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I am a board-certified psychiatrist with a full-time office practice in San Francisco, California.  My 20 years of experience includes a strong academic component: I have served on the teaching faculty of three Bay Area medical centers, I have a background in psychiatric research, and I currently serve as chair of the CME (continuing medical education) Committee at the hospital where I continue to teach courses to psychiatry residents.  My clinical practice skews toward dynamic psychotherapy, although I also prescribe medication when indicated, and am open to other approaches.  I have a longstanding interest in psychiatric and medical ethics, and a healthy skepticism of commercial influences on medical practice. I added this blog to my practice website in the fall of 2008. It allows me to write about aspects of psychiatry that interest me, and it also serves an educational function for patients, would-be patients, and the general public.  I moved it from Blogger to Wordpress in June 2009, and then to Squarespace in May 2015.

Topical, civil comments on the posts are welcome from anyone.  You don't have to register, and you may comment anonymously if you wish.  Please use your own discretion about identifying yourself.

Comments are moderated, which means I read them before they appear on the site.  (Also, a great deal of commercial spam is filtered out of the submitted comments.)  You can use this moderation process to leave me a non-urgent message.  For example, to suggest a topic for a future post, or to ask a general-interest question pertaining to psychiatry or mental health that I can address in a future post, you can do so by commenting on any post and including a clear message that your comment is not intended for publication.  Note:  This is not a good way to reach me urgently.  If you are a patient of mine, or are thinking about becoming one, call my office instead.

Unless you clearly specify otherwise, I assume all submitted comments are intended for publication.  Before posting a comment that shares personal issues or touches on sensitive matters, please consider whether you'd like a large population of strangers to read it, even anonymously.  I may edit or delete comments that are slanderous, obscene, very lengthy, or just reflect very poor taste.  I also consider it impolite for commenters to condemn the very existence of the field being discussed, or to assume evil intent by its practitioners.  Thus, while I am happy to engage readers who are critical of specific aspects of psychiatry — I may very well agree with you — this blog is not a soapbox to proclaim psychiatry worthless or evil as a whole.  You're free to express that view, you just can't use my blog as your mouthpiece.

Since late 2009 I also have a blog called "Sacramento Street Psychiatry" on the Psychology Today site.  All of those posts also appear here.  In early 2014 I started cross-posting to KevinMD as well.

Thanks for reading.