Why Psychology and Psychiatry SHOULD NOT merge

[PsychEval]

I was also initially concerned some may attempt to find fault as if there was a reward for it. I’m glad I was wrong, the exercise was helpful.

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[Poety]

Yeah, but in this scenario, why would we need the psychiatrist?

Patient goes to psychologist, psychologist refers to PCP, PCP orders lab to run tests. Done deal. Same result.

You're just doing what you normally do, running circles around words because you have nothing more to add - the psychiatrist is a PHYSICIAN and ORDERED THE TESTS, IF HE REALLY WANTED TO - he could also MANAGE this patient - and you're going to find that lots of psychs DO HANDLE their OWN patients. The point is, a psychologist prescribing meds is UNNECESSARY but yet again, you try to twist everything around to mean or be something its not.

Its not the same result - because we have the option to treat.

 

[Poety]

I was also initially concerned some may attempt to find fault as if there was a reward for it. I’m glad I was wrong, the exercise was helpful.

Psycheval, this debate has been going on with me and Jon Snow for like all day You know how I feel about things, and I initially really wanted to see how a psychologist would treat this - but there are SOME that ofcourse, have to try to bring the whole issue back to "what do we need a psychiatrist for blah blah" which just fuels the fire - and steps on everyones toes.

I'm not falling for the game though anymore - you know I appreciate a psychologist and their role, and how I feel about prescribing non-physicians so trust me when I say this was not meant with any mean spiritedness - but mean spirited people reply none-the-less ruining it for everyone else

 

[Solideliquid]

Yeah, but in this scenario, why would we need the psychiatrist?

Patient goes to psychologist, psychologist refers to PCP, PCP orders lab to run tests. Done deal. Same result.

Do the MDs go to the psychology forum and say what do you need a psychologist for? Thats just inflammatory and rude.

Its more like patient goes to a psychologist, psychologists does not think about medical causes, and gives zoloft (if they can), sends patient home.

 

[Solideliquid]

This suggests to me that your opinion is that psychologists are not competent and not inclined to consider anything but "inorganic" causes. Ergo, you don't need a psychologist for diagnosis.

As has been illustrated by those psychologists that have posted in this thread, that is not the case. Basically, this is the exact same point that I made in saying, "What do you need a psychiatrist for?"

Slippery slope. I am saying psychologists are not medically trained to handle Axis III problems. I'm not saying psychologists are not needed.

I think SOME psychologists are trying to play physician, and taking a weekend course is not medical school.

 

[Poety]

If you say so. I had a psychotic patient who used to say that all the time. Fred, is that you?

First of all: Amen Solid

Second: SAZI CAN YOU TAKE CARE OF THIS TOOL PLEASE?

EDIT: I have not had a problem with any other psychologist on this forum but YOU Jon Snow, despite trying to be fair and objective about the whole thing- I really do wish you would voluntarily leave this forum as you're no longer welcome here - and you're really starting to irritate the rest of us who make an attempt to get along with our peers.

 

[Solideliquid]

First of all: Amen Solid

Second: SAZI CAN YOU TAKE CARE OF THIS TOOL PLEASE?

EDIT: I have not had a problem with any other psychologist on this forum but YOU Jon Snow, despite trying to be fair and objective about the whole thing- I really do wish you would voluntarily leave this forum as you're no longer welcome here - and you're really starting to irritate the rest of us who make an attempt to get along with our peers.

Yeah get out of here you bastard! LOL.

(Im not being mean, Jon Snow is a character from the books of George R. R. Martin, and in the books he is a bastard son.)

 

[OldPsychDoc]

First of all: Amen Solid

Second: SAZI CAN YOU TAKE CARE OF THIS TOOL PLEASE?

EDIT: I have not had a problem with any other psychologist on this forum but YOU Jon Snow, despite trying to be fair and objective about the whole thing- I really do wish you would voluntarily leave this forum as you're no longer welcome here - and you're really starting to irritate the rest of us who make an attempt to get along with our peers.

Hmmmm...

"You better watch out, you better not cry, you better not pout I'm tellin' you why...."

 

[Poety]

Correct! You have good taste.


As far as Poety.. . . zen, my friend. You're out of balance.

I'm very zen, you're just inflammatory - and thats quite annoying, don't call me your friend either because if I had friends like you I wouldn't need enemies. And by the way, perhaps your patient was right - and noticed your flaw of running circles around words, having nothing to add- but that would be the shoddy type of psychology I could see you practicing. Not all patients are wrong you know.

I know OPD - but he's harrassing me, seriously.

You are now on IGNORE - congratulations, the first one to ever be on this list! Ta Ta!

 

[PsychEval]

Slippery slope. I am saying psychologists are not medically trained to handle Axis III problems. I'm not saying psychologists are not needed.

