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by Preston on 14 January 2013 - 18:01
by Mindhunt on 14 January 2013 - 18:01
Many in the mental health field and medical fields have know about over prescribing and incorrect prescribing for years and pitched fits to deaf ears. Finally a light at the end of tunnel. And yes, the majority of mass shootings were perpetrated by people who were either on medications or abruptly discontinued using them which causes terrible symptoms. (People need to ween off the medications under supervision.)
Empirical evidence points to therapy being more effective than medications......but it is also more expensive, takes work, and Big Pharma doesn't profit.
BeeTree - check out the history behind the DSM-IV (currently using the DSM-IV-TR) and the new DSM-V (proposed start date May 2013) used by psychologists and psychiatrists for the purposes of diagnosing. The DSM diagnosis must be given after the 1st visit if you want reimbursment. Also the insurance codes for therapy have been changed this year so that psychologists get paid much less for their work and are allowed less time for a therapy session. The process to write the DSM-V was full of controversy, more so than the IV because it was rushed to print without field testing and has pathologised many issue based on the needs of Big Pharma (you can now diagnose a child with nightmares and prescribe medications, same with temper tantrums, we won't even go into the new addictions and thankfully the writers caved to extreme pressure to not lump rape [forcible sexual act] in with the other new addictions, and if you admit to trying drugs just once, you are now lumped in with hardened substance abusers and yes that includes marijuana). You can check it out yourself if you feel like researching. There is also more pay if medication is prescribed. Physicans do not need any doctoral level psychological training to diagnose mental health issues in the United States (the horror stories I could tell you of well meaning physicians incorrectly diagnosing and then prescribing psychotropics). All the other countries use the ICD Codes (Internation Classification of Diseases) which pathologize so much less. Also standards require that you include an evaluation for medication by a physican or psychiatrist in the treatment recommendations even if therapy has been empirically proven as a more effective treatment.
There is a reason that psychotropic medication prescribing for those under the age of 18 years is not allowed in all the other countries due to the high incidence of side effects in children and adolescents, most noteably suicidal and homicidal ideation (thoughts and actions). Here, the push is to diagnose and prescribe for younger and younger children. Children as young as a few months (youngest is 2 months for bipolar disorder) are now being diagnosed with bipolar disorder, anxiety, depression, and schizophrenia and placed on medications. There is Electroconvulsive Therapy (Shock Treatments) used for children with disorders refractory to medication (medication either did not help or made things worse). There is even research being done to bring back transorbital lobotomies in severe cases. Empirical research has proven that long term use of psychotropic medications change brain structures and hormone/chemical levels being produced, even changes DNA. Some in the mental health field (and of course Big Pharma) want it to be made law that a person who is prescribed medication to be forced to take it because it will "protect future offspring from suffering from the same mental disorders" and that a quote from one of my many conferences. Only about 33% of people are helped by medications and of that percentage, very few are women. Psychotropics are now prescribed for chronic pain rather than pain medications (with women at a statisically significantly greater rate). Then when the person has side effects which is very common, they are placed on another medications, when they have side effects from that, they are placed on another psychotropic. It is not uncommon for me to see clients on 3-7 psychotropic medications because of over prescribing!!!!
Now if that doesn't terrify you, it should. Before you say it is all a conspiracy and I am whacked, it is being taught in reputable doctoral level PsyD and PhD programs. How do I know? Because I am in a PsyD program finishing up my doctoral in clinical psychology. Going to conferences with other doctoral candidates and licensed practitioners is required as are 8000 hours of supervised clinicals under supervision of licensed practicing psychologists and psychiatrists for internship application and additional 2000 hours each of both internship and post-doctoral clinical hours before applying for licensure. Another part of the requirements is keeping up to date on the latest empirical research (thank goodness for downloadable research and I have an external hard drive taken up with current research papers, journals, articles, etc otherwise I would have wiped out a large forest with the paper versions).
P.S. There are some disorders where right now, the best treatment is medication with therapy and they could not function otherwise, sometimes temporary medication is a help to get back to functioning and then discontinued when therapy begins to work. But medication should not be prescribed without therapy and a thorough evaluation (more than one session) by a licensed psychologist (or psychiatrist).
DSM - Diagnostic and Statistical Manual of Mental Disorders published by the American PSYCHIATRIC Association
Empirical evidence points to therapy being more effective than medications......but it is also more expensive, takes work, and Big Pharma doesn't profit.
BeeTree - check out the history behind the DSM-IV (currently using the DSM-IV-TR) and the new DSM-V (proposed start date May 2013) used by psychologists and psychiatrists for the purposes of diagnosing. The DSM diagnosis must be given after the 1st visit if you want reimbursment. Also the insurance codes for therapy have been changed this year so that psychologists get paid much less for their work and are allowed less time for a therapy session. The process to write the DSM-V was full of controversy, more so than the IV because it was rushed to print without field testing and has pathologised many issue based on the needs of Big Pharma (you can now diagnose a child with nightmares and prescribe medications, same with temper tantrums, we won't even go into the new addictions and thankfully the writers caved to extreme pressure to not lump rape [forcible sexual act] in with the other new addictions, and if you admit to trying drugs just once, you are now lumped in with hardened substance abusers and yes that includes marijuana). You can check it out yourself if you feel like researching. There is also more pay if medication is prescribed. Physicans do not need any doctoral level psychological training to diagnose mental health issues in the United States (the horror stories I could tell you of well meaning physicians incorrectly diagnosing and then prescribing psychotropics). All the other countries use the ICD Codes (Internation Classification of Diseases) which pathologize so much less. Also standards require that you include an evaluation for medication by a physican or psychiatrist in the treatment recommendations even if therapy has been empirically proven as a more effective treatment.
