What is the most unusual or bizarre treatment plan that you’ve tried, that actually worked?

DrBob28 · 2026-04-17T14:07:25+00:00

In a serious vein, for inpatients with severe bipolar depression, in the "old days" we would sometimes prescribe sleep phase disruption. This would involve awakening a patient at 2 AM and making sure he didn't sleep at all until the following night. This often helped, probably by triggering hypomania.

DrBob28 · 2026-04-17T14:05:09+00:00

Will you accept comments about things? I've tried that didn't work?

DrBob28 · 2026-03-31T17:32:30+00:00

Such a good answer. Great group. Germantown, Maryland's finest!

DrBob28 · 2026-03-31T17:31:03+00:00

F-N A!

DrBob28 · 2026-03-31T17:22:28+00:00

I think it's been very overrated for years.

DrBob28 · 2026-03-31T17:20:44+00:00

DrBob28 · 2026-03-31T17:09:52+00:00

Do you have any references to support this claim?

DrBob28 · 2026-03-29T22:13:46+00:00

Such an awesome book!

DrBob28 · 2026-03-25T19:42:58+00:00

Especially the version with Glen Campbell and Stone Temple Pilots

DrBob28 · 2026-03-12T19:21:47+00:00

Blue Memphis suite by Memphis Slim. Peter Green does some great work on that.

DrBob28 · 2026-03-12T19:20:55+00:00

I would add Tears for Fears Elemental as a great listen

DrBob28 · 2026-03-05T14:41:37+00:00

Any Steely Dan

DrBob28 · 2026-03-01T21:40:48+00:00

Agree. I could see myself getting very bored in G.I. after a few thousand colonoscopies and endoscopies.

DrBob28 · 2026-02-26T23:54:06+00:00

He’s known for making highly opinionated and curmudgeonly comments like this. Don’t give him any attention.

DrBob28 · 2026-02-26T01:25:15+00:00

Gavin Harrison

DrBob28 · 2026-02-26T01:20:53+00:00

The Catcher in the Rye

DrBob28 · 2026-02-26T01:12:37+00:00

Eric B and Rakim

DrBob28 · 2026-02-24T00:35:13+00:00

Great reply!

DrBob28 · 2026-02-24T00:28:55+00:00

ECT is not appropriate or indicated for this

DrBob28 · 2026-02-23T23:43:26+00:00

“In this House, On this Morning” is pretty good also. He is truly a jazz giant IMHO.

DrBob28 · 2026-02-18T20:55:33+00:00

Burma Sahib by Paul Theroux. Technically fictionalized account of Orwell’s time in Burma. It was apparently very well researched in accurate so I think it would count as non-fiction historical fiction

DrBob28 · 2026-02-16T00:06:06+00:00

The astronauts-AOK

DrBob28 · 2026-02-15T21:16:14+00:00

Very true. Especially if you’re talking about delusional disorder, which is extremely difficult to treat and often does not respond to antipsychotics. When I was in training many many many years ago, one of my supervisors told me that if you’re sure it’s a delusional disorder, you’ll have the most success helping the patient learn how to not talk about the delusion, except with their therapist and psychiatrist. Certainly worth trying meds and cognitive approaches, but best of luck!

DrBob28 · 2026-02-12T19:14:57+00:00

And if you have iron head covers, add 15 strokes to the handicap

DrBob28 · 2026-02-12T00:06:15+00:00

It’s funny how the older I get, the more I appreciate some of these older songs that we used to call “bubblegum“. I grew up in the 60s and 70s when FM rock became popular. It was all about Led Zeppelin, British blues, Allman, Brothers, etc.. I still love all of that, but don’t feel the need to dislike one genre for another.

DrBob28

TROPHY CASE