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Home > Archive > Depression Medications > October 2005 > Qualities Of Exceptional Psychiatrist
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Qualities Of Exceptional Psychiatrist
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| Steve B 2005-10-26, 11:34 am |
| What are the qualities to be aware of finding an exceptional
psychiatrist? Personality, open mindedness about new research and
medication, willing to really listen and work with the patient, a trust
and "chemistry" with the right match between doctor and patient, return
phone calls when able to, not in the field just for the money, order
specific blood tests looking for markers, promote confidence that the
patient will get well, be personable, but professional in attitude, work
with a support therapist, don't give up on a treatment resistant patient
and refer him/her to another doctor who may get results, etc. Does
anyone here have anything to add?
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| I'm Rick James, bitch 2005-10-26, 11:34 am |
| "X-No-Archive"
Steve B wrote:
> What are the qualities to be aware of finding an exceptional
> psychiatrist? Personality, open mindedness about new research and
> medication, willing to really listen and work with the patient, a trust
> and "chemistry" with the right match between doctor and patient, return
> phone calls when able to, not in the field just for the money, order
> specific blood tests looking for markers, promote confidence that the
> patient will get well, be personable, but professional in attitude, work
> with a support therapist, don't give up on a treatment resistant patient
> and refer him/her to another doctor who may get results, etc. Does
> anyone here have anything to add?
I have found the following to be paramount to a "good psychiatrist," if
such a thing can really be found:
1) Good listener. Avoid Pdocs who seem like know it alls and dont
listen to you.
2) Avoid Pdocs who come across as having a bad temper or
moodiness...very bad for you the patient. Moodiness is always a bad
sign in a mental health professional. You want an even keeled, calm
psychiatrist.
3) Avoid the shrinks who are into power and control over their
patients. There are many out there that fit into this category and many
of these shrinks are the ones who are poor listeners and have bad
tempers. psychiatry tends to attract two types of personalitys. Either
people who are themselves screwed up beyond ridiculousness. Or people
who have a need to be in control. Both are people you should be
avoiding.
4) Avoid psychiatrists who seem to still believe in anything Freudian.
When you tell them you have sexual dysfunction from depression and/or
your meds, these Pdocs will mentally write in bullshit things about you
based upon outdated Freudian concepts that nobody (except a few) still
go by.
Freudian docs are mostly just found among older psychiatrists these
days.
5) Avoid Pdocs who seem to believe ANYTHING and EVERYTHING that the
drug companys tell them about the latest psychiatry meds....most of
these drug company study's are bullshit and there are some Pdocs who do
not think for themselves. They believe anything they are told by the
drug company and they will not believe you if you come in with side
effect complaints.
Eric
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| Steve B 2005-10-26, 11:34 am |
| In article <1130301611.646699.188790@g44g2000cwa.googlegroups.com>,
"I'm Rick James, XXXXX" <Deepsand562@aol.com> wrote:
> "X-No-Archive"
>
> Steve B wrote:
>
>
> I have found the following to be paramount to a "good psychiatrist," if
> such a thing can really be found:
>
> 1) Good listener. Avoid Pdocs who seem like know it alls and dont
> listen to you.
>
> 2) Avoid Pdocs who come across as having a bad temper or
> moodiness...very bad for you the patient. Moodiness is always a bad
> sign in a mental health professional. You want an even keeled, calm
> psychiatrist.
>
> 3) Avoid the shrinks who are into power and control over their
> patients. There are many out there that fit into this category and many
> of these shrinks are the ones who are poor listeners and have bad
> tempers. psychiatry tends to attract two types of personalitys. Either
> people who are themselves screwed up beyond ridiculousness. Or people
> who have a need to be in control. Both are people you should be
> avoiding.
>
> 4) Avoid psychiatrists who seem to still believe in anything Freudian.
> When you tell them you have sexual dysfunction from depression and/or
> your meds, these Pdocs will mentally write in bullshit things about you
> based upon outdated Freudian concepts that nobody (except a few) still
> go by.
>
> Freudian docs are mostly just found among older psychiatrists these
> days.
>
> 5) Avoid Pdocs who seem to believe ANYTHING and EVERYTHING that the
> drug companys tell them about the latest psychiatry meds....most of
> these drug company study's are bullshit and there are some Pdocs who do
> not think for themselves. They believe anything they are told by the
> drug company and they will not believe you if you come in with side
> effect complaints.
>
> Eric
Eric. that is a very good awareness about choosing a really compentent
doctor. One woman patient I know who was hospitalized complained that
her doctor seemed to be more concerned with her own clothes and manicure
appointment that finding out what would work to help her patient. Of
course that was her report and I never met the doctor. The Freudian link
is something I totally agree with. In some social situations where I met
some different physicians, I could almost pick out who the psychiatrists
were. I don't even know what it was that tipped me off. Just a feeling I
guess. Some seemed to be pretty cool, others very aloof and impersonal.
