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ultramar · Oct 15, 2013, 01:09 PM

Quote:

Originally Posted by Anika.

MM, GP's don't recomend therapy?!?!

I think one of the biggest problems is that the US has private for profit health care. It is a mess from what I can see. When money is involved so directly how do you trust any of these people to be providing good proper care? Too many conflicts of interest, which also involves big pharma which is a problem here as well. Why did I keep getting offered seroquel no matter how much it did not work for me..

One thing I found disturbing was seeing dx's handed out by therapists. Is that official .. unofficial? Either way I don't think it's a good idea.

The other big problem I see is long term therapy being overused and inappropriatly used. It has it place, and it also has many problems. But I don't see it talked about much.

Things like situational depression.. greiving etc. even physical problems that fail to be dx'd quickly and the new version of the diagnostic manual...will be no shocker to see over dx on the rise.

Along with that you have overprescibed and inappropriatly prescribed medications. And it's just a speading trend in many countries.

And all these problems seem to come right back to the money.

My understanding is that diagnoses made by therapists are not 'official' -it has to be done by a pdoc. If they do suggest something to their patient (that is, something that would require medication) I think it would be irresponsible not to refer them to a psychiatrist for an official diagnosis (that is, not to a GP).

Though I also think it's a good idea for the pdoc to consult with the therapist, as he/she will likely know the patient better, so taking their experience of the patient into account could be very useful. For example, someone in the eval tells their pdoc that their mood switches have no triggers (not lying, just not aware), but the therapist has noticed they do. The therapist knows how their patients relate to them and others, emotionally, behaviorally, cognitively. I know my pdoc and therapist have consulted with each other, but I don't know how common this is.