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- Jun 23, 2003
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Seem to have absolutely no clue what actual psychosis is? It really baffles me.
Every CAPS doc I've met knows. Maybe a local phenomenon?
Got a story to share?
Funny thing, I had a mother scream at me in fellowship because we diagnosed her 6 year old daughter as having had a large benadryl overdose, not schizophrenia. She threatened to sue for misdiagnosis, even though the sweet little girl was back to normal within 24 hours of supportive care.
Got a story to share?
I find this thread to be largely an unfair generalization. As a CAP, I don't think that I currently have a single child or adolescent in my outpatient practice that is truly psychotic. It is extremely rare and usually a function of something else.
Inpatient psychiatry is currently in a sad state of affairs whether child or adult. The insurance industry and government has resulted in care that requires frequent medication adjustments and certain diagnoses labeled to receive reimbursement. Don't even get me started on the average length of stay being incredibly low to borderline useless. Instead of inpatient care for less severe diagnoses, adolescents and adults are shunted to the prison system. Many parents do not recognize mental health to be more important than an ipad, so they wait until a crisis situation actually occurs before recognizing the problem.
There is plenty of blame to be spilled.
This is largely why I started my own cash private practice. The results are significantly better than I obtained in other settings, because I actually get to practice appropriately.
In a somewhat related tangent. Parents need to have better emotional,regulation skills than their kids. Sitting in an airport watching obnoxious kid push frazzled moms buttons. Looks like half my day from yesterday. At least now I can just ignore it. Yesterday I was almost the frazzled psychologist yelling at oppositional parents. Thank god I have a week off!