Teenage Wasteland

“Out here in the fields
I fought for my meals
I get my back into my living
I don’t need to fight
To prove I’m right
I don’t need to be forgiven

Don’t cry
Don’t raise your eye
It’s only teenage wasteland”

- Lyrics from The Who, “Teenage Wasteland”

Dogatonic

I just got home from my second day of adolescent boys inpatient psychiatry rotation. I have actually been surprised by how much I’m enjoying this rotation. My only prior experience in child psychiatry was seeing children and adolescents in the psychiatric emergency room. I thought that I hated child psych. However, I’m now realizing that I was a bit mistaken. In the ED, you’re pressed for time, and child psych evaluations take a ton of time. In addition, the majority of the patients I saw were not in need of acute psychiatric treatment. Many of the children and teens I evaluated had behavioral or non-psych issues. However, the teenage boys whom I’ve evaluated on the inpatient unit are validly mentally ill. They are tough cases, but perhaps I feel a little less frustrated because most of them need medications, and medication is what I have experience with.

Either way, I think I’m going to enjoy this month of treating teenage boys. Perhaps it’s because I still remember what it was like to be a confused, frustrated teen. But I feel this strange connection with my patients and am enjoying working with them. I’m learning. I’m doing. I’m back in my groove.

Tomorrow, I’m on call at another hospital doing psychiatric consultation and liaison cases. And then I have a well-deserved two days off for the Labor Day weekend. Yaaaaaaay!

Photo: My doggy Molly post-run in her “dogatonic” pose.

Part of My “Doggy Doos” Photo Series

  • Jon

    If I had seen you as a teenager my whole life would have probably turned out better. Unfortunately you hadn’t been born yet. This is why my time travel research is so important. When I take pictures of my cats sleeping like that, it is referred to as “kitty porn”.

    • http://doctorpsychobabble.com Dr. Psychobabble

      you just made me laugh so hard that i spewed wine from my nose onto my keyboard. thanks!

  • Jon

    If I had seen you as a teenager my whole life would have probably turned out better. Unfortunately you hadn’t been born yet. This is why my time travel research is so important. When I take pictures of my cats sleeping like that, it is referred to as “kitty porn”.

    • http://doctorpsychobabble.com Dr. Psychobabble

      you just made me laugh so hard that i spewed wine from my nose onto my keyboard. thanks!

  • Yoyo

    Does it bother you to prescribe psychotropic meds to kids?  Do you think it is done unnecessarily in many cases?  I did a rotation in outpatient child psych and that is all it was.  Say hi and prescribe meds.  Really?

    • http://doctorpsychobabble.com Dr. Psychobabble

      That’s a really good question. Actually, it does bother me to prescribe psychotropics to children. I’m actually one of those docs who prefers not to medicate patients unless it’s really necessary. I’m not sure how I will handle outpatient adult psych, and outpatient child psych in the future (all my experience has been inpatient so far). But the kids I’ve seen on the inpatient psych unit are all very, very ill, (most of them are psychotic) so I’ve prescribed psychotropics fairly comfortably. But we shall see what happens when I reach the outpatient world…

  • Yoyo

    Does it bother you to prescribe psychotropic meds to kids?  Do you think it is done unnecessarily in many cases?  I did a rotation in outpatient child psych and that is all it was.  Say hi and prescribe meds.  Really?

    • http://doctorpsychobabble.com Dr. Psychobabble

      That’s a really good question. Actually, it does bother me to prescribe psychotropics to children. I’m actually one of those docs who prefers not to medicate patients unless it’s really necessary. I’m not sure how I will handle outpatient adult psych, and outpatient child psych in the future (all my experience has been inpatient so far). But the kids I’ve seen on the inpatient psych unit are all very, very ill, (most of them are psychotic) so I’ve prescribed psychotropics fairly comfortably. But we shall see what happens when I reach the outpatient world…