Paul R. Linde, MD
Dr. Linde has been invited to be a guest blogger for the Psychology Today web site. First postings coming soon!
Health Sciences Clinical Professor
Department of Psychiatry, UCSF School of Medicine
Paul R. Linde, M.D., a San Francisco-based author and clinical professor of psychiatry at the UCSF School of Medicine, has worked in several high-intensity psychiatric settings
over the years. His first book, Of Spirits and Madness: An American Psychiatrist in Africa, was published by McGraw-Hill in 2002. Linde has also written for JAMA,
the San Francisco Chronicle, the San Jose Mercury News, and DoubleTake magazine. He lives in the San Francisco Bay Area with his wife, two sons, and a rambunctious one-eyed dog.
SUMMARY OF CLINICAL ACTIVITIES
In the last five years, I have worked in a variety of psychiatric settings. My main job is as an emergency psychiatrist at San Francisco General Hospital (SFGH) where
I perform tasks of medical triage, crisis stabilization, rapid behavioral assessment and treatment, and psychiatric consultation in the SFGH Emergency Department. I also teach UCSF
interns, residents, and students on an apprenticeship model.
As Medical Director of The Stonewall Project, I evaluate and treat methamphetamine-dependent gay and bisexual men, many with HIV/AIDS, in an outpatient harm reduction treatment program.
I also work with and supervise a clinical pharmacist, psychologists, and substance abuse counselors.
My clinical work has focused primarily on people suffering from chronic mental illness, substance abuse, and dual diagnoses. I strive to combine the best of the scientific advancements in
clinical psychopharmacology with innovative psychosocial interventions and a special emphasis on quality-of-life for this population, which is often discovered in cultural and spiritual
realms.
PSYCHIATRIC AREAS OF INTEREST
Crisis stabilization, clinical psychopharmacology, consultation-liaison, cross-cultural psychiatry, psychosocial interventions, rehabilitation model, substance dependence, intoxication,
withdrawal, buprenorphine, dual diagnosis, AIDS/HIV, medical conditions with psychiatric symptoms, public health education.
Education
- Saint John's University: B.A., Biology, 1983
- Magna Cum Laude, 1979 - 1983 Collegeville, MN
- University of Minnesota: M.D., Medicine, 1988
- 1983 - 1988 Minneapolis, MN
- University of California, San Francisco: Intern, Medicine
- 1988 - 1989, San Francisco, CA.
- University of California, San Francisco: Resident, Psychiatry
- 1989 - 1992, San Francisco, CA.
LICENSES, CERTIFICATION
- Diplomate
- 1989, National Board of Medical Examiners
- Medical License
- 1989, State of California
- D.E.A. Registration Number
- 1990
- Certified Psychiatrist
- 1997, American Board of Psychiatry and Neurology
- D.E.A. "X-Number" for Buprenorphine Prescription Privileges
- 2006
- Maintenance of Certification
- 2007, American Board of Psychiatry and Neurology
PRINCIPAL POSITIONS HELD
- Clinical Instructor, Psychiatry
- 1992 - 1994, University of California San Francisco
- Honorary Lecturer, Psychiatry
- 1994 - 1995, University of Zimbabwe
- Assistant Clinical Professor, Psychiatry
- 1994 - 2000, University of California San Francisco
- Associate Clinical Professor, Psychiatry
- 2000 - 1008, University of California San Francisco
OTHER POSITIONS HELD CONCURRENTLY
- Contract Psychiatrist, Jail Psychiatric Services
- 1989 - 1992, San Francisco County Jails
- Attending Psychiatrist, Psychiatric Emergency Services/7L
- 1992 - 1993, San Francisco General Hospital
- Contract Psychiatrist, Emergency Psychiatric Services
- 1993, Santa Clara Valley Medical Center
- Consultant Psychiatrist, Harare Psychiatric Unit
- 1994 - 1995, Harare Central Hospital, Harare, Zimbabwe
- Attending Psychiatrist, Consultation-Liaison Service
- 1997 - 1999, Outpatient and Inpatient Services, California Pacific Medical Center
- Attending Psychiatrist, Psychiatric Emergency Services
