There was a time when you went to a psychiatrist and you spent 45 minutes together in a session. I remember back in the late 1980’s we didn’t even speak about medication until the end of the session
I remember I saw my psychiatrist every week or every other week, I had been seeing the same psychiatrist for several years and I looked forward and couldn’t wait for my next session
I knew the session would last for an hour or 45 minutes and I had a mental list if not a written list of what I wanted to discuss.
Those sessions were engaging, and not only did I look forward to it, I needed them, I had developed so many questions that I thought if answered would end all my problems.
They never did, however it got me by, and I always learned something every session that was helpful and I always felt better.
Psychiatrists while trained back then in pharmacology, their emphasis was on psychoanalysis. Psychiatrists were the top rung, they could prescribe medication if need be, however their emphasis was on psychoanalysis.
To even think of seeing a “therapist” or “psychologists” was almost pointless as why do so when the prevailing theme or thought was you could get the best Mental Health care from a psychiatrist. They were thought to be the best.
They could provide the best psychoanalysis, the most insightful, the most knowledgeable. Regardless of your mental condition whether it be anxiety, depression, or more serious conditions as Major Clinical depression, Bipolar disorder, Schizophrenia etc. psychiatrist were the first and last line of defense.
I miss those days. While I am not a physician nor am I medical professional so I don’t know the exact logistics.
My reading on the subject provided some insight to why psychiatrists today are basically a legalized drug pusher whose sessions generally last no more that 15 minutes and other than the initial session absolutely no psychoanalysis is performed.
It’s beyond me how a psychiatrist can adequately know what medications to prescribe, with only one psychoanalysis session. It seems like an educate guess at best.
Maybe that what’s wrong today. Maybe that why we have so many people on psychotropic medications they shouldn’t be on. Maybe that’s why so many people are misdiagnosed.
My friend and fellow blogger The bipolar writer, was diagnosed with bipolar disorder and took many psychotropic medications for over twenty years, when in the end all they suffered from was post-pardon depression.
In short summary during the late 1970’s and early 1980’s “therapists, psychologist” starting charging signifcantly less to draw clients away from psychiatrists. Again not knowing all the logistics by the late 1990’s after years of litigation, the new format was in place.
Psychiatrist studies turned more to pharmacology and less on psychoanalysis.
So today if you want counseling you see a social worker, therapist, psychologist and if you need medication you visit a psychiatrist.
Personally, I don’t like this system, I miss seeing my psychiatrist, his insights were profound and he had months to fit me with medications. He had months of information to make a adequate diagnosis and fit me with the proper medications.
He had many sessions of 45 minutes of so, whereby he could formulate the right path to take regarding a diagnosis and prescribing medication. This formula makes sense to me.
What do I know I’m just a lay person.
I recently visited a psychiatrist for the first time to establish care. We spoke for maybe 30 minutes, I told him I take two medications. He wrote me prescriptions to last 3 months and said I’ll see you in 90 days. Really!
There’s no way he could formulate an opinion if I really had the conditions I claimed. His job now is just to write medications. And to see as many patients as possible at 15 minute intervals, simply writing prescriptions.
Occasionally now psychiatric offices will pass you on to “Nurse Practitioners” who have an emphasis of study on Mental Health with the authority to write prescriptions.
I’ve seen these seen so called Mental Health professionals, there a far cry from the psychiatrists I remember from years ago.
I have more to say on the subject, to include are “Therapists” just rent-a-friends”
I would also like to know if anyone feels like me. Does anyone have an opinion? Does anyone think today system is broken? Does anyone have any ideas how to make Mental Healthcare better? I would like your comments.