Dangerous to be a Psychiatrist?

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prominence

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do u have to fear for your well being if you chose a career in psychiatry? is it common for patients to attack if you are involved in forensic or child psych?

please dont flame me; i am considering pscyh as a possible career option, but i have yet to do my 3rd year psych rotation.

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psychiatry patients have medical and surgical problems too and therefore show up to all specialties. Unless they are being committed against their will (in which case there is usually security very close by), I've found that most psychiatric patients like their psychiatrists much better then their other physicians and are therefore probably less likely to attack them. Every now and then though, I have heard of a psychiatrist or med student doing his or her psychiatrist rotation being attacked.
 
We have lots of 51/50s in the ER, and we get a lot of violent convicts and the like, and so far I haven't seen anyone (seriously) attacked. However, I hear, Code 9 over the loudspeaker several times a night, which means someone is being attacked in the psych building.

In med school I worked in the violent ward. Most of the known violent patients are medicated out of their gourds once they get to the psychiatrist. It's the ones that explode out of nowhere that you have to worry about.

Good psychiatrists probably develop instincts on who they have to watch out for. Just be sure to always have an escape route, know where security is, and keep your eyes open.

I don't know of any psychiatrists who are really afraid of their patients. Just don't talk to them until they're on Haldol plus Risperidol plus Clonidine plus Ativan...

e2k
 
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Actually the two patients that I have been hit by were not psych patients. There have been a few situations where I knew that patient who was manic and tended to go from very happy to very irritated and mad; I just made sure to interview him with the door open and leave myself so that he was not between me and the door. I would also leave the situation as soon as I got the feeling that the interview was deteoriating.
 
offer-them-to-your-angry-patients-and-they-will-answer-your-questons
 
The one thing you might need to watch your back about is being declared "fair game" by Scientologists--they're the ones picketing all the national meetings and generally badmouthing the profession either overtly or via one of their many front groups (the substance abuse treatment center Narconon is one).

Here's an article from the Chicago Trib detailing some of their tactics:

Chicago Tribune (USA), Jan. 6, 2004
http://www.chicagotribune.com
By John Chase

One month after being kicked out of the Thompson Center, a controversial Scientology-linked exhibit returned to the state government building Monday, describing psychiatry as an evil profession that needlessly feeds drugs to children and has ties to Nazism.

The group was allowed to return after the Blagojevich administration backed off an initial assertion that the Citizens Commission on Human Rights' "Destroying Lives: Psychiatry Exposed" display advanced a religious philosophy. The Church of Scientology founded the group in 1969 and endorses the groups' tenets, but the display does not promote the religion itself, attorneys for the state ultimately decided.

On Monday, officials with the Citizens Commission used last month's dustup to promote the exhibit, saying it was a display that "psychiatrists don't want you to see." "Someone has to show the other side of the story," said Marla Filidei, the group's international vice president.

But Joan Anzia, president-elect of the Illinois Psychiatric Society, said the Citizens Commission's campaign against psychiatry was riddled with distortions.

The group's exhibit, for example, charges that "psychiatry spawned the ideology which fired Hitler's mania" and ties use of psychiatric drugs to a number of high-profile murders in America, including the mass killings at Columbine High School in Colorado. The group implies that Eric Harris, one of the teens who committed the murders, was under treatment for "anger management" and that taking the medication may have caused him to kill.

"The exhibit is extremely misleading and simplistic," Anzia said.

Although some might find the exhibit offensive, officials with the state said the group is currently following the law and therefore cannot be blocked from erecting the display, which is expected to remain in the Thompson Center's first-floor atrium for the rest of this week. .

"Our object isn't to prevent groups from using the display area for any reason we can find," said H. Edward Wynn, an attorney for the state agency that oversees operations of most state government buildings. Wynn said the Citizens Commission was first denied because it didn't clearly disclose its affiliation with Scientology. The state also asked the group to hire a security guard to stand by the display for the week as a precaution, he said.

There were no incidents Monday, though the display did draw a good number of spectators, many of whom didn't know that the group sponsoring the exhibit was tied to Scientology.

"I feel duped," said Steve Selan, an attorney. "I think they should be required to tell people that they are Scientologists. It puts everything they are saying in a different light."

But Filidei said that is not relevant.

"Who delivers the message doesn't matter as much as what the message is," she said.
 
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