Do you recommend Psychologist or Psychiatrist?

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B19
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11 Feb 2015, 7:00 pm

androbot01 wrote:
I've seen plenty of both and I have to go with psychiatrists. They are medical doctors, while psychologists are social scientists. Psychologists will do Cognitive Behaviour Therapy - relaxation, positive thinking, etc. They essentially blame the patient for their symptoms. Psychiatrists look for the medical problems and have access to CBT techniques as well as medications.


CBT is only one of may different orientations that psychologists choose amongst to practice. For example, have a look at Narrative Therapy as something totally different. Psychologists tend to specialise in their own preferred sub-discipline; psychiatrists tend not to. Psychiatrists take bribes from Big Pharma; psychologists are not yet allowed to do this.. and can't prescribe psychiatric medication.



androbot01
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11 Feb 2015, 7:14 pm

B19 wrote:
CBT is only one of may different orientations that psychologists choose amongst to practice. For example, have a look at Narrative Therapy as something totally different.

I think that is covered under positive thinking.

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Psychologists tend to specialise in their own preferred sub-discipline; psychiatrists tend not to.

I've found that both have specialties.

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Psychiatrists take bribes from Big Pharma; psychologists are not yet allowed to do this..

What kind of bribes?

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and can't prescribe psychiatric medication.

That's like ignoring tools the would do the job better for no reason.



B19
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11 Feb 2015, 7:20 pm

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Psychiatrists take bribes from Big Pharma; psychologists are not yet allowed to do this..

What kind of bribes?

...

Two countries (and only these two) allow doctors and hospitals to accept financial commissions per prescription from Big Pharma companies for prescribing their products. The countries are the USA and New Zealand. The political permission to do this does not come with a rider that patients must be informed of the practice, and so it is done in secret, and the total amount of the bribes is huge. This is a form of corruption - medical and political - and it is shameful that first world countries who hold themselves out as adhering to principles of informed patient consent allow it. They are hypocrites, and the practice is immoral.



bungleton
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11 Feb 2015, 7:22 pm

As we can see, preferred methods of therapy are highly subjective and come down to individual preference as well as the nature of the issues being treated :lol:

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androbot01
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11 Feb 2015, 7:24 pm

B19 wrote:
Quote:
Psychiatrists take bribes from Big Pharma; psychologists are not yet allowed to do this..

What kind of bribes?

...

Two countries (and only these two) allow doctors and hospitals to accept financial commissions per prescription from Big Pharma companies for prescribing their products. The countries are the USA and New Zealand. The political permission to do this does not come with a rider that patients must be informed of the practice, and so it is done in secret, and the total amount of the bribes is huge. This is a form of corruption - medical and political - and it is shameful that first world countries who hold themselves out as adhering to principles of informed patient consent allow it. They are hypocrites, and the practice is immoral.


Ooh, that is dangerous territory. I'm glad it's only those two countries, but yeah, not good.

I'm in Canada so it's not an issue I was aware of.



B19
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11 Feb 2015, 7:25 pm

Narrative Therapy is quite a bit more than just "positive thinking".

http://www.dulwichcentre.com.au/what-is ... erapy.html



bungleton
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11 Feb 2015, 7:40 pm

I'm reading a book called 'Manufacturing Depression' at the moment which covers the evolution of the mental health 'industry.' Fascinating stuff which I highly recommend to anyone interested in knowing more about the history of psychotherapy, psychiatry etc :)


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11 Feb 2015, 8:33 pm

I get a lot more mileage out of my psychologist than I do my psychiatrist. At least my psychologist will listen when I need to unload. My biggest problem is that I'm too much of a nice guy (in short, I'm too naive for my own good). My psychiatrist, on the other hand, only ever has 3 questions, any highs, any lows, and do you need any drugs?



B19
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11 Feb 2015, 8:41 pm

bungleton wrote:
I'm reading a book called 'Manufacturing Depression' at the moment which covers the evolution of the mental health 'industry.' Fascinating stuff which I highly recommend to anyone interested in knowing more about the history of psychotherapy, psychiatry etc :)


It is an industry. It surprises me how many people seem not to realise that - they see it as purely a "helping profession" and that naivete has led many people into the unforeseen traps that can arise. Book sounds very interesting, thanks.



androbot01
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12 Feb 2015, 9:15 am

B19 wrote:
bungleton wrote:
I'm reading a book called 'Manufacturing Depression' at the moment which covers the evolution of the mental health 'industry.' Fascinating stuff which I highly recommend to anyone interested in knowing more about the history of psychotherapy, psychiatry etc :)


It is an industry. It surprises me how many people seem not to realise that - they see it as purely a "helping profession" and that naivete has led many people into the unforeseen traps that can arise. Book sounds very interesting, thanks.


This could be expanded to include all of medicine. When I think ofl the unnecessary stuff they do to cancer patients it sickens me.



androbot01
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12 Feb 2015, 9:23 am

B19 wrote:
Narrative Therapy is quite a bit more than just "positive thinking".

http://www.dulwichcentre.com.au/what-is ... erapy.html


Okay, so I checked it out and it seems to be about diagnostics and interpretation of behaviour. Fair enough, identifying the cause of the problem is important. But that's only the first step. To deal with the problem, if it is medical, you need a medical doctor - a psychiatrist.



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12 Feb 2015, 9:33 am

Find someone who has both qualifications. that would be my recommendation. Or at least someone who is smart enough and doesn't expect anyone with AS to behave like rainman. At the end of the day you will have to be referred to an specialist / a team of specialists and go through tests which take numerous hours. But to even get there you need a smart doc / therapist to at least get suspicious and send you there or know at all about AS and who the specialists are.


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RyanEnder
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13 Feb 2015, 1:53 pm

Thank you all for the suggestions. I've decided to try and see a Psychologist if I can find one that's available and accepts my insurance. I actually got a call back from one yesterday, who didn't accept my insurance, but said as soon as she heard me speak the cadence of my voice made her think Asperger's :\ She referred me to a colleague of hers that accepts my insurance but waiting for a callback.



bungleton
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13 Feb 2015, 9:26 pm

Glad to hear it. I think a psychologist is a good start as they will be able to refer you on to a psychiatrist or for more specific forms of therapy if you need it. Good luck, keep posting!


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14 Feb 2015, 4:08 pm

I tend to lean towards a psychologist, but probably it's very much dependent on your own circumstances and preferences. I've only seen one psychiatrist and didn't like what he had to say at the time, but in retrospect what he said was completely accurate.

What I will say is that it's worth doing your research to find the right psychologist. My wife and I saw someone for marriage counseling who focuses on attachment theory, but she understood very little, if anything, about my aspergers and while she was a lovely lady, I think our sessions there may have caused more strife between us.
Then I started seeing a psychologist who specializes in eating disorders, but we never even got to the eating disorder part because she just seems to "get me" and have been so helpful in giving me advice in dealing with my wife.