Psychiatrists Are Drug-pushers

There’s an interesting article on the New York Times website: Talk Doesn’t Pay, So Psychiatry Turns Instead to Drug Therapy (March 5, 2011).

The essence of the article is that psychiatrists no longer engage in talk therapy to any great extent, but instead prescribe behavior-altering drugs.

What’s interesting about this is that the author, Gardiner Harris, seems almost surprised at this “discovery.”  In fact, the change from talk to pills occurred decades ago – during the 70’s I would say, and was more or less complete by 1980.

There are some interesting passages in the article, which focuses on the work of a Pennsylvania psychiatrist, Donald Levin.

Then, like many psychiatrists, he treated 50 to 60 patients in once- or twice-weekly talk-therapy sessions of 45 minutes each. Now, like many of his peers, he treats 1,200 people in mostly 15-minute visits for prescription adjustments that are sometimes months apart. Then, he knew his patients’ inner lives better than he knew his wife’s; now, he often cannot remember their names. Then, his goal was to help his patients become happy and fulfilled; now, it is just to keep them functional.

“I’m good at it,” Dr. Levin went on, “but there’s not a lot to master in medications.”

A psychiatrist can earn $150 for three 15-minute medication visits compared with $90 for a 45-minute talk therapy session.

In 2009, the median annual compensation for psychiatrists was about $191,000, according to surveys by a medical trade group.

“You have to have a diagnosis to get paid,” he said with a shrug. “I play the game.”

“I don’t need a half-hour or an hour to talk,” said a stone mason who has panic attacks and depression and is prescribed an antidepressant. “Just give me some medication, and that’s it. I’m O.K.”

“The sad thing is that I’m very important to them, but I barely know them,” he said. “I feel shame about that, but that’s probably because I was trained in a different era.”

So, as I have said on this blog many times, psychiatry today is drug-pushing.  Psychiatrists sell prescription slips for about $50 each.  The drugs involved are not medication – they are drugs, the function of which is to alter people’s behavior and mood.  There have been some interesting responses to the Gardiner Harris article.

Daniel Carlat, psychiatrist, author of the blog post Dr. Levin, Modern Psychiatrist – Unfulfilled, Bored – But Wealthy comments that since the introduction of the drugs “psychiatrists no longer needed to do therapy to make good money.”

He also notes that:

“Many psychiatrists will recognize the sense of tedium and boredom described by Dr. Levin. He went through psychiatric training to do therapy and is now a pill-pusher.”

If you’ve read Daniel Carlat’s book Unhinged I think you will find him refreshingly honest, although he clings (almost desperately) to the notion that psychiatry is a helping profession and that the drugs are administered to treat illness.  If he ever gets truly honest, however, he will have to find honest work – and that’s daunting.

Another comment, from Christopher Lane, author of the blog post I’m Not Your Therapist, But I Could Adjust Your Medications:

The power of the article lies less in stating what’s already well-known about American psychiatry—that it favors drug treatments over talk therapy, despite growing evidence that the latter strongly outweighs the former in terms of efficacy and freedom from side effects. The article’s power lies instead in tracking the myriad decisions that Drs. Levin and Lance make on an ordinary day full of appointments with dozens of suffering Americans.

And so it goes.  It’s good that the article was written and that it has received a great deal of attention. The widespread medicalization of human problems for profit is a destructive rot within our society, and anything that draws attention to the drug-pushing nature of psychiatry is helpful.  Depression, anxiety, anger, misbehavior, crazy speech – these are not illnesses.  They are human problems.  They can be masked by drugs.  But as any recovered addict can tell you – drugs are not the answer to life’s difficulties.

 

  • cathryn

    I would like to believe that not ALL psychiatrists are pill pushers! My psychiatrist I have been seeing for 2 years, once every week, one hour each. Some times he goes over the time limit too. He is very caring and remembers the names of the people I have talked about and anticipates the events in my life (or it appears 🙂 ) He quotes me from past sessions even. He has only gave me pills when I requested them.

