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Lewis Cohen, MD

Psychiatry Department   Image  
Psychiatric Consultation Service Division
  • Professor of Psychiatry, Tufts University School of Medicine
  • Director, Renal Palliative Care Initiative
759 Chestnut Street, WG703
Springfield, MA 01199
  • Consultation and Emergency Psychiatry Fellowship
    Tufts University/New England Medical Center
    Boston, MA
  • Consultation Psychiatry Fellowship
    Harvard University/Massachusetts General Hospital
    Boston, MA
  • Psychiatry Residency
    State University of New York/Downstate Medical Center
    Brooklyn, NY
  • State University of New York/Downstate Medical Center Medical School
    Brooklyn, NY


Honors and Awards
  • Rockefeller Scholars Bellagio Residency Award
  • Guggenheim Fellowship
  • Tufts University School of Medicine Distinguished Faculty Award
Areas of Interest
  • Consult/liaison
  • Kidney disease
  • Decisions to discontinue dialysis
Professional Service
  • Director, Renal Palliative Care Initiative
  • Member, Academy of Psychosomatic Medicine


  • Cohen LM, Ruthazer R, Germain MJ: Increasing hospice services for elderly patients maintained with hemodialysis. J Palliative Med 13(7):847-854,2010
  • Schell J, Finkelstein F, Germain MJ, Cohen LM: An integrative approach to the elderly with advanced kidney disease. Adv Chronic Kidney Dis 17(4):368-377, 2010
  • Cohen LM, Ruthazer R, Moss AH, Germain MJ: Predicting six-month mortality in patients who are on maintenance hemodialysis. Clin J Am Soc Nephrol 5:72-79, 2010
  • Wittenberg SM, Cohen LM: Estimating prognosis in end-stage renal disease. Progress in Palliative Care 17(4):165-169, 2009
  • Bostwick M, Cohen L: Differentiating suicide from life-ending acts and end-of life decisions: A model based on chronic kidney disease and dialysis. Psychosom, 50(1):1-7, 2009
  • Germain MJ, Cohen LM: Maintaining quality of life at the end of life in the ESRD population. Adv Chronic Kidney Dis 15(2):133-139, 2008
  • Berzoff J, Swantkowski J, Cohen, LM: Developing a renal supportive care team from the voices of patients, families, and palliative care staff. Palliative and Supportive Care 6:1-8, 2008.
  • Germain MJ, Cohen LM: Renal supportive care: View from across the pond—The United States perspective. J Palliative Med 10(6):1241-1244, 2007.
  • Murtagh F, Cohen LM, Germain MJ: Dialysis discontinuation: Quo Vadis? Adv Chronic Kidney Dis 14(4):379-401, 2007.
  • Cohen LM, Bostwick M, Mirot A, Garb J, Braden G, Germain MJ: A psychiatric perspective of dialysis discontinuation. J Palliative Med 10(6):1262-1265, 2007
  • Germain MJ, Cohen LM, Davison SN: Withholding and withdrawal from dialysis: What we know about how our patients die. Semin Dial 20(3):195-199, 2007.


  • Cohen LM: No Good Deed: A Story of Medicine, Murder Accusations, and the Debate Over How We Die, Harper Collins, New York, 2010


  • Cukor D, Rosenthal-Asher D, Cohen LM, Levenson JL, Kimmel PL: Renal Disease. American Psychiatric Publishing Textbook of Psychosomatic Medicine, Levenson J (ed), American Psychiatric Publishing, Inc., Washington, DC, 2011
  • Cohen LM, Germain MJ, Poppel DM: Practical Considerations in Dialysis Withdrawal. Care at the Close of Life: Evidence and Experience, McPhee S, Winker M, Rabow M, Pantilat S, Markowitz A (eds.), [JAMA evidence]. McGraw-Hill, 2010
  • DaSilva Gane M, Cohen LM: Planning of a Renal Palliative Care Programme and its Components. Supportive and Palliative Care for Renal Patients, 2nd Edition, Chambers EJ, Germain M, Brown E (eds.), Oxford University Press, Oxford, 2010, 39-48
  • Cukor D, Farrell E, Kimmel P, Cohen LM: Psychological and Psychiatric Considerations for Patients with Advanced Renal Disease. Supportive and Palliative Care for Renal Patients, 2nd Edition, Chambers EJ, Germain M, Brown E (eds), Oxford University Press, Oxford, 2010, 189-202
  • Cohen LM, McIntyre RS, Fanton JH. Renal Disease. Clinical Handbook of Psychopharmacology in the Medically Ill; Ferrando S, Levenson J, Robinson M, Owen J (eds), American Psychiatric Publishing;, Washington, DC, In Press.
  • Mirot AM, Tessier, EG, Germain MG, Cohen LM: Neuropsychiatric Complications and Psychopharmacology of End Stage Renal Disease. Therapy of Nephrology and Hypertension: A Companion to Brenner’s The Kidney, 3rd Edition; Brady HR, Wilcox CS (eds), Elsevier Science,  Philadelphia, PA, 2008, 795-817
  • Cohen LM. Ending Dialysis: New Perspectives on End of Life Considerations. Medical Ethics: A Multidisciplinary Approach to Moral Issues in Medicine and Biology, Steinberg D (ed), University Press of New England, (In Press)

Additional Publications and Book Reviews

  • Cohen LM: The ethics of discontinuing dialysis. Renal & Urology News, July 2010, http://www.renaland urology
  • Tamura MK, Cohen LM: Should there be an expanded role for palliative care in ESRD? Curr Opin Nehprol Hypertens 19(6):556-60, 2010
  • Cohen LM: Patients deserve to hear tough news. The Clinical Advisor, page 63, June 2010,
  • Cohen LM: You still won't know Jack. The Huffington Post, April 23, 2010,
  • Cohen LM: A need for better predictors of death. Guest Editorial. Palliative and Supportive Care. [serial online]. June 2010;8(2):115-116
  • Le C, Smith J, Cohen LM: Mirror writing and dissociative identity disorder. Case Reports in Medicine, 2009. Epubahead of print retrieved December 3, 2010 from
  • Bhargava J, Germain M, Kitsen J, Cohen LM, Meyer KB: Ethics: Knowledge and participation of front-line dialysis facility staff in end-of-life discussions. Nephrology News & Issues, August 2009, accessed 8/7/09
  • Germain MJ, Cohen LM, Moss AH: Strategies for Timely and Effective Hospice Discussions: End-Stage Renal Disease. Letter to the Editor.  Ann Int Med 147: 816, December 4, 2007,
  • Germain MJ, Cohen LM, Murtagh FE: Is dialysis the best choice for octogenarians and nonagenarians? Letter to the Editor.  Ann Int Med, March 28, 2007,