Quote:
Originally Posted by AKA_Monet
Well, I am not going to "argue" (in a good productive way) whether some people are hypochondriacs that feel that popping pills will make them feel better...
However, many of these drugs used to treat depression (Major Clinical, and/or biopolar I or II, with psychotic episodes) according to the exact definitions of the DSM, MD Consult and Online consult schedules with full case conference review, are legit for the treatment of this illness... That is why psychiatrists are scheduled to prescribe these medications, rather than a GP or Family Doctor...
I know a Family Doc, Internal Med doc or a GP is not going to want the DEA asking questions as to why they prescribed one too many antidepressants without a mental eval referral...
But, that does not go to say that a FEW shrinks are not prescribing random chit...
However, underlying crap that people have in general may get uncovered through traumatic incidences. You never know what the "triggers" are in adults. It is my understanding that "triggers" are well studied in abused (physically, verbally and sexually) children... But, by the time an adult has some issues that never happened as a child, the ability for "brain plasticity" is amenable? I dunno? But that's how it was explained to me... Like negotiation skills are better as one ages...
Also, you need to start practicing appropriate medical terminology here... It is easier to practice with us than with your attending... Don't get busted like my husband did in vet school when he did not go thru the entire list of differentials - he just said the 3-4 top things and what would help the sick animal...  |
Fudge!!!! I can't believe I have to type this all over again. My post didn't get posted.
Who said I was arguing? lol at the popping pills to feel better.
I'm not saying anything to negate the DSM. Infact each successive edition of the DSM has proclaimed an increasing number of diagnoses that cover a large number of human behaviors. The 1st DSM published covered over 150 diagnoses, the next over 350 and so on. I think the next one is supposedly scheduled for 2011, and the number will only increase.
AKA_Monet, I'm not arguing with you, infact I agree with most of what you posted, but I'm just saying in contrast to the DSM manuals, large percentages of people with a severe and persistent mental illness get no care whatsoever. The majority of those with a diagnosable mental disorder are not receiving treatment.
Also, studies have shown that about 42-50% of people with a serious mental illness were receiving no treatment for their conditions. I also read that a seperate study published in 2002 found that of those in the U.S. receiving treatment for a serious mental illness, only 40% were receiving what is considered minimally adequate treatment. Out of all those with serious mental disorders, then, only 15% were getting the high quality care they needed. This goes back to my earlier post about profits vs. actual health care. I'm not negating anything you've said, but I still believe the profits are overshadowing the care that is really needed for serious mentally ill patients.
lol at your husband. May I ask what happened to him for taking short cuts?
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