The Good: New & better meds. Lessed side effects, better compliance becuase of better meds.
OPD, why do you feel there have been no real good pharm breakthroughs in the past 10 years? Is it the limits of current science or fear on the part of drug companies with all the litigation out there?
I'd worry about it--except that everytime a neurologist gets even a whiff of someone "crazy" they come screaming to us to take them off their hands...
you psych types are real friendly. i was worried you guys would harrass me for suggesting your field is easily capable of being brushed over by neuro (which i don't even believe btw). thanks for the polite and rational responses. you guys are great!!!
I'm not pessimistic about the future of psychiatry, but I'm not sure I buy this.
We had a revolution in meds about 15-20 years ago with the SSRIs and atypicals, but there really have not been huge changes in the pharmacopoeia since then--the "lessened side effects" and "better meds" since have largely been reformulations of the above standards with longer-acting preps, etc. Pharmaceutical companies are hurting precisely because there are no new blockbusters in the works--and their previous generation of blockbusters is going generic.
...Some candidates might be:
- Neurology deals in brain dysfunction whereas psychiatry deals in mental dysfunction. Trouble with this is that dualism is so centuries ago ;-)
- Neurology deals in modules whereas psychiatry deals in central system processes. Trouble with this is that the modular / central systems debate is far from settled (hence can't be relied upon for the current distinction)
- Neurology deals in mind / brain dysfunctions where the neurological causes are relatively understood. Trouble with this is that as our understanding increases psychiatric disorders will all come to be viewed as neurological.