Anyone listening to The Shrink Next Door?

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Not completely relevant, but Joe Rogan has lots of psychiatrists, psychologists and other medical professionals on this podcast and they are extremely captivating.
 
Not completely relevant, but Joe Rogan has lots of psychiatrists, psychologists and other medical professionals on this podcast and they are extremely captivating.

Links or names you thought were interesting?
 
Not completely relevant, but Joe Rogan has lots of psychiatrists, psychologists and other medical professionals on this podcast and they are extremely captivating.

I like Joe Rogan but whenever he talks about psychiatry he always comes off from this anti-psychiatry tilt. “I don’t think a lot of people are depressed, are they exercising enough? Are they eating enough whole foods?” He seems to think the path to mental stability lies in doing these sorts of activities and he seems to discount people with legitimate psychiatric issues. I frankly don’t blame him, I think this sort of attitude is because of his milieu because he lives in Cali where anti-psychiatry is alive and well due to that museum that the scientologist’s made.
 
The Shrink Next Door is a crazy ethical case. Would love to get the views of psychiatrists, especially those that were practicing in the 90s.
 
I like Joe Rogan but whenever he talks about psychiatry he always comes off from this anti-psychiatry tilt. “I don’t think a lot of people are depressed, are they exercising enough? Are they eating enough whole foods?” He seems to think the path to mental stability lies in doing these sorts of activities and he seems to discount people with legitimate psychiatric issues. I frankly don’t blame him, I think this sort of attitude is because of his milieu because he lives in Cali where anti-psychiatry is alive and well due to that museum that the scientologist’s made.

I think there is a difference between being critical of psychiatry and being anti psychiatry. What makes a ‘legitimate’ psychiatric illness? What is ‘mental stability’? I am frightened to think what an illegitimate psychiatric illness is. He’s probably more right than wrong—more exercise and better diet would go a long way to helping many people.

Psychiatric medications are probably over used and over prescribed for situations when a safer, less medicalized approach to care would work as well or better.

That being said, he hawks the expensive supplements too much. Dude is spot on with the sensory deprivation tank stuff though.
 
The Shrink Next Door is a crazy ethical case. Would love to get the views of psychiatrists, especially those that were practicing in the 90s.

It's a crazy case? I'd say its about as straight forward as it gets, unless we are holding the 1990's to the standard of do cocaine with your patient's at their vacation homes ala Freud as standard of care
 
It's a crazy case? I'd say its about as straight forward as it gets, unless we are holding the 1990's to the standard of do cocaine with your patient's at their vacation homes ala Freud as standard of care

Their vacation home that you decorate with your stuff and use most of the space in as your personal vacation home while your patient does the landscape maintenance for you.
 
Their vacation home that you decorate with your stuff and use most of the space in as your personal vacation home while your patient does the landscape maintenance for you.

Hahaha, as I was listening to the podcast I got the feeling this guy was trying to 1up Freud
 
What?? Joe Rogan has only ever had a single psychiatrist on his podcast and that was Kelly F'in Brogan, I hesitate to give her the Dr. prefix. He is overall not very informed about psychiatry AT ALL.
Not completely relevant, but Joe Rogan has lots of psychiatrists, psychologists and other medical professionals on this podcast and they are extremely captivating.
 
I thought there was too much conjecture in this one compared to Dr. Death. It didn't sound very factual to me. I really did get the sense that there was a journalistic conflict of interest with the creator being the neighbor and friend of the patient. Would have been nice to have the Dr's point of view.

They do quote at length from the psychiatrist's written responses, and they are pretty damning.

There is never a good reason to accept a job as the president of your patient's family business and make major business decisions for them, even if they begged you to do it.
 
It's a crazy case? I'd say its about as straight forward as it gets, unless we are holding the 1990's to the standard of do cocaine with your patient's at their vacation homes ala Freud as standard of care
Sounds a bit more 80's to me. SOURCE: I'm old. :laugh:
 
I like Joe Rogan but whenever he talks about psychiatry he always comes off from this anti-psychiatry tilt. “I don’t think a lot of people are depressed, are they exercising enough? Are they eating enough whole foods?” He seems to think the path to mental stability lies in doing these sorts of activities and he seems to discount people with legitimate psychiatric issues. I frankly don’t blame him, I think this sort of attitude is because of his milieu because he lives in Cali where anti-psychiatry is alive and well due to that museum that the scientologist’s made.

