Doctor insights on:
A Basic Concept: The idea is, when one pairs a stimulus with an effect over and over again, that can be called a conditioned response. The classic example is pavlov and his dog. A conditioned response may be something as simple as complimenting your spouse upon arriving home resulting in a kiss. There can be desirable and undesirable conditioned responses. ...Read more
YES!!: Sure this is the forum to ask and use a a spring board to go get help in your own community. ...Read more
Work with your psych:
Talk to your doctor. Tell him or her what you are experiencing, and what you expect from the medication. Sometimes medication takes time to work, sometimes what we are looking for requires more than just medicine. Sometimes several approaches must be tried before the right one is found.
An alliance with the doctor increases the chance that you will get the results you need. ...Read more
FDA Approval: According to the food & drug administration, a drug must be proven to be both safe and effective for its' indicated use (s). For psychotropic drugs, that may mean studies have been done in which the drug is either significantly more effective than a placebo, or it is as effective as another drug already approved. It can be unethical to test with placebos for certain patient populations. ...Read more
Certainly can be: You don't describe what kind of psych history, but many famous writers have had severe psychiatric disorders. If you are worried about too much self-disclosure online, it might be a good idea to have some you can run your journaling by before posting it. People able to talk about their own problems can be enormously helpful to others who think they are the only ones with issues. ...Read more
There is no one: Answer for every patient. Some patients do well on one medication and some need many. ...Read more
You cant.: You can't force someone to take any sort of medications. You can help them understand why they may need them and how their life is affected without them, but at the end of the day the decision to take or not to take the medication is theirs. If it is an antipsychotic, there are injectable medications that can be given once a month which helps with medication adherence. No pills needed. ...Read more
Screening only: There are online screening tools for many mental health conditions. But the best resource for a full psychiatric/psychological evaluation is in person with a live professional interacting with you. Some areas may have telemedicine resources available with doctors. In these, the evaluation is "online" on camera, through a protected internet connection (not through email). ...Read more
Research vs Clinical: A PhD is typically a research degree that emphasizes experimentation, time in the library, and publications with lesser of an emphasis on clinical work. A PsyD on the other hand, is a clinical degree that emphasizes work with patients instead of research quite so much ...Read more
Ask?: Why don't you ask him or her that question? It is difficult to understand your question without more details. Ask your doctor the questions you have. Insist he or she listen to your concerns or find a new doctor. ...Read more
Usually not psych: Lack of commitment is usually not a psychiatric condition. That is to say that it is not a psychiatric illness. Lack or fear of commitment can be a part of a person's personality or can be a learned behavior. A man may exhibit lack of commitment to a woman alone or may have commitment issues in his work, social, or other spheres of life. ...Read more
Hi, Thank you for your question.
It is possible. Really depends on what the person is being treated for and their baseline personality. Some meds may affect personality the first few weeks of starting them but then hopefully settle down.
Hope that helps. Contact me if you have any other questions :-)
Dr. M ...Read more
My psych actually just told me to look on the internet and try to diagnose myself? Is this negligent?
Not neccessarily: A little more context is needed --- did you reject the psych's diagnosis or not accept it when s/he said it would take some time to figure out what was going on? Or maybe s/he is one of the psychs who thinks the diaignostic categories aren't very useful in teens. There are other possibilities. Best thing is to ask what it is that the psych is trying to get at. ...Read more
My psych is prescribing me several things and I feel really sedated and want to stop taking it. Should i?
First speak: With your psychiatrist. Let him know what you are experiencing. It is never good to go cold turkey on psych meds without supervision. ...Read more
Going to see psych today about a plan for my gad but I can't take ad's what do you think he could give me?
SSRI: Get a genetics test (like genesight from assurex) to identify which psych meds you will tolerate & likely respond to better. Then, standard of care is to start with an ssri (fluoxetine, sertraline) and benzo: e.g. Ativan (lorazepam). If h/o ssri, snri like venlafaxine effective also! Talk with your doc all? 's. ...Read more
Is it okay to do a project for psych what is the easiest way to kill your self around the household that is painless?