The surgeons were filled with life and energy, high strung, high gear,
very positive. Loved to talk, friendly. One female psychiatrist that a
late relative consulted with was morbidly obese and would come in to the
waiting room, munching on a 5 lb box of Whitman's chocolate, really, I
saw it! That didn't seem to be a good example of "physician heal
thyself." It will be interesting to see what other folks here might come
up with.
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The number one rule for the reasonably informed is avoid pdocs who
completely disregard the fact that a patient can study up on the drugs
or produce anecdotal evidence that coincides with the patient's
symptoms. even more important for us miserable souls is experience. is
every single ssri sends us to hell then why acquiese (sp) and take the
latest ssri sample packet and pay 100 bucks. in other words, avoid
anyone who dismisses your knowledge of the drugs, symptoms, diagnoses,
history etc. why? should i get into it? no- there is not ONE overriding
argument. it goes for patient or practioner that psychiatry is a
crapshoot. you know best what is going on- your doctor should listen.
At this point I would avoid old-school docs. I respect the hell out of
my university pdoc but he is stuck in TCA, MAOI land. Psychiatrists in
my opinion should be medical professionals- leave the rest to trained
psychologists (who are more sympathetic and skillfull)
Again don't go along with a pdoc who is in love with that little packet
of samples, that little box of zyprexa coupons the nice man gave him
before lunch.
Following up on this, it's a business. Especially where I live. They
care about you maybe a little but still to most you are an appointment.
Make the most out of your time. Don't be afraid to speak your mind.
Be cool. Be cool with the receptionist and the doc. you may be totally
frustrated, ready to beat the livng jebus out of anyone who looks at
you funny, or totally depressed, barely able to move, but this is
almost like an interview and u need some sense of control. i went into
a lot of sessions just desperate and guess what, 5 minutes, the latest
craze drug, a few samples, adios amigo, call me in two weeks. cultivate
a relationship.
if u are in the know so to speak u can test pdocs. a recent guy i saw
was totally zonked on something- probably eating haldol with the
cocopuffs. private practioners can do as they please. so in the course
of talking to the guy i ask about benzos, their half-life, etc. and the
guy says that valium and ativan have the same duration/half-life. this
is a big red flag.
don't take your pants off
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| I'm Rick James, bitch 2005-10-29, 11:32 am |
| Oh yeah I forgot an important "rule" to go by when choosing a Pdoc.
Dont use one who seems irritated by your researching meds on the
Internet. If your Pdoc seems irritated or offended by your doing
that...dump him and move on.
Some Pdocs HATE the Internet. Most doctors, not just psychiatrists BTW,
HATE it when you bring in an article you printed out off the net.
Eric
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"I'm Rick James, XXXXX" <Deepsand562@aol.com> wrote in message
news:1130471566.884095.67500@f14g2000cwb.googlegroups.com...
> Oh yeah I forgot an important "rule" to go by when choosing a Pdoc.
> Dont use one who seems irritated by your researching meds on the
> Internet. If your Pdoc seems irritated or offended by your doing
> that...dump him and move on.
>
> Some Pdocs HATE the Internet. Most doctors, not just psychiatrists BTW,
> HATE it when you bring in an article you printed out off the net.
>
> Eric
>
My GP has his own web site where he posts links to various sites he finds
interesting. He also appreciates it when folks bring topical articles and
information culled from the internet.
I take that to be a sign that my doc realizes that he does not know
everything and is happy to learn new techniques and treatments. He works
with many 'alternative' therapists like nutritionists and acupuncturists.
If a doc does not like new info it is a good sign that their ego is
dangerously large, a potential danger to their patients!
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Steve wrote:[vbcol=seagreen]
> "I'm Rick James, XXXXX" <Deepsand562@aol.com> wrote in message
> news:1130471566.884095.67500@f14g2000cwb.googlegroups.com...
granted tons of stuff on the internet about psych drugs is bullshit or
conjecture or whatever. but there are studies available, new studies,
and anecdotal evidence. but compare this to a pdoc i saw. he hasnt read
a new study in god knows how many years, gets all his info from the
drug reps who dont even have a BA in chemistry, and has no interest in
anything except my insurance. now the internet: there is the newest
research, the exact pharmokinetics, stories from people who have had
similar problems, etc. and BONUS! the internet doesn't limit you to 40
minutes in which most of the time the guy spends trying to remember who
you are. there seems to be absolutely no impetus for pdocs to keep up
with the latest research and especially the disasters that can result
from indiscriminate prescribing or what is normally the case, just
wasting your time, prescribing this and wait two months- oh, ok, didnt
work- here's the same thing, see you in a year.
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