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SethResnickMD (Physician - Psychiatry (Verified) )
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Member Since: Nov. 2011  Questions:  0
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Professional Statement
As Director of Cancer Supportive Services at Continuum Cancer Centers of New York, Dr. Resnick is an Attending Physician in both the Department of Psychiatry and the Department of Pain Medicine and Palliative Care. He attended Mount Sinai School of Medicine where he received a Distinction in Research and participated in the Humanities and Medicine Program to which he was selected as an undergraduate at Williams College where he graduated Cum Laude and obtained his BA in English. He completed his residency in Psychiatry at NYU/ Bellevue. He pursued a fellowship in Pain and Palliative Care at Memorial Sloan-Kettering Cancer Center where he is one of the few psychiatrists to have completed the program in its history. Dr. Resnick maintains clinical expertise and practice in both general psychiatry and pain medicine and palliative care, as well as academic experience in these areas, having conducted research, written journal articles, and contributed to texts in these fields. His unique background, including specialty training in an oncology setting, serves his vision to provide interdisciplinary care in supporting individuals with cancer through all stages of their disease in managing and coping with associated physical symptoms, psychosocial issues, and spiritual distress.

In his private practice, Dr. Resnick specializes in psychodynamic psychotherapy and psychopharmacology for adults, focusing on young professionals, dealing with issues related to loss, phase of life and role change, and associated anxiety and emotional disturbances. He is part of the Psychodynamic Psychotherapy Program at the Columbia University Center for Psychoanalytic Training and Research, and completed a Fellowship at the Neuroscience Education Institute. His experience in Pain Medicine and Palliative Care subsumes a unique background that informs his capacity to help those suffering symptoms that are both physically and psychologically bound. From this perspective, he approaches various internal and interpersonal conflicts from the recognition that they derive from anxiety and distress related to underlying fear of deep loss. He has additional training in hypnotherapy from NYSEPH. He has conducted research and authored papers in peer-reviewed publications and book chapters on an array of psychiatric disturbances, from schizophrenia to personality disorders.

Dr. Resnick has experience training in other modalities of psychotherapy including intensive short-term dynamic psychotherapy, dialectical behavior therapy, and cognitive-behavior therapy. He is also a proponent of adjuvant approaches to achieving health and wellness, including accupuncture and other mind-body therapies.
Professional Info
Credential: MD
Primary specialty: Psychiatry
Gender: Male
Medical school: Mount Sinai School of Medicine
Residency: New York University Medical Center
Board certifications: American Board of Psychiatry and Neurology
Areas of expertise: Psychodynamic psychotherapy Psychopharmacology
Pain medicine
Palliative care
Hospital affiliation: Beth Israel Medical Center, Saint Luke's-Roosevelt Hospital Center, NYU Medical Center
Practice address: 136 East 57th Street Suite 1201 New York, NY 10022
Practice phone number: 646-450-8579
SethResnickMD Activities
Thank you for your question. I do not know that there is anything that is specifically defined as ‘palliative care counseling’ or that would necessarily be qualitatively distinct about this work. However, counseling or various modes of supportive psychotherapy with patients who are dealing with psychological issues related to facing a serious life-threatening illness is a crucial need, is likely underutilized and underprovided, but is essential to good quality palliative care which ought to be multidimensional and multidisciplinary in approach in order to achieve its mission of addressing emotional concerns, social stressors, as well spiritual matters and physical symptoms, all of which are often encountered, and in a very different way than may have been experienced in the past. By and large, these broad issues constitute indications for involving mental health practitioners to offer support when providing palliative care. Indeed, then, it would seem that most people would benefit from such counseling in the context of palliative care to receive emotional support for addressing these matters. These issues are part of the general indications for psychotherapeutic work which is to improve coping and adaptive functioning by gaining a better understanding of anxieties and inhibitions with respect to one’s self and one’s role in the context of life changes. However, like any other area or focus, there are certainly specific themes that uniquely emerge when dealing with such issues, and resultant depressive and anxiety symptoms, for instance, in the palliative care setting. End of life, itself, may be conceived as a phase of development with unique conflicts and challenges, and, indeed, may subsume a period of tremendous growth, particularly when these are satisfactorily addressed. Unique issues most salient during this time are even such that a corresponding framework from which to understand and address them has been established – Existential concerns and psychotherapy, respectively. Indeed, these issues are so universal that they are conceived to apply on some level to anxieties and fears faced at many points in life, and not just at its end when, however, they perhaps most readily and directly apply. These concerns may be subsumed in the domains of “the self”, “free choice”, “meaning”, and “anxiety”. Some major topics distinctly encountered in the approach to the palliative care patient for psychological support include dealing with demoralization, or a loss of meaning, and with lack of dignity. To address such issues, certain psychotherapeutic methods have been established, including the general application of interpersonal psychotherapy, or modified psychodynamic therapy, and various types of existential psychotherapy, such as meaning-centered psychotherapy, as well as dignity therapy. Thank you for your question. I do not know that there is anything that is specifically defined as ‘palliative care counseling’ or that would necessarily be qualitatively distinct about this work. However, counseling or various modes of supportive psychotherapy with patients who are dealing with psychological issues related to facing a serious life-threatening illness is a crucial need, is likely underutilized and underprovided, but is essential to good quality palliative care which ought to be multidimensional and multidisciplinary in approach in order to achieve its mission of addressing emotional concerns, social stressors, as well spiritual matters and physical symptoms, all of which are often encountered, and in a very different way than may have been experienced in the past. By and large, these broad issues constitute indications for involving mental health practitioners to offer support when providing palliative care. Indeed, then, it would seem that most people would benefit from such counseling in the context of palliative care to receive emotional support for addressing these matters. These issues are part of the general indications for psychotherapeutic work which is to improve coping and adaptive functioning by gaining a better understanding of anxieties and inhibitions with respect to one’s self and one’s role in the context of life changes. However, like any other area or focus, there are certainly specific themes that uniquely emerge when dealing with such issues, and resultant depressive and anxiety symptoms, for instance, in the palliative care setting. End of life, itself, may be conceived as a phase of development with unique conflicts and challenges, and, indeed, may subsume a period of tremendous growth, particularly when these are satisfactorily addressed. Unique issues most salient during this time are even such that a corresponding framework from which to understand and address them has been established – Existential concerns and psychotherapy, respectively. Indeed, these issues are so universal that they are conceived to apply on some level to anxieties and fears faced at many points in life, and not just at its end when, however, they perhaps most readily and directly apply. These concerns may be subsumed in the domains of “the self”, “free choice”, “meaning”, and “anxiety”. Some major topics distinctly encountered in the approach to the palliative care patient for psychological support include dealing with demoralization, or a loss of meaning, and with lack of dignity. To address such issues, certain psychotherapeutic methods have been established, including the general application of interpersonal psychotherapy, or modified psychodynamic therapy, and various types of existential psychotherapy, such as meaning-centered psychotherapy, as well as dignity therapy.
New answer by SethResnickMD (Physician - Psychiatry (Verified)) in topic(s) Palliative Care, Psychiatric Palliative Care, Psychiatric Counselling, Psychiatry
SethResnickMD (Physician - Psychiatry (Verified)) began following the conversation.
SethResnickMD (Physician - Psychiatry (Verified)) began following the conversation.

