Posted by med_empowered on November 28, 2005, at 17:29:37
In reply to Re: Hurdles in med treatment, posted by Squiggles on November 28, 2005, at 16:39:58
yeah, i hear you. Here the problem is lack of access to treatment (a lot of people just cant afford it), a relative scarcity of providers (they're around, and alot of people can be served, but some people still fall through), and, as I see it, a lack of really good, creative psychiatric care. A lot of docs here seem to base their treatment either on the newest, most expensive approach (which I affectionately call the "pill-of-the-month" method), or they take the old-school, top-down, unimaginative approach. Either way, the patient tends to get screwed.
I also think shrinks have power issues and ego issues...which is weird, since the move since the 70s has basically been to take therapy out of psychiatry and replace it with medications, sometimes ECT. You'd think that such a move would reduce the amount of ego invested by the doc in a particular treatment, but it doesn't seem to. Docs seem to take the failure of a pill really personally...at the same time, they seem to feel uneasy about well-informed, assertive patients. Its really not a good situation.
poster:med_empowered
thread:583005
URL: http://www.dr-bob.org/babble/20051126/msgs/583074.html