    There definitely are shrinks out there to push pills for dollar bills. However, there are bad people in EVERY profession. You just have to weed through the shitty ones to find a good one! You have to go therapy shopping basically.

    Yes I believe a lot of the problems psychiatrists diagnose are ‘human problems’. That is why so many people go into the field of mental health. Everyone has these ‘human problems’ and they need to be fixed. Someone has to do it.. right?

  • Cathryn,

    You’re right, of course. There are still a small number of psychiatrists who offer therapy, and particularly the older generation. Though personally I haven’t encountered a therapist-psychiatrist in the past 30 years.

    For the record, I don’t object to psychiatrists peddling prescription slips. People want drugs, and they can get them at the street corner – or through a psychiatrist. My objection stems from the systematic deception of the clients – telling them that they have an illness and that the drugs are really medications designed to “correct” the results of the illness. This is simply false.

    Psychiatrists make about $200,000 annually selling prescription slips. Economics makes cowards of us all! What can one say?

    Check out some of the other articles on this blog. You may find some things that will surprise you and maybe even be helpful.

    Best wishes.

  • DEE MATT

    HOW DO YOU FIND A PSYCHIATRIST THAT ISNT A PILL PUSHER?

  • Dee Matt,

    Almost all psychiatrists who have entered the profession in the past 30-40 years conceptualize whatever problem you place before them as something that is remediable with drugs. That’s the mindset they bring to the matter, and that’s pretty much all they do.

    My guess is that almost any psychiatrist will be willing to talk to you and to forego the drug prescription providing you’re willing to pay his hourly rate. My guess is, though, that most will get a little impatient if you start talking about your mother or your childhood memories, etc.. They’re just not very into that sort of stuff.

    Check Angie’s list if it’s available for your area. Check the local mental health center. Tell the receptionist that you don’t want pills – that you want to talk to someone. They might have someone on their staff who won’t give you the “fast shuffle” to the pharmaceutical window.

    Good luck.

  • I’ve undergone Cognitive Behavioural Therapy in the past (in the UK – don;t know about elsewhere). No drugs are involved at all, and it really helped me.

  • Felix,

    Thanks for your comment. I’m glad to hear that you found your therapy helpful. When two people talk openly and honestly about problems, the experience is often helpful.

    What I object to is firstly, the falsehood that these problems are in fact illnesses (because they are not), and secondly, the pushing of pharmaceutical drugs as the remedy for these “illnesses” (because they are not genuine remedies). In my experience almost all psychiatrists today are drug-pushers.

    I would really like to hear more about your experience. Was the therapist a psychiatrist? or a psychologist? or a social worker? counselor? etc.. Were you given a diagnosis? Was it a private setting or government? county? etc.

    Anyway, I hope you come back and tell us more.

  • Eric

    Phil :
    What I object to is firstly, the falsehood that these problems are in fact illnesses (because they are not), and secondly, the pushing of pharmaceutical drugs as the remedy for these “illnesses” (because they are not genuine remedies). In my experience almost all psychiatrists today are drug-pushers.

    Phil,

    It is awful, and I can’t believe it, but I have to agree with you. However, we cannot discount the rare percentage of trustworthy and morally right psychiatrists. It has become too easy for psychiatrists to suggest something such as a prescription drug to a vulnerable patient. Obviously that patient is going to go along with what they are saying! That’s what they pay them for ! However, it is horrifying that a decent human being could actually do that fully knowing that a drug may not be the solution due to laziness/greed on the part of the psychiatrist.

    Thanks for the article,
    Eric

  • Eric,

    Thanks for your interesting comment. The history of psychiatry is a history of client abuse. My next post (coming shortly) will address this topic.

    Although I am highly critical of psychiatry as a profession, I have a measure of sympathy for individual psychiatrists, who absorb uncritically the pharmaceutically-developed curricula they are taught in school, and then become enmeshed in a rotten system in which, for economic reasons, they remain.

    Best wishes.

  • “In fact, the change from talk to pills occurred decades ago – during the 70’s I would say, and was more or less complete by 1980.”

