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Burner account...
I'm a 4th year trying to decide what specialty to pursue in residency. I really have enjoyed my 2 psychiatric rotations thus far. The first was more outpatient and the 2nd was more inpatient. I was a little nervous on inpatient as I've never experienced the environment before but it ended up being much different than I expected and once I got comfortable, it was very enjoyable.
I really enjoyed the psych clinic...I'm definitely more of a clinic person. I liked how the psychiatrists really got to know the patient, down to their most intimate thoughts even. I was really shocked at how much they open up to their psychiatrist compared to other specialties. I also thought the patients were more intriguing compared to physical health patients in other fields since you never knew how a particular patient was going to present. The patients often seemed (at least the ones not there for other reasons) very grateful for the work you were doing for them as well. And the psychiatrists just got more time with their patients. The entire encounter didn't feel as rushed as say family medicine.
However, my hang up with choosing psych is the diagnoses that often seem to differ with each doctor and the current treatments. Of the 2, the treatments are what are making me the most hesitant.
I'm just not sure how comfortable I will be at putting someone on benzos or putting someone on 3-4 different psychiatric drugs at once. It kind of scares/intimidates me and makes me afraid that I will end up harming them rather than helping.
I've never been on a psych drug and there's just something a little intimidating to think that these meds are going to effectively change the personality/mood (for lack of a better term) of the patient. Again, they seem to be very grateful for us doing this and most of the time they seem to improve but from what I've read SSRIs have limited effectiveness and for a lot of meds in psychiatry, the field still isn't sure exactly how they're working in terms of mechanism of action (secondary, accessory pathways that get activated, etc. and the overall physiologic change that occurs). Is my understanding correct on this?
Did any of you have this hesitancy before choosing psych? Will these worries be alleviated once I actually study the pharmacology in-depth during residency? I just want to know that what I'm prescribing is safe and effective and it seems so many questions regarding these drugs are still unanswered as far as exact effects.
I'm a 4th year trying to decide what specialty to pursue in residency. I really have enjoyed my 2 psychiatric rotations thus far. The first was more outpatient and the 2nd was more inpatient. I was a little nervous on inpatient as I've never experienced the environment before but it ended up being much different than I expected and once I got comfortable, it was very enjoyable.
I really enjoyed the psych clinic...I'm definitely more of a clinic person. I liked how the psychiatrists really got to know the patient, down to their most intimate thoughts even. I was really shocked at how much they open up to their psychiatrist compared to other specialties. I also thought the patients were more intriguing compared to physical health patients in other fields since you never knew how a particular patient was going to present. The patients often seemed (at least the ones not there for other reasons) very grateful for the work you were doing for them as well. And the psychiatrists just got more time with their patients. The entire encounter didn't feel as rushed as say family medicine.
However, my hang up with choosing psych is the diagnoses that often seem to differ with each doctor and the current treatments. Of the 2, the treatments are what are making me the most hesitant.
I'm just not sure how comfortable I will be at putting someone on benzos or putting someone on 3-4 different psychiatric drugs at once. It kind of scares/intimidates me and makes me afraid that I will end up harming them rather than helping.
I've never been on a psych drug and there's just something a little intimidating to think that these meds are going to effectively change the personality/mood (for lack of a better term) of the patient. Again, they seem to be very grateful for us doing this and most of the time they seem to improve but from what I've read SSRIs have limited effectiveness and for a lot of meds in psychiatry, the field still isn't sure exactly how they're working in terms of mechanism of action (secondary, accessory pathways that get activated, etc. and the overall physiologic change that occurs). Is my understanding correct on this?
Did any of you have this hesitancy before choosing psych? Will these worries be alleviated once I actually study the pharmacology in-depth during residency? I just want to know that what I'm prescribing is safe and effective and it seems so many questions regarding these drugs are still unanswered as far as exact effects.