It’s been over a month since the last post, and the last few months, I have not been very motivated to write or pontificate, between being out of work for a couple months at a time per not being able to land a realistic locums assignment, and then working one that just defies logic, the way colleagues treat patients. But, between the garbage of what really is DC politics EVERY SINGLE DAY of late, and what people are saying about psychiatry at other blogs and in my travels across the Net, yeah, what is the point?!
First, per a nice link supplied by colleague Dr J O’Brien in a separate email earlier today, what is it about the APA convention that just reinforces the BS my “colleagues” not only sell, but are sold? Read the link, worth the time:
A couple of comments to replicate:
“Were there really more than twice as many sessions on global warming as on obsessive compulsive disorder? Three times as many on immigration as on ADHD? As best I can count, yes. I don’t want to exaggerate this. There was still a lot of really meaty scientific discussion if you sought it out. But overall the balance was pretty striking.
I’m reminded of the idea of woke capital, the weird alliance between very rich businesses and progressive signaling. If you want to model the APA, you could do worse than a giant firehose that takes in pharmaceutical company money at one end, and shoots lectures about social justice out the other.”
One has to look at that list of lectures that precede this comment, just amazing what is being forced on physicians as alleged care need issues. Climate change as a mental health concern?! WTF!?!? Idiocy at its finest. Then, this from the same link later on:
“My favorite was Subvenite®, which is just lamotrigine in a conveniently-packaged box that tells you how much to take each day. The same amount of normal lamotrigine would cost about $12; it’s hard for me to figure out exactly how much Subvenite® costs, but this site suggests $540. To be fair, lamotrigine is a really inconvenient drug whose dosing schedule often leaves patients confused. To be less fair, seriously, $540 for some better instructions? Get a life.”
This is what drives the pharmaceutical industry, profit on titration packets…
One more from the link, at the end:
“Second, psychiatry has always been the slave of the latest political fad. It is just scientific enough to be worth capturing, but not scientific enough to resist capture. The menace du jour will always be a threat to our mental health; the salient alternative to “just forcing pills down people’s throat” will always be pursuing the social agenda of whoever is in power; you will always be able to find psychiatrists to back you up on this.”
Which leads me to my next gripe, colleagues who write just lame stuff, this from Dr George Dawson at his site real-psychiatry.blogspot.com, per a post he wrote over a week ago, that I commented at and he dismissed, as he did per the issue with his claim that most of psychiatry denies it sells the chemical imbalance model as the driving force to the profession’s existence as of today. Here is the post link:
Where to go with this read? This first:
“I keep looking for it and can never find it. The above picture is my stack of psychopharmacology texts dating back to about 1980 and none of them mentions “chemical imbalance”. I could add another foot or two that stack and there still would be no mention of this theory.”
Wow, I read that and just said to myself, “where is this guy practicing, and what are the dates of his references, and is he selectively taking out what suits his premise!?”
Then there is this at the end, “This is one set of receptors and modulators very simplified. To get more of the story read the 22 pages of reference 1. To understand the brain and modern pharmacology much more needs to be understood. Forgetting about the term “chemical imbalance” is a good first step.”
Yeah, I agree with his ending, but, all the pontificating prior seems to sell exactly what most practicing clinical psychiatrists are in fact genuinely doing, selling meds as the primary, if not only, intervention for mental health treatment. And then, dismissing the ancillary, but really primary role of therapy and case management interventions that are the backbone of chronic mental illnesses, like schizophrenia, entrenched mood disorders, and the most problematic, personality disorders as primary mental health illness that gets frequently overdiagnosed as alleged Axis 1 disorders. Thus, again per the chemical imbalance disorder role, polypharmacy for interpersonal struggles that just defies clinical imagination by grounded, responsible colleagues!
Go his site and read the latest post as well, and the thread of the link I supply here, well, read and decipher as able…
Finally, this link I had sent to me by a site somehow I enrolled in last year, Doximity.com. This post is very illuminative, I will just share it and advise readers to read it as ready and able:
https://www.doximity.com/doc_news/v2/entries/19197977 (sorry forgot to add it when I first completed this post!)
I just share the ending as it is me today, as I am not ready to spontaneously combust, as of today at least:
“So, please do not fault or judge those docs who have chosen to work part-time. The emergency physician who works three 12-hours shifts a week, the dermatologist who takes Friday afternoon off, or anyone at all who refuses to take call has prioritized life over work in the search for a work-life balance.”
By the way, the above mentioned colleague Dr O’Brien shared his disgust with the term “toxic” being excessively overused to define and relate mental health issues, and while I get the overuse of terms, per what one hears at almost every single Maim Scream Media report about the weekly media assaults on our current President, this week hearing “Pelosi has gotten under Trump’s skin…” (look up the montage of this supplied by the Washington Examiner, I think the source), I don’t know the best term as an alternative.
I guess “crazy” or “nuts” are not good choices, but, fit they do, eh?!
But, I do know this, Personality Disorder is so rampant and pervasive in almost all avenues of our culture and society, we are in deep shit if we don’t set some firm, consistent, strong limits, and fast, on those in positions of power, authority, and influence. But, I have been saying this for what, 3 years now!?!?
Climate change, or maybe, nature deranged!?
What’s the pill to throw at Mother Nature!?!?!?!?