[Icare dixit]

If you could change anything (or a few things) of (clinical) psychiatry, what would it be?

My number one would be doing away with the medicine-inspired nosology/categorisation of disease entities and adopting a more dimensional approach.

My number two would be, being related to my number one, doing away with the pervading notion that psychotic phenomena should be removed from the person (or his/her mind), instead of becoming more manageable or used advantageously, thereby making an inherent quality disqualifying for life: like amputating your legs because they are painful when you walk.

Edit:
My number three would be giving NPs more authority than psychiatrists or psychotherapists.

[raspberrytorte]

I agree with you icare.

Another thing I think is that text book psychiatrists should go away. Not everyone is the same person and reacts the same to different meds! All those assholes (the text book psychiatrists!) should be fired.

Hell, I'm calling today and firing one of those assholes.

[raspberrytorte]

Oh sweet. Asshole isn't considered a swear word on here.

[pirilin]

Originally Posted by raspberrytorte

Oh sweet. Asshole isn't considered a swear word on here.

I was thinking the same thing when I read your original post, Hahaha!!!. Too funny!!!.

[pirilin]

Originally Posted by raspberrytorte

I agree with you icare.

Another thing I think is that text book psychiatrists should go away. Not everyone is the same person and reacts the same to different meds! All those assholes (the text book psychiatrists!) should be fired.

Hell, I'm calling today and firing one of those assholes.

In your case will be firing an assholette, right?.

[Nammu]

I would elevate psychologist/ therapist over psychritist sand mandate that therapy be first approach. I would mandate that insurance must cover IOP and therapy 2 a week if necessary not limits on time.

Meds would be last resort not first.

Rx spas, gyms, acupuncture and rest before meds also. ( some European countries do this or used to before USA med approach took over.)

[venusss]

drop the bio-bio-bio-bio-bio medical and medical only model.

Accept that there are different levels of functionality and that maybe some people cannot do 9-5 job, but are capable of great things still. Don't ****ing shame them and learn them to be helpless.

There are different paths of wellness. Encourage people to look for them, do not push them in the mainstream one size fit all treatment route of making everybody bland and "normal".

[raspberrytorte]

Originally Posted by pirilin

In your case will be firing an assholette, right?.

Haha. Yeah.

[Icare dixit]

No anxiolytics/antidepressants (maybe only if someone is 24/7 catatonic or having panic attacks really continuously 24/7 with a max dose of antipsychotics).

Antipsychotics OTC. Not mood stabilisers.

Assume-psychotic-disorder-first-approach in diagnostics of anything but clearly neurotic-only (so falsify).

[Victoria'smom]

Therapist would have prescribing power because they deal with us many more hours then pdoc.

Therapists & pdocs should be required attend at least 1 workshop every year and should be regularly assessed in order to maintain their licenses.

There are just too many awful human beings who happen to be therapists/pdocs. For example, my old therapist used to lie to me, and her "help" was often questionable. I would argue that she doesn't deserve to be a therapist.

Now, assessments would be easy. Every counseling office would give patients an assessment form to fill out every "X" visits (e.g., every 5 visits). The assessment form would be created by the agencies who give out psychiatry & therapy licenses. If a therapist or pdoc continues to "fail" their assessments, they will be investigated by those agencies. If the offending pdoc/therapist is found to be incompetent, their license gets revoked.

[raspberrytorte]

That's a really good idea blue.

[Icare dixit]

Originally Posted by bluebicycle

Therapists & pdocs should be required attend at least 1 workshop every year and should be regularly assessed in order to maintain their licenses.

There are just too many awful human beings who happen to be therapists/pdocs. For example, my old therapist used to lie to me, and her "help" was often questionable. I would argue that she doesn't deserve to be a therapist.

Now, assessments would be easy. Every counseling office would give patients an assessment form to fill out every "X" visits (e.g., every 5 visits). The assessment form would be created by the agencies who give out psychiatry & therapy licenses. If a therapist or pdoc continues to "fail" their assessments, they will be investigated by those agencies. If the offending pdoc/therapist is found to be incompetent, their license gets revoked.

More bureaucracy. More boxes to tick.

You could just go to another therapist, right?