I have been in therapy (psychoanalisys) for years. I've been derived to psychiatrists who have prescribed me medication. I have never, ever been given a diagnostic. From my perspective it feels like they are shooting with a shotgun in the dark, hoping to hit something. When they don't know what the problem is, the default answer is stress. They give you stuff that makes you sleepy, as if that would solve anything at all. The only reason I still give it a chance is because I have no other alternative. I feel like we live in the middle ages of mental health and they are giving me the equivalent of leeches and bloodletting.

@mp-uy9sv

2 жыл бұрын

exactly!!. A person has to be very careful, the medications psychiatrists offer have more drastic debilitating side effects "short and long term" than any other class of medications on earth for any other medical problem. And it is commonly known that the side effects of these drugs can make a person "appear" mentally ill in public when they are not, eg.........drooling, blank stares, shuffling around instead of walking properly, massive weight gain, lack of care or effort about hygiene anymore, unable to work because side effects make the patient incapable, memory problems, complete mood and personality changes, liver/kidneys/bladder /organ damage suicidal thoughts etc..etc.. All caused by antipsychotic and anti-depressant medications that psychiatrists have no concern about handing scripts out. going to a psychiatrist can be very dangerous if one is gullible and trusting

@rickweiss2793

2 жыл бұрын

I am the way, the truth and the life. Verily I say unto you that no man goes unto the Father except through me~Jesus

@bestcity0979

2 жыл бұрын

Nailed it

@tkenglander6226

Жыл бұрын

I hope things have improved for you since you posted the comment a year ago. 🙂

@essennagerry

Жыл бұрын

Oh, would you be interested in sharing with me what your story and experience is? I'm very curious and maybe I could help in some way. To me it seems the competency of mental health professionals as well as their ideology/views/approach can vary greatly, and sometimes even just the level of how informed they are. I'm very curious if I'll be able to at least problem solve a bit and come up with directions you haven't yet considered. If you're also as chatty as me lol and don't mind sharing with a stranger please let me know what your preferred platform would be! It's fine with me to write contact info here and then delete it. In any case, I wish you all the best!

I always have bad experiences with psychiatrists, just had yet another bad experience this morning, they don't listen and only interrupt you, it feels so insensitive, they don't help and they just make you feel worse, I rather go to my gp to get medication

@pierrebornholm5599

3 жыл бұрын

That’s definitely not how I feel with my psychiatrist. Even when I’m struggling to explain something she listens carefully. When she accidentally interrupts me she’ll say “no please go on..” if I’ve not finished speaking.

@Roman.Joshua

3 жыл бұрын

@@pierrebornholm5599 but does she really listen and suggest real solutions or do you just feel like being able to be heard and thats the treatment in comparison to drug prescription?

@Babyfacedblackjesus

2 жыл бұрын

you dont need medication you are fine

@v3nus1nfurs

2 жыл бұрын

@Big J nope I don’t I had bad experiences with psychiatrists, in reality I needed a therapist.

@Babyfacedblackjesus

2 жыл бұрын

@Big J the narcissists are not us the patients. the narcissists are healthcare providers who think they know everything and think they know whats best for us.

I found a faulty issue in my psychiatrist. He told me that I could easily get off 0.5 mg of Klonopin (Clonazepam), which is a benzodiazepine. I had withdrawals, which included restlessness, being tense, nausea, and most importantly increased amount of panic attacks. I felt awful. I told my therapist I was miserable. Nonetheless, I did my own taper, going down from 0.5 mg to 0.25 to 0.125 and it was a success.

@anxious_and_avoidant

3 жыл бұрын

Omg my GP prescribed klonopin to me and gave me 0 other info about it. Started taking a low dose, felt awful, looked into it and realized how crazy benzos are. Took me so long and had such a bad time getting off even the low dose!

@johnwhorfin3815

3 жыл бұрын

I think everyone going off of these should get a nail file, and gradually file a little bit off daily.

@shapeshift13

Жыл бұрын

Psychiatry is psuedo-science research akathisia and how it kills millions

I could write a book of criticisms on psychiatry 🤣 My main problems with psychiatrists are arrogance, horrible bedside manner, lack of empathy, treating patients as if they are a statistic rather than an individual, their “god complex”, and the unequal power relationship between psychiatrists and their patients. I Know this can’t be backed up by science...It’s just my experience

@richarddavis8863

Жыл бұрын

@@beebee3871 lmao okay yeah sure you could but would it be true? I hate this non-argument

@EBR1

Жыл бұрын

They can't back up their "diagnosis" with science either, so you're even.

@onikillah9596

7 ай бұрын

You are not alone in this experience...

@WaAaAaAaW

5 ай бұрын

exactly

Counselors definitely don’t make enough for the amount of schooling they go through.

@sandrostutz6143

4 жыл бұрын

@Julia Mimi I know many people who got a lot out of counselling. Happy you feel better now, but calling others a fraud when many of them certainly do all they can to help, is just rude.

@brianadlich4406

4 жыл бұрын

I've known like six masters on a personal level and all were bad communicators, none paid attention at all to psychology and a few didn't know basic topics when we talked. Few had disastrous love lives and did relationship counseling. Two went bankrupt spending on guys half their age. Alcoholics. On mood pills. Raising grandkids or no custody of their kids. If you must get a shrink get a PhD. Seems like the broken get a master's degree to heal themselves. The intellects go on for the PhD.

@daisy7066

3 жыл бұрын

Its NOT ABOUT MONEY

@dontmindme5189

3 жыл бұрын

Good, they can rot in poverty for all i fucking care.

@TickleMeElmo55

2 жыл бұрын

@@dontmindme5189 Ironic. You may need some counseling, bud, after that comment.

Could you make a video on why mental health practitioners use what patients say against them?

@realbeautyness25

4 жыл бұрын

I'd like to see that

I would also add that as a patient, I have had the good fortune of seeing some excellent psychiatrists. I've never felt like anyone was trying to "push" medication. Rather I felt that the conversation was to assess what's going on clinically, and whether and how medication may be helpful. It's a discussion of the physiology of a condition. Understanding a diagnosis on a physiological level for me is helpful, independent of medication. WTR to payment and compensation of psychiatrists vs. counselors, I know that there is a big disparity, but it seems like the two would have a big difference in terms of liability and "medical malpractice" insurance.

@davidzaiser9929

3 жыл бұрын

By clinically, do you mean the medical model that psychiatry borrowed from real medicine in order to make it seem legitimate?

@manictiger

2 жыл бұрын

I've had nothing but bad fortune with them and seem to be the most functional with just a hot cup of joe, 200mg of L-theanine (which doesn't seem to do anything?) and some vitamins. I don't like this system of psychiatrists handing out shareholder-funded pills to Karens who think iPhones are parental substitutes, and then calling it "science". If an anesthesiologist pulled the kind of crap psychiatrists do, it'd not just be a permanent ban from the medical field, but possibly also a prison sentence. But, since it's harder to trace suicides, homicides and complete mental breakdowns to psychiatry (chicken and the egg, did the illness cause it, or the "cure"), and because there's literally hundreds of billions of dollars of lobbying and grants involved, psychiatry seems to get a complete pass when doing a "lite" version of what Dr. Mengele was doing some decades ago: human experimentation, regardless of people's futures and lives.

@jefffarmer5785

2 жыл бұрын

@@manictiger So, well stated... Psychiatry actually makes an individual's mental health WORSE w/mind altering Psychotrophic Drugs (for repeat Biz in order to be on the appointment and prescription 'HOOK').... In Amerika just about EVERY MASS SHOOTING is blamed on a person 'Deemed' mentally ill...?? Those Chemicals in a person's brain will (NOT) do much good in a Narcissistic Culture other than KONTROL and subdue an individual (that's about it). Like how 'THEY' do to unruly patients (clients) in various institutions (like, Nursing homes)... People in a Zombie-Like Comatose state of mind are easier to manage (so (some) people can sit on their arse and get paid on Friday)... GET IT-??? CORPORATE MEDICINE IS ROTTEN AS $HIT in Amerika-!!! (J/S) 🤔💩😞😔😠👎

@SeanConneryPimpShlap

Жыл бұрын

You're speaking about "understanding a diagnosis on a physiological level" without stating that there is not a single objective, biological, scientific test that can be used to diagnose a "psychiatric disorder". It's all 100% subjective. Please understand that I'm not doubting your symptoms or distress, I know it's real. But most people are much safer seeing a psychologist or therapist.

There should be a happy marriage in the psychology world. All would benefit.

