During my residency, I witnessed firsthand how medications had an important — and sometimes life-saving — role in the treatment of psychiatric problems. At other times, unfortunately, I could also see its limitations as well as the associated risks and side effects.
Early in my training, I was naturally drawn towards holistic approaches to treatment, but I did not have the exposure required to know how to pursue a career in integrative medicine, let alone know that such a field existed and was accessible to an allopathic-trained physician.
In the middle of my residency in 2003, I attended a course called “Natural Remedies for Psychiatric Disorders: Considering the Alternatives” at Massachusetts General Hospital. I was eager to apply these newly learned strategies. However, without the professional experience or mentors to model how to integrate this knowledge into practice, it would take me some time to apply these approaches into my work with patients.
Later in my residency, a more senior and well-respected psychiatrist under whom I trained to practice ECT discussed a case with me in a which a patient with life-threatening, treatment-resistant depression had found relief when his treatment was augmented with SAMe and other nutrients. I also attended a retreat for residents in which we engaged in meditation and received acupuncture treatments. Later, as a Fellow, I had the fortune of working with a highly respected psychiatry supervisor who was trained in Qigong and offered introductory experiences to trainees. At the time, these practices were quite foreign to my otherwise very conventional training, but they served as breadcrumbs that I followed to begin my path towards integrative medicine.
In 2013, after practicing for several years after I completed my fellowship training, I was able to connect with like-minded colleagues and finally found a community with whom I could continue to explore and nurture my interests in holistic medicine. I pursued certification through the American Board of Integrative Holistic Medicine and my journey was catapulted. I was enthralled with everything that I had learned, and fulfilled that I was applying all of the medical knowledge in which I had invested in medical school. Over the years, I have delved into multiple trainings and certifications in clinical nutrition, functional medicine, Ayurveda, hypnotherapy, auricular acupuncture, meditation, mind-body medicine, and integrative psychiatry. I pursued fellowship training in functional psychiatry when it was offered by Dr. James Greenblatt through Psychiatry Redefined beginning in 2018. My learning is ongoing and I can not imagine practicing psychiatry without these approaches in my toolbox.