Do pdocs always?

Um, why did my name come into this?, a question was asked, i answered..???

(((i'm on xanax and ambien, see my pdoc, ever six Weeks)))

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[QUOTE=Michanne;3550749]Willowbrook, purple... How old are they?

My Pdoc is about 43, he does therapy as a sideline and I feel very lucky to have found him.

[QUOTE=purple orchid;3554774]
Thanks. Both in early 40s give or take says they graduated late 90's at the earliest. That's encouraging. It's changing.

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Ha! no, i do. It's something, that I was able to tell my pdoc, i wanted to wait, just a little longer, because I wasn't ready to take that step. He was willing to give me, time. That's what I mean. It's not 'if you don't take this, you're terminated.'

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My apologies, I was giving examples of what was making me uncomfortable with sewwerrats responses, I didn't mean to drag anyone else into it. If I can still edit the post I will.

No worries, btdt..

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[QUOTE=Michanne;3554781]Mine graduated in 97, as far as I know, which includes residency. He is now, or at least he was as of a year or so ago, on the Curriculum board for the University he trained at, meaning he's part of the team that sets the course work for the next lot of Pdocs being trained (as well as being a senior clinical lecturer and a residency supervisor). Definitely encouraging to see some of the more forward thinking Pdocs helping the new ones coming through to also follow more in their lead.

Definitely encouraging

I only no mine by name and the I off sightings I have to see any shrink at the mental hospital this is the NHS, plus if people miss 2 appointments there struck off the hospital and have to rely on there GP. The shrinks in the outpatients are not the shrinks on the wards , so they never seen you before even though you may have been in hospital 6 month. They may be straight from UNI or a Locum , they have a set list of meds to give you, if you no anything about meds and they have it on there generic list ie SSRI OR SNRI just ask and you will get it???? why because its on the list. IF when in hospital they have found a med and a diagnosis then the locum or student will ask is it working if yes , off you go for 6 months , if not its back to the generic book and off we go again. We don't have fancy level difference insurance or private shrinks a working man can afford ,let alone someone out of work. I tell you about what its like hear you say what its like where you live , that's not dishing all shrinks , but England hasn't really got a real mental health care they just shut 27 beds in my brand new mental hospital wing because the NHS is bust.

I'm sorry the situation sounds so difficult for you. Our MH system was pretty bad a few years back as well, but it has improved. Maybe the NHS will as well. It's not fair that people who need help have to put up with substandard care.

Willowbrook, my Pdoc also teaches at a university, training up and supervising Pdocs to come.
He is especially interested in CBT.
It's encouraging to see that there are some good ones out there, passing on their knowledge to the new ones.

Mine has specific interests in the following.

Cognitive behavioral, metacognitive therapies, Interpersonal neurobiology with regards to Psychoanalysis, Attachment theory, relationships between trauma and psychoses, Buddhism, Mindfulness in Psychotherapy and Philosophical practices/groundings in psychiatry.

I am extremely lucky in that he actually chose to take me on just by chance, and he has waived all fees for me over the past few years I've been seeing him. Otherwise I'd be screwed, because there's no way I could afford regular therapy (we're not exactly what you'd call living in the upper echelons of the socio-economic ranges).

It's great to hear that someone else also has a good Pdoc who's helping to lead the way for the future generation. I like that a lot more integrated type Psychiatry seems to be being taught now. Before I'd go to a Psych and it would feel just all medical and nothing else, so then I'd go to a more spiritually minded Counsellor or Psychologist, but then I'd be thinking 'I need the medical model as well'. I love the fact that Psychiatry is starting to combine modalities in this way.

My pdoc only prescribes medications and does not provide talk-therapy or counseling.

I read a case study today about a patient being treated by a psychiatrist and it was so clear how important the combination of therapy and doctor care is. The patient was medicated by first her primary then referred to a psychiatrist who spent 10 minutes with her at a time. The new doc spent time with her and her mother and even had her call him as much as nightly at times during her treatment. The result was it became abundantly clear that she had situational depression not clinical depression. It started with a career crisis and escalated to a divorce. The meds were dampening her ability to feel and therefore her ability to heal. She needed to experience the grief.

The doctor practices empathic therapy. The idea is to have a team working together which may included family members (I have no family or friends that could get involved.) if your lucky enough you might find a member in your area.

http://www.empathictherapy.org/What-...-Therapy-.html

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Mine does both and is great. It's harder to find a pdoc that isn't very med focused.

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THAT was a good call by the shrink , he sussed it wasn't meds she needed, but you lucky to get a call in the day never mind at night by a shrink. all some people need is some time out , ie holiday , a week on the beer only a week before I get letters just to forget your problems , these are the people I post about that don't need meds, but unfortunatly not many shrink have time to look that deep and the person is on the med go round to pain.

My T is a pdoc. But my pdoc is a different person altogether. Here it's common to find pdocs being Ts, and I find that the younger ones are actually finding time to talk to you. Even though we're restricted to 20 minutes, sometimes pdoc will talk to me and walk through with me through a difficult matter... which I greatly appreciate.

No, they don't always prescribe medications. It depends on the type of disorder and the client. Some psychiatrists do therapy. There are some people who see a psychiatrist strictly for that reason. It is rare, but it does happen.