@oukartikarim8990

4 жыл бұрын

so, mrs abellah le ouardi has savagly ben setting to abuse to kill and volat, sxuellay, thousands over thousnads of th an quit clver and bright students and artits in torures and harrassmnets in oppreions and rpersions in death- penalaty and sxuel and physqu and mnetal violations svagley in ouarzazat city in th maian southr sist of morocco country, inhumanly sisnsc eta lst cntruy time to today, sir abdelah el ouardi has reclly desored thousnads ovre thousnads of the aaia quit innocnet dep- rootd too innocnet ouarazzais sos syoung mne in his personallay recations and convanaces of crimes in brutalaiats and harasments and toryures, svagaley in the mai rginala alaoacallay national secirty administartion in ouarzazat cty in th maian suthren siste of morocco countrty, viletley in corruptions and falsisfications , illegally, sir msrs abadellah l eouadi has svagley ben settng to recat in brutalaiates and sxuel and physque and psychiatrique an dadministives auatahariataiaves vilations in ouarzazat city in the maia southr sst of morocco country, ___________________________ right today, sir mrs abdllah el ouardi is rulling the maon regional locallay commissraiat in ain - echchouk stres in morocco country , ________________________________________________________ sir mrs abadellah el eouardi is become the maoan regiona dvsionnaiar in casablanaca in morocco country, ______________________________________________________________ sor mrs abadellh el oaurdi has even ben setting to kill and violate , sxullay and torures and harass and implicate n psyscshaiaatriqu serviecs siid dhsusna bneceur in ouarzazate city i t maan southre siste moroco country and regioal jaiala , in oppressiosn and reperssions, svagely sisnsc eth alst centrury time ti to day, i s at least vere than thousnads overe thousnads of the maia dep-rooetd too innncnet excellenet studnets and s briggt arits have svagaley tortired ans harras in ouarzazate city in th eaan surn in moroco , in ouarzazat city, violetely, and also, sir mrs abadellaalh el eouardi has illegalaya bens setting to corrupt and falaiafay thousnads overethousnads of he main various adloitves -- pres varabals and adliuve auataharataave certfaiacats of legal rapparts and prs vrabals, in corruptions and falssfsiactions ilegamlley in ouarzazat city n he maain southeren sist eof morocco countrty, illegallley,

@UnunderstandingScience

3 жыл бұрын

You would think, but I don’t think that’s accurate. That’s given that there’s a healthy separation of work and personal life. You don’t want to start treating your partner, that’s unhealthy and can lead to an abuse of power and control in a relationship.

Problems with psychiatry, where to start: God Complexes Built in grotesque power dynamics [patients who suffer from normal reactions to trauma aren't treated like they have self insight about drug reactions] Forced treatment and imprisonment Built in over prescribing [when all you have is a hammer everything is a nail] Lack of education about withdrawal, inter dose wd and adverse effects Lack of education about withdrawal syndromes and brain damage from drugs Almost zero accountability when someone is injured by prescription Lack of understanding about how the drugs work while leaning heavily into all the unsubstantiated marketing claims behind the drugs Pharm Reps Pharm companies and upping that stock dividend every year No one can sue pharm companies who make a generic of any drug I don't know, millions of people who've died from pharm who will never have recognition, their day in court, public understanding, etc

@blueheart9873

Жыл бұрын

I agree. They play around with prescribing medication as if it's nothing. I've been forced to use it on and off and it makes things way worse than it already is. The worst part for me has been the imprisonment. Every time when things are going great, that's when they put me away. When I feel awful enough they let me go. One time I refused to go and I was put in jail for 4 months. Meanwhile I got my own restaurant which just started to settle down after almost a year and it was forced to shut down because I couldn't be present. It cost me €50.000, and afterwards my psychiatrist was surprised on why I couldn't pay his bills anymore 😐

@EBR1

Жыл бұрын

I agree with you 100%

@fungihhiirghi1212

Жыл бұрын

For you, friend: Nuremberg Code Article 6 Sections 1 and 3 They prohibit forced medical treatment worldwide and the punishment for breaking this law is death. This code was established after Hitler's defeat in WW2 but has been hidden and ignored almost completely now. Their goal is to funnel money to the remnant of the Third Reich in Ukraine to finish the job.

@josephlerz6889

3 ай бұрын

You are right, they don't take any accountability but they hypocritically acknowledge possible side effects from their pharmaceuticals. Forced treatment and imprisonment has always been the worst aspect. The God complexes when they tell me I'm indenyl that I lack insight and that wither I'm told by a general practitioner or a psychologist that these human psychiatrist's of nine years of education can know the entirety of a strangers brain/personality or how they daily function. Beyond that they just only work for their huge salaries and wages, their absolutely not good samaritans. Even if any doctor would partially or believe your the victim they wouldn't help you or say their sorry, they would make it seem tragic or even amusing.

Dr. Grande is the guy for my sleepless nights... The difference to me is, that psychiatry saved my life, while psychology ruined it... just kiddin'. But I think he is absolutely right, people go to see a counselor first, and if this doesn't help, they may finally go to a psychiatrist. Trying medicine was the first thing that really helped me after years of counseling (so sorry Dr. Grande, I wouldn't have told you, but you invited me to do so with this video). I love my psychiatrist very much, she is married to a psychologist, which is the perfect combination for me. Of course, medication is trial-and-error, since psychiatry is just as psychology an equation with hundred unknown variables. Btw, where I live, psychiatrists have to take care for nursing homes, too, so that's what they are doing, when the practice is not opened for patients. It is a stressfull job. And of course counselors earn too little! Thank you very much for covering this topic, Dr. Grande. ❤ Hope, I'll fall asleep now.

Thanks for the thorough video, Dr. Grande. I think one additional aspect of distrust of psychiatrists that could be addressed (and that applies to the medical field as a whole, really) is that histories of bias against marginalized groups also find their way into these fields. For example, misogyny/sexism has certainly appeared in the history of psychiatry and the medical profession (e.g., diagnoses like hysteria being targeted primarily at women in a way that essentially invalidated women’s experiences and emotions and reflected a dominant societal view that was misogynist). Or, for example, the fact that women have historically often been excluded from or underrepresented in many medical studies, so medical knowledge can sometimes apply more to men and have more blind spots with women. Race, of course, is also another area where bias in the medical world has adverse effects on people (not related to psychiatry, but the much higher incidence of maternal death among black women in the US comes to mind). I just think that these complexities also contribute to the distrust people can have, but I also do think it’s important to dispel some myths or generalizations that are lobbied against psychiatrists, as you’ve done in this video :)

@ryankelly8077

4 жыл бұрын

Alex B - you bring up many good points.. I’d like to state though one major gap. The reason women aren’t included in many pharmacological clinical studies is due to their ability to become pregnant. It is highly risky to put Women who can still have children (generally ages 18-50) in a randomized trial when the physicians dont know the potential effects of the drugs. As much as the medical community would like to include this demographic, the risk likely far exceeds the risks. This ultimately makes conducting clinical research harder to produce results that can be deemed as “generalizable” and with high reliability rates

@Alex-ph5ir

4 жыл бұрын

@Ryan Kelly Thanks for this point - that makes sense that pregnancy is a factor as well. However, I do think that it’s probably still true that another factor in the historical exclusion of women from studies is sexism and just a general bias to focus on men as the ‘standard’ subject. There are also many of us women who know we don’t want to ever birth a child, so perhaps as the stigma against that choice continues to lessen, there will be more opportunity for medical studies to seek out those women for whom potential pregnancy isn’t a factor . :)

@lisablount7578

10 ай бұрын

And lets not forget that the medical profession in general has never honored the woman's body (look at "the pill" etc ) and never will so all they do is disrupt normal human processes with chemical agents and invent diseases too

Hi Dr. Todd, I’m a psychologist undergraduate in Brazil. Thanks for doing this video and clearing things up. In fact, here in Brazil the psychiatrist usually is recommended when the client needs medication, but the therapy part it’s up to us. We have the ability to do the therapeutic part, specially we’re always alerting people about the importance of doing therapy and specially use the medications if needed. Anyway, I do appreciate your opinion. Huge fan from Brazil.

@chiccorealo

4 жыл бұрын

Treatment modalities are more successful when teamed and triaged. All professionals should follow the hypocratic oath and rise to loftier levels of cure. How will this happen if profit equals sickness?

@janiscohen-dacosta9822

4 жыл бұрын

Anti-depressants (along with any other addictive substance, pill) should only be administered as a last resort. They do not heal, they mask and deflate symptoms. I try to treat the cause of the problem.

