Road Back from Hell Archive

Posted on January 31st, 2013 by Mark Goulston

After thirty two years of being a psychiatrist and psychotherapist, I am embarrassed to say that I was confused about a number of things that made me less effective than I could have been. I didn’t do it intentionally, but to any patients and their families that I worked with without knowing the following, I apologize and want to tell you that there is still hope.

What I didn’t see clearly were the distinctions between Psychiatry, Psychotherapy, Counseling, Psychosocial Rehabilitation, Mentoring.

Read the rest of this entry »

Posted on October 17th, 2011 by Mark Goulston

As a psychiatrist I am on a constant quest to better understand (in hopes of better treating) those ailments of the mind that can cause what my late mentor, and suicide pioneer, Dr. Edwin Shneidman, referred to as “psychache” and by that meant, “general psychological and emotional pain that reaches intolerable intensity.” Read the rest of this entry »

Posted on July 27th, 2011 by Mark Goulston

When you listen for the pain, hurt and fear in people, it is always there.
And when people sense you doing that with no other motive than to alleviate all of those,
they will lower their walls and reveal them to you.
- Dr. Edwin Shneidman (1918 – 2009) American Psychologist, Suicidologist and mentor

“You listen into people’s eyes,” Doc Barham told me.

I said: “What?” Read the rest of this entry »

Posted on May 8th, 2011 by Mark Goulston

This blog entry is the follow up to a previous one entitled: Betrayal – The Wound that Will Not Heal for Women and was written during half time of Game 4 between the Dallas Mavericks and Los Angeles.

A significant percentage of men
who feel and act suicidal
and sadly commit suicide
either have been or about to be humiliated

My psychiatric colleagues may hammer me for this because I haven’t met this person, but the heck with them if this will help.  I am a passionate Lakers fan and have the utmost admiration for Phil Jackson and continue to be amazed by Kobe Bryant, but I am worried about and for Pau Gasol. When I look into his eyes, I see uncertainty and when he gets fired up, I see it only lasts briefly.  I certainly didn’t see any lasting “fire in the belly” and I don’t even see fear.  What I have seen (and for some time) is the possibility of untreated clinical depression.


My worry is that with so much criticism, disappointment and anger coming his way, that wherever he turns he is apt to feel embarrassed, if not humiliated.  And that can be a lethal combination. Read the rest of this entry »