working from home, are all issues which question orthodox views of psychotherapy, and yet with thoughtfulness these rules can be broken with great therapeutic success. The rules promote thinking about thinking and in so doing, therapists need to be taught about how to think about the patient and him/herself at the same time. Two minds engage together, a relationship forms, but the patient is focused on his/her mind, while the therapist is focused on both minds. The asymmetry follows from this thinking pattern, and with this asymmetry the patient learns to trust his/her therapist as someone who is mindful to take care of himself (the therapist) and the patient. This trust that the therapist will neither be a martyr or self-centered allows the patient to explore his/her mind. The relationship, the feeling of mutual caring, with these assigned roles, gives way to introspection and mastery over unconscious motivations. The work is hard because generally speaking, the relationship is necessary but not sufficient for growth. For growth, learning technique is essential. And still, at the end of the day, there is a lot we do not know.

Posted in Psychotherapy, Teaching, Teaching Psychoanalysis | 6 Comments »

Uber for Doctors?

Posted by Dr. Vollmer on April 20, 2015

Imagine an application in which you want to reach out to a physician, and like searching for a ride on uber, you press on your phone, you pay $45.00 and you ask the doctor a question. The doctor, like the Uber driver, responds promptly, and the application and the doctor make a small amount of money, for a small amount of time, and little by little, there is money to be made, and health care to be delivered. The word delivered is key, as the changing face of medicine is changing what health care delivery means. This is our new world of “population health” where for most people, their questions can be answered and the “patient” or “user” feels reassured and can lower his/her anxiety, but very occasionally, a serious health problem will be trivialized and catastrophe will ensue. Those of us trained before Electronic Medical Records were trained to search for the serious problem, so as never to miss the rare, but serious, disorder. More recently trained physicians are taught how to make most people well and stay well, with much less concern for the “zebras” as we used to call them. This major shift from thinking about population to thinking about zebras allows health care applications to provide an Uber-like service, of almost instant gratification, for a relatively nominal fee. I can imagine that insurance companies would buy these applications and direct patients to an email conversation before making an appointment. I can imagine that most of the time that works extremely well, both cost efficiently, and time efficiently. Yet, some “users” will not be able to convey the seriousness of their symptoms, and in those time urgent medical situations, irreversible damage can happen, tragically, and preventable if the patient had been in an emergency room. The future of telemedicine has arrived with the introduction of the Apple watch on 4/24. Health care is a major selling point to the accessibility of the internet on one’s wrist. The watch will be able to transmit medical data to physicians electronically. Our society will slowly be trained that medicine can be done remotely and, again, most of the time this is true. I worry about the times which are not most.

Posted in Psychiatry in Transition | 2 Comments »

“Introspection is always retrospection” (Sartre)

Posted by Dr. Vollmer on April 17, 2015

“Introspection is always retrospection.” One cannot think unless one reflects on previous experiences and hidden pathways to current feelings and motivations. Trauma and Evie come to mind. Evie witnessed her brother get shot in the back by a policemen. Since that fateful day, when she was thirty-two, Evie was a changed person. At first she was numb and went through the motions of life, caring for her young children. Then, what seemed suddenly, she became depressed and suicidal. Suddenly after that, she bounced into an enthusiastic and highly creative and energetic behaviors. Did Evie, at the age of thirty-two have an onset of Bipolar Disorder or is all of her behavior explained by trauma, or is there some combination? If one just looks at current behaviors, then Bipolar Disorder might make sense, but in the context of a major trauma, PTSD might also make sense. How much retrospection is necessary to diagnose psychiatric illness? Can symptoms be taken out of context to give someone a life long diagnosis? Is the only reason moods change suddenly is secondary to a bipolar disorder? Can sudden mood shifts represent an instability of personality due to either recent or past trauma to the soul? The value of retrospection, searching for past clues, to explain current behavior cannot be overstated. Triggers of abnormal behaviors can be recent or buried in the past, arising in one’s mind as a painful memory, long suppressed, but now coming to light. Do we need to bring Philosophy into psychiatric training to remind trainees that the mind is more than a series of chemicals which can be altered by medication? Do we need to bring Humanism, the concept of the everyday struggle for meaning, and importance, into the mind of the psychiatrist who may be very trigger happy to diagnose and treat, before carefully considering the landscape? Just as the police officer pulled that trigger way too soon on Evie’s brother, maybe psychiatrists, in a similar fashion, are too quick to judgment. With time and careful thought, understanding can happen. People, like Evie’s brother, and Evie, can be humanely treated and brought to a place of compassion and growth.

Posted in Psychiatry in Transition, Psychotherapy, Teaching, Teaching Psychoanalysis | 4 Comments »

 
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