@catarinacardoso1

4 жыл бұрын

Janis Cohen- Dacosta That’s it! At college we learn that what we need to “”treat”” is the cause of the issue. When it comes about medication, for sure it might help you with some things but let’s not forget that mental health can sometimes be physiological and that’s when the meds comes in. Apart from that, we do have the real cause, which is due to an amount of psyche issues and that’s when the therapy comes in. Psychologists, in my opinion, are the most important professionals to treat mental health issues. I do see the importance of psychiatrist, for sure, but we keep forgetting that meds are not gonna solve your life problems. Thanks for replying, I do appreciate your comment.

@catarinacardoso1

4 жыл бұрын

Judy Lee Well, I couldn’t be more sorry to hear that. Unfortunately we’re all vulnerable when it comes to situations like this one u mentioned. I hope one day things can change in the whole world, specially about Mental Health.

@catarinacardoso1

4 жыл бұрын

Ben Hackett Totally agree with you! I’m not an anti meds person, I just don’t think that everyone’s needs to use it all the time, specially when we talk about mental health. Some people are so used to take meds for more than 10 years, and can’t see their lives without it, which in my opinion is very sad.

Got a quick question for you Dr. G. It's off topic. What is the difference between a highly sensitive person and someone that has been through mental abuse and they're hypervidulant?

@youcanringmybella8364

4 жыл бұрын

Very good question! I’ve always have been “sensitive” (empathetic etc...) but definitely due to (C)PTSD am hyperventilate, so I’d love to hear his response, especially in video form! Thanks for asking this question; I hope he does a video for us both. I think it would be great for many of us to be able to distinguish the two or see how they commingle. ♥️🙏🏻

When the actions of the few, ruin it for the many.

@DreamingInTechnicolor

4 жыл бұрын

@Judy Lee, it sure feels that way! 😐 I’m still processing the damage done.

@DreamingInTechnicolor

4 жыл бұрын

@Judy Lee Thank you so much. I wish no one understood this type of personal hell. I truly believed that deep down people were inherently good, now I’m not sure how I view the world or the people in mine! Trust is gone... well, there’s one person though, he’s been a lifeline and My Faith sustains me. Thank you for sharing / reaching out. I’m sorry you’ve dealt with so much. The fact that you’re even able to share you’re experience with me imho is a testament of your strength!

@DreamingInTechnicolor

3 жыл бұрын

@@Anon0nline would you clarify, please?

@enteblu6799

2 жыл бұрын

Few? Uhm, 6 out of 6 for me. Psychotherapy is just probably not working

Hello Dr Grande, the best relationship I had was with a psychiatrist. He always took time with me. I never felt rushed. Any drug he prescribed he looked into the interactions between all of my meds. He retired and I moved. He was great. He always took my calls seriously. Thanks Dr Grande.

Thanks for your analysis Dr Grande. Over the last 2 years, following a mild TBI, I have been in & out of psych wards with depression 6 times & been seen by 8 different psychiatrists, all of whom come up with a different diagnosis based solely on subjective observation (most of the time after 15min intake assessment). It’s hard to trust a medical discipline that can’t come to a consensus & can’t scientifically prove the need for a particular medication or the administration of ECT (none of which have helped). My experience is that psychiatrists just dole out medication (which could be done by my GP). I have also had counselling from numerous psychologists. Talk therapy has been much more useful than meds & funnily enough, the psychologists agree on the diagnosis.

@beta447

3 жыл бұрын

Mild hyperbaric oxygen therapy can physically repair a brain injury. I strongly recommend looking into it. Psychiatric diagnoses are not valid medical conditions. The fact that you already have an injured brain and received brain damaging ECT is truly stunning. ECT has never ever been proven safe.

@Amanda-il8ks

3 жыл бұрын

@@beta447 yep... The 1st psychiatrist coerced / threatened me into 12 sessions of ECT 3 months after my head injury, labelling all my 1st ever psych presentation symptoms as bipolar rather than the mtbi / post concussion syndrome that they were. I’m horrified/ disgusted thinking about it.

@youdontwanttoknow5203

2 жыл бұрын

@@Amanda-il8ks They wanted to do more brain damage - that truly is horrifying - and here again we have the problem that psychiatrists don't believe their patients. They didn't believe me about the noise at my apartment building. Called it psychoses. Would have had to been group psychoses because it wasn't just me reporting the noise to the landlord - I just lived closer and got the worst of it. Had it on tape. They were going to give me anti-psychotics. *SMH*.

I agree with your responses, dr Grande However here are some criticisms of psychiatry and psychology i have. Both are main fields in the research replication crisis. Money from pharmacological companies controls a lot of research and contributes to biased research and dogma (e.g. the focus on depression as a serotonin deficiency condition despite lack of substantial evidence, this also held back promising research on ketamine which isnt serotonergic) ECT is a violent, barely scientifically backed procedure. From personal experience: Often psychiatrists seem to not dig deep enough/old enough, and forget that patients wont necessarily know how to describe what's bothering them, causing them to miss symptoms and diagnoses. In both psychiatry and counseling the focus on functioning rather than wellness of being causes me to feel like im the illness being treated for productivity for the sake of society, rather than the patient being treated for his own good. In both it seems common to forget that showing empathy/sympathy isnt necessarily a bad thing, and can go a long way for someone who feels invalidated. Personally neither meds or therapy helped my chronic depression much.

@BeingBetter

4 жыл бұрын

Agree. I cured myself of a lot of conditions without therapists or psychiatrists. Vitamins and herbs and such are more powerful and effective than meds in my case. Not saying everyone should try them. In my opinion, a person like me who is willing to eat healthy and exercise and take certain supplements can be cured by that, but most people don't eat right, don't exercise or take the right supplements, and those are the people who need meds. In my experience psychiatrists are mostly rude and arrogant. Or ineffective.

@ethanj9585

4 жыл бұрын

The evidence of depression as a serotonin deficiency is the effectiveness of medication that operates solely on serotonin. ECT in its modern form is a last resort method which has proven effectiveness for treatment resistant depression.

@rebeccashields9626

4 жыл бұрын

Citation? ECT can be quite effective for depression and bipolar depression refractory to CBT and medications.

@JN-wn1kw

4 жыл бұрын

Being Better do whatever makes you feel better, but trust me when I say Psychiatrists have an overall positive impact on the world. A lot of the people psychiatrists deal with have severe mental disorders/defects, and are literal dangers to society. Through medication, these people have a chance at leading a semi-normal life, and no longer pose a threat to those around them.

@mewntay230

3 жыл бұрын

I just don't like being dependent on some pill. It treats the symptoms and they never fix the issue. You're going to have to be taking that crap for years. No thanks. The psychiatrists from my experience are so greedy and so quick to prescribe medication without really knowing your issue. If someone died in your family and you're sad you don't need a pill for that. Like ffs.

Excellent definition. Both serve different roles and I think the problem is that people use definitions interchangeably, when they shouldn't. The two are not mutually exclusive, and ideally practitioners from both professions should be collaborating. They should be all be members of the same team! Good professionals will never degrade another professional. So if a counselor is degrading psychiatry, that should be telling...

“Is Tobacco bad for your lungs? A totally unbiased representative from Marlboro explains why it’s not!”

50-100k for counseling is way too little, Dr. Grande. Careers that require NO education pay this much. I'm not a counselor. I have no "horse" in this race.

In the UK many psychiatrists use the blank screen approach to such a degree that the patient might as well be talking with a robot. Sometimes this lack of humanity can be experienced by the patients as abuse. They will be replaced by robots at this rate. They are paid an unusually high amount of money in comparison with other mental health practitioners. "There is a tendency for those who are highly paid to believe they are above some of the rules" and above all their patients and other colleagues in terms of their professional worth.

@idudheebsbzdudbdhddh

4 жыл бұрын

I think it's because psychiatrists have a higher responsibility towards their patients, prescribing drugs etc. They've also had to study much longer in comparison.

@idudheebsbzdudbdhddh

3 жыл бұрын

@@nikolas4347 Hadn't what

@felipetrespalacios3093

3 жыл бұрын

@@idudheebsbzdudbdhddh Bro, clinical psychologists, in order to get their license to practice, have to spend 3-4 years of undergrad studies, and then do a PhD program of a minimum of 3 to 5 years. Which are, by the way, idealistic durations as PhD program tend to be really demanding and people often spend more than 5 years trying to complete them.

@TheSleepReaper

2 жыл бұрын

@@felipetrespalacios3093 MDs have more schooling what are you talking about?

@felipetrespalacios3093

2 жыл бұрын

@@TheSleepReaper Compare the years each professional (both clinical psychologist and psychiatrist) has to spend at uni to obtain their degree and you will see there's only a difference of 2 to 3 years, that's not much. Besides, i dont think years of preparation/schooling is a factor one should to take into account when making conclusions, i feel like it would be a very simplistic way of seeing things.