This is an important and common question about a complicated issue that many of us dread -- people with a chronic or advanced illness, clinicians helping patients, and even just as human beings with empathy and fears. It is not my specific area of expertise as I am not a child psychiatrist or a pediatric palliative care specialist, but I have had enough training in both to offer some suggestions.

Books can be helpful, just to have something concrete to provide practical advice and start to give a sense of mastery to an area that most otherwise feel quite at sea. As such, there are plenty out there, depending on the specific situation -- books for parents to help them be able to talk to their children about their illness, or dying, books for children of different ages to deal with a parent's illness or dying or through grief and loss, literature for children who are suffering a chronic or advanced illness, books for the parents of such children, or for bereaved parents, and even material for siblings of sick children.

Mainly having training in Palliative Care and now working in an oncology setting, most of the resources I recommend are related to patients with cancer. That being said, much of the literature out there, I think, is based on this, and some of the resources I can provide in this area also include information that is more generally applied. The following websites are generally very useful for providing all sort of supportive information for people dealing with cancer: www.cancercare.org and www.cancer.net, the sites for CancerCare, an organization devoted to providing supportive care for cancer patients and their families, and oncologist-approved information from the American Society of Clinical Oncology, respectively. Additionally, the American Cancer Society, an organization geared to patients and the general lay public, has very informative information on this subject on its site at the following link: http://www.cancer.org/Treatment/ChildrenandCancer/HelpingChildrenWhenaFamilyMemberHasCancer/DealingWithaParentsTerminalIllness/index . Websites for organizations specifically addressing children whose parents have or have had cancer include www.childrenstreehousefdn.org for Children’s Treehouse Foundation and www.kidskonnected.org for Kids Konnected, the latter of which specifically includes on its resource page a list of books organized by the target audiences I mentioned, as well as on-site information for addressing these matters specifically based on e.g. the age of the child or the issue. Lastly, there is an organization focused on siblings of patients with cancer called SuperSibs, and their website, www.supersibs.org, has a host of useful information.

Some helpful things I tell families struggling with the prospect of having to discuss these matters with their children or agonizing about how to broach the subject are as follows: 1) Talk through your sense of what your child knows or understands. Oftentimes there are clues in their talking or behavior to which parents are attuned in suggesting they might have an inkling that something is wrong, that things are changing, even if it is a heightened curiosity about dad's activities, or whereabouts, or mom's body, or about life, in general. Following through with this can lead to interesting and fruitful conversation both in addressing the topic and for your child's growth. The notion that we all have that kids are smarter than we perceive, and, in some ways, more insightful than ourselves, is something that should be heeded and not overlooked. Not only can it cause distance and breed anxiety, but it has the potential to be a missed opportunity for maturation and connection. If recognized, it can be an open door to a natural, comfortable, and comforting conversation. As difficult as dealing with a parent's illness can be for a child and family, the chance to share these fears or concerns is a welcome one from which all parties can emerge with a positive feeling of competence and safety. 2) Trust what you already know about your children. As much useful advice as you can get from the literature, the most helpful tidbit that you will be told is that you know your kids best. Be with them where you already are with them and go to where they are. Use what you know about them and about what they know.

