Physician specialists are often regarded as the culprits in the economics of health care. Numerous articles have appeared in the media about the benefits of obtaining non-physician medical care. Many ponder whether decades of specialized training could be compacted into a one year training course. Just what exactly may be the benefits my patients receive by seeing a psychiatrist? Insurance payers have created the myth that psychiatrists are trained only in the usage of medications. طبيب نفسي في الرياض It could surprise many that during 36 months of residency psychiatrists receive training and supervision in a variety of kinds of psychotherapy. My long haul supervisor inside my residency was the former president of the American Psychoanalytic Society. As a qualified psychiatrist, can I be easily replicated with a non specialist with limited training? How should I advise my patients concerning new provider selection necessitated by changes in their insurance reimbursement?
As a first faltering step, it is very important to an individual to understand their diagnosis and how it can limit their daily life. The media and herbal industry advertise interventions that supposedly might help depression including herbs, massage, and integrative alternatives. Unfortunately, advertisements don’t distinguish between mild and severe depression. Alternative treatment may be great for mild depression which can be generally tuned in to distraction. By definition, mild depression symptoms are few and don’t impede personal function. Like, you awaken feeling depressed and blue, you acknowledge it and call a friend, or go to work and the sensation disappears. With severe depression, symptoms such as for instance an inability to get out of bed because of debilitating loss in energy, a loss in appetite, challenging with focus or concentration, and continuous intrusive thoughts about suicide are often present. The differences in intensity of symptoms and their impact on daily function are obvious. Nonetheless, the daily message is that depression could be treated with any new intervention regardless of a lack of scientific basis or determination of severity of illness.
The content “Pregnant Pause” featured in Vogue Magazine (May, 2009) was a poignant description of the daily challenges faced by those in the subspecialty of reproductive psychiatry. The content described a pregnant female with eating phobias and bizarre obsessive thoughts which impeded her daily functioning. طبيب نفسي في جدة Yet she was cited as having mild depression and was treated by her primary care physician. The content highlighted the adverse outcomes of antidepressant treatment during pregnancy. It emphasized the patient’s mild illness and that she received erroneous information. However, patients with severe illness often receive their mental medical care from those with limited psychiatric training whilst the stigma of psychiatry is rampant.
Reputable magazines often don’t address severity of illness and introduce potential interventions which are without scientific merit. As a psychiatrist with an expertise in reproductive health, I discuss risks versus benefits when counseling patients about treatment options. My award winning book, The Pregnancy Decision Handbook for Women with Depression, was written as an informative resource to be found in the development of individualized treatment plans. Women have various treatment plans which are based on the severity of the illness.
My patients’inquiries about other potential mental health providers are answered by my suggestion with an honest consideration of the illness. When you have an extreme illness that impedes your functioning, challenging prior medication trials, a current medication that’s not the usual low dose of an SSRI, you ought to wthhold the guidance of a psychiatrist. Prozac and the introduction of the serotonin selective inhibitors (SSRIs) was a great advance in mental health treatment. Nonetheless, when you yourself have had twenty years of suffering with depression, stabilization of symptoms will demand experience dealing with treatments that are not usually comfortable for health providers with less training.
I think, people who have strong family histories of mental illness and prior bouts of illness that caused severe disability should be observed with a specialist for at the least a consultation. Many patients are described psychiatrists after repeated medication failures by those with limited experience. Treatment resistance is frequently a consequence of misdiagnosis or inappropriate medication dosages from less trained health professionals. Furthermore, my extensive training and experience let me identify which emotions are related to an underlying medical condition and which are related to a psychiatric condition. Many times no medication is rendered since this indicates to be a life situation that triggers feeling bad without impeding function. The in-patient really needs better coping skills to manage their stressful event instead of a prescription written after having a ten minute crisis assessment. The present medical care debate questions my presence as costly, but is seeing a psychiatrist really wasteful? Could it be wasteful if the psychiatrist can correctly diagnose and treat the illness? Can a main care physician and counselor replace a well trained, reputable psychiatrist?