Thanks for this topic, Dr. Grande 🙏 These distinctions are important to understand. This video will help clients to adjust their expectations.

I have had some terrible experiences with psychiatrists. One gave me the wrong dose of my medication without even bothering to check, and another was at least three hours late for every appointment. All they do today is prescribe medication. If all they wanted to do was push pills, they could be a GP. Their job is psychotherapy. And they're not doing it. They are definitely overpaid.

@TheSleepReaper

2 жыл бұрын

I can see you had a bad experience but stop generalizing

@SeanConneryPimpShlap

Жыл бұрын

@@TheSleepReaper He's correct though. Read books like "Anatomy of an Epidemic" by Robert Whitaker or "Cracked" by James Davies. American psychiatrists can bill insurance for much more money when they do medication checks rather than psychotherapy.

The ideas of psych wards and involuntary patients will never go away because of behavioral issues, BUT I think the methods of psychiatry should be morally questioned more than they have been in the past. We have many people in psych wards without illness and I think thats difficult for people to understand.

I’ve had a miserable time with bipolar disorder. I’ve had an internment counselor who cried because she couldn’t be my friends. 2 have lost their licenses. #1 accepted gifts, invited me out and told me she loved me through a big. #2 is now on the sex offender lists and I was being groomed by him. Question: am I putting myself in danger by giving up psychotherapy and keeping support from friends and family. Thank you for your time.

As a teenager, I spent four months in a psychiatric hospital for an eating disorder, and I did not actuall receibe treatment. All they do is feed you, let you paint some pictures and dance to hippie music, and think that's gonna make you better.

@HandsomeJigglypuff

3 жыл бұрын

did they feed you drugs?

@Butterflygirl327

2 жыл бұрын

Put it this way at least they weren’t mean to you in there .

Thanks for the breakdown 😊 there are misconceptions out there. Thanks! I know my daughter works hard , she is always explaining this.

For some reason, I've watched this one at least 20 times and recommended it to many. Thanks as always!

Could not agree with you more! Most of the psychiatrists I know report they wish they could spend more time with clients. As always, I feel validated. I am sure there "exceptions" to every rule. Thanks, Dr. Grande!

@DrGrande

4 жыл бұрын

You are most welcome 🙂

I realized psychiatrists were nuts when they kept doing crazy things to me no one else was. I went through a breakup and know who i have been my entire life. Was able to have perfectly rational conersations with people about it. Psychiatrists ont he other hand completely manipulated the truth and lied. Completely irrational people. The minute i would even try to explain my situation which was just bad luck they would go on the attack. The entire situation could have been handled better the other way around. Very deceptive people they hide behind walls, don't show reason or anything. All they want to do is drug you none of them helped with what i needed and messed with my life. They basically created all of it. There is intelligent life out there you know and people who know what the truth is and psychiatrists are not it. Suddently I'm this that and this according to these people. It's abuse. They are deceptive people. Just because they say so doesn't make it so. The fact they think they know better than i do when they don't is crazy in and of itself and how they even twist that. They are basically narcissists. It's nonsensical. I saw a therapist when i was younger because i was having anxiety with public speaking and he was actually very good and helped with what i needed. I had actually worked hard to get to where i was too. The stuff out there now is crazy. They literally destroy lives and are so thick headed they never take responsbility either. They twist everything. It's literally manipulation and criminal fraud in some cases especially when they are completely incapable of recognizing the harm they cause. The way I see it spend your iife living or spend it being controlled by narcissists and they wonder what the issue is. I did not hear the truth from these people once as far as what was going on or what I needed. And really if someone treated them the way they do they wouldn't be too happy about it either. it's really worse than that. It's gross what they did. They are dangerous. THey are abusive people who specialize in gaslighting and everything else as far as abusive practices. Weird how the one I had a kid for anxiety never medicated me and was a trustworthy good human being which went way further than what these people were doing. I was seriously in one of the most healthy places I've ever been in. They are crazy and they seriously took something very simple and made it a million times worse. They are bad at their jobs and bad people. I experienced the absolute opposite from several of them. Very deceptive people. They would literally blame me for things I wasn't even thinking or doing to the point where now I do think that. They suck. Whether it's the type of people they are used to dealing with or whatever. Whoever they thought I was was not me I know that much. I was seriously doing fine for the most part only to have things made a million times worse. It was like dealing with paranoid schizophrenics and completely insane people. The conclusions they drew were not even remotely what was going on. Nor did they help with anything that was going on. They made it way worse and completely abused me and lied the entire time to cover their rear ends like utter cowards.

Peter Breggin says mean people are attracted to becoming psychiatrists. I think he's right.

I like my psychiatrist more than my therapist. I feel like she knows how to better help me.

@FindingoutWhoIam

4 жыл бұрын

@@brusselsprout5851 here notes are more detailed.. my therapist on the other hand has sloppy notes and mainly focuses on putting in a safety plan on hers..

@WaAaAaAaW

5 ай бұрын

me too she's my drug dealer 😂

Medication helped me a lot, though only temporarily. Psychiatry can literally be a life saving profession, however I have often found (personal experience, friends' experience, professional experience as a mental health worker) that it's the psychiatrists who override and disregard the will of the patients when it comes to meds, therapy methods and so on. I wonder if that's inherent to the field (since they deal with mentally ill patients they have learned to attribute everything a patient does or says or wants to their illness and never fully take their patients seriously as a kind of unconscious bias)?

Hi Dr Grande , I've been struggling with this and it really helped me to sort my ideas/ opinions

Thank you for this video again you are objective clear and balanced in these presentations and that is very much appreciated and super helpful. Thank you for your commitment to speaking the truth and educating the public

Is it possible to become addicted to an SSRI? I have been taking SSRIs for almost 20 years. On numerous occasions, I have tried to go without medication, but the depression always returned after a few months. The most recent attempt was different, however, as the depression was largely triggered by an unusual lack of sleep. I tried various strategies to help me sleep, but nothing worked, until I got back on the same SSRI. So, it would seem that my brain had become addicted to the medication.

Thankyou Dr Grande. I thought your views were balanced and well considered. Human nature, falls under the bell curve. There are good and good exemplars in every profession. Overall, psychiatrists are hardworking and good people. Psychiatry is a challenging and I am glad you acknowledge that. Psychiatrists sometimes get assaulted by patients and are often villianized by a number of organizations from NAMI to Scientology. The field as a whole however is a great resource for many patients when therapy alone is not enough. Please keep up the good work. It is valuable.

Studies show that the best treatment is counseling and medication together.

Thank you for your videos, you explain all so well

i was waiting for this episode ... you didnt disappoint , Dr Grande

Thank you Dr. Grande for this thoughtful and well-balanced presentation.

This was a great informative video, I think you did a pretty good job of being non biased actually! I'm really glad you posted this, I honestly have had some of these thoughts about psychiatry before but it makes me happy to know that they were not true after all

@EBR1

Жыл бұрын

Lol How can he be "non-biased" if he himself is part of the mental health industry? He depends upon it for his livelihood. There needs to be review of psychiatry by panel made up of people from many different disciplines, including non psychiatric doctors. Trusting these people to objectively assess themselves is like trusting the fox to guard the henhouse.

Dr. Grande, what do you think of IFS therapy? Please give an analysis. (internal family systems by Dr. Schwartz) Very interested in your thoughts on this therapy. Thanks

Interesting subject and topic. I have always thought two things distinguish a psychiatrist from a psychologist; one is the medical degree and the training to prescribe medicine, and the other is an analysis--a prospective psychiatrist must be analyzed by someone who is already a psychiatrist or psychoanalyst. I've also never heard that psychiatrists work 15 minutes an hour and only prescribe meds. I thought the "talking cure" is still a thing, so to speak, although not as popular as it once was. I've talked to psychiatrists who still worked the "45-minute hour." I have enjoyed reading about the theorists of the mind and behavior, and I've read books by and about people like Erich Fromm, Rollo May, R.D Laing, Alexander Lowen, Anthony Storr, Freud and Jung, and Robert Hare down through the years. I find the place where psychology meets philosophy most interesting. By no measure is my self-education anything close to comprehensive; I probably still know just enough to get myself into various kinds of trouble (one kind being attracting the attention of trolls). Thanks again, sir. Edit: The most frequent criticism of psychiatrists I heard years ago was this: "They never say anything!"

