Psychiatric Times September 16, 2021
Nat Mulkey, MD

During the first day on the job, a psychiatry resident sees patients who need help, but there are problems with the system designed to help them.

It was my first overnight call shift, and I had just gotten a page for my third Emergency Department (ED) consult. I was the on-call psychiatry resident at the hospital, meaning I saw anyone coming into the ED due to a mental-health-related crisis. Many things can be categorized as mental health crises, but they are often cases dealing with suicidal thinking or action, psychosis, mania, and drug or alcohol use.

About 10 minutes after I got the page, I was sitting in the patient’s room listening to them describe the events of this past...

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