Not a good idea!: There are so many projects that are more worthy than this. How about doing a project for psych about good ways to feel more alive that are painless? ...Read more
Neuropyschological what is considered low for verbal fluency on a neuro=psych exam? What other tests are performed and for what purpose?
Depends: Scores on neuropsych exams depend on the age of the person taking them. The kinds of tests depend on what problems the patient has. Please speak with your mental health professional for an answer that is more specific to your situation. ...Read more
Wonderfull consultation with a great psyh. Dr. Recently. Consult....On a normal basis with a psych dr. Is a 15 minute appointment just too short?
15 minute appts.: Dr. Fowler provided helpful info on the effects of managed care on psychiatry appointments. The 15-minute model is based on medication management only -- and I personally think it's too short for even that. If your goal is also psychotherapy, 15 minutes is even more woefully inadequate. Some support can be provided, but most of the time goes for checking side effects and writing prescriptions. ...Read more
A level 4 psych Technician & a psych nurse, aside from different educational backgrounds, what's different in terms of scope of practice for each?
Medical training: Nurses have some medical training, but psychiatric technicians do not. Psychiatric technicians may have bachelor's degrees in "mental health" or developmental disabilities, but nursing training surpasses this. In some states also (and with additional training), nurse practitioners can practice independently. Psychiatric technicians cannot do this. ...Read more
In the past I told my psych. About my bouts anxiety, but received no help. Now it's worsened, how can I finally get diagnosed & get help 4 anxiety?
Anxiety: There is help for anxiety, through both talk therapies and medications as needed. You might consider a second opinion from another psychiatrist and/or psychologist -- I don't know which of these your term "psych" refers to. Primary care physicians are not trained to do the in-depth psychotherapy that's needed for anxiety -- they can be very supportive though, & will often continue ongoing meds. ...Read more
Benefit to me letting my docs know in a psych hosp for 6mths inpt in '11 for selfinjury related to pain and misdx. Will they judge? Nottakemeserious?
Learning Trust: It is vital that one feels safe enough to share the very depth of their life and story with a physician. If you share this deep important part of your life and you are mistreated then you find a better doctor. Most doctors want to know the whole story and have no reason to judge. The goal in being a physician is to offer help, a listening ear is vital to that part of our job. ...Read more
When you go to the emergency room for a psych eval, what exactly happens? My sister was already admitted once and I'm nervous that she will be again.
It depends: On whether a person is deemed to be at risk for hurting him or herself or others, and if this isn't the case, if he/she has a condition that is felt to be amendable to inpatient treatment. Many psychiatric issues can readily managed by close outpatient follow up. ...Read more
Use to be social guy. Now anti social and lots of work. Leads to anxiety. Psych gave meds. Not into meds for psych issues. Other solutions to improve?
Not meds alone: Medications alone will not solve this problem, yet your psychiatrist may have been trying to ease your way into working on this. You can also benefit from talk therapy with a psychologist/other psychotherapist to explore & deal with your anxieties and other possible issues. Working with such a therapist will allow you to develop specific ways of improving your situation. Good luck! ...Read more
Why do psych meds make your condition even worse than before when they are discontinued? It is as if you can't ever go off bc it will do the opposite
Perception: Say U're outside & U're cold. Someone lends you a warm hat. U get warm again. Now they're leaving & need it back. When U take off the hat, the warmth escapes & U feel the cold more b/c U were just warm. If a psych med is working, people often think, "I don't need this"& go off it. Often, the condition returns, & now they feel it more intensely because they know what it's like to live without it. ...Read more
Can I cancel a petition that was the 72 hour psych evaluation but hasn't taken effect yet cuz patien waiting for bed to open it in a psychevevfacility?
Doubtful...: If you filed an emergency petition and the local police became involved along with an emergency department and "psychiatric team" it then is taken out of your hands and you can't say..."oh, never mind". These actions need to be taken very seriously and once started are extremely difficult to stop. Keep in mind that they can result in long term consequences for the individual involved. ...Read more
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