I have never seen or heard of a shrink doing therapy, when would they find he time, and that is what a therapist is trained for, not saying its not possible but you need a lot more time with a patient that a shrink hasnt unless private . I know of GPS doing out side work in acupuncture and hipnosis

I think it depends on which country you live, I have never heard of a Pdoc doing therapy here in the Uk but I could be wrong.

I am in Canada. A lot of psychiatrists do therapy here, especially if they work in the community. The ones that don't tend to work in hospitals.

The last pdoc I was assigned to actually when I was in a psych hospital after a suicide attempt (my first pdoc refused to treat me any longer after all the unsuccessful suicide attempts I'd had)......at first I didn't like him because in the hospital it seemed like he barely talked to me but threw meds at me......HOWEVER.....after we talked & we got to know each other better, he was the best possible pdoc I could have had for my situation where I always had horribly bad side effects from the med that I was given.........

Anyway, I found out, he's originally from Argentina & did his med school at University of Buenos Aires. He moved to Israel from there to do an internship and a general psychiatry residency at hospitals affiliated to Tel Aviv University. After that, he moved to New York, where he completed fellowships in Child and Adolescent Psychiatry and in Biological Psychiatry and Psychopharmacology at the Albert Einstein College of Medicine. From there he moved to Calif & UCLA then opened his own private practice where he actually focuses on integrative holistic psychiatry for children, adolescents and adults. He uses conventional psychotherapeutic and pharmacologic treatments along with nutritional supplements and herbal medicine. He is also has been a principal investigator for more than 100 clinical trials of new medications for depression, generalized and social anxiety disorders, bipolar disorder, and ADHD.

GEEZE, how lucky could I have been by chance to have been assigned to him.....at the hospital when I commented to the staff that I wanted a different pdoc, they were very kind & told me that I really should talk with him & work through the issues, then make my decision. I was with him for over 10 years before I left my H & moved 2100 miles away (H also went to him for a trial on adult ADHD) which he also thought there was more wrong with my H than just that but H wasn't willing to do anything about.

I also went to a psychologist who worked out of his office who was also from Israel.....I really liked him but his style of therapy was to just sit & listen with very seldom any feedback.....however my pdoc experimented with me using the lightbox that he loaned me for awhile......& by the end after horrible side effects such as joint stiffness so I couldn't walk, then other med caused the parkinson's like symptoms where I couldn't even feed myself of walk into the bathroom alone,.....he did help me get through the nightmares after the trauma I had the last year seeing him....& he tried working with me on the anorexia that was triggered by the trauma.....but in the end, his best choice of all was the Omega 3 -EPA at about 1800mg/day. He found that studies say that it's the EPA that works on depression....the DHA works on the health of the body. I actually grew to respect him more than I realized after I moved away.....I no longer go to a pdoc but have found a wonderful psychologist who wishes at times I would be willing to try something for the anxiety level I deal with but after we've talked, she understands that living alone & with the bad side effects I've had that attempting to try another med just isn't a good thing to do.

I'm not consistent with the Omega 3 fish oil that is high in the EPA....but when I am, I do feel a LOT BETTER.

He was also great at supplying samples of meds so that I didn't have to pay.....& that was the same for my H.....but most of all the best aspect was that he had natural alternatives that he knew & was willing to try that didn't involved meds at all. He also knew the horrible problems in our marriage & at times wouldn't release me from the hospital to go back to that life which was initially when he provided me with the psychologist in the hospital who I continued to see afterwards.

It was quite a drive from my house...over 1 hour away....but it was worth it....quite different from the pdoc I had first gone to who was actually from the Philippines & got his psychiatric degree there. He was good, but nothing like the pdoc I ended up with as he was one who would just keep throwing drugs at you & then wouldn't believe the side effect I was having even when I was in the hospital.......so it was a very GOOD change to someone who truly treats the patient.....& works with the patient to truly find alternatives to the meds

JESUS you have been about a bit , your hole life has revolved round therapists and p docs but you seem ok , I have always take 2000 mg of omega fish oil every day.

I have never heard of community psychiatrist how does that work could you explain please . You mean a shrink comes to your house alone with no back up like they have in hospital, What if it all goes pair shaped and you deck him, I don't understand I have had security called at hospital outpatient when I have argued with there not bothered attitude. So to come to a patients house alone seems risky

I don't know about the community based psychiatrists in Canada, but here in the US we have community based therapists/ counselors who provide in home therapy, though it is usually for children and families. For adults you will have community based counselors who work in "step down programs". They are out of the psych hospital and in a group home environment. The counselors will work directly with them and are often alone and in situations that really surprised me with no supervision. It is a good service but at the same time it definitely can be very risky.

LOL...that's just since 1994 when I was 41 at the point I lost my engineering career.....& at the time I knew I had a bad marriage just didn't realize HOW BAD & how much it was also effecting my mental health.....I gave up on life at that point.

I am so much more ok.....but will never be able to go back to an engineering career....especially 20 years later....but other things come up that keep me needing to work on staying stable....& since leaving my H 6 years ago, that has been one of the best things I have done for myself....along with the DBT therapy I am now working on for the last 3 years.....I find there are constantly new really bad things that keep hitting my life.....

Part of the OK that I have is not just therapy.....it's my RELATIONSHIP with God that has also grown & that is making a huge difference along with the other supporting areas in my life....& for the first time in my life & have friends & a support network that is so overwhelmingly amazing......feeling that I have people who care about me & call when I'm not feeling ok....has been an amazing feeling also.