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Originally Posted by willowbrook
I see my Pdoc through a Government run clinic, and he does therapy with me (anywhere from 20-50 minutes depending on what I need at each session). He also encourages complementary treatments such as meditation, yoga, and fish oil. Haven't started on the fish oil, because of the cost, but I'm definitely seeing benefits from the meditation and yoga.
I feel like I've made more progress with him in the past few years than I've made with any other Pdoc or T in the last 20 plus. Yes he also prescibes/recommends medication in my case, which I make the choice to take, but if that's all he did (ie throw pills at me) I wouldn't still be seeing him.
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It used to be common for pdocs to do therapy. First dsm 3 came along which promoted medicine as a tool. You see they were seeing the demise of their careers because of psychotherapy and therapy which are much cheaper. They needed a way to differentiate themselves. Then insurance came along which reduced payment and encouraged them to shorten times to 30 minutes so they can get paid for more patients.
Today I actually think we could make this model work if there was a more patient centered model where the entire team works together with the patient. This is different from most current practices because it means the team meets together and with the patient and ideally with the family. Not regularly but at some interval. It is being practiced in some countries.
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