Doctor insights on:
Nebraska Psychiatric Dr
Psychiatrist: Ask your GP for a referral to a reputable psychiatrist in your area. It's best not to try to find one out of the phone book. ...Read more
Can a dr on here prescribe psychiatric meds? My dr is away for the Jewish holidays and I need my meds.
Probably yes: But not controlled substancesGet a more detailed answer ›
I feel like I have some psychological deficit. I was the high achiever type and became sick 3 months ago, and am not getting better. The Dr is referring me to psychiatry...
Consult outcome: I am assuming your dr is referring you to psychiatry because you don't have any other diagnosed illness and he/she may think it is a psychiatric illness. I think you may benefit from an initial consult with a psychiatrist, however psychotherapy may be an option too and a psychiatrist would be able to make that assessment after speaking with you. ...Read more
Loss of function: Decompensation refers to a person losing functionality as a result of strain or stress, usually secondary to life pressures or to a specific disorder such as schizophrenia or depression. The ability to do day-to-day tasks deteriorates, which can be the start of a vicious cycle because it increases stress and strain. ...Read more
Early indicators: Almost any behavioral change can be early indicator. Some of the more sensitive and thus earliest include insomnia, social withdrawal, irritability, change in appetite. Previous decompensation pattern is also a good predictor for future decompensation indicators, in a given person. ...Read more
It depends: This depends on the hospital, but most psychiatric units have treatment teams taking care of you. These include psychiatrists, nurses, social workers, psychologists, occupational therapists, internists, etc. There are scheduled group therapies, plus your individual sessions w/doctors. Medications may be prescribed as needed. It's a place for thorough evaluation, & for helpful treatment to start. ...Read more
B/c of subjectivity: Misdiagnosis is more common in psychiatry b/c of it's subjective nature. Absence of physical signs, less help from lab work, imaging studies & physical exam. Although, psychiatric diagnoses may be almost as accurate, if a good history is taken, applying dsmiv-tr criteria, ruling out all other possible causes, excellent observation, doing relevant labs, imaging studies & checking 6 major groups. ...Read more
Psychiatric illness: There are too many examples to enumerate. Psychiatric illness manifests itself as producing considerable distress in the person's life, and hindering his or her performance in the educational, laboral or social areas of functioning. It is necessary to reach a diagnosis of the illness in order to treat it, done by primary care or general physicians, or psychiatrists and mental health workers. ...Read more
Or persons who have difficulty getting to treatment programs or appointments.
Persons who have trouble taking their medications appropriately or who need frequent bloodwork done.
People who need regular injections.
Persons with agoraphobia who are terrified to leave their homes. ...Read more
Energy level: It can take a lot of energy to maintain the elevated mood when you are not in a hypo manic state, but the goal is to achieve stabilization to prevent ups and downs of the energy levels. Resting well and exercising may increase your body stamina, and improve your self esteem and confidence. Alternating activities of different energy requirements is very important to maintain balance. ...Read more
Sure. ..: Almost any medication, drug, or illicit substance, and many "natural" remedies have the potential for short and long-term consequences if not use appropriately. However, when used properly, most psychiatric medications are more neuro-protective than people realize. Also, untreated mental conditions can cause permanent physical damage due to effects on the body. Talk with your dr. About specifics. ...Read more
Referral: Depends on urgency and how busy the practice is. ...Read more
Trust: Yes. For a healthy adaptation to life with a family, in a community, and at work it is necessary to have a basic amount of trust, or you will never end up getting close to anyone. Many people have been burned repeatedly by individuals who did not deserve their trust. Not trusting anyone is a maladaptive response that won't really help. Counseling can help you decide who deserves your trust. ...Read more
My goodness!: I'm not sure where an idea like this about psychiatry would come from. Behavior is one of the areas in which psychiatric symptoms and disorders express -- so how could we possibly ignore it? Behavior produces objectively observable data. To correctly understand behavior requires information from the patient: thoughts & emotions, both conscious and unconscious. Truly biopsychosocial. ...Read more
Psychiatry: Over last 10 years its a giant leap in field of mental health better clear understanding of various illnesses as well as development of refined less damaging medications with precise managements available. ...Read more
Typically need the following:
1-Complete HS with obtain a GED/Diploma
2. Attend College
3. Take the MCAT exam & get the best scores you can.
4 USA Medical School--meet basic requirements have decent MCAT scores & good referemces. Most USA Med. Schools very competitive.
5. Get State M.D. license.
6. Apply to ACGME approved Psych. Resid.-3-4 yrs.
7. Consider Certification. ...Read more
King of the hill:
Become a psychiatrist....or a patient?
Here is the website with the detailed explanation of technician certification levels as published by the American Association of Psychiatric Technicians:
http://www. Psychtechs. Org/cert. Shtml ...Read more
Defensiveness: I agree with dr. Omrani about ignorance being a big reason. Some people have remarkable abilities in this area. Another is defensiveness, because they are frightened of "those" people with psychiatric problems. It's easier to dismiss an issue than to delve into and understand it. People often do dismiss psychiatry -- until they or their family members need help. Then, the light may dawn. ...Read more
Quick diagnosis: Personally, I find it very difficult to diagnose in psychiatry in only 15 minutes unless I have a lot of background information (old records, information provided by family etc) or unless it is an extremely obvious situation (very blatant, severe symptoms). Part of the diagnosis is ruling out things as well, and it would be very hard to ask all the appropriate questions in a short period of time. ...Read more
Neuropsychiatry: Neuropsychiatry is a field that preceded psychiatry, for studying neuropsychological conditions, comprising psychiatrists & neurologists, until the split when psychiatry became separate field, each with their own governing boards. ...Read more
Major Depression: According to the national institute of mental health, major depressive disorder is the leading cause of disability in the U.S. For ages 15-44. "mental disorders are common in the United States and internationally. An estimated 26.2 percent of americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.". ...Read more
Depends: It really depends on the situation. Medications can be dramatically helpful for many conditions, when carefully prescribed by a trained child psychiatrist. On the other hand, there seems to be a trend towards over-prescribing of medications such as antipsychotics, stimulants, and antidepressants, sometimes off-label, and potentially with severe and unwarranted side effects. ...Read more
Different levels: Psychiatric technicians are of different levels of training and expertise, with educational requirements that differ for each. You can find out more here: http://www. Psychtechs. Org/about. Shtml ...Read more
YES: I would try asking him how he thinks he's "doing" these days". Men are usually not as comfortable with "feelings". Ask when he last felt like "himself". Usually if you think he needs psychiatric help, he will be able to identify something that doesn't feel "right" to himself as well. Otherwise, ask him to go with you for your support. Get support for yourself; over time, he may get help too. ...Read more
Hard to Answer...: Very difficult question to answer briefly. There are many different medicines that are used in psychiatry, and these are grouped into several categories. The most well known are the antidepressants. Other groups are the antipsychotic medications, mood stabilizing meds, stimulants, and antianxiety meds. Some meds fall into more than one category. ...Read more
Canadian Psych.: Basically philosophy is same as far as mission & goals. The canadian classification of mental illnesses follows the world health organization classification (icd), whereas the american follows the diagnostic & statistical manual of mental illnesses (dsm). ...Read more
No.: Great question with some interesting aspects. For instance, if a first child is autistic, parents may choose to not have others, which can look like first children are more at risk. Lots of research on birth-order effects, but most of it is not about mental illness so much as personality traits, job choices, that kind of thing. ...Read more