The problems are mirroring those worldwide. Vastly underfunded, lacking qualified professionals and no desire to fix it. It’s very frustrating

@talkingpsychology

Ай бұрын

I couldn't agree more

Bravo and thank you for your video. I am very happy that you are making tapes about your clinical experience which interests me very much. I am a Psychotherapist working full-time in a private psychiatric hospital in Australia and the situation here is very similar. The public hospitals are a nightmare. I think many people get absolutely no benefit there at all due to the pressure to churn clients and demoralised staff. I’m lucky because in my hospital we have interdisciplinary teams like you describe, with psychiatry, nursing and therapist all working together to help the clients. we do not take people who are psychotic though. It is mostly an insight based program where we create safety in Group therapy, let people share their childhood experiences, analyse their attachment style, then look into how their own behaviour recreates their trauma. We introduce people to long term therapy and 12 step fellowships or similar organisations to help them take responsibility and engage in their own recovery long-term. It is a tremendous workload for me to case manage an open group of 10+ clients on my own. Next year I will probably go into private practice. As for those who are psychotic schizophrenic or high needs, God help them because there is nowhere in Australia for them to go.

@talkingpsychology

Ай бұрын

Thank you for your testimony and for your investment with patients. I am sad to hear that Australia is on the same path as France. I fully understand your desir to start a private practice and I wish you all the very best for this project. And here psychotics are pushed in familly care. Anyway take care and thank again.

@unusualpond

Ай бұрын

@@talkingpsychology unfortunately, as a Psychotherapist (not a psychologist) I am unemployable at any other hospital. In the Australian public health medical model Psychotherapists are not recognised as part of the model, so only psychologists and psychiatrists are allowed to treat patients with Psychotherapy… but not too much of course, because it is expensive, so it is really just case formulation and diagnosis. the main reason I am going into private practice is not that the work is too hard, but that I want to work with people at depth and the three weeks I have with them only scratches the surface. I read books by RD Lang and Mary Louise von Franz and wish I could work in a hospital setting like that, but it no longer exists…

@talkingpsychology

Ай бұрын

@@unusualpond It is the same here in France psychotherapists don't work in the institutional setting ( which is telling on how much the system doesn't even see it as a option). The psychotherapists I have known in institutions have always been employed as another profession ( e.g. nurses, educators...) and wiggle psychotherapist into the setting that way. But it remains 'unofficial' and institutions will deny that any therapy is happening. And 'even' as a psychologist I was told not to openly say that I practice psychotherapy as it isn't the 'goal' of the establishment. In regards to Laing's institutional setting it did seem very different and dare I say much better than What we have now. Anyway thanks again and have a great day.

Thanks a lot for your video, it really is a necessity 😢

@talkingpsychology

Ай бұрын

Thank you for your comment!

It's similar in Germany. I can only speak for myself and as a private person, but here more and more positions are being cut and for those who are available, it's incredibly difficult to get a therapy place over time, it sometimes takes 6 months to get an initial consultation. How can people who are really suicidal endure that? Facilities are also severely understaffed because the money is not spent on care or hospitals. I was lucky to get a place in group therapy, but even there it is of course difficult to respond to the individual person if you only have a little time for each person. I hope it gets better, but even as I get older I'm worried about what will happen next.

@talkingpsychology

Ай бұрын

It seems this defunding and understaffing is worldwide phenomenon unfortunately. I also hope that it will get better but it seems we still have hard times head of us. Anyway thanks for your comment and take care.