26 | DECEMBER 12 • 2019 continued on page 28 Jews in the D B efore it was in vogue for psychiatrists to prescribe brain- based medications for their patients, Alan Rosenbaum, M.D., was researching and incorporating psychotro- pic drugs for his patients in need. That was more than 50 years ago. Today, Rosenbaum, who practices in Farmington Hills, is consid- ered an expert and pioneer in the field. In addition to serving as a clinical professor of behavioral science at Wayne State University and an adjunct clinical profes- sor of psychiatry at the University of Michigan, he is a distinguished life fellow of the American Psychiatric Association. For his years of dedication and commitment to treating mental illness, Rosenbaum was honored on Nov. 15 by the Michigan Psychoanalytic Foundation at an event at the Henry Ford Museum of American Innovation in Dearborn. “We were so pleased to honor Dr. Rosenbaum,” says psychiatrist Sally Rosenberg, D.O., co-president of the foundation and president of the Michigan Psychoanalytic Institute. “He has had a major impact on the mental health community in the Detroit area. “Dr. Rosenbaum’ s expert combination of the science and the art of medicine has helped many patients with widely varying problems. His careful communications with referring practitioners have facilitated the integration of psychopharmacology and psychotherapy.” Rosenbaum, born and raised in Detroit, went to medical school at U-M, where he simultaneously took classes at the Graduate School of Pharmacology. In 1965, he received both his medical degree and a master’ s of science degree in pharmacology. He did a psychiatry residency at the Mayo Clinic in Rochester, Minn., where he remained on staff for 9.5 years. Very early on, Rosenbaum incorporated his knowledge of brain-influencing drugs into his psychiatric practice. “My first patient as a psy- chiatric resident was admit- ted after her husband died, and she developed a psychot- ic mania as a result of the stress,” he explains. “When she came on to our unit, I was told to talk her out of the psychosis. It didn’ t work. I read about medications for mania and found research being done using lithium for bipolar disorder. “For my next manic patient, I called the corner drugstore and asked if they had any lithium. They said yes — it was used as a salt substitute for blood pressure — and agreed to make up some capsules for me. I gave them to my patient, and they worked in about a week.” At Mayo Clinic, while studying some of the new antidepressants, Rosenbaum measured stress hormones in patients with severe anxious depression and found that if their cortisone and adrenalin were too high, antidepres- sants made them worse. In 1981, Rosenbaum, along with his wife, Maxine, and two daughters, moved back to Michigan. He pursued his career in psychopharmacolo- gy and continued doing drug evaluations. DRUGS AND DIAGNOSES Rosenbaum says psychiatric illnesses that may be severe enough to require medica- tions include depression, bipolar disorder, ADHD, obsessive-compulsive disor- der, panic disorders, severe anxiety, eating disorders and schizophrenia. However, drugs are not prescribed without careful consideration, a thorough medical history and close monitoring. “Depression and bipolar disorder cause a higher inci- dence of high blood pressure, strokes, diabetes and demen- tia,” he says. “Some of our newer anti-psychotic medi- cations can cause a metabolic syndrome, increasing one’ s risk of heart disease, stroke and Type 2 diabetes. Patients have to be mon- itored regarding their cho- lesterol, sugar, thyroid and kidney function. Most drugs work about 50 percent of the time on the first try and, if the patient works with you, about 85 percent will get Pioneering Psychiatrist ALICE BURDICK SCHWEIGER CONTRIBUTING WRITER Alan Rosenbaum lauded for facilitating the integration of psychopharmacology and psychotherapy. Dr. Alan Rosenbaum was honored Nov. 15 by the Michigan Psychoanalytic Foundation. JM