Apr 8, 2015 · Calzones: Proceed as Indicated
Feb 25, 2015 · Sourdough Lungs: An Anatomy Primer
Dec 17, 2014 · DBT - The Tastier Version!
I’ll admit sometimes I eat brownies for breakfast. If they happen to be out, and I’m whirling through the kitchen to get dressed and upright on the moped and into the hospital, I’ll grab a brownie and chase it with a pot of coffee.I’m getting help. Actually, I’ve invented my own Crisis Hotline for others. I call it Dialectical Brownie Therapy (DBT), an adaptation of a cognitive treatment known as dialectical behavioral therapy, and I’ve been learning to practice on my current psychiatry rotation. For my version of DBT, as in real Dialectical Behavior Therapy, the goal is to seek a synthesis between two extremes, between feeling overly controlled and feeling out of control. When I eat brownies for breakfast, I get caught in the Hegelian dialectic between 1) my own out of control emotional vulnerability of wanting the goodness of a gooey brownie regardless of the health consequences and 2) the over controlling invalidating environment that shames me for wanting to eat chocolate for breakfast and oversimplifies the ease of reaching for the banana or granola instead. I get caught between blaming myself and blaming others for the problem of brownies for breakfast. Only after significant work at distress tolerance did I arrive at a revolutionary conclusion: I am fine to have brownies for breakfast (acceptance) AND the brownies need to be radically different, healthier (challenge). [...]
Oct 28, 2014 · Keeping Surgeons Nice with Maple Pumpkin Spice!