Posted by Squiggles on November 28, 2005, at 17:46:39
In reply to Re: Hurdles in med treatment, posted by med_empowered on November 28, 2005, at 17:29:37
> 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.
That's worse. I think we should have
hospitals again; even poor countries could
manage better that way.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 think I would trust the old-school method,
as the new drugs have to prove themselves
over many unhappy bodies in due time.>
> 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.Hmm, I suppose we must consider the human
factor, but this is a generalization, right;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.
Really? If that is the case, I have been
lucky; my doctor will not push me to
take or have a treatment I disagree with.
But it must be awful to have a
doctor who is overly certain, in this
uncertain field. I'm still hoping that
the opiates will be good adjuncts for
some clinical depressives.I consider myself lucky, but I have
noticed that unless you are yourself
under the influence of this mysterious
illness, you do not *really* understand;
you may, at most imagine or sympathize.I rather trust the neurologists, but
they are busy doing research.Squiggles
poster:Squiggles
thread:583005
URL: http://www.dr-bob.org/babble/20051126/msgs/583084.html