How could a psychiatrist in practice for 27 years fail to recognize an anxiety attack? I was interviewing a new patient when the first surge of adrenaline hit, but I couldn't identify the sensation. The patient continued talking about her lifelong struggle with depression. I broke into a sweat and wondered whether I was having a hot flash. I glanced at the clock -- 20 minutes to go. As I summarized the pros and cons of various antidepressants, my voice trembled. Did the patient notice? I felt as if I were disintegrating. I reached for a prescription pad, trying to...