    I guess most of them want to earn cash the fast way instead of doing it the old fashion way.

  • Anonymous

    Carmen,
    Thanks for your comment. I think you’re right. It’s difficult to resist easy money. Daniel Carlat,MD, author of Unhinged: The Trouble with Psychiatry – A Doctor’s Revelations About a Profession in Crisis, is interesting in this respect. He’s a psychiatrist who is, I would say, “in the process” of getting honest about the whole thing. He sees through much of the nonsense and has written some really great stuff – but $160,000 a year for easy work – that’s hard to turn your back on.
    Once again, thanks for coming in.

  •  He has only gave me pills when I requested them. If he is so good at talking, how come you need to ask for mind drugs

  • It is a fact, that shrinks are drug pushers!  Mind drugs are very powerful. I took their mind drugs, for, ten years because they convinced me to take them. I weaned myself off their drugs, and I kicked them out of my life. Shrinks cannot cure a person’s mind, and, that is why they push drugs. They tried to convince me to go back to their drugs, but, I refused. Now, they don’t want anything to do with me. My surgeon cannot do surgery on my shoulder, because of ethics. A psychiatrist who cannot cure anything, holds the power over my Surgeon who has the ability to ease the pain from my sholder, and, he needs the the clearance from a shrink. When my Surgeon asked for clearance, the shrink replied that she could not do so, because, I had not talked to her for a couple of months. Shrinks abuse their powers, and, play the get even game 

  • Phil_Hickey

    Kenni,

    Thanks for coming in.

    I have heard of medical specialists being reluctant to provide treatment without a sign-off from a psychiatrist, but usually only when there was an obvious behavioral/emotional issue.  I think it’s fairly common in gender-change surgery, for instance, and is probably motivated by fear of later repercussions.  But shoulder surgery?  That strikes me as a little unusual.

    It goes against the grain for me to recommend that a person see a psychiatrist, but I believe if I were in your shoes, I would bite the bullet, swallow my pride or however you want to say it, go see the psychiatrist, and get my shoulder fixed.  Living with chronic pain/incapacity gets very old, very fast. 

    On the other hand, I could understand if you feel unable to take this step.  Perhaps a different psychiatrist and/or surgeon?

    It’s one of those life problems to which there is no clear, simple answer.  I hope you can come to some resolution.  Good luck.

  • Peyton

    “Psychiatric medications are among the most
    widely prescribed and biggest-selling class of drugs in the US. In 2010,
    Americans spent $16.1 billion on antipsychotics to treat depression, bipolar disorder and schizophrenia, $11.6 billion on
    antidepressants and $7.2 billion on treatment for ADHD” this was from a Fox
    News report.

    If this is the case, then we need to be vigilant about this,
    what if it happens to be our kids.

  • maritimer

    I dumped my ex pusher and weaned off his poison (celexa, xanax, trazodone) and told him where he could stick them! He actually panicked and got defensive when I told him I was through with him, pills and psychiatry for good. Folks, grief is not an illness, and these toxic meds cause more harm than good. Without getting into the gory details I will say they made me very sick. but I was able to save myself before it was too late. PS- 150 bucks for three sessions in 2011? Try 160 bucks for 10 minutes, once a month, and he told me I needed to keep coming for life. That’s how my pusher could afford vacations all over the world with his wife, while we paid dearly. He got his last fee out of me.
    He is a shrink who self-published a book on medicating panic and anxiety which can be found on Amazon. That should have been the first red flag. Second red flag was when he told me he wrote discreet scripts for airline and military pilots even though he knew they weren’t supposed to fly while using them. He’s going to kill somebody some day. He may already have.

  • Phil_Hickey

    Peyton,

    Thanks for coming in. We used to say, “You can’t fight City Hall.” Nowadays it’s, “You can’t fight Big Business.” But I think we should keep trying.

