[Marchmars]

I have gone to a hospital for depression few times.
But I stopped doing it because a psychiatrist just asked me to tell my story and then prescribed medication. That was it.
I trust his precription for sure but what I couldn't understand is that he didn't establish rapport, like having conversations or giving some feedback.

What does psyschiatrist do in your country?

Establishing rapport is more along the lines of something a therapist would do. Psychiatry deals mainly with medication and other treatments like ECT. I think this is the case worldwide, but that's definitely how it is here in Canada. If you are looking for talk therapy, I would advise you to seek out a therapist. Good luck!

[Quarter life]

Hi Marchmars.

Maybe different across the globe....But I was treated by a psychiatrist over ten years. This included talk/feedback and other forms of therapy once per week for about an hour each session. Best to research therapists/psychiatrists to discover what they specialise in, their fields of interest and their qualifications. Often there are testimonials and reviews available online from peers & former patients.

Wishing you the best in moving forward Marchmars

[kecanoe]

I live in the US. In my experience psychiatrists do mostly medication. Therapists and counselors do more talking about things and don't give out medications.

What follow-up care did you receive on discharge? Are you seeing mental healthcare providers now?

The role of the psychiatrist in hospital is not to provide therapeutic care. Their role is to make a diagnosis and stabilise you to the point you can be released. Care should not end upon discharge. You should have been referred to a psychiatrist to continue/supervise your care. Some psychiatrists will offer therapeutic services but this is usually the responsibility of therapists.

Remember too that you have your own responsibility when it comes to your mental healthcare. When you do go to a psychiatrist and/or psychologist, know that it is a working relationship. You have just as much a responsibility for a successful outcome as does the therapy provider. It takes work. I have the impression, perhaps incorrectly, that you think otherwise.

[Moonrider125]

Hi MarchMars,I know how you feel.I live in Japan.treated for depression-ADHD-(found out at 35 years old)-PTSD(reason happened at 32 years old)and so on.over 30 years since I was 19.

I tried therapist when I could afford.(not now)but many of them had no effect,some of them was good,but couldn't stay there long time.(i.e hospital closed)
I think,in Asia,there are chronic lacking of good therapist.and doctor tend to just give medication and say "That's all"in 3 minites.

(We tend to feel "therapy"are only western TV thing,don't we?..Maybe only me..)

Not so many,but maybe you can find doctors who talk with patient longer,or offer therapy within healthcare.but not many.I currently just getting medication,tired of searching doctor.

Hopefully things gets better

[PerryJeffJoeJimBob]

It depends. There are psychiatrists who, after initial evaluation, dispense medications. And they should recommend psychotherapy with someone if they think it is warranted.

Some psychiatrists will do both meds and psychotherapy. However, psychiatrists charge a much higher rate than non-psychiatrist therapists. Most insurance companies balk at this higher rate. So instead of being compensated for lower cost therapy, most psychiatrists prefer to concentrate on the medical side of mental health and leave psychotherapy to psychologists, therapists, counselors, and others.