Tragic Irony: Psychiatrist dies after alleged attack by her daughter: Dr Katherine Thomsen-Hall, a distinguished forensic psychiatrist at UMass Medical School (where I taught until 1994) was allegedly murdered by her 16-year-old daughter Valerie on Sunday night. The girl apparently is in treatment for bipolar disorder; friends of the family are quoted as reporting that there was little more than normal tension between mother and daughter, although the police had been called to their home once previously after an altercation. Dr Thomsen-Hall worked treating the often violent inmates of the Framingham Women’s Prison, Massachusetts’ only facility for the detention of female convicts. She had given up a thriving private practice and mental health advocacy work in Little Rock to attend a one-year forensic psychiatry fellowship at UMass in 1997, and then decided to remain on the faculty.
I was impressed by something that receives scant notice in the news story. A friend commented that Valerie had “appeared a little mellow. She told me she was on a new prescription that was supposed to keep her calm.” One of my ongoing concerns and teaching points in my work is that psychiatrists do not more readily recognize the disinhibiting properties of the benzodiazepine anti-anxiety sedative medications (e.g. clonazepam [Klonopin], diazepam [Valium], alprazolam [Xanax], lorazepam [Ativan]) prescribed with such impunity for agitation, anxiety, sleep, etc. I began to speculate that the new medication Valerie had started on “to calm her” was one of these and that, untested on her, it may have lowered her barriers against acting out her anger. Think of it as akin to becoming uncharacteristically violent when drunk, which happens in a small proportion of drinkers (we psychiatrists have a diagnosis for it: “pathological intoxication”); the effect on the CNS is very similar. I don’t suppose we’ll ever know in this case…