There is a reason that psychotropic medication prescribing for those under the age of 18 years is not allowed in all the other countries due to the high incidence of side effects in children and adolescents, most noteably suicidal and homicidal ideation (thoughts and actions). Here, the push is to diagnose and prescribe for younger and younger children. Children as young as a few months (youngest is 2 months for bipolar disorder) are now being diagnosed with bipolar disorder, anxiety, depression, and schizophrenia and placed on medications. There is Electroconvulsive Therapy (Shock Treatments) used for children with disorders refractory to medication (medication either did not help or made things worse). There is even research being done to bring back transorbital lobotomies in severe cases. Empirical research has proven that long term use of psychotropic medications change brain structures and hormone/chemical levels being produced, even changes DNA. Some in the mental health field (and of course Big Pharma) want it to be made law that a person who is prescribed medication to be forced to take it because it will "protect future offspring from suffering from the same mental disorders" and that a quote from one of my many conferences. Only about 33% of people are helped by medications and of that percentage, very few are women. Psychotropics are now prescribed for chronic pain rather than pain medications (with women at a statisically significantly greater rate). Then when the person has side effects which is very common, they are placed on another medications, when they have side effects from that, they are placed on another psychotropic. It is not uncommon for me to see clients on 3-7 psychotropic medications because of over prescribing!!!!
Now if that doesn't terrify you, it should. Before you say it is all a conspiracy and I am whacked, it is being taught in reputable doctoral level PsyD and PhD programs. How do I know? Because I am in a PsyD program finishing up my doctoral in clinical psychology. Going to conferences with other doctoral candidates and licensed practitioners is required as are 8000 hours of supervised clinicals under supervision of licensed practicing psychologists and psychiatrists for internship application and additional 2000 hours each of both internship and post-doctoral clinical hours before applying for licensure. Another part of the requirements is keeping up to date on the latest empirical research (thank goodness for downloadable research and I have an external hard drive taken up with current research papers, journals, articles, etc otherwise I would have wiped out a large forest with the paper versions).
P.S. There are some disorders where right now, the best treatment is medication with therapy and they could not function otherwise, sometimes temporary medication is a help to get back to functioning and then discontinued when therapy begins to work. But medication should not be prescribed without therapy and a thorough evaluation (more than one session) by a licensed psychologist (or psychiatrist).
DSM - Diagnostic and Statistical Manual of Mental Disorders published by the American PSYCHIATRIC Association
by Preston on 14 January 2013 - 18:01
Superb post by Mindhunt.
http://www.youtube.com/watch?feature=player_embedded&v=DpinCRaAQOk
http://www.youtube.com/watch?feature=player_embedded&v=DpinCRaAQOk
by beetree on 14 January 2013 - 18:01
I am familiar with that book, I own a version. I am aware of many controversies concerning reclassifications. I would have to see your source detailing Big Pharma motives. I do know from my own experience, I can get any medication I want just by crying in the Dr's. office. And that is because of the Dr., not a master plan by Big Pharma.
by joanro on 14 January 2013 - 18:01
Thank you Mindhunt.
by Two Moons on 14 January 2013 - 18:01
Should anyone be forced to take medications by a government entity?
by joanro on 14 January 2013 - 18:01
Bee, you don't believe the doctor you cry to for drugs, is not motivated to prescribe them? I doubt he does it to make you happy.
by beetree on 14 January 2013 - 18:01
LOL, I wasn't crying for drugs..... my favorite cat just got hit and killed by a car. And I couldn't keep back the tears! 
My Dr, a "she" started insisting I needed some kind of medication....!!!!!
Her philososphy is, well, you came to see me, what else can I do besides write scripts! I also know plenty of other Dr's who go out of their way to help you with free samples.... matter of fact when that nose spray I have in the blue bottle is gone... I don't know what I'll do, it is the only stuff that works for one of my kids...
My Dr, a "she" started insisting I needed some kind of medication....!!!!!Her philososphy is, well, you came to see me, what else can I do besides write scripts! I also know plenty of other Dr's who go out of their way to help you with free samples.... matter of fact when that nose spray I have in the blue bottle is gone... I don't know what I'll do, it is the only stuff that works for one of my kids...
by Two Moons on 14 January 2013 - 18:01
Doctors know most of that stuff is crap and that's why they began to advertise directly to the public for drugs that can only be prescribed.
by joanro on 14 January 2013 - 18:01
Moons, of corse not. Control, control, control.
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