- 1995 - 2009, San Francisco General Hospital
- Attending Psychiatrist, STOP Clinic/Stonewall Project
- 2005 - 2007, SFGH/UCSF
- Medical Director, Stonewall Project
- 2007 - 2009, San Francisco AIDS Foundation
SELECTED TALKS
NATIONAL
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| 10/01 |
Presentation on Psychiatry in Zimbabwe to Hennepin County Medical Center's Department of Psychiatry's Grand Rounds in Minneapolis, Minnesota. |
| 12/02 |
Presentation about "Of Spirits and Madness: 'A Psycho-Social-Medical-Spiritual-Cultural' Model of Illness Among the Shona People of Zimbabwe" at the annual meeting of the National Institute for the Clinical Application of Behavioral Medicine (NICABM) held in Hilton Head, South Carolina |
| 12/02 |
Lunchtime presentation about my day-to-day clinical experience working in Zimbabwe at the annual meeting of NICABM in Hilton Head, South Carolina |
| 4/06 |
Panel Presentation on the Multidisciplinary Treatment of and Innovative Psychopharmacology for Methamphetamine Dependence at the 2nd Annual National Harm Reduction Conference. |
LOCAL
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| 10/95 |
Presentation on Psychiatry in Zimbabwe
UCSF Psychiatry Grand Rounds |
| 10/95 |
Presentation on Psychiatry in Zimbabwe
SFGH/UCSF Psychiatry Grand Rounds |
| 2/96 |
Presentation on Handling Mentally Ill and Dually Diagnosed Patients to the McMillan Drop-In Center staff |
| 3/96 |
Presentation on "Concepts of Dealing with the Mentally Ill Client" to the Sonoma County Public Defender's Office |
| 3/96 |
Case Discussant at the San Francisco General Hospital Ward 93 Methadone Maintenance Clinical case conference |
| 10/96 |
Presentation on Identifying and Managing Dual-Diagnosis Patients to the Salvation Army Detox staff |
| 3/97 |
Presentation on Substance Abuse and PTSD Due to Physical/Sexual Abuse in Dual Diagnosis Patients to the Salvation Army Detox staff |
| 4/97 |
Presentation on Evaluation of Dual and Triple Diagnosis Patients to the Salvation Army Detox staff |
| 5/97 |
Presentation on Psychiatry in Zimbabwe to the CPMC Department of Psychiatry Grand Rounds |
| 4/98 |
Presentation on Depression in Primary Care to UCSF Department of Medicine medical residents' noon conference |
| 3/99 |
Presentation on Substance Abuse in Primary Care to UCSF Department of Medicine medical residents' noon conference |
| 10/00 |
Presentation on “Delirium in the Medical and Psychiatric Settings” to SFGH/UCSF Psychiatry Grand Rounds |
| 10/01 |
Presentation on Psychiatry in Zimbabwe to CPMC Department of Psychiatry Grand Rounds |
| 10/01 |
Presentation on Psychiatry in Zimbabwe to UCSF Department of Psychiatry Grand Rounds |
| 11/01 |
Presentation on Psychiatry in Zimbabwe at UCSF's campuswide “Brown Bag” lunchtime seminar |
| 11/01 |
Presentation on Psychiatry in Zimbabwe at SFGH Department of Psychiatry's Grand Rounds |
| 10/04 |
Presentation on Psychiatry in Zimbabwe to SFGH Department of Psychiatry's PES Grand Rounds |
| 2/05 |
Presentation about Psychiatry in Zimbabwe to a multidisciplinary meeting of the Bay Area's International Mental Health Interest Group, hosted at SFGH |
| 6/05 |
Lecture on Crisis and Cross-Cultural Assessment to Psychology Doctoral Students at the John F. Kennedy School of Graduate Psychology |
| 10/06 |
Panel Presentation at the San Francisco VA Medical Center's Department of Psychiatry Grand Rounds on “Doctor's Errors” with Renee Binder, M.D. and Adam Goldyne, M.D. |
| 11/06 |
Lecture on Intoxication/Withdrawal States to UCSF Department of Psychiatry Residents |
| 9/07 |
Lecture on “The Nature of Truth in Narrative Nonfiction” to UCSF Medical Students, “Narrative Medicine” elective |
| 10/07 |
Lecture to UCSF Psychology Interns, Social Work Interns, Psychiatrists at the SFGH/UCSF Trauma Recovery Center: “A Survey of Substance Abuse Issues: From Alcohol to Hallucinogens” |
| 11/07 |
Lecture on Intoxication/Withdrawal States to UCSF Department of Psychiatry residents |
| 9/08 |