  • Phil_Hickey

    Martimer,

    Thanks for your comment. Congratulations on weaning. But for every one person like yourself who decides to deal with life’s problems, there are a dozen who just want to take the pills. They’ve bought the lie, and it’s very difficult for them to get out.

    Best wishes.

  • Holly

    I recently was forced to go see a psychiatrist because I have sleep problems. A few years ago a different psychiatrist claimed I was bipolar and put me on meds. I took different types of meds until I totaled my car and do not remember anything 10 minutes before the accident. I stopped taking the pills for 2 years. I was hesitant to go see the psychiatrist but after my sleep problems got worse, I had to go. As soon as I walked in, he saw the comments in my file from the previous doctor and immediately diagnosed me as bipolar and started discussing meds. I am now taking lithium….against my requests to him to not put me on meds. I even mentioned to him that psychiatrists are pill pushers and he agreed.. I am still not sleeping well and feel sick all the time because of the meds. I don’t understand why he is pushing pills since he is a VA psychiatrist and I do not pay him a thing for our brief visits. He eventually prescribed ambien which also has terrible side effects. I wish I could find someone who really cared and wanted to help without pushing these terrible pills on me. Do psychiatrists prescribe meds to themselves too? If they think they need to “calm the people of the world”, surely they’re not special and “need help” just like the rest of us!

  • Phil_Hickey

    Holly,

    Thanks for coming in. Your story is a familiar one. It is difficult to find a psychiatrist who doesn’t push pills. In fact, it is difficult to find a
    psychiatrist who will talk to a client intelligently and sympathetically. In the psychiatric world, all human problems are reduced simplistically to “diagnoses” and resolved by drugs. There may still be a few psychiatrists out there who really talk with their clients, but it is at least thirty years since I’ve met one.

    Also – as you’ve noticed – once you acquire one of these so-called diagnoses, it is almost impossible to get rid of it.

    At the risk of stating the obvious, I don’t think you should be seeing any practitioner with whom you don’t feel comfortable.

    Because I don’t know you personally, it’s difficult for me to give you specific advice. But here are some suggestions of a general nature that might be helpful.

    1). Many hospitals today have specialized sleep units. You may be able to get some real help at one of these. Make some initial enquiries, and if you’re feeling comfortable, pursue it further.

    2). If you don’t already have one, find a primary care physician or nurse practitioner who treats you like an intelligent person. Explain that you find the pills troublesome, and ask for help in getting drug-free – or as drug-free as possible.

    3). Find a counselor or social worker (again, with whom you feel comfortable) and talk to that person openly and honestly about your concerns, including your experiences with the mental health system.

    I’m a big believer in the ability of people to help one another. There may be a mental health survivors’ group in your area. But be careful. Some consumer groups are just mouthpieces for the pharmaceutical companies. They’ll tell you to be a good girl, follow the doctor’s orders, and take your pills. But there are survivors’ groups who provide genuine help to people like yourself who have become disenchanted with the mental health system.

    Best wishes.

  • jacer

    what drug does a sychyostrist give a patient to altur there minds to put them under sychosis to tell them to come back and they still have problems, what is the drug called ????

  • jacer

    i had a friend who used to have to see a sychiostrist i forgot the names of those drugs she would give him, she could talk to him and he would listen to her and like he was being programmed

  • Phil_Hickey

    jacer,

    I have read reports of an SSRI antidepressant called Prozac causing psychotic reactions, though I’ve never come across a case myself.

  • molly

    its no better here in the uk. my children were abducted and i had a breakdown, since then, 13 years ago all ive had is pills and tapping and nodding dogs. All they had to do was contact the social services and the police. Id had a breakdown, i didnt know my rights, what was their excuse.?
    My grief is now complicated and i cant function normally. So much help was out there but all they did was ‘manage the symptoms’
    Ive lost my children, how can i start to recover if my loss hasnt even been validated???
    I dont want sorry, sorry dont do nothing. I dont want sympathy, i want justice. Ive tried a solicitor but he said its been too long, yet child abusers get to be prosecuted many many years after the event.
    I fear the nhs will never admit or validate my loss, as it will open the door for me to prosecute.
    advice please, ive had enough sympathies.

