Dr. Nicolas Badre is a psychiatrist in San Diego who provides clinical care, forensic evaluations, and expert testimony in correctional mental health.
He holds teaching positions at the University of California, San Diego; and the University of San Diego. He teaches on ethics in psychiatry, psychopharmacology, forensic evaluation, and medical education.
Here is a selection of my publications:
- Focus on symptoms over stories is detrimental to separated families
- A critique of current diagnostic paradigms in defining trauma and its consequences
- Homelessness: A need for better care
- An examination of the limitations of the medical model in addressing homelessness
- Mental health reporting laws: A false answer to gun violence
- A reflection on gun violence and the consequences of mental health reporting laws. The article points out the danger in alienating a vast number of our patients.
- Our fascination with medication compliance
- A critique of society's over-reliance on medication compliance as marker of mental health recovery. The article looks at examples through the media, and the legal system.
- Personality disorders and the court system
- An examination of the difficulties posed by personality disorders in the forensic system through an example in mental health competency.
- Ethics in compulsory treatment of the severely mentally ill
- A case presentation of a forensic (competency restoration) patient with psychosis and court ordered involuntary treatment who successfully completed treatment without antipsychotics.
- Debunking false claims about mental illness and violence
- A California mother kills her son with a diagnosis of schizophrenia. The article examines in psychiatry responsibility in creating the false narrative that our patients are violent.
- French psychiatrist condemned for society’s deficiency
- A psychiatrist sentenced to an 18-month suspended prison for failing to prevent a murder. The incident leads to reflections on the challenges facing psychiatry when simultaneously treating and assessing violence risk.
- Is the Evidence Strong Enough to Warrant Long-Term Antipsychotic Use in Compulsory Outpatient Treatment
- Antipsychotics are clearly indicated for patients in the acute phase of psychotic illness, however the evidence for long-term use is less convincing and may not justify compulsory long-term use.
- Psychopharmacologic management in integrated care: challenges for residency education
- Sand Mandala and Reflections on Residency
- An ode to psychiatry residency
- Shadows on a Wall: phenomenology in an acute care setting, a case report
- The case of a patient for whom different providers had different interpretations, despite similar presentations. A combination of cognitive errors led to repeated diagnostic oversimplification in the case.
- Clinical Textbook of Addictive Disorders, 4th Ed, Chapter 21
- Geriatric Psychiatry Self-Assessment Program, 4th Ed, Sleep Disorder Chapter