What's with all the psychiatrist bashing?
The following was originally posted to the HCPLive network blog Shrink Rap.
Okay, KevinMD today was the final straw. I am so sick Shrink-bashing. We're insensitive, drug-pushers who don't talk to our patients, don't listen to our patients, don't care about our patients. We're in it for the quick buck and "Tell-me-about-your-mother" has been replaced by "Here's your script, NEXT!"
First there was the NY Times article about how shrinks now see 40 patients a day, and the story was about a shrink who tells his patients it's inappropriate for them to tell him their problems. Oy. Shrink Rap commentary HERE.
Next there's MovieDoc who calls shrinks of my ilk who see patients for meds and therapy "sporkiatrists." Jacks of all trades, masters of none, as if one person can't possibly do two things well. You know, I walk and chew gum at the very same time (oy, I'm snarky today).
Oh, and there's the commenter on our Psychology Today blog, Shrink Rap Today, who writes:
'Shrink''Antipsychotics' ('neuroleptics') have been proven to SHRINK the human brain... the frontal cortex, for instance... by about 1 percent loss of brain matter per year... There is horrific fallout from these drugs -So, 'SHRINK' is certainly appropriate.'Rap'Psychiatry, along with its partner in crime, Pharma has a RAP sheet a mile long, particulary in the areas of clinical research, done by psychiatrists... the "off-label" marketing of psychiatric drugs to children, Medicaid fraud... the 'RAP' sheet is quite long.
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And so now KevinMD has a post by a psychiatrist, no less, who writes about how to get heard by your psychiatrist and suggests doing homework and bringing notebooks to those 15 minute med checks. Good we have pointers here because of course we'd assume that no psychiatrist would listen. Dr. Raina writes:
Please, give me a break. What is it with this 15 minute visit stuff? We polled the shrinks in our state. A few see a lot of patients. The most common answer for how many patients do you see on your busiest day of the week? 8-11. Very few see more than 20 patients a day (and these may be 12 hour days?). Many see 1-2 patients/hour. Yes, it's very hard to find a psychiatrist to see you for weekly psychotherapy in-network---insurance just doesn't want to pay for this service. But there is the out-of-network option. On some insurances, it pays 80%. On others, it pays for your parking for the hour.
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