How to Contribute

If you learn of material that might contribute, including updates of what we already offer-- or if you care to submit an account of your own experience that address any of these categories, please write to us. We are interested in receiving personal narratives that can appear as anonymous postings and that address these matters. For further information, see guidelines [#6]] to submit narratives or recommend blogs or related websites or write to Douglas H. Ingram, M.D.

Below are the areas we hope to include. For some of these areas, we have already provided blogs, articles, or personal narratives. We are seeking to add to expand those areas, as well as populate those that remain unaddressed.

Adaptation to Age and Retirement 
Recognizing and Addressing Burnout 
Cultural dislocation (the immigrant psychiatrist) 
Early Career Psychiatrists
Ethical/moral concerns
Family matters: divorce, illness, and loss
Financial concerns 
The Burden of Illness
Impairment (medical, psychiatric, cognitive) 
Insurance problems
Issues associated with gender/sex orientation
Surviving Litigation
Managed care
Military psychiatry
Pregnancy and child rearing
Prison psychiatry
Professional isolation
Racial and ethnic discrimination
Residents add Kim’s resource
Sexism and sexual harassment
If You Are Stalked 
Substance abuse 
When a Patient Suicides 
Suicide (colleague, friend, family member)
V.A. psychiatry
Workplace abuse, including bullying

Guidelines and Contributions

Guidelines for Submission of Links, Articles and Blogs

Links to sites, blogs and other material available to the public may be included. Permission is required for material that is under copyright.

This site offers supportive material for psychiatrists burdened by stresses, professional or personal. It is not aimed at the science of what we do professionally or how to address clinical matter. Rather, it aims to address emotional struggles that we, as psychiatrists, may encounter. For example, although there is certainly value in appreciating why a psychiatrist may have wrongly discharged a patient from an emergency room, our aim is to address the emotional burden subsequently experienced by the psychiatrist.

We recognize that circumstances may have occurred in the completed past, such as a decision to hospitalize a patient that resulted in stressful consequences for the psychiatrist. Other circumstances may continue into the present, such as illness, disability, and burnout.

Guidelines for Submission of Personal Narratives

Unless otherwise stipulated and justified by the author, personal narratives are anonymous and, if necessary, disguised to protect the author's privacy.  Authors need to approve the actual text that is to appear on the website and acknowledge awareness that the website is available for public viewing.

Submitted narratives will be reviewed [by the project's chair] for acceptability.  [At least one other reader will need to approve the text submitted.  As much as possible, reviewers will be blinded to the submission’s authorship.] Submissions may be returned for possible revision and resubmission.

Stresses associated with specific instances of challenging case material or countertransference reactions are not within the scope of this project.

The criteria for acceptance are, as follows: 

  • Does the quality of writing generally meet professional standards? 
  • Is the submission likely to be experienced as supportive to a reader stressed by the same or similar circumstance?  (Support, here, is understood in its broadest meaning, referring to a quality of compassionate engagement with the reader that appreciates the depth of emotional and cognitive turbulence.)
  • Does the submission avoid explicitly prescriptive directive?  For example, the author may say, "This is what I did or how I thought of this," not, "This is what one should do or how one should think about this." 
  • If applicable, does the submission present a psychoanalytic/psychodynamic/psychiatric insight or approach, at least in part?  How does being a psychodynamic psychiatrist throw light on understanding and dealing with stress?
  • If applicable, does the submission anchor the commentary on at least a single reference in the available literature? 
The American Academy of Psychodynamic Psychiatry and Psychoanalysisy
Executive Director: Jacquelyn T. Coleman, CAE
One Regency Drive - P.O. Box 30 - Bloomfield, CT 06002
Tel: 1-888-691-8281 - Fax: 860-286-0787 - E-Mail: