Criticisms of Psychiatry | Counselors vs. Psychiatrists
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- Опубликовано: 19 авг 2024
- This video answers the question: Is psychiatry of fraud? What’s the difference between counselors and psychiatrists? Why are psychiatrists paid more than counselors? Are psychiatrists actually in charge of mental health agencies? Do psychiatrists spend too little time with clients? Do counselors spend too much time with clients?
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I have been in therapy (psychoanalisys) for years. I've been derived to psychiatrists who have prescribed me medication. I have never, ever been given a diagnostic. From my perspective it feels like they are shooting with a shotgun in the dark, hoping to hit something. When they don't know what the problem is, the default answer is stress. They give you stuff that makes you sleepy, as if that would solve anything at all. The only reason I still give it a chance is because I have no other alternative. I feel like we live in the middle ages of mental health and they are giving me the equivalent of leeches and bloodletting.
exactly!!. A person has to be very careful, the medications psychiatrists offer have more drastic debilitating side effects "short and long term" than any other class of medications on earth for any other medical problem.
And it is commonly known that the side effects of these drugs can make a person "appear" mentally ill in public when they are not,
eg.........drooling, blank stares, shuffling around instead of walking properly, massive weight gain, lack of care or effort about hygiene anymore, unable to work because side effects make the patient incapable, memory problems, complete mood and personality changes, liver/kidneys/bladder /organ damage suicidal thoughts etc..etc..
All caused by antipsychotic and anti-depressant medications
that psychiatrists have no concern about handing scripts out.
going to a psychiatrist can be very dangerous if one is gullible and trusting
I am the way, the truth and the life. Verily I say unto you that no man goes unto the Father except through me~Jesus
Nailed it
I hope things have improved for you since you posted the comment a year ago. 🙂
Oh, would you be interested in sharing with me what your story and experience is? I'm very curious and maybe I could help in some way. To me it seems the competency of mental health professionals as well as their ideology/views/approach can vary greatly, and sometimes even just the level of how informed they are. I'm very curious if I'll be able to at least problem solve a bit and come up with directions you haven't yet considered. If you're also as chatty as me lol and don't mind sharing with a stranger please let me know what your preferred platform would be! It's fine with me to write contact info here and then delete it.
In any case, I wish you all the best!
I always have bad experiences with psychiatrists, just had yet another bad experience this morning, they don't listen and only interrupt you, it feels so insensitive, they don't help and they just make you feel worse, I rather go to my gp to get medication
That’s definitely not how I feel with my psychiatrist. Even when I’m struggling to explain something she listens carefully. When she accidentally interrupts me she’ll say “no please go on..” if I’ve not finished speaking.
@@pierrebornholm5599 but does she really listen and suggest real solutions or do you just feel like being able to be heard and thats the treatment in comparison to drug prescription?
you dont need medication you are fine
@Big J nope I don’t I had bad experiences with psychiatrists, in reality I needed a therapist.
@Big J the narcissists are not us the patients. the narcissists are healthcare providers who think they know everything and think they know whats best for us.
Problems with psychiatry, where to start:
God Complexes
Built in grotesque power dynamics
[patients who suffer from normal reactions to trauma aren't treated like they have self insight about drug reactions]
Forced treatment and imprisonment
Built in over prescribing
[when all you have is a hammer everything is a nail]
Lack of education about withdrawal, inter dose wd and adverse effects
Lack of education about withdrawal syndromes and brain damage from drugs
Almost zero accountability when someone is injured by prescription
Lack of understanding about how the drugs work while leaning heavily into all the unsubstantiated marketing claims behind the drugs
Pharm Reps
Pharm companies and upping that stock dividend every year
No one can sue pharm companies who make a generic of any drug
I don't know, millions of people who've died from pharm who will never have recognition, their day in court, public understanding, etc
I agree. They play around with prescribing medication as if it's nothing. I've been forced to use it on and off and it makes things way worse than it already is.
The worst part for me has been the imprisonment. Every time when things are going great, that's when they put me away. When I feel awful enough they let me go. One time I refused to go and I was put in jail for 4 months. Meanwhile I got my own restaurant which just started to settle down after almost a year and it was forced to shut down because I couldn't be present. It cost me €50.000, and afterwards my psychiatrist was surprised on why I couldn't pay his bills anymore 😐
I agree with you 100%
For you, friend:
Nuremberg Code Article 6 Sections 1 and 3
They prohibit forced medical treatment worldwide and the punishment for breaking this law is death. This code was established after Hitler's defeat in WW2 but has been hidden and ignored almost completely now. Their goal is to funnel money to the remnant of the Third Reich in Ukraine to finish the job.
You are right, they don't take any accountability but they hypocritically acknowledge possible side effects from their pharmaceuticals. Forced treatment and imprisonment has always been the worst aspect. The God complexes when they tell me I'm indenyl that I lack insight and that wither I'm told by a general practitioner or a psychologist that these human psychiatrist's of nine years of education can know the entirety of a strangers brain/personality or how they daily function. Beyond that they just only work for their huge salaries and wages, their absolutely not good samaritans. Even if any doctor would partially or believe your the victim they wouldn't help you or say their sorry, they would make it seem tragic or even amusing.
I found a faulty issue in my psychiatrist. He told me that I could easily get off 0.5 mg of Klonopin (Clonazepam), which is a benzodiazepine. I had withdrawals, which included restlessness, being tense, nausea, and most importantly increased amount of panic attacks. I felt awful. I told my therapist I was miserable. Nonetheless, I did my own taper, going down from 0.5 mg to 0.25 to 0.125 and it was a success.
Omg my GP prescribed klonopin to me and gave me 0 other info about it. Started taking a low dose, felt awful, looked into it and realized how crazy benzos are. Took me so long and had such a bad time getting off even the low dose!
I think everyone going off of these should get a nail file, and gradually file a little bit off daily.
Psychiatry is psuedo-science research akathisia and how it kills millions
Could you make a video on why mental health practitioners use what patients say against them?
I'd like to see that
“Is Tobacco bad for your lungs? A totally unbiased representative from Marlboro explains why it’s not!”
I would also add that as a patient, I have had the good fortune of seeing some excellent psychiatrists. I've never felt like anyone was trying to "push" medication. Rather I felt that the conversation was to assess what's going on clinically, and whether and how medication may be helpful. It's a discussion of the physiology of a condition. Understanding a diagnosis on a physiological level for me is helpful, independent of medication. WTR to payment and compensation of psychiatrists vs. counselors, I know that there is a big disparity, but it seems like the two would have a big difference in terms of liability and "medical malpractice" insurance.
By clinically, do you mean the medical model that psychiatry borrowed from real medicine in order to make it seem legitimate?
I've had nothing but bad fortune with them and seem to be the most functional with just a hot cup of joe, 200mg of L-theanine (which doesn't seem to do anything?) and some vitamins.
I don't like this system of psychiatrists handing out shareholder-funded pills to Karens who think iPhones are parental substitutes, and then calling it "science". If an anesthesiologist pulled the kind of crap psychiatrists do, it'd not just be a permanent ban from the medical field, but possibly also a prison sentence.
But, since it's harder to trace suicides, homicides and complete mental breakdowns to psychiatry (chicken and the egg, did the illness cause it, or the "cure"), and because there's literally hundreds of billions of dollars of lobbying and grants involved, psychiatry seems to get a complete pass when doing a "lite" version of what Dr. Mengele was doing some decades ago: human experimentation, regardless of people's futures and lives.
@@manictiger So, well stated... Psychiatry actually makes an individual's mental health WORSE w/mind altering Psychotrophic Drugs (for repeat Biz in order to be on the appointment and prescription 'HOOK').... In Amerika just about EVERY MASS SHOOTING is blamed on a person 'Deemed' mentally ill...?? Those Chemicals in a person's brain will (NOT) do much good in a Narcissistic Culture other than KONTROL and subdue an individual (that's about it). Like how 'THEY' do to unruly patients (clients) in various institutions (like, Nursing homes)... People in a Zombie-Like Comatose state of mind are easier to manage (so (some) people can sit on their arse and get paid on Friday)... GET IT-??? CORPORATE MEDICINE IS ROTTEN AS $HIT in Amerika-!!! (J/S) 🤔💩😞😔😠👎
You're speaking about "understanding a diagnosis on a physiological level" without stating that there is not a single objective, biological, scientific test that can be used to diagnose a "psychiatric disorder". It's all 100% subjective.
Please understand that I'm not doubting your symptoms or distress, I know it's real. But most people are much safer seeing a psychologist or therapist.
Hi Dr. Todd,
I’m a psychologist undergraduate in Brazil. Thanks for doing this video and clearing things up. In fact, here in Brazil the psychiatrist usually is recommended when the client needs medication, but the therapy part it’s up to us. We have the ability to do the therapeutic part, specially we’re always alerting people about the importance of doing therapy and specially use the medications if needed.
Anyway, I do appreciate your opinion.
Huge fan from Brazil.
Treatment modalities are more successful when teamed and triaged. All professionals should follow the hypocratic oath and rise to loftier levels of cure. How will this happen if profit equals sickness?
Anti-depressants (along with any other addictive substance, pill) should only be administered as a last resort. They do not heal, they mask and deflate symptoms. I try to treat the cause of the problem.
Janis Cohen- Dacosta That’s it!
At college we learn that what we need to “”treat”” is the cause of the issue. When it comes about medication, for sure it might help you with some things but let’s not forget that mental health can sometimes be physiological and that’s when the meds comes in. Apart from that, we do have the real cause, which is due to an amount of psyche issues and that’s when the therapy comes in. Psychologists, in my opinion, are the most important professionals to treat mental health issues. I do see the importance of psychiatrist, for sure, but we keep forgetting that meds are not gonna solve your life problems.
Thanks for replying, I do appreciate your comment.
Judy Lee Well, I couldn’t be more sorry to hear that. Unfortunately we’re all vulnerable when it comes to situations like this one u mentioned. I hope one day things can change in the whole world, specially about Mental Health.
Ben Hackett Totally agree with you! I’m not an anti meds person, I just don’t think that everyone’s needs to use it all the time, specially when we talk about mental health. Some people are so used to take meds for more than 10 years, and can’t see their lives without it, which in my opinion is very sad.
I could write a book of criticisms on psychiatry 🤣
My main problems with psychiatrists are arrogance, horrible bedside manner, lack of empathy, treating patients as if they are a statistic rather than an individual, their “god complex”, and the unequal power relationship between psychiatrists and their patients. I
Know this can’t be backed up by science...It’s just my experience
@@beebee3871 lmao okay yeah sure you could but would it be true? I hate this non-argument
They can't back up their "diagnosis" with science either, so you're even.
You are not alone in this experience...
exactly
Thanks for the thorough video, Dr. Grande. I think one additional aspect of distrust of psychiatrists that could be addressed (and that applies to the medical field as a whole, really) is that histories of bias against marginalized groups also find their way into these fields. For example, misogyny/sexism has certainly appeared in the history of psychiatry and the medical profession (e.g., diagnoses like hysteria being targeted primarily at women in a way that essentially invalidated women’s experiences and emotions and reflected a dominant societal view that was misogynist). Or, for example, the fact that women have historically often been excluded from or underrepresented in many medical studies, so medical knowledge can sometimes apply more to men and have more blind spots with women. Race, of course, is also another area where bias in the medical world has adverse effects on people (not related to psychiatry, but the much higher incidence of maternal death among black women in the US comes to mind). I just think that these complexities also contribute to the distrust people can have, but I also do think it’s important to dispel some myths or generalizations that are lobbied against psychiatrists, as you’ve done in this video :)
Alex B - you bring up many good points.. I’d like to state though one major gap. The reason women aren’t included in many pharmacological clinical studies is due to their ability to become pregnant. It is highly risky to put Women who can still have children (generally ages 18-50) in a randomized trial when the physicians dont know the potential effects of the drugs. As much as the medical community would like to include this demographic, the risk likely far exceeds the risks. This ultimately makes conducting clinical research harder to produce results that can be deemed as “generalizable” and with high reliability rates
@Ryan Kelly Thanks for this point - that makes sense that pregnancy is a factor as well. However, I do think that it’s probably still true that another factor in the historical exclusion of women from studies is sexism and just a general bias to focus on men as the ‘standard’ subject. There are also many of us women who know we don’t want to ever birth a child, so perhaps as the stigma against that choice continues to lessen, there will be more opportunity for medical studies to seek out those women for whom potential pregnancy isn’t a factor . :)
And lets not forget that the medical profession in general has never honored the woman's body (look at "the pill" etc ) and never will so all they do is disrupt normal human processes with chemical agents and invent diseases too
There should be a happy marriage in the psychology world. All would benefit.
so, mrs abellah le ouardi has savagly ben setting to abuse to kill and volat, sxuellay, thousands over thousnads of th an quit clver and bright students and artits in torures and harrassmnets in oppreions and rpersions in death- penalaty and sxuel and physqu and mnetal violations svagley in ouarzazat city in th maian southr sist of morocco country, inhumanly sisnsc eta lst cntruy time to today, sir abdelah el ouardi has reclly desored thousnads ovre thousnads of the aaia quit innocnet dep- rootd too innocnet ouarazzais sos syoung mne in his personallay recations and convanaces of crimes in brutalaiats and harasments and toryures, svagaley in the mai rginala alaoacallay national secirty administartion in ouarzazat cty in th maian suthren siste of morocco countrty, viletley in corruptions and falsisfications , illegally,
sir msrs abadellah l eouadi has svagley ben settng to recat in brutalaiates and sxuel and physque and psychiatrique an dadministives auatahariataiaves vilations in ouarzazat city in the maia southr sst of morocco country,
___________________________
right today, sir mrs abdllah el ouardi is rulling the maon regional locallay commissraiat in ain - echchouk stres in morocco country ,
________________________________________________________
sir mrs abadellah el eouardi is become the maoan regiona dvsionnaiar in casablanaca in morocco country,
______________________________________________________________
sor mrs abadellh el oaurdi has even ben setting to kill and violate , sxullay and torures and harass and implicate n psyscshaiaatriqu serviecs siid dhsusna bneceur in ouarzazate city i t maan southre siste moroco country and regioal jaiala , in oppressiosn and reperssions, svagely sisnsc eth alst centrury time ti to day, i s at least vere than thousnads overe thousnads of the maia dep-rooetd too innncnet excellenet studnets and s briggt arits have svagaley tortired ans harras in ouarzazate city in th eaan surn in moroco , in ouarzazat city, violetely,
and also, sir mrs abadellaalh el eouardi has illegalaya bens setting to corrupt and falaiafay thousnads overethousnads of he main various adloitves -- pres varabals and adliuve auataharataave certfaiacats of legal rapparts and prs vrabals, in corruptions and falssfsiactions ilegamlley in ouarzazat city n he maain southeren sist eof morocco countrty, illegallley,
You would think, but I don’t think that’s accurate. That’s given that there’s a healthy separation of work and personal life. You don’t want to start treating your partner, that’s unhealthy and can lead to an abuse of power and control in a relationship.
Counselors definitely don’t make enough for the amount of schooling they go through.
@Julia Mimi I know many people who got a lot out of counselling. Happy you feel better now, but calling others a fraud when many of them certainly do all they can to help, is just rude.
I've known like six masters on a personal level and all were bad communicators, none paid attention at all to psychology and a few didn't know basic topics when we talked. Few had disastrous love lives and did relationship counseling. Two went bankrupt spending on guys half their age. Alcoholics. On mood pills. Raising grandkids or no custody of their kids.
If you must get a shrink get a PhD. Seems like the broken get a master's degree to heal themselves. The intellects go on for the PhD.
Its NOT ABOUT MONEY
Good, they can rot in poverty for all i fucking care.
@@dontmindme5189 Ironic. You may need some counseling, bud, after that comment.
Hello Dr Grande, the best relationship I had was with a psychiatrist. He always took time with me. I never felt rushed. Any drug he prescribed he looked into the interactions between all of my meds. He retired and I moved. He was great. He always took my calls seriously. Thanks Dr Grande.
Dr. Grande is the guy for my sleepless nights... The difference to me is, that psychiatry saved my life, while psychology ruined it... just kiddin'. But I think he is absolutely right, people go to see a counselor first, and if this doesn't help, they may finally go to a psychiatrist.
Trying medicine was the first thing that really helped me after years of counseling (so sorry Dr. Grande, I wouldn't have told you, but you invited me to do so with this video). I love my psychiatrist very much, she is married to a psychologist, which is the perfect combination for me. Of course, medication is trial-and-error, since psychiatry is just as psychology an equation with hundred unknown variables.
Btw, where I live, psychiatrists have to take care for nursing homes, too, so that's what they are doing, when the practice is not opened for patients. It is a stressfull job. And of course counselors earn too little!
Thank you very much for covering this topic, Dr. Grande. ❤ Hope, I'll fall asleep now.
When the actions of the few, ruin it for the many.
@Judy Lee, it sure feels that way! 😐 I’m still processing the damage done.
@Judy Lee Thank you so much. I wish no one understood this type of personal hell. I truly believed that deep down people were inherently good, now I’m not sure how I view the world or the people in mine! Trust is gone... well, there’s one person though, he’s been a lifeline and My Faith sustains me. Thank you for sharing / reaching out. I’m sorry you’ve dealt with so much. The fact that you’re even able to share you’re experience with me imho is a testament of your strength!
@@Anon0nline would you clarify, please?
Few? Uhm, 6 out of 6 for me. Psychotherapy is just probably not working
Thanks for your analysis Dr Grande.
Over the last 2 years, following a mild TBI, I have been in & out of psych wards with depression 6 times & been seen by 8 different psychiatrists, all of whom come up with a different diagnosis based solely on subjective observation (most of the time after 15min intake assessment). It’s hard to trust a medical discipline that can’t come to a consensus & can’t scientifically prove the need for a particular medication or the administration of ECT (none of which have helped). My experience is that psychiatrists just dole out medication (which could be done by my GP). I have also had counselling from numerous psychologists. Talk therapy has been much more useful than meds & funnily enough, the psychologists agree on the diagnosis.
Mild hyperbaric oxygen therapy can physically repair a brain injury. I strongly recommend looking into it. Psychiatric diagnoses are not valid medical conditions. The fact that you already have an injured brain and received brain damaging ECT is truly stunning. ECT has never ever been proven safe.
@@beta447 yep... The 1st psychiatrist coerced / threatened me into 12 sessions of ECT 3 months after my head injury, labelling all my 1st ever psych presentation symptoms as bipolar rather than the mtbi / post concussion syndrome that they were. I’m horrified/ disgusted thinking about it.
@@Amanda-il8ks They wanted to do more brain damage - that truly is horrifying - and here again we have the problem that psychiatrists don't believe their patients. They didn't believe me about the noise at my apartment building. Called it psychoses. Would have had to been group psychoses because it wasn't just me reporting the noise to the landlord - I just lived closer and got the worst of it. Had it on tape. They were going to give me anti-psychotics. *SMH*.
50-100k for counseling is way too little, Dr. Grande. Careers that require NO education pay this much.
I'm not a counselor. I have no "horse" in this race.
I agree with your responses, dr Grande
However here are some criticisms of psychiatry and psychology i have.
Both are main fields in the research replication crisis.
Money from pharmacological companies controls a lot of research and contributes to biased research and dogma (e.g. the focus on depression as a serotonin deficiency condition despite lack of substantial evidence, this also held back promising research on ketamine which isnt serotonergic)
ECT is a violent, barely scientifically backed procedure.
From personal experience:
Often psychiatrists seem to not dig deep enough/old enough, and forget that patients wont necessarily know how to describe what's bothering them, causing them to miss symptoms and diagnoses.
In both psychiatry and counseling the focus on functioning rather than wellness of being causes me to feel like im the illness being treated for productivity for the sake of society, rather than the patient being treated for his own good.
In both it seems common to forget that showing empathy/sympathy isnt necessarily a bad thing, and can go a long way for someone who feels invalidated.
Personally neither meds or therapy helped my chronic depression much.
Agree. I cured myself of a lot of conditions without therapists or psychiatrists. Vitamins and herbs and such are more powerful and effective than meds in my case. Not saying everyone should try them. In my opinion, a person like me who is willing to eat healthy and exercise and take certain supplements can be cured by that, but most people don't eat right, don't exercise or take the right supplements, and those are the people who need meds.
In my experience psychiatrists are mostly rude and arrogant. Or ineffective.
The evidence of depression as a serotonin deficiency is the effectiveness of medication that operates solely on serotonin. ECT in its modern form is a last resort method which has proven effectiveness for treatment resistant depression.
Citation? ECT can be quite effective for depression and bipolar depression refractory to CBT and medications.
Being Better do whatever makes you feel better, but trust me when I say Psychiatrists have an overall positive impact on the world. A lot of the people psychiatrists deal with have severe mental disorders/defects, and are literal dangers to society. Through medication, these people have a chance at leading a semi-normal life, and no longer pose a threat to those around them.
I just don't like being dependent on some pill. It treats the symptoms and they never fix the issue. You're going to have to be taking that crap for years. No thanks. The psychiatrists from my experience are so greedy and so quick to prescribe medication without really knowing your issue. If someone died in your family and you're sad you don't need a pill for that. Like ffs.
I have had some terrible experiences with psychiatrists. One gave me the wrong dose of my medication without even bothering to check, and another was at least three hours late for every appointment. All they do today is prescribe medication. If all they wanted to do was push pills, they could be a GP. Their job is psychotherapy. And they're not doing it. They are definitely overpaid.
I can see you had a bad experience but stop generalizing
@@TheSleepReaper He's correct though. Read books like "Anatomy of an Epidemic" by Robert Whitaker or "Cracked" by James Davies. American psychiatrists can bill insurance for much more money when they do medication checks rather than psychotherapy.
I’ve had a miserable time with bipolar disorder. I’ve had an internment counselor who cried because she couldn’t be my friends. 2 have lost their licenses. #1 accepted gifts, invited me out and told me she loved me through a big. #2 is now on the sex offender lists and I was being groomed by him. Question: am I putting myself in danger by giving up psychotherapy and keeping support from friends and family. Thank you for your time.
Excellent definition. Both serve different roles and I think the problem is that people use definitions interchangeably, when they shouldn't. The two are not mutually exclusive, and ideally practitioners from both professions should be collaborating. They should be all be members of the same team! Good professionals will never degrade another professional. So if a counselor is degrading psychiatry, that should be telling...
Got a quick question for you Dr. G. It's off topic. What is the difference between a highly sensitive person and someone that has been through mental abuse and they're hypervidulant?
Very good question! I’ve always have been “sensitive” (empathetic etc...) but definitely due to (C)PTSD am hyperventilate, so I’d love to hear his response, especially in video form! Thanks for asking this question; I hope he does a video for us both. I think it would be great for many of us to be able to distinguish the two or see how they commingle. ♥️🙏🏻
As a teenager, I spent four months in a psychiatric hospital for an eating disorder, and I did not actuall receibe treatment. All they do is feed you, let you paint some pictures and dance to hippie music, and think that's gonna make you better.
did they feed you drugs?
Put it this way at least they weren’t mean to you in there .
The ideas of psych wards and involuntary patients will never go away because of behavioral issues, BUT I think the methods of psychiatry should be morally questioned more than they have been in the past. We have many people in psych wards without illness and I think thats difficult for people to understand.
I like my psychiatrist more than my therapist. I feel like she knows how to better help me.
@@brusselsprout5851 here notes are more detailed.. my therapist on the other hand has sloppy notes and mainly focuses on putting in a safety plan on hers..
me too she's my drug dealer 😂
In the UK many psychiatrists use the blank screen approach to such a degree that the patient might as well be talking with a robot. Sometimes this lack of humanity can be experienced by the patients as abuse. They will be replaced by robots at this rate.
They are paid an unusually high amount of money in comparison with other mental health practitioners. "There is a tendency for those who are highly paid to believe they are above some of the rules" and above all their patients and other colleagues in terms of their professional worth.
I think it's because psychiatrists have a higher responsibility towards their patients, prescribing drugs etc. They've also had to study much longer in comparison.
@@nikolas4347 Hadn't what
@@idudheebsbzdudbdhddh Bro, clinical psychologists, in order to get their license to practice, have to spend 3-4 years of undergrad studies, and then do a PhD program of a minimum of 3 to 5 years. Which are, by the way, idealistic durations as PhD program tend to be really demanding and people often spend more than 5 years trying to complete them.
@@felipetrespalacios3093 MDs have more schooling what are you talking about?
@@TheSleepReaper Compare the years each professional (both clinical psychologist and psychiatrist) has to spend at uni to obtain their degree and you will see there's only a difference of 2 to 3 years, that's not much. Besides, i dont think years of preparation/schooling is a factor one should to take into account when making conclusions, i feel like it would be a very simplistic way of seeing things.
I realized psychiatrists were nuts when they kept doing crazy things to me no one else was. I went through a breakup and know who i have been my entire life. Was able to have perfectly rational conersations with people about it. Psychiatrists ont he other hand completely manipulated the truth and lied. Completely irrational people. The minute i would even try to explain my situation which was just bad luck they would go on the attack. The entire situation could have been handled better the other way around. Very deceptive people they hide behind walls, don't show reason or anything. All they want to do is drug you none of them helped with what i needed and messed with my life. They basically created all of it. There is intelligent life out there you know and people who know what the truth is and psychiatrists are not it. Suddently I'm this that and this according to these people. It's abuse. They are deceptive people. Just because they say so doesn't make it so. The fact they think they know better than i do when they don't is crazy in and of itself and how they even twist that. They are basically narcissists. It's nonsensical. I saw a therapist when i was younger because i was having anxiety with public speaking and he was actually very good and helped with what i needed. I had actually worked hard to get to where i was too. The stuff out there now is crazy. They literally destroy lives and are so thick headed they never take responsbility either. They twist everything. It's literally manipulation and criminal fraud in some cases especially when they are completely incapable of recognizing the harm they cause. The way I see it spend your iife living or spend it being controlled by narcissists and they wonder what the issue is. I did not hear the truth from these people once as far as what was going on or what I needed. And really if someone treated them the way they do they wouldn't be too happy about it either. it's really worse than that. It's gross what they did. They are dangerous. THey are abusive people who specialize in gaslighting and everything else as far as abusive practices. Weird how the one I had a kid for anxiety never medicated me and was a trustworthy good human being which went way further than what these people were doing. I was seriously in one of the most healthy places I've ever been in. They are crazy and they seriously took something very simple and made it a million times worse. They are bad at their jobs and bad people. I experienced the absolute opposite from several of them. Very deceptive people. They would literally blame me for things I wasn't even thinking or doing to the point where now I do think that. They suck. Whether it's the type of people they are used to dealing with or whatever. Whoever they thought I was was not me I know that much. I was seriously doing fine for the most part only to have things made a million times worse. It was like dealing with paranoid schizophrenics and completely insane people. The conclusions they drew were not even remotely what was going on. Nor did they help with anything that was going on. They made it way worse and completely abused me and lied the entire time to cover their rear ends like utter cowards.
Thanks for this topic, Dr. Grande 🙏 These distinctions are important to understand. This video will help clients to adjust their expectations.
Peter Breggin says mean people are attracted to becoming psychiatrists. I think he's right.
Could not agree with you more! Most of the psychiatrists I know report they wish they could spend more time with clients. As always, I feel validated. I am sure there "exceptions" to every rule. Thanks, Dr. Grande!
You are most welcome 🙂
I went a highly-regarded psychiatrist for minor depression and it was a disaster! I ended up twice as bad as when I started! Based on my experience and the experience of others I know, psychiatry is dangerous and creates more problems than it solves. Yes, it is a massive, expensive pseudoscience!
The people that say psychiatrists make too much money don’t understand that psychiatrists make less, and in some cases significantly less than other medical specialties
That’s just not true. Pediatricians and family medicine make the least on average. Psychiatrist make just as much as other IM specialties. One of my rounding psychiatrists makes about 500,000 per year. He works as many hours as a general surgeon (80 hours), but the average for a 40-50 hour per week is 200,000/year. Twenty years ago the average billing rate for one hour of therapy by a psychiatrist was 350 USD in my area. Their pay is very competitive, and unless you dive into surgery, derm, plastics, or highly specialized fields, you will make 200k and up.
Fcreceptor thanks for your reply. Most psychiatrists do not make even vaguely close to $500k, I don’t think it’s helpful to take one person to suggest anything about the field of practice. It is also not accurate that all internal medical specialties on average make around this amount (medical oncology among many, many others come to mind)
Zachary Rodrigues I think you’re short-sighted when it comes to income. You seriously have no idea how much these physicians make. I have been in medicine for 20 years. If you think very many of them make less than 200k, you’re being fooled.
Fcreceptor I think it’s great that you work in medicine, but what you’re doing is taking anecdotal data and trying to extrapolate it. As you know, it’s not very helpful
Fcreceptor - I’ll happily end this opinion difference by pointing you both to what The 2019 Medscape Reports show. The data they collected from physicians who responded will tell you the average uS earnings of all of the medical specialties.
Medication helped me a lot, though only temporarily. Psychiatry can literally be a life saving profession, however I have often found (personal experience, friends' experience, professional experience as a mental health worker) that it's the psychiatrists who override and disregard the will of the patients when it comes to meds, therapy methods and so on. I wonder if that's inherent to the field (since they deal with mentally ill patients they have learned to attribute everything a patient does or says or wants to their illness and never fully take their patients seriously as a kind of unconscious bias)?
Studies show that the best treatment is counseling and medication together.
For some reason, I've watched this one at least 20 times and recommended it to many. Thanks as always!
Great video! I am a counseling student and use to be an intensive case manager in a LMHA. Most of these criticisms I have not only heard but also experienced. Psychiatrist especially in mental health agencies, try their hardest to treat each client effectively despite the large volume of clients coming in and the short amount of time they can see them for each appointment (around 10-20 minutes). Certainly there are drawbacks due to the volume of clients and having to rush to see everyone. I have found/heard from clients that they've had better experiences seeing a psychiatrist in private practice, generally because it allots more time to explore the presenting concerns of the client, and sometimes the psychiatrist may even do therapy as well. Was interesting to hear your view in this video.
Speaking of criticism, if possible I would like to make a video idea request. I would love to hear your response/critique or the following video: A former therapist's critique of psychotherapy: Daniel Mackler Speaks. Although his views of the field and of therapists was interesting to hear, I found myself disagreeing with him on multiple points. Would love to hear your reaction in a future video if possible.
I second your request for a Daniel Mackler video. I think his anti-psychiatry/anti-medication stance could be potentially damaging to troubled viewers. He seems to have little to no faith in most therapists, too. Bleak
Psychiatry kills
"Disorder"? I would question your terminology, Dr Grande...
Here's a criticism of the mental health system: it will write somebody's entire life away with the stroke of a pen - put them on a feeble government income, throw them in a depressing "support group" - essentially tell a person that their life is meaningless and they have accomplished nothing. But overhearing a mildly upset person say "shit" is traumatic. Give me a break.
😂
As a patient, medicine are the crouches I need in order to be able to walk and move around while I heal. So I need both.
Please do a video on Transgenerational Trauma... please 🙏
Even if it is false or speculative, prove how it is.
He ignores you all the time. I feel so sorry for you. Have no idea, why... I'm also interested in this.
@@mrs.reluctant4095 He probably has a preplanned list that he goes by.
Tell that to the psychiatric survivors. Psychiatry will always be the least respected field.
The death of Dan Markingson shows the true colors of the psychiatry drug industry.
Thankyou Dr Grande. I thought your views were balanced and well considered. Human nature, falls under the bell curve. There are good and good exemplars in every profession. Overall, psychiatrists are hardworking and good people. Psychiatry is a challenging and I am glad you acknowledge that. Psychiatrists sometimes get assaulted by patients and are often villianized by a number of organizations from NAMI to Scientology. The field as a whole however is a great resource for many patients when therapy alone is not enough. Please keep up the good work. It is valuable.
Interesting subject and topic.
I have always thought two things distinguish a psychiatrist from a
psychologist; one is the medical degree and the training to prescribe medicine, and the other is an analysis--a prospective psychiatrist must be analyzed by someone who is already a psychiatrist or psychoanalyst.
I've also never heard that psychiatrists work 15 minutes an hour and only prescribe meds. I thought the "talking cure" is still a thing, so to speak, although not as popular as it once was. I've talked to psychiatrists who still worked the "45-minute hour."
I have enjoyed reading about the theorists of the mind and behavior, and I've read books by and about people like Erich Fromm, Rollo May, R.D Laing, Alexander Lowen, Anthony Storr, Freud and Jung, and Robert Hare down through the years. I find the place where psychology meets philosophy most interesting. By no measure is my self-education anything close to comprehensive; I probably still know just enough to get myself into various kinds of trouble (one kind being attracting the attention of trolls).
Thanks again, sir.
Edit: The most frequent criticism of psychiatrists I heard years ago was this: "They never say anything!"
I agree with you. My stepfather is a psychiatrist and I am training as a therapist. I certainly don’t expect to earn as much as him. It’s a bit different in the UK though. Medical doctors don’t have doctorates, they’re actually masters level academically, there is no such thing as an ‘MD’ here. Counsellors can either be trained in FE colleges up to foundation degree level, so below undergraduate, through an undergraduate degree, or through a four year masters programme (those counsellors or therapists are effectively as qualified as psychiatrists in the field of mental health.) This is a confusing system and results in counsellors or wildly different levels of academic training. For example by the time I complete my training, I will have two masters degrees and one undergraduate degree all in relevant fields (as well as a masters in counselling and psychotherapy in the future, I will have a masters in intellectual history during which I studied philosophical psychology and the philosophy of mind, and I think becoming an intellectual historian was actually a good basis to move into psychotherapy, a move from analysing minds of the past to minds of the present.) However some counsellors will have no degrees, possibly no relevant work experience, and move from something like hairdressing into counselling by studying in the evenings in a local college, and they will still be qualified to practice but unlikely to get top jobs in the NHS or similar organisations. I intend to specialise as a children and young persons counsellor, as I am coming from a background as a teacher and enjoy working with young people a lot. I will be starting a channel soon, not this one, but I’ll be talking about counselling and mental health much like you do, and I might touch on the subject of counselling being totally unregulated in the UK. We have qualifications and membership bodies creating a semblance of order, but effectively anyone can call themselves a counsellor, therapist, psychotherapist and advertise and practice, with no regulatory oversight and no accountability. It’s not ideal, but then again proposals for regulation have been terrible, creating a tiered profession with psychotherapist at the top and counsellor at the bottom, even though they both do the same job whatever you call it, much resisted by actual counsellors. I will link you to my channel so you can check me out once I’ve made it! I’m hoping it will be a resource for other trainee counsellors and people curious about counselling and therapy.
Omg where have you been?! You got to post every day! Thanks great video
He does post everyday and his followers are practically religious!
@@misse7154 no he did every other day twice. No video yesterday and Thursday 😥😥😥
Are you familiar with the books: Anatomy of an Epidemic or The Emperor's New Drugs? Each of these books presents a troubling look at some of the studies that purport to evidence psychotropic medications. I'm a psychologist who has generally considered psychiatry to a be a much needed ally in the treatment of mental health, but I have found myself disconcerted after reading the aforementioned books. You're a very thoughtful presenter and I think that you could offer a valuable critique of these books, were you to read them and respond in a video format. -- Dr. La Fave
Here are probably more important studies and conclusions:
Thomas Sas The physician's job, inter alia, is to help: cure disease with the con-sent of the patient. The judge's job, inter alia, is to harm: punish lawbreaking without the consent of the defendant… Wardens who carry out sentences im-posed by judges harm their prisoners, regardless of the cause of the interven-tion. Psychiatrists who carry out sentences imposed by judges also harm their pa-tients, regardless of the cause of the intervention… The difference is that jailers do not claim to be their prisoners' benefactors, whereas psychiatrists insist that they are the benefactors of their involuntary patients… Most persons experience their coerced psychiatric treatment as punishment. That is why psychiatrists insist that the persons subjected to psychiatric coercion are psychiatric patients, not psychiatric victims; that psychiatric coercion is treatment, not punishment; and that individuals who oppose their “benevolence” are wicked enemies of caring for the sick, not defenders of liberty and justice. He who controls the vocabulary controls social reality. The erosion of our liberties is not a mystery. Overwhelm-ingly, it is the result of the alliance between medicine and the state, intensifying people's dependency on pharmacratic authority and psychiatric controls, foster-ing and fostered by a hyperinflationary definition of disease and treatment. When the government controls religion, not only religious liberty but all liberty becomes a chimera. When the government controls health, not only medical liberty but all liberty becomes a chimera
It is possible to question the usefulness of psychiatry and without the corresponding explanatory literature. To do this, it is enough to pay attention to the narratives of victims.
My psychiatrist is very patient and kind. He never rushes and listens very well. He takes assessments from time to time and asks probing questions when we meet. The anti-anxiety treatment he developed for me (venlefaxen and clonazepam) saved my life.
Is it possible to become addicted to an SSRI? I have been taking SSRIs for almost 20 years. On numerous occasions, I have tried to go without medication, but the depression always returned after a few months. The most recent attempt was different, however, as the depression was largely triggered by an unusual lack of sleep. I tried various strategies to help me sleep, but nothing worked, until I got back on the same SSRI. So, it would seem that my brain had become addicted to the medication.
The two psychiatrists in my department work their butts off and are in earlier than everyone in general and stay later than everyone in general. My main gripe is that psychosocial rehabilitation (PSR) is not more enforced in care planning with a too heavy reliance on the medical model. But I understand that medications are extremely important. Because the makers of the DSM V have removed the multi-axial system, Axis IV: Psychosocial and environmental problems, have been moved away as a focal point of the diagnosis, and is now generally associated within *context* of the diagnosis itself in theory, but not in practice. I think that this problem starts in the schools of psychiatric nursing. It is frustrating and sad to see clients treated with medications only while the Psychosocial context is regulated into the background and is not a focus within the psychiatric relationship and within care planning. My work is focused within the PSR world of the client, but trying to bring PSR issues to bare into Care Planning, especially when working in a hospital that is heavily medical model focused, leaves large gaps in holistic help. While I know that it is *my job* to advocate for the client in this regard, PSR needs to be more of a focal point, as it is not taken seriously enough within the psychiatric relationship and funding resources. Seeing funding getting funneled into the medical model only is heart-breaking, especially when it is obvious that re-currant admissions are often as a direct result of PSR related issues for many. While free lunches are made heavily available by pharmaceutical companies to discuss a medication, there is zero effort in championing for a more PSR approach, unless the event is funded by First Nations/Indigenous awareness education around the cultural context of care. My apologies for using emotionally charged descriptors, but just to let you know, this is not only how I *feel*, but this is what I think as well.
Thanks for the breakdown 😊 there are misconceptions out there. Thanks!
I know my daughter works hard , she is always explaining this.
‘I’m a scientist so I am limited by the evidence I just can’t say whatever and not back it up’. As a dietitian embarking on a Ph.D, I agree wholeheartedly.
now what happens if the evidence is falsified?
For this idea of “psychiatrists keep people ill to continue to make money” one needs to truly believe that all of these patients are extremely idiots and masochists. It really does not make any sense!
In my experience as a psychiatrist who works with psychotherapy and pharmacotherapy, I could say that psychiatrists who put counselors down usually have resistences about dealing with their personality traits, their “weaknesses”. And counselors who criticizes psychiatry are just jealous or insecure of themselves as professionals in many cases.
I have tried counseling only in the past, and it didn't aliviate my suffering. I started medication 10 years ago, and then cbt therapy worked well, because with meds I was in a state that allowed me to work well with the therapist. In my case (bpd and major depression) the combination of medication and cbt is the scientifically proven to be the best treatment. Medication saved my life, I wouldn't be here without the wise medical decisions my psychiatrist did. My psychiatrist is a very empathetic person, and I feel lucky to have him as my doctor.
Cock and ball torture therapy
Enjoyed the premise and there is a sense that team work doesn't always happen when egos battle. The hypocratic oath should take precedence especially when cure vs no cure seems to rule the day. The pyramid needs to flip. Cure never is in the scope because the system perpetuates the profit model. Patient- centered treatment with good prognosis always best for all.
One of the main roles of a Psychiatrist is to rule out and treat medical reasons for a patient's psychiatric presentation. They are also one of the medical world's professionals in Neurology.
Psychiatrists never rule out medical problems for people's psychological symptoms. They believe there is a chemical imbalance in the brain without any evidence. Then prescribe drugs causing the same illness and symptoms they claim one has.
I had a positive experience with my psychiatrist. I saw her once a month for a few years. Although she sometimes misremembered my name, the sessions were never only 15 minutes. Especially near the end when she knew me better, she would take time to talk with me about my life and give me her insight, like a counselor would. I think the sessions were sometimes 40 minutes.
But this was in Argentina so maybe it's not really comparable.
Argentina is the head of psychiatry bruh... of course it’s going to be goof.
Violent, criminal behavior not withstanding, psychiatrists label people with "Disorders" simply for the way they think. That's really what it comes down to at its most basic level. Yes, certain ways of thinking and acting are undesirable and even intolerable, but I can name twenty people off the top of my head who display such behavior, but that doesn't mean they're "ill". It means they think differently and in ways that don't agree with my way of thinking. I think it's very dangerous to label people as being "sick" just because of the way they think or because their way of looking at the world is different than what psychiatrists consider "healthy". Btw, their definition of mental health is being "well adjusted" to the society in which you live. So behaviors that might be judged as "mental illness" in one culture, may not be seen that way in another. Also, this implies that society is perfect and that if an individual has a problem "Adjusting", then it's the fault of the individual and couldn't possibly be the result of some injustice or another perpetrated on the individual by certain conditions in society. We're all responsible for most of what happens to us, but there are also elements of life that we cannot control; therefore, we can't be held responsible for EVERYTHING.
Do you think it's reasonable for a psychiatrist to their patients that their problem is due to a chemical imbalance and that the drug will help to correct the imbalance, considering there does not seem to be much scientific evidence to support these kinds of claim?
I certainly don't. There is no hard evidence to substantiate the "Chemical imbalance" theory, which is why it remains a mere theory. At this point, doctors are not able to extract a person's brain chemistry while they're alive. At least not without causing brain damage. So they have no way of knowing what the "Balanced" state of one's brain chemistry looks like. Thus far, they have only been able to study the brain chemistry of deceased people, but by then the body's bio-chemistry has gone through significant changes.
This was a great informative video, I think you did a pretty good job of being non biased actually! I'm really glad you posted this, I honestly have had some of these thoughts about psychiatry before but it makes me happy to know that they were not true after all
Lol How can he be "non-biased" if he himself is part of the mental health industry? He depends upon it for his livelihood. There needs to be review of psychiatry by panel made up of people from many different disciplines, including non psychiatric doctors. Trusting these people to objectively assess themselves is like trusting the fox to guard the henhouse.