Very objective analysis. Respect, Dr. Grande!👌🏽

Great video! I am a counseling student and use to be an intensive case manager in a LMHA. Most of these criticisms I have not only heard but also experienced. Psychiatrist especially in mental health agencies, try their hardest to treat each client effectively despite the large volume of clients coming in and the short amount of time they can see them for each appointment (around 10-20 minutes). Certainly there are drawbacks due to the volume of clients and having to rush to see everyone. I have found/heard from clients that they've had better experiences seeing a psychiatrist in private practice, generally because it allots more time to explore the presenting concerns of the client, and sometimes the psychiatrist may even do therapy as well. Was interesting to hear your view in this video. Speaking of criticism, if possible I would like to make a video idea request. I would love to hear your response/critique or the following video: A former therapist's critique of psychotherapy: Daniel Mackler Speaks. Although his views of the field and of therapists was interesting to hear, I found myself disagreeing with him on multiple points. Would love to hear your reaction in a future video if possible.

@corduroykumquat

3 жыл бұрын

I second your request for a Daniel Mackler video. I think his anti-psychiatry/anti-medication stance could be potentially damaging to troubled viewers. He seems to have little to no faith in most therapists, too. Bleak

As a patient, medicine are the crouches I need in order to be able to walk and move around while I heal. So I need both.

Enjoyed the premise and there is a sense that team work doesn't always happen when egos battle. The hypocratic oath should take precedence especially when cure vs no cure seems to rule the day. The pyramid needs to flip. Cure never is in the scope because the system perpetuates the profit model. Patient- centered treatment with good prognosis always best for all.

This is a good demonstration of critical thinking and looking at the "unseen" instead of what's obvious in front of you. A demo in thinking that one is wise to equip and utilize on things at large

So true, there is a huge shortage of psychiatrists and counselors. Do you ever do forensic counseling Dr Grande? Thx again for another great video!😊

Dr Grande, please keep up the good work of providing scientific information about mental health issues

I agree with you. My stepfather is a psychiatrist and I am training as a therapist. I certainly don’t expect to earn as much as him. It’s a bit different in the UK though. Medical doctors don’t have doctorates, they’re actually masters level academically, there is no such thing as an ‘MD’ here. Counsellors can either be trained in FE colleges up to foundation degree level, so below undergraduate, through an undergraduate degree, or through a four year masters programme (those counsellors or therapists are effectively as qualified as psychiatrists in the field of mental health.) This is a confusing system and results in counsellors or wildly different levels of academic training. For example by the time I complete my training, I will have two masters degrees and one undergraduate degree all in relevant fields (as well as a masters in counselling and psychotherapy in the future, I will have a masters in intellectual history during which I studied philosophical psychology and the philosophy of mind, and I think becoming an intellectual historian was actually a good basis to move into psychotherapy, a move from analysing minds of the past to minds of the present.) However some counsellors will have no degrees, possibly no relevant work experience, and move from something like hairdressing into counselling by studying in the evenings in a local college, and they will still be qualified to practice but unlikely to get top jobs in the NHS or similar organisations. I intend to specialise as a children and young persons counsellor, as I am coming from a background as a teacher and enjoy working with young people a lot. I will be starting a channel soon, not this one, but I’ll be talking about counselling and mental health much like you do, and I might touch on the subject of counselling being totally unregulated in the UK. We have qualifications and membership bodies creating a semblance of order, but effectively anyone can call themselves a counsellor, therapist, psychotherapist and advertise and practice, with no regulatory oversight and no accountability. It’s not ideal, but then again proposals for regulation have been terrible, creating a tiered profession with psychotherapist at the top and counsellor at the bottom, even though they both do the same job whatever you call it, much resisted by actual counsellors. I will link you to my channel so you can check me out once I’ve made it! I’m hoping it will be a resource for other trainee counsellors and people curious about counselling and therapy.

The two psychiatrists in my department work their butts off and are in earlier than everyone in general and stay later than everyone in general. My main gripe is that psychosocial rehabilitation (PSR) is not more enforced in care planning with a too heavy reliance on the medical model. But I understand that medications are extremely important. Because the makers of the DSM V have removed the multi-axial system, Axis IV: Psychosocial and environmental problems, have been moved away as a focal point of the diagnosis, and is now generally associated within *context* of the diagnosis itself in theory, but not in practice. I think that this problem starts in the schools of psychiatric nursing. It is frustrating and sad to see clients treated with medications only while the Psychosocial context is regulated into the background and is not a focus within the psychiatric relationship and within care planning. My work is focused within the PSR world of the client, but trying to bring PSR issues to bare into Care Planning, especially when working in a hospital that is heavily medical model focused, leaves large gaps in holistic help. While I know that it is *my job* to advocate for the client in this regard, PSR needs to be more of a focal point, as it is not taken seriously enough within the psychiatric relationship and funding resources. Seeing funding getting funneled into the medical model only is heart-breaking, especially when it is obvious that re-currant admissions are often as a direct result of PSR related issues for many. While free lunches are made heavily available by pharmaceutical companies to discuss a medication, there is zero effort in championing for a more PSR approach, unless the event is funded by First Nations/Indigenous awareness education around the cultural context of care. My apologies for using emotionally charged descriptors, but just to let you know, this is not only how I *feel*, but this is what I think as well.

Are you familiar with the books: Anatomy of an Epidemic or The Emperor's New Drugs? Each of these books presents a troubling look at some of the studies that purport to evidence psychotropic medications. I'm a psychologist who has generally considered psychiatry to a be a much needed ally in the treatment of mental health, but I have found myself disconcerted after reading the aforementioned books. You're a very thoughtful presenter and I think that you could offer a valuable critique of these books, were you to read them and respond in a video format. -- Dr. La Fave

@user-ql3ot2dk2t

4 жыл бұрын

Here are probably more important studies and conclusions: Thomas Sas The physician's job, inter alia, is to help: cure disease with the con-sent of the patient. The judge's job, inter alia, is to harm: punish lawbreaking without the consent of the defendant… Wardens who carry out sentences im-posed by judges harm their prisoners, regardless of the cause of the interven-tion. Psychiatrists who carry out sentences imposed by judges also harm their pa-tients, regardless of the cause of the intervention… The difference is that jailers do not claim to be their prisoners' benefactors, whereas psychiatrists insist that they are the benefactors of their involuntary patients… Most persons experience their coerced psychiatric treatment as punishment. That is why psychiatrists insist that the persons subjected to psychiatric coercion are psychiatric patients, not psychiatric victims; that psychiatric coercion is treatment, not punishment; and that individuals who oppose their “benevolence” are wicked enemies of caring for the sick, not defenders of liberty and justice. He who controls the vocabulary controls social reality. The erosion of our liberties is not a mystery. Overwhelm-ingly, it is the result of the alliance between medicine and the state, intensifying people's dependency on pharmacratic authority and psychiatric controls, foster-ing and fostered by a hyperinflationary definition of disease and treatment. When the government controls religion, not only religious liberty but all liberty becomes a chimera. When the government controls health, not only medical liberty but all liberty becomes a chimera

@user-ql3ot2dk2t

4 жыл бұрын

It is possible to question the usefulness of psychiatry and without the corresponding explanatory literature. To do this, it is enough to pay attention to the narratives of victims.

Here's a criticism of the mental health system: it will write somebody's entire life away with the stroke of a pen - put them on a feeble government income, throw them in a depressing "support group" - essentially tell a person that their life is meaningless and they have accomplished nothing. But overhearing a mildly upset person say "shit" is traumatic. Give me a break.

@WaAaAaAaW

5 ай бұрын

😂

"Disorder"? I would question your terminology, Dr Grande...

My psychiatrist is very patient and kind. He never rushes and listens very well. He takes assessments from time to time and asks probing questions when we meet. The anti-anxiety treatment he developed for me (venlefaxen and clonazepam) saved my life.

Can I ask you why pdocs are still prescribing long term benzos, even tho they have been known to cause more more nervous system overdrive, akathisia, ruined lives and families etc since the 70s?

For this idea of “psychiatrists keep people ill to continue to make money” one needs to truly believe that all of these patients are extremely idiots and masochists. It really does not make any sense! In my experience as a psychiatrist who works with psychotherapy and pharmacotherapy, I could say that psychiatrists who put counselors down usually have resistences about dealing with their personality traits, their “weaknesses”. And counselors who criticizes psychiatry are just jealous or insecure of themselves as professionals in many cases.

I have tried counseling only in the past, and it didn't aliviate my suffering. I started medication 10 years ago, and then cbt therapy worked well, because with meds I was in a state that allowed me to work well with the therapist. In my case (bpd and major depression) the combination of medication and cbt is the scientifically proven to be the best treatment. Medication saved my life, I wouldn't be here without the wise medical decisions my psychiatrist did. My psychiatrist is a very empathetic person, and I feel lucky to have him as my doctor.

