Simon Downes, MD, PhD

Why Do Some People Shout on the Street? Understanding Public Mental Health Behavior in Cities

Have You Ever Seen Someone Shouting on the Street and Wondered What Was Going On? In large cities, it is not uncommon to hear someone shouting loudly into the air, arguing with unseen people, pacing aggressively, or behaving in ways that appear unusual or frightening. Sometimes the person seems extremely angry or emotionally overwhelmed. At…More

Postherpetic Neuralgia After Shingles: Real-World Comfort Strategies People Commonly Discuss Online

Shingles can lead to postherpetic neuralgia (PHN), where pain persists after the rash heals due to nerve damage. Sensations can include “electric shocks” or “burning.” Treatment varies, with medications and lifestyle adjustments mentioned. While online communities offer support, professional medical assessment is essential for persistent or severe symptoms.More

The Reality of Workers’ Compensation for Injuries

Yellow hard hat, rope, gloves, and tool belt with tools on wooden platform at construction site with scaffolding and crane at sunset

Workplace injuries can complicate workers’ compensation claims due to factors like pre-existing conditions and the need for accurate documentation. Clinicians must provide objective reports detailing patient histories and symptoms, while final determinations involve insurers and employers. Honesty and attention to detail from patients and clinicians are essential for navigating these claims effectively.More

Allodynia After Shingles

Postherpetic neuralgia (PHN) is a complication of shingles characterized by persistent nerve pain, notably allodynia, where normal stimuli cause significant discomfort. While vaccination reduces risk, it does not guarantee prevention. Treatment options include medications like gabapentin and antidepressants, along with complementary therapies to manage symptoms effectively.More

How to Count Your Blessings (Even When Life Feels Heavy)

In a fast-paced world, it’s crucial to recognize and appreciate our existing blessings rather than constantly striving for more. Practicing gratitude shifts focus from negativity to stability and appreciation, enhancing mental well-being. By consciously counting our blessings daily, we can reduce stress, improve relationships, and increase life satisfaction, while maintaining realistic perspectives.More

Understanding Migraines: A Patient’s Journey to Relief

Denise struggled with migraines for years, experiencing pain, nausea, and sensitivity to light. After a severe episode, she consulted her doctor, who recognized her symptoms as common migraines. He advised maintaining a migraine diary, consistent sleep, and exploring medication options. Denise felt relieved, understanding her condition and feeling more in control of her migraines.More

How NYC Is Helping the Homeless in Winter Storms

New York City has activated emergency measures to address homelessness during a severe snowstorm, issuing a Code Blue that mandates shelters for those in need. City officials encourage individuals to seek shelter, with relaxed intake rules and outreach teams helping those on the streets. Warming centers are also available citywide.More

From Shelter to Stability: New York State’s 2026 Homelessness Plan

New York State’s 2026 homelessness plans include the Housing Access Voucher Program with $50 million funding, the Empire State Supportive Housing Initiative providing $46 million for supportive services, and the Homeless Housing and Assistance Program for affordable housing construction. These initiatives aim to decrease homelessness and promote long-term stability through combined housing and services.More

Why talk therapy works

Embark on a transformative journey with talk therapy, where impartial listening creates a judgment-free zone. Experience the power of silence and unconditional positive regard as you unlock insights and emotional clarity.More

Three Approaches to Psychotherapy: The Gloria Films

The Gloria Films, originally named Three Approaches to Psychotherapy, showcase psychologist Gloria’s therapy sessions with Carl Rogers, Fritz Perls, and Albert Ellis. Each therapist employs distinct methods: Rogers uses Person-Centered Therapy, Perls applies Gestalt Therapy, and Ellis practices Rational Emotive Behavior Therapy, emphasizing different strategies for addressing psychological issues.More