  • Phil_Hickey

    Molly,

    Thanks for coming in. I’m not familiar with the English system, but it sounds like you’ve tried everything that can be tried, but without success. After 13 years, it seems unlikely to me that the authorities will re-open the matter or review their decision. You can choose to keep fighting, of course, or you can try to find some measure of acceptance, wait till the children are 18, and pursue contact at that time. Fighting a lost cause can drain a person’s spirit, as I’m sure you’ve noticed.

    I’m sorry I can’t be of more help.

  • tomasiepants

    Totally agree. I saw a psych. 10 minutes of my time and he prescribed me 3 medications. Then he said I was bi-polar. I spoke with other patients… they were bi-polar too! Is everyone bi-polar? I politely refused the medication. I’d rather talk to a friend, psychologist, or even a life coach.

  • Phil_Hickey

    tomasiepants,

    Thanks for coming in. Bipolar is indeed a popular “diagnosis.” DSM-IV relaxed the criteria considerably, which has encouraged psychiatrists to assign this label with greater frequency.

    The 10-minute “diagnosis” and the multiple prescriptions are also becoming more common.

    Life coaches can be very helpful.

    Best wishes.

  • L’Amoureux

    I’ve been on sertraline for 7 years now and seroquel for three, recently I quit both and I feel horrific, actually the suffering began with quitting seroquel, which did nothing for me when I was on it except make me sleep all day, and now I can’t sleep and I feel like I am drowning. My “doctor” if you can call it that, refuses to prescribe me anything that isn’t an antipsychotic. I already told her I will not take them for I am NOT psychotic but there is no budging. I don’t know what to do, I feel I should take something to lift me up because I’ve been on a -80 down since I stopped seroquel, but I don’t know what.

  • Rob Bishop

    My (non-professional) advise is to try not to hyper-focus on how you are feeling, and realize it will take time for your body to return to normal. Whenever you think you can’t stand how you currently feel, remind yourself that you ARE currently able to handle how you feel, and that this suffering will not last forever…it will go away! Do anything you can to focus on something other than yourself. Visit a close friend, call a cousin, go to the movies, build a model airplane that reminds you of being a kid… May you be peaceful and at ease during this difficult time.

  • L’Amoureux

    I’ve been trying to do those things but I feel at the end of my rope really, I feel like I am going mad and it’s been over two months since I stopped that wretched seroquel and I am still not better. Should I not take anything or should I go to another doctor for an anti-depressant or something?

  • Rob Bishop

    What thoughts lead you to believe you are going mad?

  • L’Amoureux

    I basically want to kill my entire family because I can’t stand living with them anymore.

  • Phil_Hickey

    L’Amoureux,

    I do not know you personally, so all I can offer is general advice. I strongly suggest that you find another doctor who will help you withdraw from these drugs if that is still your intention. Also, you might want to take a look at the Mad in America website. At the top of the homepage, one of the tabs is Drug Info, and one of the subheadings under this is Withdrawal Resources. There are several links on this page that you might find helpful.

  • L’Amoureux

    Thank you!

  • Rob Bishop

    Hatred and the urge for violence is common. We all struggle with resisting and fighting who and what we hate. We’re all familiar with the “I can’t stand them – they drive me crazy!” reaction. The underlying irrational belief is that people should be different, which a form of delusion. Hatred of all kinds is created by our irrational thinking. We all do it. Accepting reality is a challenge for us all.

  • L’Amoureux

    Yes but for the first time in my life I feel the urge to be real, it’s so scary. It’s notnormal.

  • Denylle

    A psychiatrist is a MD…when u see a dr u usually get medication to help the problem which u are being seen for….if you arent interested in medication see a psychologist…when u have a chronic illness it can cause mental illnesses, yes they ARE illnesses, and specialists work with psychiatrists to better patients quality of life by finding the right combination to address their mental illness…the people who need mental illness medications are not the ones complaining about it here. And if u dont need it than just say that…dont accept the medications, complain about them, and then blame the dr that YOU went to for giving them to u!! Medications save lives for those who actually need it. ..if u just need someone to talk to about your problems see a psychologist not a psychiatrist.

  • all too easy

    Great. They are drug pushers. Name names. Name a syctrist in private practice who is a drug pusher. Anyone? No? My my my. Why so shy?

    These drugs relieve suffering you damn fools.

  • Don’t Baby the Self-Aware

    Depends on the person. Drugs are the solution to me because my attachments are purely to impossible (physically, not just practically) adventures and ambitions that I refused to let die as I grew up. If I had given up on my dreams, and developed a poor understanding of my self, maybe someone saying some combinations of words could help me. But since I’m both a dreamer (and proud) and incredibly self-aware, I’m happy I can go to someone who can give me a pill I know I need, and not act like he somehow knows more about me than my own self (impossible by all measures, unless you’re retarded lol) and allow me to make my own choices rather than impose his guaranteed-wrong-by-defition external third party viewpoint of what decisions I can or can’t make due to his imagination skills of what I must feel like and care about.

  • all too easy

    You need more
    Much more bucko
    Buckets and buckets and shovels full of your favs

  • Deplorable Lives Matter

    I have a psychiatrist who did diagnosis without any professional tools of evaluation. Depression and Anxiety. Meds for both. The meds made me feel more of the depression symptoms, made me feel worse, not better.

    Then the psychiatrist decided I must be bipolar. Again no testing, nothing to justify the 10 minute diagnosis. New medications. Sleeping for days at a time for a month to ramp up on drugs. The side effects horrible.

    I told the psychiatrist that I needed to get off the drugs, so we started. Immediately I had symptoms of serious anxiety. I called during the week, she wouldn’t give me more than 3 mg of clonazepam. I want 4 mg, temporarily, until the symptoms go away. She wouldn’t do it on a Friday night. She said go to ER. I did.

    The next week I saw her and found that she was taking actions to “discharge me.” No reason given. No results of any tests. I need her help to get me off of all of this crap, but she seems to think all will be better in 30 days.

    I never opened her discharge letter, and returned it to her. Is her behavior nuts or what?

  • Phil_Hickey

    Deplorable Lives Matter,

    I don’t know about nuts, but it’s fairly common. Most psychiatrists want patients who want drugs and who keep coming back for more. Clearly you didn’t fit the mold.

    Mad in America has a section on Psychiatric Drug Withdrawal, with several hyperlinks. You may find some of the links useful.

    Phil

  • all too easy

    Name her. Give her name and address, Filtihy Liar. Don’t try some whacko from an aboriginal tribe in Australia, either. What FILTHY LIARS EXPLOIT THIS DUMP OF MISINFORMATION. YOU OUGHT TO BE ASHAMED DR. HICKS.

  • all too easy

    I took antidepressants and became a walrus in 9 days.

  • all too easy

    I saw the same dude. He sent me to Viet Nam for 6 years.

  • all too easy

    I seen that same psychiatry cat and he punched
    Me in the face.

  • Jim Davis

    I wonder if you are seeing student doctors. They are the most deceptive ones. In my experience I caught them just giving me whatever they wanted to do their schooling on. They picked out patients they never met and agreed to put ME on something I had trouble with. I fired the doctor on the spot and had her summon the person in charge. I refuse to go to another psychiatrist and I was forced to see one for one session for pain management and I suspect I will have to see one again because I have terrible post surgical pain that has returned. That shrink told me to never see another shrink again. No matter what kind of episode you are having it is temporary. When they give you medication it takes weeks to work and weeks to come off of it. During that time, whatever they gave you could be working against feeling better, making things worse. If you are so convinced that your doctor is good, then that person is a good liar. There are no good psychiatrists and I called them repeatedly on their bullshit. Unless you are hearing voices and doing really crazy shit, there is no need to see one unless you are seeking drugs.

