Abstract
6:30am: National Public Radios (NPRs) Jean Cochran heralds the morning news on my clock radio. Quickly, I hit the snooze button, hoping my Golden Retriever did not hear her voice, but no luck. About 15 seconds later, a cold, wet nose is nudging my arm. The morning routine is streamlined to a science. In the next hour, I get ready for work, quickly check overnight e-mails and phone messages, walk the dog to doggy daycare, then continue on my hilly trek to the hospital (this is San Francisco after all). 8:00 a.m.: The day begins with psychodynamic psychotherapy supervision. We discuss the case presentation Ive been preparing for next weeks grand rounds. My supervisor knows about this complicated patient well, as weve discussed her management at length over the past 8 months. I show him the PowerPoint presentation I prepared over the weekend and review some of the modifications made for the presentation. At 5 minutes before the hour, he wishes me well on the presentation, and I sprint several buildings over to spend the next 2 hours seeing consecutive medication management patients: a 44-year-old man with schizophrenia; a 72-year-old widow with depression; a 33-year-old woman with bipolarPreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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