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Psychotherapy In Crisis: Too Many Drugs and Not Enough Therapy

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Showing 1-5 of 5 posts in this discussion
Initial post: 30 Sep 2013 18:41:41 BDT
Last edited by the author on 30 Sep 2013 18:45:55 BDT

It is in decline in the U.S. - but not from lack of need. Apparently, there are too many so-called "therapists" just shoveling pills, and avoiding any real talk-therapy or counseling.

"A recent analysis of 33 studies found that patients expressed a three-times-greater preference for psychotherapy over medications... For patients with the most common anxiety, like depression and anxiety, empirically support psychotherapies are the best treatments of first choice. Medications should be considered only if therapy either isn't working, or the patient isn't willing to try counseling." Absolutely!

But many times, the problem lies with the therapist. A long-standing problem we have in the U.S., is that too many failing medical students are only left with Psychiatry as a specialty, when no other specialty will take them.

The Fort Hood killer-psychiatrist had been counseled repeatedly - while still a med student - on how badly or callously he treated patients. Why are these disturbed and/or lazy med students even allowed to enter Psychiatry, which deals with the most fragile and needy citizens?

Another problem lately in the U.S. with Psychiatry, is that a lot of female med students are choosing Psychiatry as a "life-style choice" - regular hours and weekends off, so they can concentrate on raising a family. Again, med students this narcissistic and undedicated should never be allowed to enter Psychiatry.

Posted on 19 Nov 2013 17:26:51 GMT

"Curing insomnia in people with depression could double their chance of a full recovery, scientists are reporting. The findings, based on an insomnia treatment THAT USES TALK THERAPY RATHER THAN DRUGS, are the first to emerge from a series of closely watched studies of sleep and depression to be released in the coming year."

Posted on 21 Nov 2013 16:38:32 GMT
Last edited by the author on 21 Nov 2013 16:40:58 GMT
Just as citizen journalists can alert the public to stories hidden or ignored by the lamestream media, so can "peer bridgers" step in to help society's most frail get into and stay in the mental health system:
With too many mentally ill yoyo-ing between living on the streets and brief stays in a psychiatric facility - or worse, ending up in jail which has few if any resources for the mentally ill - Peer Bridgers take the time and persistence to help "fix" the lives of these lost souls. It takes time to help the mentally ill street person gather up official ID, and then navigate "the system" to get on disability and find mental-health housing.

"The cost per hospitalization for a patient with mental-health problems averages more than $22,000. And at least 11% of psychiatric patients are re-hospitalized within 30 days - mostly due to sparse follow-up care ... OptumHealth hired peer bridgers when it took over a county's public mental health system in Washington State in 2009. In the first year, re-hospitalizations plunged, saving $550,000."

This is also in line with what U.S.' better hospitals are doing, especially for the chronically ill who are in the Emergency Room at least once a month. Once their acute problems are dealt with, a detailed Treatment Plan is drawn up for family and caretakers.
"The distinct silos of doctors, hospitals, home health services and nursing homes, experts say, aren't working together for the benefits of the patient... Studies have shown that the rate of re-hospitalization within 30 days of discharge for Medicare patients with certain common conditions runs nearly 20%."

Posted on 8 Dec 2013 16:26:43 GMT

South Seattle's Asian Counseling and Referral Service is well managed, and "making a difference" in a lot of lives.

Posted on 16 Dec 2013 17:43:44 GMT

It boils down to Genes, Events and Values. No drugs!
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Discussion in:  health discussion forum
Participants:  1
Total posts:  5
Initial post:  30 Sep 2013
Latest post:  16 Dec 2013

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