Lecture on “Doctorly Nonfiction: Integrating Facts and Stories” to UCSF Medical Students, “Narrative Medicine” elective |
| 10/08 |
Lecture on Intoxication/Withdrawal States to UCSF Department of Psychiatry residents |
| 4/09 |
Presentation “Civil Commitment Laws: A View from the Psych ER” to NCPS Sociopolitical Meeting, an annual spring event |
SELECTED MEDIA EXPERIENCE
PEER-REVIEWED PUBLICATIONS
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- Medication Compliance, Antidepressant Blood Levels, and Side Effects in Southeast Asian Patients | Kroll J, Linde P, Habenicht M
- Journal of Clinical Psychopharmacology 10(4) | August 1990 | pages 279-83
- A Case Of Psychotic Mood Disorder in an AIDS Patient | Linde PR, Zimbwa PS
- Central African Journal of Medicine 41(3) | March 1995 | pages 97-101
- A Bewitching Case of Factitious Disorder in Zimbabwe | Linde PR
- General Hospital Psychiatry 18 | November 1996 | pages 440-443
- The Right Questions: Psychiatric Care in Zimbabwe | Linde P
- FOCUS, a publication of the UCSF AIDS Health Project | May 2005
- Imaging the Addicted Human Brain. Response: Imaging and Intervention | Chang L, Linde P
- Science and Practice Perspectives of the National Institute for Drug Abuse (NIDA 3(2) | April 2007 | 17-9
- Twenty-four Hours in the Life of PES | Elkin D, Linde P, Woodard E
- San Francisco Medicine. 82(2) | March 2009 | 17-9
NON-PEER REVIEWED PUBLICATIONS AND OTHER CREATIVE ACTIVITIES
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Books
- Of Spirits and Madness: An American Psychiatrist in Africa
| Linde Paul R
- McGraw-Hill, New York | 2002
- Danger to Self: On the Front Line with an ER Psychiatrist | Linde Paul R
- University of California Press, Berkeley | 2010
Chapters
- Organic Mental Disorders and Epilepsy, Essentials of Clinical Psychiatry for Sub-Saharan Africa | Linde P, Rgwellera G, Patel V
- Njenga F, Acuda W, Patel V, & Maj, M., (editors) | Masson Publishing (for the World Psychiatric Association), Milan, Italy | 2005 | pages 62-85
- Personality Disorders, Essentials of Clinical Psychiatry for Sub-Saharan Africa | Linde P, Mburu J, Njenga J, Reeler A, Todd C
- Njenga F, Acuda W, Patel V, & Maj, M., (editors) | Masson Publishing (for the World Psychiatric Association), Milan, Italy | 2005 | pages 130-137
- HIV Infection, AIDS, and Mental Health, Essentials of Clinical Psychiatry for Sub-Saharan Africa | Linde P, Chingono A
- Njenga F, Acuda W, Patel V, & Maj, M., (editors) | Masson Publishing (for the World Psychiatric Association), Milan, Italy | 2005 | pages 200-7
- Psychiatric Emergencies, Essentials of Clinical Psychiatry for Sub-Saharan Africa | Njenga, F, Patel V, Linde P, Okonji M, Kigamwa P
- Njenga F, Acuda W, Patel V, & Maj, M., (editors) | Masson Publishing (for the World Psychiatric Association), Milan, Italy, 2005 | pages 282-90
Other Publications
- Reflections of a Doctor-in-Training | Linde PR
- Minnesota Medicine 71(4) | April 1988 | pages 193,195
- Ill Effects Few in New Drug for Depression | Linde PR
- San Jose Mercury News, Science and Medicine Section | March 3, 1992
- Hospital Removes Water Restricters to Guard Against Legionnaires' | Linde PR
- San Jose Mercury News, Science and Medicine Section | May 5, 1992
- AIDS Patients in Chinese Herb Study | Linde PR
- San Jose Mercury News, Science and Medicine Section | February 2, 1993
- How to Avoid Being Manipulated By Patients | Linde PR
- JAMA -- Journal of the American Medical Association 270 (9) | September 1, 1993 | pages 1134-5
- He Brought the Virus Home | Linde Paul
- DoubleTake Magazine, Fall 2001
- San Francisco's Public Mental Health Policy | Linde Paul
- New Diagnosis: A Journal of the Physicians Organizing Committee, Fall 2008
- Book Review of Daniel Bergner's The Other Side of Desire
- For San Francisco Chronicle Books section, February 16, 2009
- Book Review of Sherwin Nuland's The Soul of Medicine: Tales from the Bedside
- For San Francisco Chronicle Books section, April 28, 2009