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Doctor insights on: Concierge Doctor Psychiatry

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Child psychiatry doctors?

Child psychiatry doctors?

Child Psychiatry: Doctors specializing with treating children & adolescents had obtained board certification in general psychiatry & did extra training & certification to specialize in working with youngsters. ...Read more

Dr. Heidi Fowler
1,680 Doctors shared insights

Psychiatry (Definition)

Psychiatry is the field of medicine that deals with the study and ...Read more


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Can a family physician prescribe derpression and psychiatry medicines?

Can a family physician prescribe derpression and psychiatry medicines?

Saves money but: Call me old fashioned but it does not mean it is such a good idea. More ok for family, general, internist, ob/gyn etc to refill antidepressants once a patient is doing well, as part of general health maintenance. I have seen enough prolonged suffering and missed opportunities to appreciate the down side. Worth it to get started with a good psychiatrist, then transition. ...Read more

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How to know if I need take psychiatric medicines or consult doctors for this type of anger?

How to know if I need take psychiatric medicines or consult doctors for this type of anger?

What type of anger?: I would need more details to answer this. If the anger is causing problems in relationships or work, it would be worth getting a professional consultation. ...Read more

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How do I know if I need take psychiatric medicines or consult doctors for this type of anger?

How do I know if I need take psychiatric medicines or consult doctors for this type of anger?

Anger: Not sure what type of anger presentation you are speaking of. However, given the limited info provided I would recommend an eval by a mental health professional to fully assess and make recommendations ...Read more

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What kinda psychiatric problems happen to doctors?

What kinda psychiatric problems happen to doctors?

All kinds: I have seen doctors with every type of psychiatric problem and have heard of doctors who have schizophrenia. When I was a fellow in child & adolescent psychiatry at johns hopkins hospital, I had a patient who developed schizophrenia while in medical school. Doctors are in no way "immune" from all or any of the conditions which they might treat. ...Read more

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In a psychiatric practice can a PA change/adjust medications wthout the doctors approval?

In a psychiatric practice can a PA change/adjust medications wthout the doctors approval?

It is not: Uncommon for a physician's assistant to make adjustments of medications without a specific directive from a physician in a psychiatric practice. ...Read more

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What type of doctor can send you to a psychiatric facility?

What type of doctor can send you to a psychiatric facility?

Any type: It depends on local laws. In many locales, any doctor -- sometimes it takes two -- can arrange for a forced evaluation at an emergency room or a facility. But beyond the evaluation, there are typically safeguards which require additional assessments and decisions that continued hosipitalization is necessary. Often this requires a psychiatrist specifically, with prompt concurrence in days. ...Read more

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Do doctors ever mistake an endocrinological issue for a psychiatric one?

Do doctors ever mistake an endocrinological issue for a psychiatric one?

Evaluating symptoms: Endocrine conditions can certainly cause psychiatric symptoms. That's why screening tests like thyroid function studies are part of a standard psychiatric evaluation for depression, anxiety, etc. Part of the training to become a psychiatrist involves learning to discern, but mistakes can be made. There are also cases where these conditions coexist, and each needs treatment. ...Read more

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I am infested with human fleas I need a doctors help, the dog is long gone and I still am infested. I have had 3 exterminators. Not psychiatric.

I am infested with human fleas I need a doctors help, the dog is long gone and I still am infested. I have had 3 exterminators. Not psychiatric.

These feeling can: False fixed believe, if u u were examined by 3 three physician u r unlikely to be infested with flees. ...Read more

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Can a primary care doctor prescribe psychiatric meds?

Can a primary care doctor prescribe psychiatric meds?

Yes: Using medicines requires knowledge of doses, indications, adverse effects, and interactions with other medicines. ...Read more

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Are emergency room and general practice doctors qualified to prescribe psychiatric medications?

Are emergency room and general practice doctors qualified to prescribe psychiatric medications?

Variable training: Any licensed physician may prescribe psychiatric medications -- but training and experience in diagnosing, selecting medications for specific patients, and managing side effects, varies. People often receive medicines initially from their pcp's, but if treatment gets difficult, they refer. Psychiatrists take 4-year residencies to develop expertise; many also do additional fellowship training. ...Read more

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What to do if I have missed 3 doctor appointments at a psychiatric hospital?

What to do if I have missed 3 doctor appointments at a psychiatric hospital?

Missing Appointments: Missing appointments could mean that you are not very interested to maintain treatment, or you want to sabotage your improvement. Discussing that behavior with a therapist will be fruitful in understanding the psychological factors involved in not continuing with a treatment when you need it. If you have other problems (lack of transportation, no copay money) you can explain those to your treater. ...Read more

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What type of doctor can prescribe a Cholinesterase inhibitor, is it a psychiatric? Neurological?

What type of doctor can prescribe a Cholinesterase inhibitor, is it a psychiatric? Neurological?

One with a licence: Any Doctor with a license to Prescribe medication can can Prescribe these medication. For example a Primary Care Doctor, a Geriatrician, an internist, a Neurologist, a Psychiatrist, etc. These medications are mainly used for the treatment of Alzheimer's disease and dementia, but they have many other uses too. Certainly, a Neurologist would usually be the most educated/learned type of physician to. ...Read more

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Doc has put me on tapering dose of 60mg prednisolone for chronic migraine not resp. To drugs and partial resp. To Botox. He says that non resp. To prednisolone means my migaine is psychiatric. True?

Doc has put me on tapering dose of 60mg prednisolone for chronic migraine not resp. To drugs and partial resp. To Botox. He says that non resp. To prednisolone means my migaine is psychiatric. True?