I am surprised the critique of being too quick to prescribe medications rather than explore other options. This has been the critique I have most often heard and one I myself have levied based on my own bad experience with Psychiatry.
If you have had bitter experiences with psychiatry, why you not sympathize with those whose experiences are even more bitter?
Counsellors and social workers are also quite busy. They have massive caseloads and experience burnout. Why don't they show the same level of coldness as psychiatrists?
noticed the same thing. that coldness
Dr Grande, please keep up the good work of providing scientific information about mental health issues
One valid criticism of psychiatry is the use of punitive psychiatry by totalitarian regimes. Psychiatry and politics have long been bedfellows with a diagnosis of madness being a particular favorite method despots use to silence dissidents
i was waiting for this episode ... you didnt disappoint , Dr Grande
Hello Dr. grande. Overall, I found your comments to be balanced and fair. I just want to make a minor correction or addition in the sense that psychiatrists are medical doctors with four years of additional training in the field of treating mental illness. They’re not just medical prescribers with a pad and pen to write prescriptions.
So many people aren’t even capable of working with a counselor before being on a fitting medication! And that’s also why it seems as if only the hard cases end up there. It’s quite ungrateful.
I also find it rather dangerous if general practitioners prescribe meds instead of referring to a psychiatrist.
But that’s just my opinion based on personal experience. The difference between the GP and a psychiatrist is mind blowing!
I totally agree with you.
This video isn't a response to criticisms; it's making excuses for bad practice. In any other field of medicine, I spend more than 10 minutes with my doctor. The doctors who actually conduct physicals and order labs - people who actually look for evidence of a malady. You definitely need more time when it comes to someone's mental health. Why is it that other specialists seem to have more time for their patients when they're just as busy, if not busier?
Saying that medication works but we sometimes don't know why isn't remotely scientific. Plenty of treatments have no scientific backing of working the way they claim to work (pretty much anything dealing with "chemical imbalance"). But when those drugs are administered, patients are told by their psychiatrists that it's going to boost serotonin or dopamine when that's not remotely true...and they know it's not true.
Maybe address the criticisms of the DSM being unscientifically manufactured, over-diagnosing, over-medicating, strong ties with the pharmaceutical industry, excessive treatment, etc. There's so much contention within the industry of mental health, and even among psychiatrists, about their practices but that just gets swept under the rug.
I had a great psychologist - he was terrific. But I've never had a psychiatrist help by prescribing pills. They cannot know what's going on in a patient's life and mind. They don't know if what the client is relating is due to something going on in their lives, i.e. relationship dynamics that aren't working and need addressing; feelings that are connected to one's circumstances. For instance, a noise problem where I lived was chalked up to "psychoses". It wasn't. The psychiatrist had a conflict of interest with the owner of the apartment building where I lived. He dared not believe me or he'd have had to resign or get fired. I've had a psychiatrist practice polypharmacy and then jerk patients off all the meds *they* had prescribed and then blame the patient for taking "all those pills". The last time I had an appointment, instead of scheduling another one, I simply walked out and weaned myself off the last dope they had me on - the same way it had been titrated up in reverse. I will never see another psychiatrist. A counselor or psychologist, maybe. The exception would be the psychologist I was seeing before who helped me think about things differently. It takes hard work to figure out what's going on in one's life. I had been in denial as far as my family was concerned, especially my mother. I no longer believe in the biological model of "mental illness". Pills don't change anything - they lower one's inhibitions and make it harder to think and reason. Nobody has "mental illnesses" - they have emotional problems that relate to circumstances in their lives.
I don’t think I’ll go as far to say Psychiatry is a pseudoscience, but my biggest issue with psychiatry, is that it’s not based on facts and evidence, but instead based on opinions and guesses.
When I was 11, I was taken to see a psychiatrist as I was having difficulty in school, she later said that I had ADHD and needed medication. Luckily, both parents immediately dismissed that, and it turned out there actually wasn’t anything wrong with me; I just had bad teachers.
I also have a cousin who was sent to a psych ward, and he ended up getting a diagnosis of Borderline Personality Disorder, but it was only later, again, there was nothing wrong with him, he was gay and had major difficulty in accepting that.
I find these two examples very interesting, how you could literally sit down a perfectly healthy person in front of a psychiatrist, and they could still give him a diagnosis.
I don’t think psychiatry is a pseudoscience, but there are definitely issues which need to be addressed.
Seems like you are generalizing a bad experience. I don’t think you have had any experience working with psychotic patients
None of us can know what your cousin said or did that got him hospitalized. If he was 5150’d into a psychiatric ward, he definitely has problems. He can tell you whatever he wants but “normal” people don’t get admitted into psych wards buddy
We DONT WONT YOUR CHEMICALS THERE ALSO IN FOODS
This is a good demonstration of critical thinking and looking at the "unseen" instead of what's obvious in front of you.
A demo in thinking that one is wise to equip and utilize on things at large
There is a place for both, the psychiatrist deals in chemicals and the counsellor in feelings. In the Uk Counsellors cannot take on too many clients due to burnout and emotional exhaustion. There is a saying here which says whats the difference between seeing a Psychotherapist and seeing a Counselor and thats about £10.000. The problem with the medical model is people are afraid of coming off their medication and when they do the problems reappear.
Psychiatric diagnosis can lead to delays in easily underlying treatable medical causes of diseases. This is probably the biggest problem in psychiatry. Delayed diagnosis of underlying medical causes.
Psychiatrists are useful in that they diagnose and prescribe medication. However, i believe counsellors are undervalued and underpaid. Counsellors, in most cases, do the hard work with the patient.
Thank you Dr. Grande for this thoughtful and well-balanced presentation.
I work with all different kinds of doctors in my job. Some of them are wonderful and some not so much. You see this everywhere. It is just part of the job world.
2:36 What evidence are you talking about? As far as I know there's no way to prove or disprove anything in psychiatry, except for things like corruption of course
Medical practitioner: Good morning Dr Grande
Dr Grande: Good morning, would you like to discuss your delusions of superiority?
Medical practitioner: Let me write a prescription to quiet you, we’ll try this one for a month and see what happens
Dr Grande, you’re hands down my favorite RUclipsr 😅
I’ve been given 6 different diagnosis by 6 different shrinks . What a joke
Hi Dr Grande. Another good video. Just my bad experience, My ex wife divorced me, no doubt she was narcissist but that’s another story. I was very close to my two kids and she got an attorney to get a psychiatrist to evaluate me, kids, her. My ex manipulated my eldest daughter planning for her departure. I only spent 10 minutes with this guy telling him how much I loved my kids and how hard I tried. He wrote a report that crushed me. How could such assumptions be made in such little time? But then my attorney tells me to find a different psychiatrist to dispute that report. I was seeing a counselor, I have GAD who worked for a psychiatrist. Sure I’ll help you he says, for 4000 dollars. I didn’t have a choice. Sadly the report he wrote was never presented. I decided to just allow my ex to hurt me to keep my kids away from court. I payed all of the child support. Previously I prepaid for their college tuition. But both psychiatrist claimed that the could learn everything about me in a short amount of time. The guy I got was very jealous of the court appointed person. Also, I was charged $150 and spent no more than 5 minutes with him...to get lexapro.. I get that from my general doctor now. I know there are good psychiatrists too, but I haven’t had a good experience yet. I enjoy your videos. I love to learn. I actually thought this was the first psychiatrists I’ve met that I’ve liked. But ahhh, you are a Scientist instead. Which is greatly needed to bridge the gap of understanding. Thanks Much. If you hold services remotely, please let me know. I would be excited to have you as my counselor. Depending on cost I could due once every other week. I have insurance. I’m working hard to get better. Depression and anxiety. I also like ACT, and have read some Russ Harris books to help cope.