  • Jim Davis

    No there are not any. Stop feeling guilty for judging a person who lies to patients for a living

  • Jim Davis

    Find a good bartender and go to him or her.

  • Jim Davis

    You can change your behavior by simply doing random acts of kindness or be like me who decided that if my chronic pain doesn’t stop, well, I made an educated decision to take my own life. I am not depressed, I’m in pain and shrinks like to lie about that. I can’t change how bad things hurt and reacting in a bad way when I am absolutely drained from pain, is normal. Don’t ever let people tell you that you aren’t supposed to get angry because sometimes you have to.

  • Jim Davis

    That’s like trusting that Gitmo detainees won’t return to terror. LOL. Good luck thinking that way.

  • Rob

    Psychoanalysis is currently available, and doesn’t involve drugs.

  • Rob

    Anger is optional. Just like rage, depression, and anxiety. The CBT Felix mentioned uncovers the root of our turmoil and emotional disturbances. Human misery comes from thinking disorders, not defective biology. If we have the courage to change how we think, we can change how we feel. But it takes a lot of courage to look at ourselves honestly.

  • Jim Davis

    It’s all nonsense. People can help themselves easily. When I hear behavior mod, I hear current destructive behavior which means addictive personality. Drugs or not, that negative bullshit is all of our own doing. We cause that. A therapist will never ever discuss a solution and if people are seeking a solution, it ain’t in a bottle. There’s a way to stop that negative behavior and the first thing is admitting the wrong doing. I been around the block on this one. So many bad reactions to medication. They act like bartenders to give cocktails. The damage from that medication ruined a whole stage of my life. Neurontin, made me think people were after me. Klonopin, 21 day detox myself. I needed pain meds for a while but I detoxed myself of Fentanyl. And now, because pain is wearing me down, I know the shrinks come into play with pain management. The last doctor tried to give me Methadone. I said, no way. Shrink at University of Penn Pain management told me to never see a shrink again and tried to give me suboxone in a patch. I lasted 4 more years until now, I’m toast. If they say, “take this” I will lie just to be out of pain. They can chat with me for an hour a month for that if they can stand how rough it’s going to get for them talking to me. And folks, if you have funky bunches of meds you take, and you been on benzos, opiates, etc, you are never going to get better until you get off everything, and make changes in your life. I played a victim when I wasn’t a victim to get my way. Right now, I’m uncomfortable playing that role for real. I just want pain meds and get back to my life. The last one I am on is Elavil. I am down 50%. Why? It stopped working. No reason to take it. I was on a high dose due to tolerance and it’s a problem. Even knowing it, doesn’t help. You ride it out and expect to make up for any damage from negativity. One must persevere except in my case, I don’t think I could handle a second surgery like that. There are things worse than death folks but depression doesn’t have to be one of them. I am thankful for this article because I can now study up on Shrink stuff like I do all doctors and let them have it. Seriously, sometimes the best thing to do is be on NOTHING. I got great tips on detoxing. I talk people into doing it too. If I get pain meds, never every day. Benzos, 30 days you are an addict whether you are a personality prone to it. The only time in my life I was every hooked on anything, came from a doctor and you gotta test the waters to see how bad it’s going to be first.

    Now, I am about to totally manipulate the doctors into giving me what I need for a short term because there is no other way. I learned telling docs, pain is so bad I want to die, doesn’t sound suicidal but again, if pain is that bad, like cancer, surgery that situation, it is actually normal to think that. I get totally laid out by the end of the day. I don’t think snorting Ritalin would even help me to get back up. (plead the 5th)

    But if you want to go chat expensively by all means. I don’t know a single doctor who told me one time to try to get better and had a solution. I was really into revenge and guess what? none for two years after doing a few steps and moving on but now that I am in pain again, oh yeah. I am back to thinking like a sociopath. I’ve run complete operations to seek restitution from some pretty crappy people. Made me get down lower than them. Chronic pain is my trigger and no shrink ever connected the two for me. LOL Shrinks thought they were studying me…it was the other way around. Even if you don’t get high, drunk or whatever, if you sound like me, go to AA or find someone willing to help you though the steps just to get your head together about the way you are thinking. 75% of the people there even sober, still working on resentments.