California is very much not an anti-psychiatry state. It simply harbors certain affluent communities that have made themselves more known for these kinds of polarizing views. The institutions in California are, on the whole, representations of “as good as it gets” in the current national climate we currently live in, and the training at many of these institutions produces great clinicians BECAUSE of the psychiatric community and general climate around mental health. The anti-psychiatry Scientology museum is also considered laughable, creepy and unrealistic amongst most. No patient, random person on the street or clinician for that matter has ever made any reference to the museum’s existence, let alone its creepy cultic claims. That museum only exists because the private funding from you know where keeps it afloat. Los Angeles in particular has one of the strongest, most well-funded Departments of Mental Health in the entire country. The only place where the mental health support gets any better than California is MAYBE New York. There’s plenty that’s fun to tease Californians about, but the way mental health gets run in the state is not one of those things.
 
California is very much not an anti-psychiatry state. It simply harbors certain affluent communities that have made themselves more known for these kinds of polarizing views. The institutions in California are, on the whole, representations of “as good as it gets” in the current national climate we currently live in, and the training at many of these institutions produces great clinicians BECAUSE of the psychiatric community and general climate around mental health. The anti-psychiatry Scientology museum is also considered laughable, creepy and unrealistic amongst most. No patient, random person on the street or clinician for that matter has ever made any reference to the museum’s existence, let alone its creepy cultic claims. That museum only exists because the private funding from you know where keeps it afloat. Los Angeles in particular has one of the strongest, most well-funded Departments of Mental Health in the entire country. The only place where the mental health support gets any better than California is MAYBE New York. There’s plenty that’s fun to tease Californians about, but the way mental health gets run in the state is not one of those things.

That's been my experience as well, particularly from multiple people I know how live and interact in the system. For every odd-ball Scientologist supporter there are a hundred or more reasonable people. I will say there are other areas beyond NY and Cali that do public mental health very well like Minnesota, or specific cities that do it well like Madison, Wisconsin (a birthplace of public psychiatry).
 
They do quote at length from the psychiatrist's written responses, and they are pretty damning.

There is never a good reason to accept a job as the president of your patient's family business and make major business decisions for them, even if they begged you to do it.

You wouldn’t accept a patients offer to run their business if they offered you 2M/yr income?
 
You wouldn’t accept a patients offer to run their business if they offered you 2M/yr income?

Nope. Getting such an offer (with my skillset) would be odd and would suggest that the offer came because the person is a patient. Taking it is a serious breach of professional ethics in my opinion, with real potential to harm the patient.

Not only that, once you take the offer and make yourself reliant on this patient who is evidently making strange/bad business decisions (as evidenced by the 2 million dollar offer), who knows how things would go from there. And if they go poorly and a board complaint is part of that trainwreck, you might not even have medicine to fall back on anymore.
 
You wouldn’t accept a patients offer to run their business if they offered you 2M/yr income?

The question is not if you as a random person walking down the street would accept an offer for that. The question is if you, an attending/treating psychiatrist for said person would accept that; in which case the answer is clearly no by every psychiatric AND general medical professional guideline.
 
The question is not if you as a random person walking down the street would accept an offer for that. The question is if you, an attending/treating psychiatrist for said person would accept that; in which case the answer is clearly no by every psychiatric AND general medical professional guideline.

Who cares about guidelines? Who cares about your license? If he’s offering enough money you take the money then if they take your license it doesn’t matter anymore..that’s one perspective
 
Who cares about guidelines? Who cares about your license? If he’s offering enough money you take the money then if they take your license it doesn’t matter anymore..that’s one perspective

That's a perspective, just like the perspective that an ED attending told me when I was a PGY-2 that if only the government would round up everyone with psychotic illnesses and deport them to an island, think about how much better the world would be. I find the two perspectives have similar amounts of humanity, morality, and reasonableness.
 
That's a perspective, just like the perspective that an ED attending told me when I was a PGY-2 that if only the government would round up everyone with psychotic illnesses and deport them to an island, think about how much better the world would be. I find the two perspectives have similar amounts of humanity, morality, and reasonableness.

LOL
 
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