Welcome!

My name is Scott Zentner, aka "Doctor Z" to my patients. I'm a board-certified psychiatrist in Monroe, Louisiana, which also happens to be my hometown.

Why am I here? Quite frankly, to offer a little common sense and balance to what are largely philosophical debates over the causes and cures of various mental health problems. It's my view that these unresolved squabbles have divided the psychiatric profession into polarized camps, with historically a psychoanalytical or neurobiological bias dominating in alternating fashion. Though Psychiatry has made valuable contributions to society, it's also endured a number of embarrassments--perhaps influenced by the unsound practice patterns that have arisen from its internal disputes. To make mention of one notable example, Psychiatry will probably never overcome its infamy regarding the touting of the prefrontal lobotomy, perhaps the most monstrous surgical procedure of the 20th century, as a miracle cure for intractable mental illness. One of the more worrisome recent trends is the tendency of some of my colleagues to quickly label their patients with dubious mental illnesses and limit their treatment interventions to a 5 second prescription (a far cry from the "50 minute hour"). Many factors are responsible for this practice shift, namely pseudoscientific dogma and the almighty dollar!

Before pontificating any further, I suppose some type of disclaimer is in order: While this site is primarily intended for consumption (or emesis) by fellow brethren, some aspects may be appealing to the lay reader. However, if you're in the latter category and seeking help, I suggest that you first contact a reputable professional in your community for consultation in lieu of relying on this site for personal guidance.

Now then, what can you expect from me? Periodically, I'll write a column about a particularly controversial psychiatric diagnosis, offering my perspective regarding evaluation and treatment issues. Occasionally, I may provide commentary about a subject peripherally related to psychiatry, or throw in a mind teaser or two for boredom relief.  I've also included some personal stories, humbling and inspiring ones, from my experiences as a physician. Finally, I've added some of my favorite mental health links, which you may find both informative and humorous.

In closing, my goal is that this gathering place will allow us an opportunity to share clinical experiences and ideas, through candid discussion, that hopefully will serve to lessen rather than enhance the contentiousness that exists in psychiatry today.  I welcome your comments. 

Sincerely,

Scott Zentner

doctorz@doctorz.net