Migraine treatment: There are many good medications for migraine treatment. Migraine is a serious and complex neurologic disorder. Today effective management of migraine involves three specific strategies: 1) patient education 2) non-pharmacological management (diet, sleep hygiene, acupuncture) and 3) pharmacological (triptans, topamax, (topiramate) etc) management. Rec.:see orofacial pain or headache specialist. Hope it helps.
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Doc has put me on tapering dose of 60mg prednisolone for chronic migraine not resp. To drugs and partial resp. To Botox. He says that non resp. To prednisolone means my migaine is psychiatric. True?

Doc has put me on tapering dose of 60mg prednisolone for chronic migraine not resp. To drugs and partial resp. To Botox. He says that non resp. To prednisolone means my migaine is psychiatric. True?

Not true exactly: Prednisolone is not a common migraine treatment protocol. Often times there's also a underlying dietary, or food allergy source to migraine that can be exacerbating or causing continuous, chronic issues, along with stress. So it would be good to have a food allergy panel done with complement testing to rule out this possibility. Then look at other possible triggers. You don't want to be on chronic steroid treatment. ...Read more

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I was diagnosed with POTS last year during a tilt test. I cannot find a doctor who fully understands this condition. Please can you advise who I could see. I recently saw a cardiologist who suggested I go for a psychiatric assessment! ?

I was diagnosed with POTS last year during a tilt test. I cannot find a doctor who fully understands this condition. Please can you advise who I could see. I recently saw a cardiologist who suggested I go for a psychiatric assessment! ?

POTS: I can't provide any contacts in South Africa to help you specifically with POTS. I did want to advise that I know POTS can be debilitating. As a psychiatrist - I have several POTS patients. I can't cure or treat their POTS - but sometimes, it can help to deal with the problems that come along with it. Good luck with this. ...Read more

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Do and Can primary care physicians prescribe antidepressents (SSRI's) or do you have to go to psychiatric doctor in order to get it prescribed?

Do and Can primary care physicians prescribe antidepressents (SSRI's) or do you have to go to psychiatric doctor in order to get it prescribed?

Yes: Primary care providers do prescribe multiple classes of antidepressant medications. Referrals to a psychiatrist are often made based on the patient's preference or if acuity of mental health needs and followup requirements are beyond the ability of the the primary care provIder. ...Read more

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What happens during a psychiatric evaluation? Hello. About 6 months ago I went to my pcp for some depression and anxiety. I've always had OCD and my doctor recommended Zoloft to assist me with all three. I have been taking 50mg of Zoloft since then, an

What happens during a psychiatric evaluation? Hello. About 6 months ago I went to my pcp for some depression and anxiety. I've always had OCD and my doctor recommended Zoloft to assist me with all three. I have been taking 50mg of Zoloft since then, an

You: You actually have included quite a few questions here. During a psychiatric evaluation, expect to discuss the problem that you desire to be treated for. In addition, you will likely be asked about how much alcohol you consume, any medications or herbals/ supplements you are taking, about drug, caffiene and nicotine use, allergies, past medical history, past surgical history, family psychiatric history, your own past psychiatric history, nutrition, pain, spirituality and questions to determine if there is any risk to harm self or others. A diagnosis can help to determine what treatment plans the doctor will offer you. Both cognitive behavioral therapy and medications can be helpful. ...Read more

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Is there a single doctor I can go to that can provide psychiatric treatment as well as being a general practictioner? I'm trying to decide who to goto

Single practitioner: A physician once licensed can practice medicine (all disciplines) and surgery (all disciplines). However, u would not necessarily find they are insured or competent. It would be preferable to be stabilized by a psychiatrist traine in this specialty and once stabilized discuss with your pcp if they would continue these medications. Do not minimize the necessity for ongoing counseling/therapy. ...Read more

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My doctor is switching over to a concierge practice with a firm called mdvip. Is it worth the $1600/year fee. I really like this doctor.

My doctor is switching over to a concierge practice with a firm called mdvip. Is it worth the $1600/year fee. I really like this doctor.

Yes, if...: Yes, it's worth it if you like the doctor, the doctor takes good care of you, and you have a budget for that amount. Many people have an annual deductible of $1500-$2000 on their regular insurance, so paying a good personal doctor $1600 a year is sort of like paying one's annual deductible. Also, one day in the hospital can easily cost ten times that much. ...Read more

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Hi doctors, was just wondering what is boutique/concierge medicine?

Hi doctors, was just wondering what is boutique/concierge medicine?

Boutique/concierge: Boutique or concierge medicine usually implies a practice with way fewer patients than a typical primary care practice. It is standard for the patients to pay a retainer or membership fee. Sometimes that is all they have to pay and sometime they still gave to pay for each visit. Visits are usually longer than usual and access to the doctor is easier. ...Read more

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Why are a lot of doctor turning down HMO and turning concierge?

Why are a lot of doctor turning down HMO and turning concierge?

Healthcare is costly: The cost of keeping a medical office running has gotten very high, and the HMO fees collected from patients and their insurers have not kept up with the costs such as rent, supplies, nurses, etc... Thus, many doctors have to see 4 patients an hour just to keep their clinics operating. One can help his doctor by avoiding HMO's. With Concierge practices, patients pay a bit more but get more time. ...Read more

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After 17 years I had to change primary doctors. My other one went into concierge. What happens on the first visit with new doctor?

After 17 years I had to change primary doctors. My other one went into concierge. What happens on the first visit with new doctor?

I like: To make my first visit with a Patient a COMPLETE evaluation including complete History and a "targeted" Physical Exam ("Hands On") HOWEVER the more "modernist" Physicians rather make the first visit an "introduction" and more SOCIAL (often with NO CHARGE)...You pretty much have to decide which kind of experience you want and make it clear BEFORE an appointment is scheduled
Hope this is helpful
Dr ...Read more