Thursday, November 21, 2019

Comments by julemiller

Showing 2 of 2 comments.

  • It would be interesting to see a similar study in the USA. As someone with an undergraduate degree in psychology who went into psychiatry, I have seen something of both sides. (Also my mother was a psychologist and my father a psychiatrist). One very popular course in undergraduate psychology was “biological psychology.” The push by psychology to gain prescription privileges suggests that psychologists here may hold many of the same biological biases that some psychiatrists do. In my psychiatric training almost all my teachers and supervisors were psychoanalysts. That is unlikely to be the case anywhere in America now (I was in my residency in the later 80s) but it speaks to the historical importance of psychological understanding to psychiatry.

    In general, I tend to think of what internal stresses my patients might be struggling with, what is going on in their life (external and relational stress), and what constitutional strengths and weakness they may have. I prefer to recommend lifestyle changes, meditation, yoga, a good sleep schedule, and a healthy diet. But if someone is suffering enough, I will do whatever I can think of to help. It doesn’t really matter what. Sometimes it is talking. Sometimes it is medicine. Sometimes it is both.

  • You have been through the wringer. I am sorry to hear about how much you have suffered. However, correlation is not the same as causation. You seem to blame it all on the Ativan, whereas the double parasite infection, car wreck, and other bad things that happened to you likely have had a big part to play in your suffering independent from Ativan. As a psychiatrist I am quite aware that psychotropic medications are over prescribed. Perhaps even more than the side effects they can cause, the biggest problem is the temptation to follow cook book medicine and not take the time to understand what is really going on and what might help. After everything you have gone through, you deserve to spend some time with a good therapist and process the traumas you have endured. Maybe that therapist can also be a psychiatrist; some of us still believe in listening to and understanding our patients.