prescription drugs

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One of the hardest things to do as a psychiatrist is to get patients to tell the truth. The absolute hardest thing to do is to get patients to ask the questions that they really find on their mind but are scared of asking.

Me, I do everything I can to break down the communication barriers that exist between me and my patients.

For one thing, I do not even own a doctor’s white coat. Read more on FAQ:  Antidepressants…

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At least I finished reading this article without banging the screen.

Even though the amount of psychotherapy I have time to practice is abbreviated and minimal at best, I am glad I know what I do. Read more on …

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I always considered myself a naive person in many ways.

From my overprotective family, who had serious worries about my crossing the street without someone holding my hand even when pushing forty, I moved, through several exotic domiciles, into a marriage where my husband would never dream of permitting me to cross a street without holding my hand. Read more on You Think YOU Got Stress?…

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There is something wildly inappropriate about me being traumatized when shopping for nutritional supplements in a national chain pharmacy.

I have sustained Post Traumatic Stress Disorder (luckily far from the worst cases I have seen) from my auditory trauma. Read more on Pharmacies Practicing Medicine!…

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“I just am not good enough to come up with a pill that works if you don’t take it.” Read more on Are You Taking Your Pills?…

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He was in his mid-fifties, quiet and fairly good-looking.  I did suspect he was balding or maybe just plain bald as few men would wear a turn-of-the-last-century newsboy-type cap indoors these days. He sat on my couch and told me he thought he had ADD (attention deficit disorder). I interrupted him right there, as I do everyone who comes into my office thinking they have this disorder. Most people professing this diagnosis who are adults and walk in alone to a psychiatrist’s office are looking for stimulants — the amphetamines and the Ritalins of life. I don’t prescribe these.  I used to — at least as long as it took to get people weaned off them.  But nobody wants to get off them, not ever.  I have seen people who have been on them from earliest childhood through middle age, for no clinical reason I can discern.  Usually they were just being kids and bugging the adults, so they were put on drugs to control them. Read more on The Regular Looking Guy…

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I remember my respected psychopharmacology preceptor always had a pile of a bit out of date copies of the Wall Street Journal sitting around the house.  I asked him why — about the third time I saw them sitting around his living room. He explained to me then it was the thing you really had to read to know what was going on in the pharmaceutical industry.

I remember I rolled my eyes heaven ward.  I was too busy memorizing molecular structures and trying to understand potential mechanisms of drug-drug interactions. I still do a bunch of that sort of thing.  I do it more quickly than I did at that time, but I still do it.  Oh, I will find on line pretty much anything I can in “Newsfeeds” and such, but it is more to condemn than to follow these days, from what I know and can see. Basically, my problem is that they seem to keep making better sounding drugs.  But from what I read, I don’t usually see them as a clear CLINICAL improvement over what I have seen in the past. In other words, I don’t think they are making people “more better” in terms of having more efficacy or less side effects or such.  I just can’t find it in statistics in general, and sometimes even wonder if statistics are not a tad “Gerrymandered.”

Read more on How They Plan To Sell Even More Drugs Next…

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Too many Americans can’t afford to and simply do not–take their medicines as prescribed. That estimate is based on information from the (American!) Centers for Disease Control). I have had patients come into my office who take their medications –in both cases, for life-threatening infectious diseases — only every other day, simply because that is all they can afford. I explained to each one individually the idea of the half-life of a drug. They only stay in your body for a certain length of time, then they leave your body in waste products.  That is why taking a drug every other day is not really effective. They both gave me almost exactly the same response — It was all they could afford, and it was probably better than nothing. Read more on Big Pharma Is Capitalism Out Of Control…

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Chantix is a prescription smoking-cessation aid and has a lovely official website that will give you the information about the drug that the company that makes it provides for patients. This is the package insert a doctor is supposed to read before prescribing.  You will love paragraph 6, about neuropsychiatric side effects. Read more on Drug Companies HAVE To Tell You The Bad News…

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It is only a dim memory for me. Sitting around the black and white television with my folks, watching Alfred Hitchcock walk into his profile, and say things to America in a snarky sort of tone that I could never have used with anybody. Strange, I don’t remember the content of she shows.  Not too surprising — I was only two years old when he came on the air. Read more on Was Alfred Hitchcock the best pharmaceutical rep ever?…