I’m an example of where counseling was not really appropriate, and only had to see the psychiatrist to obtain and monitor my medicine. I had to go to counseling first before being referred to the psychiatrist, though, which worked out well for me. I had to go once a month, at first due to the class of medicine, but then was able to go once every three months.
I think the area that needs improvement is with children. The services are severely lacking.
@@Gnomezonbacon if they have ADHD and are struggling, why wouldn’t you take something to balance brain chemistry? Do you take pills for a headache? There’s no need to suffer.
Dr Grande, why would a psychiatrist refuse to treat someone? I've had three separate psychiatrists refuse to treat me. They had never even seen me before, why would they turn me down? I hate the whole profession now, but wish my mind could be changed. The one psychiatrist who treated me once in an involuntary commitment hospitalization only spent about 10-15 minutes with me over the course of 8 days.
Typically, liability. Somewhere along the line you might have been blacklisted. Sorry to say, and I don’t know you. I just know doctors in this profession will refuse to treat risky patients with high suicidality behavior and self-destructive behavior. Also, a history of severe med-seeking and substance abuse with a high degree of risk (litigation, abusive harassment). Of course, I don’t know what else aside from insurance coverage.
@@Fcreceptor Thank you for the answer. I have had psychosis and was extremely delusional and violent, attempted to kill a nurse once. Could that have gotten me blacklisted? I was out of my mind at the time, I usually don't do things like that. I am not an addict and have never had med seeking behavior, but I had an idea of what med I wanted to be prescribed and one psychiatrist was very angry at me for that. I just want answers. Because of being turned down by these professionals I have taken treatment into my own hands, with minerals herbs a healthy diet and exercise, and am doing fairly well.
Being Better well that alone, no, not at all. Usually the severe personality disordered and antisocial addictive types are well known in the community. In your case it must be something benign (e.g., insurance, patient load, et cetera). I’m sure if you looked into it more you’d find a reason and a doc. Good luck 🙂
@@Fcreceptor I was paying with cash, no insurance. They did say they don't take new patients. Thanks for your answer.
You didn't mention that psychiatrists have to go through a 4 year residency and pass at least two board exams. This is after they graduate from medical school. Internship and residency is a period of time, when a new physician must toil 80 hours a week and earn a low salary. What they get is training and experience in their particular specialty. After residency, they do spend much time working, if not seeing patients, just charting and endless paperwork. Other "board certified" physicians do the same- 3 to 6 plus years of residency, board exams, long hours, but they learn important things required for their occupation.
Psychiatrists are not medical doctors that practice scientific medicine. They study and practice a pseudoscience.
So true, there is a huge shortage of psychiatrists and counselors. Do you ever do forensic counseling Dr Grande? Thx again for another great video!😊
how can you not see that psychiatrists are just another drug industry vector. The fact that visits to a psychologist are not reimbursed says it all.
Drugs work, hell, your psychologist will refer you to a psychiatrist if his approach doesn't work
@@jeanniemaycrawford4466 drugs work? Maybe you need to clarify your use of the word "work". I'm going to try to guess, and then you can straighten me out. Drugs working means:
1.) everybody gets paid (except for the taxpayer who is more indebted than before)
2.) the "patient" is no longer in any kind of shape to be able to cause unrest.
3.) the "patient" becomes a "patient for life".
Are you suggesting that these psychiatric drugs are a good thing? I think I saw a nice experiment being run a few years ago in holland. They were not giving psych drugs. They were teaching vulnerable patients how to recognize on their own when they were perhaps headed for a problem and would get them to call in and perhaps come in. When they did, they still didn't need to use drugs. Reassurance by somebody who seems to understand and care turns out to be what over 90% of the people normally given drugs really need.
Psychiatry is a hoax, like the moon landing, the atom bomb, false flags to start wars of profit launched by the central banker psychopaths. We need to learn to recognize this so we stop permitting them to profit from their evil.
Dr. can you please make a video with your own critique of Dr. Ramani?
Human species last thousands of years without psychiatry Your not extended life expectancy?????
I have got bette mental health treatment from general practitioners than from psyciatrists. The main problem is that they treat illness not the patient.
The government charges a huge tax on foreign Doctors here on work visas which causes them to need patient case loads of 80, sometimes 100 pagients at the state fundex county hospitals and because of that the quality of care suffers severely. They don't make enough money and they're overworkex which leads to sicker patients that fall through the cracks. Anyway, thats what I overheard a bunch of nurses discussing last time I was in the unit. LoL!!
Can I ask you why pdocs are still prescribing long term benzos, even tho they have been known to cause more more nervous system overdrive, akathisia, ruined lives and families etc since the 70s?
I agree that Psychiatrist get paid what they deserve, but counselors deserve to be paid more. Great video.
Seems to be balanced and thoughtful, he understands the subject is complex, some mental health conditions are truly horrific, and can only be managed by medications, even though the pharmacological treatments are crude.
Psychiatrists are very expensive, mental illness means slavery to them. I saw a family that would spend half their income sometimes with the psychiatrist for their sick daughter. She never got really better, she was one of those horrible borderline people, but she also could present psychosis, so even esquizoaffective came as a possible diagnosis. Once her mother told me she wished there was no such thing as psychiatry, because it was breaking her family, but she felt morally obliged to it to help her daughter. Without medication she couldn't sleep and presented psychosis, religious de delusions and paranoid behavior toward other people, so medication helped with that. But her outbursts of anger, her above average libido that led her to situations she would often regret, spending money she didn't have... All this could never be fixed, even though she would take 3 Paxtrat a day with the sole purpose of curbing her impulses and anxiety. She would swallow more than 10 pills a day. She looked like a normal person, but when you least expected she was raging with the worst anger, and would attack people even physically for trivial reasons.
I almost died for shrinks and doc your posts on spiritual people you the one that sick . I renouncing citizenship of Canada for allow this in justice
I went to counseling for a year before she and I agreed that it wasn't working and I needed a referral to a psychiatrist. It took years to find the right medication for me, however. Once I got one that worked, it seemed to give my brain and emotions an extra second to stop and pay attention to what was happening rather than instantly reacting. Then I could apply the cognitive behavior therapy that I had learned with my counselor.
Coincidentally I was watching some of your videos as I got the notification for this one haha. From experience, I prefer counseling over psychiatric care but I don’t see any issue with psychiatrists... I didn’t know there was a controversy between them either
In my humble opinion for a person that has never studied medicine
I don't think psychiatry is a fraud
What i don't agree is with prozac
Thank you for this video again you are objective clear and balanced in these presentations and that is very much appreciated and super helpful. Thank you for your commitment to speaking the truth and educating the public
Psychiatrists tend to have personal opinions around which diagnoses they think are legitimate and prefer, often even specialising in one preferred field. Given that DSM describes the same traits and presentations across multiple diagnoses they end up opting for the diagnoses they prefer and discounting others. They aren't objective and they aren't like other/'real' medical doctors