I agree, psychologists are not medically trained to treat Axis III problems. However, medical training will provide psychologists with the knowledge to know when to make appropriate referrals to other health care providers. Psychologists without medical training are far more dangerous.

I think SOME psychologists are trying to play physician, and taking a weekend course is not medical school.

Weekend courses are not medical school. I completely agree. However, medical school is not the only way to obtain knowledge, right?

 

[Anasazi23]

OK folks.

Fight nice kids. I wouldn't want to lock a thread that has [some?] redeeming qualities.

 

[Anasazi23]

Just out of curiosity. Explain the catastrophe of prescribing an anti-depressant to someone with hypothyroidism?

Effexor is a bad choice in this case.

Effexor can exacerbate a thyroiditis, and generally shouldn't be prescribed in a patient with cardiac complaints, with exceptions.

 

[Poety]

Effexor is a bad choice in this case.

Effexor can exacerbate a thyroiditis, and generally shouldn't be prescribed in a patient with cardiac complaints, with exceptions.

Oh, and I didn't even know that part - goes to show you what RESIDENCY teaches you! Thanks Sazi!

btw: to psycheval and psisci, I have always loved having you post here so I hope that one inflammatory guy won't prevent you from popping in to our threads!

 

[PsychEval]

Thanks, I am genuinely interested in psychopharm and RxP training. Unfortunately, there is no prescribing psychologist message board.

 

[Poety]

Thanks, I am genuinely interested in psychopharm and RxP training. Unfortunately, there is no prescribing psychologist message board.

I know you are psycheval, the difference is, we can agree to disagree without cutting eachother down You could ask to have a board for that discussion made in the psychology forum though if you like, I'm sure they would be receptive.

 

[50960]

Anasazi, I disagree. I already ruled out thyroiditis...guess why? Anyhow I would not in any reality attempt to treat this patient. I would refer back to GP with a note to look at labs, as I have done many times, and only Rx an antidepressant if Sx were still present post 6-12 months l-thyroxine...and only with GP approval.
Take it easy on Snow...he is opinionated and I wish we had more of this around and less of "You are right old buddy"

 

[mosche]

I've been at work for the last 8 hours. I get home and I find you all fighting! That's it. No Pads for ANYONE! Now get to your rooms and don't talk back to me either. Someone's NOT getting a visit from the Christmas Bunny, and at this rate, the Easter Claus is highly questionable!

 

[PublicHealth]

I have no idea what the realm of psychologist RxP covers

...and, as far as I know, there are no "prescribing psychologists" or "medical psychologists" involved in this thread.

 

[PublicHealth]

I've been at work for the last 8 hours. I get home and I find you all fighting! That's it. No Pads for ANYONE! Now get to your rooms and don't talk back to me either. Someone's NOT getting a visit from the Christmas Bunny, and at this rate, the Easter Claus is highly questionable!

Daddy, please don't spank me!

As I type, Tabitha Stevens, a pornstar, is holding an egg between her buttcheeks and being robospanked on the Howard Stern Show.

 

[Anasazi23]

Anasazi, I disagree. I already ruled out thyroiditis...guess why? Anyhow I would not in any reality attempt to treat this patient. I would refer back to GP with a note to look at labs, as I have done many times, and only Rx an antidepressant if Sx were still present post 6-12 months l-thyroxine...and only with GP approval.
Take it easy on Snow...he is opinionated and I wish we had more of this around and less of "You are right old buddy"

The pathogenesis of this patient's hypothyroidism hasn't been considered (look up pregnancy-induced hypothyroidism). With this you'll see that it is a thyroiditis that results in this condition due to autoantibodies developed during the pregnancy. She described the symptoms classically. This condition often results in a hypothyroid condition after resolution of the thyroiditis. It is a common pregnancy complication, and can sometimes result in permanent hypothyroidism with future risk for nodules.

While Effexor likely won't cause any serious harm, it has a small risk of exacerbating the hypothyroid condition, or putting her at further risk for goiter or nodule.

 

[mosche]

After 8 hours, the best think about being the "daddy" is the spanking!

 

[mosche]

Daddy, please don't spank me!

As I type, Tabitha Stevens, a pornstar, is holding an egg between her buttcheeks and being robospanked on the Howard Stern Show.

BTW, is it a Christmas egg?

 

[Poety]

The pathogenesis of this patient's hypothyroidism hasn't been considered (look up pregnancy-induced hypothyroidism). With this you'll see that it is a thyroiditis that results in this condition due to autoantibodies developed during the pregnancy. She described the symptoms classically. This condition often results in a hypothyroid condition after resolution of the thyroiditis. It is a common pregnancy complication, and can sometimes result in permanent hypothyroidism with future risk for nodules.