That being said, I would not presume that your asking for help in this situation at all means that you are out of touch with your child. It is, of course, to be expected that even the most attentive parent would feel overwhelmed and inhibited when faced with this issue, so, for some more direction and encouragement, or even to just have something to grasp, the written word has weight to provide a foundation and sense of traction.

If you search Amazon for any of the books you find through the resources I mentioned, you will find even more interesting and novel approaches to addressing these issues, from activity books to coloring books, etc. After all that, I can tell you that the one book to which I have been referred and recommend to my patients on this matter is called How to Help Children Through a Parent's Serious Illness by Kathleen McCue, MA, CCLS and Ron Bonn.

This is an important and common question about a complicated issue that many of us dread -- people with a chronic or advanced illness, clinicians helping patients, and even just as human beings with empathy and fears. It is not my specific area of expertise as I am not a child psychiatrist or a pediatric palliative care specialist, but I have had enough training in both to offer some suggestions.

Books can be helpful, just to have something concrete to provide practical advice and start to give a sense of mastery to an area that most otherwise feel quite at sea. As such, there are plenty out there, depending on the specific situation -- books for parents to help them be able to talk to their children about their illness, or dying, books for children of different ages to deal with a parent's illness or dying or through grief and loss, literature for children who are suffering a chronic or advanced illness, books for the parents of such children, or for bereaved parents, and even material for siblings of sick children.

Mainly having training in Palliative Care and now working in an oncology setting, most of the resources I recommend are related to patients with cancer. That being said, much of the literature out there, I think, is based on this, and some of the resources I can provide in this area also include information that is more generally applied. The following websites are generally very useful for providing all sort of supportive information for people dealing with cancer: www.cancercare.org and www.cancer.net, the sites for CancerCare, an organization devoted to providing supportive care for cancer patients and their families, and oncologist-approved information from the American Society of Clinical Oncology, respectively. Additionally, the American Cancer Society, an organization geared to patients and the general lay public, has very informative information on this subject on its site at the following link: http://www.cancer.org/Treatment/ChildrenandCancer/HelpingChildrenWhenaFamilyMemberHasCancer/DealingWithaParentsTerminalIllness/index . Websites for organizations specifically addressing children whose parents have or have had cancer include www.childrenstreehousefdn.org for Children’s Treehouse Foundation and www.kidskonnected.org for Kids Konnected, the latter of which specifically includes on its resource page a list of books organized by the target audiences I mentioned, as well as on-site information for addressing these matters specifically based on e.g. the age of the child or the issue. Lastly, there is an organization focused on siblings of patients with cancer called SuperSibs, and their website, www.supersibs.org, has a host of useful information.

Some helpful things I tell families struggling with the prospect of having to discuss these matters with their children or agonizing about how to broach the subject are as follows: 1) Talk through your sense of what your child knows or understands. Oftentimes there are clues in their talking or behavior to which parents are attuned in suggesting they might have an inkling that something is wrong, that things are changing, even if it is a heightened curiosity about dad's activities, or whereabouts, or mom's body, or about life, in general. Following through with this can lead to interesting and fruitful conversation both in addressing the topic and for your child's growth. The notion that we all have that kids are smarter than we perceive, and, in some ways, more insightful than ourselves, is something that should be heeded and not overlooked. Not only can it cause distance and breed anxiety, but it has the potential to be a missed opportunity for maturation and connection. If recognized, it can be an open door to a natural, comfortable, and comforting conversation. As difficult as dealing with a parent's illness can be for a child and family, the chance to share these fears or concerns is a welcome one from which all parties can emerge with a positive feeling of competence and safety. 2) Trust what you already know about your children. As much useful advice as you can get from the literature, the most helpful tidbit that you will be told is that you know your kids best. Be with them where you already are with them and go to where they are. Use what you know about them and about what they know.

That being said, I would not presume that your asking for help in this situation at all means that you are out of touch with your child. It is, of course, to be expected that even the most attentive parent would feel overwhelmed and inhibited when faced with this issue, so, for some more direction and encouragement, or even to just have something to grasp, the written word has weight to provide a foundation and sense of traction.

If you search Amazon for any of the books you find through the resources I mentioned, you will find even more interesting and novel approaches to addressing these issues, from activity books to coloring books, etc. After all that, I can tell you that the one book to which I have been referred and recommend to my patients on this matter is called How to Help Children Through a Parent's Serious Illness by Kathleen McCue, MA, CCLS and Ron Bonn.
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