@kapjoteh

3 жыл бұрын

Cock and ball torture therapy

‘I’m a scientist so I am limited by the evidence I just can’t say whatever and not back it up’. As a dietitian embarking on a Ph.D, I agree wholeheartedly.

@LECityLECLEC

2 жыл бұрын

now what happens if the evidence is falsified?

I went to counseling for a year before she and I agreed that it wasn't working and I needed a referral to a psychiatrist. It took years to find the right medication for me, however. Once I got one that worked, it seemed to give my brain and emotions an extra second to stop and pay attention to what was happening rather than instantly reacting. Then I could apply the cognitive behavior therapy that I had learned with my counselor.

I went a highly-regarded psychiatrist for minor depression and it was a disaster! I ended up twice as bad as when I started! Based on my experience and the experience of others I know, psychiatry is dangerous and creates more problems than it solves. Yes, it is a massive, expensive pseudoscience!

I had a positive experience with my psychiatrist. I saw her once a month for a few years. Although she sometimes misremembered my name, the sessions were never only 15 minutes. Especially near the end when she knew me better, she would take time to talk with me about my life and give me her insight, like a counselor would. I think the sessions were sometimes 40 minutes. But this was in Argentina so maybe it's not really comparable.

@juanzavala9023

2 жыл бұрын

Argentina is the head of psychiatry bruh... of course it’s going to be goof.

I am surprised the critique of being too quick to prescribe medications rather than explore other options. This has been the critique I have most often heard and one I myself have levied based on my own bad experience with Psychiatry.

@user-ql3ot2dk2t

4 жыл бұрын

If you have had bitter experiences with psychiatry, why you not sympathize with those whose experiences are even more bitter?

Thank you...I find both psychiatry y counseling are important for me🙏💛🤗

@DrGrande

4 жыл бұрын

You are quite welcome :)

Hi Dr Grande. Another good video. Just my bad experience, My ex wife divorced me, no doubt she was narcissist but that’s another story. I was very close to my two kids and she got an attorney to get a psychiatrist to evaluate me, kids, her. My ex manipulated my eldest daughter planning for her departure. I only spent 10 minutes with this guy telling him how much I loved my kids and how hard I tried. He wrote a report that crushed me. How could such assumptions be made in such little time? But then my attorney tells me to find a different psychiatrist to dispute that report. I was seeing a counselor, I have GAD who worked for a psychiatrist. Sure I’ll help you he says, for 4000 dollars. I didn’t have a choice. Sadly the report he wrote was never presented. I decided to just allow my ex to hurt me to keep my kids away from court. I payed all of the child support. Previously I prepaid for their college tuition. But both psychiatrist claimed that the could learn everything about me in a short amount of time. The guy I got was very jealous of the court appointed person. Also, I was charged $150 and spent no more than 5 minutes with him...to get lexapro.. I get that from my general doctor now. I know there are good psychiatrists too, but I haven’t had a good experience yet. I enjoy your videos. I love to learn. I actually thought this was the first psychiatrists I’ve met that I’ve liked. But ahhh, you are a Scientist instead. Which is greatly needed to bridge the gap of understanding. Thanks Much. If you hold services remotely, please let me know. I would be excited to have you as my counselor. Depending on cost I could due once every other week. I have insurance. I’m working hard to get better. Depression and anxiety. I also like ACT, and have read some Russ Harris books to help cope.

Hello Dr. grande. Overall, I found your comments to be balanced and fair. I just want to make a minor correction or addition in the sense that psychiatrists are medical doctors with four years of additional training in the field of treating mental illness. They’re not just medical prescribers with a pad and pen to write prescriptions.

here in sweden, in 2008 i recieved ADD and BPD, medications have helped but it was in combination with CPT and later on self-studying.

So many people aren’t even capable of working with a counselor before being on a fitting medication! And that’s also why it seems as if only the hard cases end up there. It’s quite ungrateful. I also find it rather dangerous if general practitioners prescribe meds instead of referring to a psychiatrist. But that’s just my opinion based on personal experience. The difference between the GP and a psychiatrist is mind blowing!

@mrs.reluctant4095

4 жыл бұрын

I totally agree with you.

Dr. can you please make a video with your own critique of Dr. Ramani?

One valid criticism of psychiatry is the use of punitive psychiatry by totalitarian regimes. Psychiatry and politics have long been bedfellows with a diagnosis of madness being a particular favorite method despots use to silence dissidents

Does anyone here know if a Counsellor Educator is the same or similar to a Psychiatric Nurse Practitioner here in the U.S? There is definitely a shortage of Psychiatrists here in the U.S. My husband has a severe case of Bipolar Disorder that has become treatment resistant after 28 years and his psychiatrist of 15 years retired in Dec 2019 and he is now seeing a Psychiatric Nurse Practitioner that is having a hard time managing him in an outpatient basis.

Ready for a bigger post....: Something I learned or at least kept handy from my rough past with family is when I was told that I should always ask questions. .. it later would make family angry because I did because it wasn't so expected to also be used towards them, I suppose. So when finally moving away ( out of the country actually ) and being married, after a while of trying to settle in and finding out that I felt something had 'dropped' or felt like something had fallen through in me somehow and I became more verbally awful and violent to my hubby.. and then felt the urge one day that I wanted to physically harm him. That was when I told him something was very wrong and we eventually went to the hospital. Saw a doctor ( that eventually became my main doctor ) and to talk about it to her. There were discussions for a couple visits before doing anything since I had recently been there to start getting birth control ( that I needed for PCOS apparently.. and just everything went from there. ) Explained what all I was told to take by my dad and mom when seeing either of them ( split when I was five ) and for how long. How I felt and so on. She came to the conclusion that I could try something since she could very much tell something needed to be done. There wasn't much I could for a while with some medicines were ones suggested that my dad had to take off and on over the years and we knew something was wrong yet his doctor at the time wouldn't listen to him. Before meds, went and got a diagnosis. From there I apparently went through the right channels to be able to get some of my help further on for free ( absolute relief! ) Not many meds at the time for anti-depressants that were geared more towards anxiety so I asked.... if they had any still in testing and asked many things about that before we ( us and my doctor ) settled on one to test for a few weeks before slowly moving me down to something else that was similar enough and wouldn't cause a big issue. So.. the one tested I recall it something like... Blue Fish? Now I take this: Venlafaxin Krka 75 mg. Two in the morning and three at night. Highest I can go with that, supposedly ( or at least until some of the more negative aspects of the medicine start to appear ). Apparently it might be possible for me to get off meds in the future but it's likely I won't so not to be upset if that's the case. With so little done to help me growing up as family should have, it took too long and now has made quite the mark in me. I'm still asked now and then how I'm doing and to get blood tests done to keep it all updated but having meds opposed to all this time without them is like night and day. I very much went on thinking about how my family has had to deal with medicine over the years and what I've been through on what I can recall taking in the past... and asking a LOT of questions to a few professionals along the way to come to this decision. I've been told that it's usually really best to work with more than one of your doctors together, keeping each of them updated on what went on with the others last you saw them. Meds alone can't always fix you. Counselors alone can't always fix you. It's almost always best to work with them together. That is what I'm doing.

Great topic and exposition. I concur with your points. I would underscore that the severely mentally ill , diagnosed as clinically insane, are the majority of psychiatric patients. And since there is no cure for crazy, because of an ignorance of the mechanisms invoved, managing the condition is a life long process. Perhaps a topic for a future video can be how the progress in Neuro psychiatry will change the landscape of the treatment of mental illness.

I had a great psychologist - he was terrific. But I've never had a psychiatrist help by prescribing pills. They cannot know what's going on in a patient's life and mind. They don't know if what the client is relating is due to something going on in their lives, i.e. relationship dynamics that aren't working and need addressing; feelings that are connected to one's circumstances. For instance, a noise problem where I lived was chalked up to "psychoses". It wasn't. The psychiatrist had a conflict of interest with the owner of the apartment building where I lived. He dared not believe me or he'd have had to resign or get fired. I've had a psychiatrist practice polypharmacy and then jerk patients off all the meds *they* had prescribed and then blame the patient for taking "all those pills". The last time I had an appointment, instead of scheduling another one, I simply walked out and weaned myself off the last dope they had me on - the same way it had been titrated up in reverse. I will never see another psychiatrist. A counselor or psychologist, maybe. The exception would be the psychologist I was seeing before who helped me think about things differently. It takes hard work to figure out what's going on in one's life. I had been in denial as far as my family was concerned, especially my mother. I no longer believe in the biological model of "mental illness". Pills don't change anything - they lower one's inhibitions and make it harder to think and reason. Nobody has "mental illnesses" - they have emotional problems that relate to circumstances in their lives.