While Effexor likely won't cause any serious harm, it has a small risk of exacerbating the hypothyroid condition, or putting her at further risk for goiter or nodule.

 

[PublicHealth]

BTW, is it a Christmas egg?

Nope. Grade A chicken eggs stuck between a Grade D pornstar's buttcheeks.

 

[mosche]

Nope. Grade A chicken eggs stuck between a Grade D pornstar's buttcheeks.

I came back to this thread expecting the same old s___! Your post, however, made my day!!!

 

[Poety]

I came back to this thread expecting the same old s___! Your post, however, made my day!!!

I have bronchitis, I'm so sick - help me Moschey

 

[PublicHealth]

I have bronchitis, I'm so sick - help me Moschey

I think you need to consult with a "medical psychologist."

 

[mosche]

I think you need to consult with a "medical psychologist."

If you can write her a script, I'll pick up her tab. Otherwise Poety, it's matzah ball soup time!

 

[Solideliquid]

She

needs a good shag

as do we all.

*Runs to the closest underground shelter*

the bombs are about to fall

 

[mosche]

*Runs to the closest underground shelter*

the bombs are about to fall

She's too sick for bombs! On top of that, she's visiting family! There's nothing worse than being sick -- unless it's being sick while visiting family.

Get well soon Poety!

 

[Poety]

She

needs a good shag

as do we all.

edited because this comment was supposed to be to Jon Snow

 

[Poety]

She's too sick for bombs! On top of that, she's visiting family! There's nothing worse than being sick -- unless it's being sick while visiting family.

Get well soon Poety!

Thanks Mosche!

 

[50960]

What did I do??

 

[pschmom1]

Poety, I've noticed that you have a new baby (cute by the way) and are in med school, Im just curious where you find the time to post all day long? I've read this entire forum because I found it quite interesting and humorous, and you posted for almost 9 hours in one day. You obviously have excellent time management skills or a nanny. By the way, don't let John Snow get you so stressed out. You said 4 or 5 times throughout your posts with him that you were done with him, yet everytime he posts you freak out. You obviously like the other posters here so simply do what you said you were going to do several times and be done with him. Just because you don't like him doesn't mean he can't post. You seem like you are rather intelligent and have interesting things to say but get so easily distracted and really upset about Snow. Just my 2 cents. Not trying to be critical, just hopeing to calm you down so the negativity can be dropped and good discussions can be had. Were all adults here . Thanks!

 

[Poety]

Poety, I've noticed that you have a new baby (cute by the way) and are in med school, Im just curious where you find the time to post all day long? I've read this entire forum because I found it quite interesting and humorous, and you posted for almost 9 hours in one day. You obviously have excellent time management skills or a nanny. By the way, don't let John Snow get you so stressed out. You said 4 or 5 times throughout your posts with him that you were done with him, yet everytime he posts you freak out. You obviously like the other posters here so simply do what you said you were going to do several times and be done with him. Just because you don't like him doesn't mean he can't post. You seem like you are rather intelligent and have interesting things to say but get so easily distracted and really upset about Snow. Just my 2 cents. Not trying to be critical, just hopeing to calm you down so the negativity can be dropped and good discussions can be had. Were all adults here . Thanks!

thank you for the compliment on my baby - why and how I post for so long is my business thanks And whats between me and John Snow is also between him and my ignore button. From what I understand, he's said some pretty nasty things while on ignore, yet you didn't respond to his comments eh? You really don't want to go there with me right now - so don't ok? Ignore my posts if you're not interested.

Why do people chime in on posts not even related to them? I am loving the ignore though - see Sazi? I'm being good

And Ps Psychmom: You should worry about finishing up college before you tell me about what I'm posting here ok?

IGNORED

 

[pschmom1]

Poety, I am sorry that I've upset you. I didn't realize how harsh my thread was and for that I apologize. I have no bias towards Snow, and again I meant no harm. I hope there is no hard feelings . Thanks.

 

[PublicHealth]

Poety, I am sorry that I've upset you. I didn't realize how harsh my thread was and for that I apologize. I have no bias towards Snow, and again I meant no harm. I hope there is no hard feelings . Thanks.

Ah, you guys are so interpersonal and psychodynamic. Just pop a pill and you'll feel better.

 

[50960]

Naw...too many sexual SE's......

 

[OldPsychDoc]

Naw...too many sexual SE's......

I think that's the idea, isn't it?
Residents aren't supposed to have time for such things!

 

[PsychEval]

Dapoxetine is a fast acting serotonin reuptake inhibitor helpful in the treatment of premature ejaculation. I guess for the hurried resident, this medication would not be ideal.