  • Ceecee

    Honestly you guys are pretty shitty. Everyone tells me not to be a psychiatrist because you get no money yet I still want to be one and all these comments are just foreshadowing what my future in my profession will be. Being called a pill-pushed and accused of many things is not what I want to go through just because you have your own problems with the profession. Yet I still will be one and hopefully I’ll actually get patients. Because I want to be a psychiatrist-therapist.

  • Rob

    There are non-drug psychotherapies that help people by teaching emotional intelligence and methods to improve their their moods and functioning. But you probably knew that 🙂

  • Khârn the Betrayer

    I know I’m late to the conversation, well six years late, but I would suggest you seek out a therapist that is a psychologist, not a psychiatrist.

    Psychiatrists tend to see almost every mental illness in terms of hormonal or chemical imbalance, rarely from a personal level where treatment may be done by modification of lifestyle (career, personal relationships, ect). It seems that, like a lot of medical fields, psychiatrists either get corrupted by big pharma or want to make money fast (by pill pushing which temporarily treats not cures an individual rather than personal improvement). I’m sure, however, there are some good medical doctors somewhere in psychiatry, they are just uncommon.

    If I had a serious issue, like chronic depression, I would trust a psychologist astronomically more than a psychiatrist, as I would want a fulfilling life far from a parasitical relationship of “pill popping”.

  • all too easy

    Just one more sample of bitter ramblings by a most obsessed, jealous medical doctor wanna-be.

  • all too easy

    Just remember, most of those who comment here are jealous of medical doctors, except lil Robbie. Lil Robbie has deposited deep within his puny, sick psyche that He is The Savior. He is The Answer, The One, The Repository of All Things Helpful and Necessary for All Mankind (except himself. Don’t think so? Just ask the little dude for a morsel of itsy bitsy advice! He has more non-answers than neurons and more deep rooted and complex patterns of murky and perverted thinking than all others alive today, except our dear Clodhopperpus who requires adult supervision 24/7, plus 127 various antipsychotics administered every 16 seconds. )

  • Olmy Olm

    “your own problems with the profession”

    Reducing psychiatry’s problems to personal squabbles just shows how unaware you are of its fundamental flaws. It is a dishonest position and it evades the valid criticisms people have put forward of such basic things as the diagnoses themselves and their bio-centric nature, as well as the disastrous effecienty record of psychiatric treatments.

    I advise you read up on these issues. Your attitude is just going to contribute to the image of psychiatry as a dogmatic profession unable to look in the mirror.

  • Olmy Olm

    If you want to be taken seriously, drop the ad homs. If you don’t, do whatever the hell you want.

  • all too easy

    Lil Robbie knows. She’s very courageous. In fact, she’s an angel. She has learned to repress all her uncomfortable emotions and blame others when they can’t be quite as wonderful as she is. She’s a meditation freak. She’s very sweet and non-judgmental, like clodhopper pus the king.
    We all must learn to be as wonderful as they are and all will be well, except for clodhopper. Herm doesn’t really want anyone to be okay, without his permission and while he still cannot help but to hate himself

  • all too easy

    Beat it Punk.
    LOL.
    Why do you keep following me and everything I post if you can’t fathom my purposes. You lil horse’s rear end.
    I let you in on a secret since you’re so out-of-control in love with me. My reason for commenting is that I cannot help myself. You self-righteous pricks are a bit much. I love to laugh and make fun of you. Obviously, I’m having the exact kind of impact you detest which means I’m delighted.
    Get a life.
    LOL jerk

  • all too easy

    Keep up the great work you are doing. Some people are convinced we never landed on the moon. They hang with the flat earth crowd. These anti-psychiatry morons are cut from the same cloth. They desperately need the medications you’ll be qualified to prescribe someday.

  • all too easy

    I love you Oily Oil, you big sweetheart! Lil Robbie, too.