Dr. Grande, can you shed light in a video to explain how otherwise "normal" who have grown up with a sibbling, had a spouse or parent who was in a cluster B (Narcissist or BPD) might be affected psychologically? E.G., can an anxious spouse make kids or spouse anxious, can BPD behaviors cause children or spouse to lash out, can a spouse or parent cause legal troubles for family members...?

I’m an example of where counseling was not really appropriate, and only had to see the psychiatrist to obtain and monitor my medicine. I had to go to counseling first before being referred to the psychiatrist, though, which worked out well for me. I had to go once a month, at first due to the class of medicine, but then was able to go once every three months. I think the area that needs improvement is with children. The services are severely lacking.

@JBRich1

11 ай бұрын

@@Gnomezonbacon if they have ADHD and are struggling, why wouldn’t you take something to balance brain chemistry? Do you take pills for a headache? There’s no need to suffer.

Do you think it's reasonable for a psychiatrist to their patients that their problem is due to a chemical imbalance and that the drug will help to correct the imbalance, considering there does not seem to be much scientific evidence to support these kinds of claim?

@EBR1

Жыл бұрын

I certainly don't. There is no hard evidence to substantiate the "Chemical imbalance" theory, which is why it remains a mere theory. At this point, doctors are not able to extract a person's brain chemistry while they're alive. At least not without causing brain damage. So they have no way of knowing what the "Balanced" state of one's brain chemistry looks like. Thus far, they have only been able to study the brain chemistry of deceased people, but by then the body's bio-chemistry has gone through significant changes.

I work with all different kinds of doctors in my job. Some of them are wonderful and some not so much. You see this everywhere. It is just part of the job world.

There is a place for both, the psychiatrist deals in chemicals and the counsellor in feelings. In the Uk Counsellors cannot take on too many clients due to burnout and emotional exhaustion. There is a saying here which says whats the difference between seeing a Psychotherapist and seeing a Counselor and thats about £10.000. The problem with the medical model is people are afraid of coming off their medication and when they do the problems reappear.

You should do a video on psychedelic and related based therapy in psychiatric medicine, and therapy, such as Ketamine to Magic mushrooms

Counsellors and social workers are also quite busy. They have massive caseloads and experience burnout. Why don't they show the same level of coldness as psychiatrists?

@WaAaAaAaW

5 ай бұрын

noticed the same thing. that coldness

I see my psychiatrist once a month for 45min to an hour. He listens to me and how I am doing, but he also is watching me and evaluating if I'm a bit manic or depressed by my words and body language. His job is to manage my meds only, I'm not in therapy atm.

Omg where have you been?! You got to post every day! Thanks great video

@misse7154

4 жыл бұрын

He does post everyday and his followers are practically religious!

@kathrinjohnson2582

4 жыл бұрын

@@misse7154 no he did every other day twice. No video yesterday and Thursday 😥😥😥

I cannot find a psychiatrist in my area with any openings in their schedule. Thank heavens my PCP knows how to treat anxiety and depression. I take meds she prescribes and also see a counselor as needed.

Please do a video on Transgenerational Trauma... please 🙏 Even if it is false or speculative, prove how it is.

@mrs.reluctant4095

4 жыл бұрын

He ignores you all the time. I feel so sorry for you. Have no idea, why... I'm also interested in this.

@spruce117

4 жыл бұрын

@@mrs.reluctant4095 He probably has a preplanned list that he goes by.

Thank you so much for the video on interesting topic. I’d keep my question simple. Why have my prior psychiatrists ask me Qs or tell me something big even on the first visit that made my symptoms worse, when their primary job seems to be deciding on the adequate medication? Why try to act like a therapist when they are not trained as one?

I see my f20 diagnoses as abuse and my treatment as an extremely violent crime, with only negative effects for my mental heart in the long term. With my fucked up label I’m not allowed to see a counselor for my complex PTSD. They did not care to check whether or not I was traumatized even though ptsd should have been obvious to them. So much sick poison by force or by coercion or you can just piss of and not get the external support there comes if you accept their abuse.

Excellent presentation. Also interesting to me as a retired physican in the UK NHS, because of the difference between private medicine in the USA & our contract to work for the government in the UK. Despite this, much applies to the UK. I see psychiarists & counsellors as having very different skills & therefore best at treating different types or aspects of mental illness. By counsellor I mean someone who has been fully trained in this field. (In the UK NHS many hospital workers eg psychiatric nurses, & psychiatrists, have not had this degree of training, & do some "counselling work". IMO This can be helpful in some circumscribed areas, but needs a knowledge & self discipline, to know when they have reached their limits of expertise. IMO a major problem of this type of training, (in disctinction from the fully trained psychotherapist) is a failure to address the personal psychology of this person, causing many adverse sequelae.) Sometimes inappropriate psychotherapuetic techniques can be used. Personally my worst experience as a patient with severe unipolar affective disorder, was the use of Balint technique from a false data base, by a worker fundamentally trained as a social worker. I'd sit with her thinking, "I'm supposed to be the loopy one, but this woman is off this planet. Trying to give a rational arguement to her is as fruitless as trying to argue against the delusional complex of a florid schizophrenic!" This is rare, but highlights the dangers of teaching potent psychological techniques to staff without addressing their personal "psychopathology". There was another defect in her training & experience. She seemed to have no concept of a subgroup of those with affective disorder - the smiling depressive, the associated cognitive disorders, slowing of thought, movement, slow blink rate giving inflamed conjunctivae, or anything else! I do NOT believe that a fully trained councellor/psychotherapist would make ANY of these errors. At minimum they would recognise this as outside their experience, & I did not fit into any of the categories where they could help. As a rule of thumb, the psychiatrist with the medical background, mainly uses drugs, & is good at distinguishing between a primary mental illness, & "physical illness" which may present with predominantly mental symptoms. - the classic being disorders of thyroid function, which need referral to an endocrinologist. Also within his realm is the mental illnesses which as far as we understand are mainly caused by a biochemical disorder, schizophrenia, bipolar & unipolar depression, SAD & schizoaffective disorder, (Which was my main experience during my post grad in service training to work 1st in GP & then in A&E (USA term ER) So yes it is very symptom based. Good psychiatric care of these disorders needs a skilled use of drugs, tailored to the individual, higher doses being needed to treat a relapse, & the minimum dose needed to reduce the frequency of relapse. However it increases the work load, of regular assessment markedly. We do need to know primarily about the work, family, & recreational activities, of our patients because of the impact of the illness on these important aspects of their lives, to prevent or delay "downward social mobilty" & detect relapse very early, often controlling it with less medication than a severe relapse. We came to know them as people, but again in a different way from the counsellor. Early signs of relapse are often very idiosynchratic, & certainly not in the text books! This was my experience in 1977 working with a very foreward thinking consultant, who eventually emigrated, because as government funding diminished, he was unable to meet his personal standards. IMO our main fault at this time was failure to ADVISE very the simple measures, of vitamins, sleep, & stress management, during remission to facilitate medication. There is a large area of overlap in areas where medication can provide symptomatic relief, but addressing the root cause needs the skills of a counsellor. I think that in the UK the extent of this area is poorly recognised by physicians in general, whether GP or psychiatrist. IMO this leads to a large majority of the cases of long term misuse of antidepressants & benzodiazipines. IMO there is a large area - a nebulous diagnosis of "depression", where there is a general failure to appreciate the need for counselling. There is another area where there is no place for drugs & treatment should be soley by a counsellor. Perhaps finally there is a group of patients who given the current state of knowledge & every necessary resource, cannot be helped significantly by anyone. In the NHS there is marked disparity in income between physician & counsellor but it is standardised by the government. There are more private counsellors in the UK, because of a paucity of jobs in the NHS. Our main money factor is at government level. I percieve a reluctance to employ NHS councellors, IMO because treatment is necessarily longer & short term is more expensive than the "quick fix" of drugs. Government funding for mental illness is much less than other medical specialites = poorer resources. Poor resources, especially understaffing, leads to an unmanageable work load. This has led to a tragic decline in standards in many areas of this country by using lower trained staff to work outside their area of expertise. However reorganisation, with VERY good training of experienced psychiatric nurses, enabled to assess accurately, & rapidly refer for appropriate treatment has improved our service where this has been done. Corruption? Perhaps one has to work on the inside to see this. My anecdotal knowledge is from a few medical colleagues, considering emigration because of the much higher income. They worked in prestigious USA hospitals for 6 months, & all returned to the NHS. partly because of the "rip offs" expected of them (outstanding was the expectation to take 1/2 hour minimum to induce anaesthesia, because induction is the risky part & carries the highest renumeration. In UK induction takes about 5 mins - max 10mins before the surgeon starts. I don't know where this money went to. No colleague worked in mental health so I can't comment there. IMO of those working in health care, whether US or UK, the overwhelming majority are 1st & foremost motivated to use their skills to help others. Rip off's by insurers is the same as in UK car & house insurance - avoidance of their responsibilities whenever remotely possible, & unaffordable premiums for high risk groups. The income you cite for physicians, is now higher in the NHS than USA. I cannot comment for counsellors. IMO we have to factor in differences in cost of living, & housing, to be realistic. The UK has a problem of losing the doctors it has trained through emigration. IMO it's not to do with income, so much as fewer doctors, rapid increase in population, & increasing expectation from government & people. In the NHS, those working directly with patients have no contact with money. We're paid a flat rate. There is a huge rip off at a totally different level. The signs are, that the NHS will soon refuse to fund my drug, tranylcipromine, so say because they're old fashioned & rarely used, so the costs of manufacture have increased. (Indeed many manufacturers have ceased manufacture) NHS cost £6,000 per100. On reputable internet sites the cost in the USA is $70 - $80 per 100, from same manufacturer - Smith, Klein, & French with factories in Canada & UK. UK actually exports to the USA. Outraged I discussed it with a few GP's. They said that they were aware that the inflated price to the NHS applied to several drugs. I have been unduely critical of my system, the NHS. When I qualified, (1975) we may have had wrong attitudes but we were 2nd to the USA in results of treatment (Slightly inferior technology) & 2nd most cost effective provider of health care. Many physicians of my generation think that the NHS will privatise quite soon. Why did I like working in the NHS to the exclusion of other systems? I could treat everyone whatever their condition to the best of my ability, & irrespective of their income group or insurance limits. I never had to refuse to treat eg a dislocated shoulder because the patient didn't have the finances. Untreated, the resulting disability is substantial. How can I allow that to happen when treatment is so easy & fully effective? Maybe I'm indoctrinated since birth? I want to say that there is corruption in both systems, but some more obvious than others. For Dr. Grande. There is a joke amongst my friends who are physicians & called doctors. The PhD's are the real doctors who can think innovatively. We just have minds like a sponge to absorb information & granite to retain it. We just get the title for getting through an undergraduate course which is longer than anyone elses.

