Do pdocs always?

Do pdocs always prescribe medication or do they ever suggest alternative therapies? Do any of them do talk therapy or anything like that?

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No statistics that I know of but I would say if you walk into most pdoc offices in us and say you have symptoms of a mi you will walk out with an rx.

The focus of apa drs in recent years has been meds. Except forward thinking students they know very little about alternative options. I ask a pa about this and she said that she wasn't trained therefore would offer no advice on alternative treatments. I have gotten similar responses from other professionals. For that reason I do research on my own which I then get slammed for because I am a 'bad influence' on other patients.

Yes there are pdocs that do talk therapy. They are a minority these days.

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Depends on what country you are in... Here they will do blood tests, check you lifestyle habits, and recommend talk therapy before they start you on any hard core drugs... at least the good ones will. Unfortunately there arnt as many good as bad. The younger generation seem to be better. They may be younger (some people think inexperienced) but they are up to date with the latest and best treatments.

mostly give meds , the other work has been done usually before you see them , your GP should do all physical and blood before your passed on to a shrink. who then looks in his book for a med for you , if he don't think you need one he will set you free

My Pdoc uses a combination of meds (always my choice to take them after we've weighed the benefits vs side effects, he never just throws meds at me or makes it seem like I *have* to take them), talk therapy (various modalities of Psychotherapy), CBT, spiritual awareness, mindfulness and other forms of meditation, and right now he has me doing Yoga.

My T is a Pdoc. I found him by chance and feel very lucky to have him as my T.
He does mainly CBT but also practises hypnosis and mindfulness.
Only when I asked for medication did he prescribe it.

Willowbrook, purple... How old are they?

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so you p doc guilds you spiritually , that seem like brain washing

The way some people act about meds I could swear they are brain washed.

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spiritual aspect is part of overall mental health. Spiritual, mind you, not religious. It's great to see some in profession acknowledge that.

Early 40's, maybe a fraction younger or older. I'm not sure, it's hard to get an age read on him, he's one of those people that either looks way younger than what he is, or way older - if that makes sense.

No, he respects the fact that I am a spiritual person (I'm Wiccan) and he encourages me to continue my own spiritual practices, because they help me with my illness. He's a Buddhist.

Mine recommends, talk therapy. Doesn't force meds on me.

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They don't force anything on you, though if you don't want or need meds will probably refer you to someone else for therapy.

True, the meds wash your brain of gremlins

you don't need them then simple.

Case in point

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Gremlins hide socks and keys

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I'm in the US and all the pdocs I've seen gave me meds. They discuss them with me and we make a desicion. My pdocs have all suggested I have a therapist for counseling. I've been on meds since 1984 and I can't even remember some of them, that I only took a few weeks when bad side effects came up. I've tried it without them but spiral down pretty quickly without them.

My pdoc sees me every two to three weeks. She is an exception. She oversees all my therapy plus we do mini therapy sessions each time. About 30 mins. Then I see my lmhc once a week. Which my pdoc also keeps dips on. Mine is rare and a God send.

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My pdoc primarily prescribes meds, but he doesn't always prescribe meds for every client. He told me upfront that if he didn't think meds would help, he would tell me so and refer me to alternatives. I think he'd be willing to do talk therapy and would probably be great at it...but he's way too expensive! He does not take insurance and an hour of his time is over $400. So, yeah, I'll keep my T (who is awesome anyway) and just see pdoc for medication management.

My pdoc is willing to talk about alternatives to medication during my 20 minute appointments, and is willing to talk briefly about issues I might be having, but it's impossible to get in to any depth in just 20 minutes.

My p'doc sees me every week for about 1 hour. He talks to me, therapy, and will give a script for meds that might be needed. He won't write a script for meds that should be organized by my general practitioner. He also hugs. He hasn't suggested alternative methods unless you count DBT.

It costs $217(AUS) per hour but Medicare pay $150:00 per visit until I end up $550:00 out of pocket then Medicare pay 80%.

I have also requested TMS (Transcranial Magnetic Stimulation) and he has been okay with that. TMS didn't work.

So he wont write you a script there and then you have to go to a gp ???????the shrink usually write the first script and send your notes to the GP who then writes a repeat. THATS A BUMMER he has given you a med , then you have to wait till your gp gets his reply , then he sends for you to script it. You have been given a med and the shrink has the power to script it, but he sends you back to the gp . bummer

She says she's in Australia, that's the way it works here for the most part. Our GPs work alongside our Pdocs so we get more of an integrated treatment plan. We go to a GP, they refer us to a Pdoc, or one of the government clinics if we qualify, then the Pdoc does an assessment, decides what treatment is best (medication, talk therapy, etc) and works in conjunction with the GP usually letting the GP handle the med management for things like AntiDepressants so that they are freed up to do more non medication management things.

Sorry I'm rambling a bit, but we have a different system here and it might not be perfect, but it has improved a lot in the last few years and having our GPs and Pdoc's working together in a unified front can actually be beneficial.

You seem determined to bash anyone and everyone's Pdoc regardless of how good or bad they are. You may not like your Pdoc, but some of us do so please don't tar us all with the same brush.

[QUOTE=willowbrook;3554650]She says she's in Australia, that's the way it works here for the most part. Our GPs work alongside our Pdocs so we get more of an integrated treatment plan. We go to a GP, they refer us to a Pdoc, or one of the government clinics if we qualify, then the Pdoc does an assessment, decides what treatment is best (medication, talk therapy, etc) and works in conjunction with the GP usually letting the GP handle the med management for things like AntiDepressants so that they are freed up to do more non medication management things.

Sorry I'm rambling a bit, but we have a different system here and it might not be perfect, but it has improved a lot in the last few years and having our GPs and Pdoc's working together in a unified front can actually be beneficial.

You seem determined to bash anyone and everyone's Pdoc regardless of how good or bad they are. You may not like your Pdoc, but some of us do so please don't tar us all with the same brush.[/QUOTE/////////////////////////////////////////////// Sorry but everything you just said is the EXACT WAY WE DO IT IN England, apart from the pdoc gives the first script the patient then off they go to the hospital chemist there and then and start his or her treatment in 20 minutes. Possum told my how they received med , I told them how we received meds , why is POSSUMS and my thread your problem.

It's not yours and Possums thread, no offence meant, it's CastlesintheAir's thread. They wanted to know if Pdocs did anything but prescribe medication, and your posts in reply are coming across as if you're attacking Psychiatry in general. It's uncomfortable to read, and feels unsupportive to have someone appear to be jumping on the entire field of Psychiatry in general.