Ask the Doctor

By Stephen Goldfinger, M.D.

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Dr. Goldfinger is Vice Chair of Psychiatry, State University of New York, Health Science Center, Brooklyn, where he oversees the clinical services at King's County Hospital, the University Hospital, and the department's outpatient clinics. Dr. Goldfinger's career has focused on providing services to the most severely disenfranchised and disaffiliated populations; he is a tireless advocate for the most severely mentally ill.

Related site: another Ask the Doctor column at the NAMI NYC Metro site

November/December 1998
"Those who may have spent decades in lives of isolation, confusion, dependence and curtailed activities ... cannot help but struggle with who the real them is, and which is the real world."

May/June 1999
"Too often, both physicians and patients collide in what I sometimes think of as "the dance of medication prescribing." The doctor pretends that, as might be the case with antibiotics, there is an exact dose of medication that is perfectly right for YOU. You pretend that you are taking exactly that dose, and each med visit, each of you does another step in the dance."

July/August 1999
(Part 1) "For the last couple of years... my doctor has prescribed both an anti-psychotic medication and an antidepressant. For almost all of this time, it's been really hard for me to have sex. I'm very, very frustrated."

November/December 1999
(Part 2) "diagnoses of schizophrenia or other psychoses do not mean an end to sexuality. However, mental health professionals have long acted as if individuals with chronic psychiatric disorders somehow become -- or are expected to become -- asexual."

July/August 2000
"I have schizophrenia and have been practicing yoga and eastern philosophies for almost 20 years ...  do I not have a right as an American  to practice my religious beliefs outright?"

November/December 2000
"We Docs Have A Lot To Learn: Tell me about times when your doc acted like a total jerk, or times when you lied, or misrepresented what you were doing."

April/May 2001
"All of the older medications were developed by testing to see how effectively they block dopamine in test tubes or laboratory animals."

Weight Gain and Diabetes Risk with Psychiatric Medications

"[If you've had a lot of weight gain from antipsychotic medications, continuing with these medications].is the safest from the point of view of your emotional condition, but may cause health problems later on."

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