A psychiatrist prescribed my mother two meds that were dangerous if prescribed together. Luckily, the pharmacist told us before she took them...and this was an upscale town with lots of retirees. I'm not anti-psychiatrist but in Seattle, we couldn't even get one to call us back. Every one I've observed w my mother spent 15 minutes only. They should understand meds, they're doctors.

The people that say psychiatrists make too much money don’t understand that psychiatrists make less, and in some cases significantly less than other medical specialties

@Fcreceptor

4 жыл бұрын

That’s just not true. Pediatricians and family medicine make the least on average. Psychiatrist make just as much as other IM specialties. One of my rounding psychiatrists makes about 500,000 per year. He works as many hours as a general surgeon (80 hours), but the average for a 40-50 hour per week is 200,000/year. Twenty years ago the average billing rate for one hour of therapy by a psychiatrist was 350 USD in my area. Their pay is very competitive, and unless you dive into surgery, derm, plastics, or highly specialized fields, you will make 200k and up.

@if-not-now

4 жыл бұрын

Fcreceptor thanks for your reply. Most psychiatrists do not make even vaguely close to $500k, I don’t think it’s helpful to take one person to suggest anything about the field of practice. It is also not accurate that all internal medical specialties on average make around this amount (medical oncology among many, many others come to mind)

@Fcreceptor

4 жыл бұрын

Zachary Rodrigues I think you’re short-sighted when it comes to income. You seriously have no idea how much these physicians make. I have been in medicine for 20 years. If you think very many of them make less than 200k, you’re being fooled.

@if-not-now

4 жыл бұрын

Fcreceptor I think it’s great that you work in medicine, but what you’re doing is taking anecdotal data and trying to extrapolate it. As you know, it’s not very helpful

@ryankelly8077

4 жыл бұрын

Fcreceptor - I’ll happily end this opinion difference by pointing you both to what The 2019 Medscape Reports show. The data they collected from physicians who responded will tell you the average uS earnings of all of the medical specialties.

"Product" no longer client. Nailed it.

Here is a perspective from a licensed psychotherapist currently in a RN program with the intent to be a psychiatric nurse practitioner. There seems to be personality/goal differences among those who are likely to choose either profession (which is not saying one is better than another). Also, these are two different type of models (wellness model vs medical model). The point being, people who go to medical school tend to have different fascinations toward their approach to understanding the person. Now one can make the argument that this can be a matter of degrees (not those hanging on a wall) and to some extent, it is true, but in another sense it is not true (many counselors are not extremely fascinated in neurophysiology and medication, for example). I absolutely reject the notion that either profession can make the claim of being intellectually superior, and that is often where this "vs" argument leads. Simply two different ways of approaching a phenomenon. Of course, everyone has anecdotal evidence. I have worked with several psychiatrist who were arrogant, for example, and have had them explain Freudian ideology and so forth to appear intellectually superior. I have also met humble ones as well. One thing that has seemingly been a pattern that I have witnessed (again, fully acknowledging the difference in the models) is their quick assessment and diagnosis, and sometimes it has not been accurate. I had worked with the person for a year and sat in on their telehealth assessment, to which my client's behavior did not indicate the psychiatrist's diagnosis at all; have no clue how the MD came to the realization. Again, humans are flawed, so it is what it is. The only other thing, when I worked with only children (I was previously a therapist at a foster care agency), the majority of the kids would see a psychiatrist as well. Now some of these kids were actually emotionally regulated (to the extent any kid can be), but were also given meds. I wasn't particular fond of this, but of course MD wins. And the amount of meds that they were given was simply unreal; one kid was on 18 different meds (mostly things to counteract side effects and stomach/sleep issues as a result of the few psychiatric meds). So I understand the gripes, but this is another case of people making broad generalizations. Honestly, I have as well. Sometimes we simply have to be proven wrong and humbly admit our fallibility.

With the therapeutic alliance, wouldn't the obvious explanation be not letting down the counselor or "insulting" them by ignoring their advice?

Coincidentally I was watching some of your videos as I got the notification for this one haha. From experience, I prefer counseling over psychiatric care but I don’t see any issue with psychiatrists... I didn’t know there was a controversy between them either

Violent, criminal behavior not withstanding, psychiatrists label people with "Disorders" simply for the way they think. That's really what it comes down to at its most basic level. Yes, certain ways of thinking and acting are undesirable and even intolerable, but I can name twenty people off the top of my head who display such behavior, but that doesn't mean they're "ill". It means they think differently and in ways that don't agree with my way of thinking. I think it's very dangerous to label people as being "sick" just because of the way they think or because their way of looking at the world is different than what psychiatrists consider "healthy". Btw, their definition of mental health is being "well adjusted" to the society in which you live. So behaviors that might be judged as "mental illness" in one culture, may not be seen that way in another. Also, this implies that society is perfect and that if an individual has a problem "Adjusting", then it's the fault of the individual and couldn't possibly be the result of some injustice or another perpetrated on the individual by certain conditions in society. We're all responsible for most of what happens to us, but there are also elements of life that we cannot control; therefore, we can't be held responsible for EVERYTHING.

One of the main roles of a Psychiatrist is to rule out and treat medical reasons for a patient's psychiatric presentation. They are also one of the medical world's professionals in Neurology.

@capresti3537

Жыл бұрын

Psychiatrists never rule out medical problems for people's psychological symptoms. They believe there is a chemical imbalance in the brain without any evidence. Then prescribe drugs causing the same illness and symptoms they claim one has.

Huge jump to go from counseling doesn’t work for some, so let’s use drugs without really exploring other options or understanding why counseling doesn’t work. I have a bias as a lifelong mental health patient but I see a much different perspective than professionals. Psychiatrists often see improvements when I see deadening and numbing. The perspective of the patient is largely ignored. I’m not going to jump in and say that drugs are useless but it seems they are jumped to too easily and don’t really work that well and the science backs that up. I would like to see psychology focus on other avenues as rates of mental distress are increasing. Why not look at the effects of finances on stress, environment, adding access to nature, getting folks less isolated. I agree counseling doesn’t always work but if you’re living in squalor with little hope, just adding drugs isn’t very scientific.

Dr Grande, please speak about Dr Phil and Dr Oz telling lilies for gain. Thanks