April 11, 200704-11-2007 Media MadnessMany things to link to today. First, the New Yorks Times' Bob Herbert on a misbehaving six-year-old in Florida being carted off to jail by the police. The girl was having outbursts in class and in an office. She happens to be African-American. Very reminiscent of another case of a black girl who acted out in school and was arrested last year. Also an elementary school kid. This is bizarre and I'll say more about it tomorrow. (Via CL Psych.) CL Psych also picks up on The Last Psychiatrist's recent post on atypicals replacing anti-depressants. Go the end of CL's post for a brief history of diagnoses and meds. I wrote about this last week. I continue to be fascinated by the unjustified emergence of atypicals for long-term use in mainstream culture. Mother's little helper. Psych Central has a slightly different take on The Last's posting. Also, Psych Central has thoughts about the AstraZeneca sales manager being blunt about how sales reps should view doctors' offices. An op-ed in the New York Times claiming that the mental health parity bill in Congress will discourage use of evidence-based treatments. Advocates for evidence-based treatments that have been shown to work. What evidence base would that be? Pharma-sponsored clinical trials? CATIE, STAR*D and STEP-BD? The corrupt Texas Medication Algorithm Project? Pharmalot on Big Pharma's bad reputation with the public. Man jumps off bridge in Seattle, knocks out power to neighborhood. One of the Bipolar Chicks Blogging crew writes of a nasty bout of depression. A blogger outs herself as having bipolar disorder. Welcome to the show. A bipolar ditches as many meds as possible, including Cymbalta. I hope she's doing this under some form of doctor supervision. Patient goes off meds. Will confess to doc today. The Canadian government continues to go after the makers of True Hope. I don't know enough about Canada's drug laws to say much, but it strikes me that the True Hope people aren't saying anything more bizarre than Big Pharma does every day. Guns in homes leads to higher rates of suicide. Apparently independent of a mental illness. Not sure I completely buy this. Will be used by anti-gun lobby. Patient has one year of ups and downs on Cymbalta. Posted by Philip Dawdy at April 11, 2007 11:50 AM
del.icio.us
Digg it
reddit
Comments
She's a female with anger issues. Clearly, she's suffering from borderline personality disorder. There's no other explanation. Posted by: Lisa at April 11, 2007 04:01 PMRe Suicide link. Uh I'm kind of uncomfortable about the information given out there. If everyone knew the "success" rate it could increase the death rate when a suicider picks another method. Posted by: Mark at April 11, 2007 04:07 PMRe: True hope. Canada has been going after that for years. I know someone who has a teen son successfully using EmPower [basically same thing], which has very low mg. of Li in it. [like microdose].With therapy, a supportive family, and a doctor who is an out of box thinker--this young man was able to ditch psychiatric medications and though life is not perfect[what life is?] He is managing quite well on a basic vitamin mix. Back to this mental health parity thing. I've gone back and forth on this issue. But, the way things are now...I just can't support it. Before I would be willing to support mental health parity, there has to be some check on the bullshit that passes for treatment. Some therapy is okay (cognitive behavioral, etc) but some of it is just plain sick and weird. It's not just psychiatry that needs to clean up some problems, psychology and the other mental health professions have some work to do also. Insurance companies should not be expected to cover the get-in-touch-with-your-inner-child crap. The way things stand now as long as the professional has the credentials, e.g. PhD in psychology, insurance will usually cover some sessions of therapy no matter how sick or weird it is. The fact that this could go on indefinitely scares the bejesus out of me. At least if it's paid out of pocket, there's somewhat of a limit to it. My former therapist had the appropriate credentials. He also encouraged me to bring a stuffed animal to my therapy sessions. I'm an adult woman. That to me is incredibly sick and twisted, yet insurance covers his "therapy." Why? Until there is some massive clean-up, then I can't support mental health parity. Get rid of the crackpots, then we'll talk. Posted by: Lisa at April 11, 2007 08:44 PMI don't have any money for out of pocket.
The school District threatened me with police pick up of my daughter; if I did not arrive within 7 minutes. Stephany, it's strange that Lamictal isn't covered but my stuffed animal therapy was. That's when you know things are seriously mixed up. Posted by: Lisa at April 12, 2007 08:14 AMLiz Spikol speaks about parity and comments on the lifetime cap of inpatient hospital days; which is exactly what ran out with my 19 year old. She has no insurance coverage left for that, and personally, I pay up front to my pdoc who will not bill insurance. Each month, between my daughter and I; I have to be able to pay 260.00. I use a credit card for it. My daughter is too young to have a lifetime cap on her insurance run out. She's only 19. What happens if she cracked and brain malformation isn't the reason she is ill? what if she is permanently psychotic? runs down a road one too many more times, and gets sent to live in the state hospital? Stephany, I see your point. I guess my concern is that there be some check on what passes for treatment and on what will be covered. I know it's wishful thinking, but if this mental health parity thing passes they should have some definition for what qualifies as "therapy." My insurance company would cover anyone with the proper credentials but had no concern for what took place past that point. It didn't matter if it was cognitive behavioral therapy or primal/regressive therapy. It absolutely should matter. Insurance should not cover regressive therapy or dream work or a therapist's own special made-up therapy. If people want to pay out of pocket for that, okay. I also think there has to be some indication that treatment is actually helping the patient, not making them worse. Posted by: Lisa at April 14, 2007 09:31 AMLisa, I think my head is clearing off of the Seroquel, because now I get your point you have been trying to make. You know I have a friend who has massages paid for by her insurance? the doc wrote out an rx for stress and insurance pays. Now that I could use. I find it interesting, that was under therapy and I forgot about that. My main concern is one-sided worry, that my daughter may need a psych hospital again. She will end up in county [at least here]or shipped down to the state hospital. No insurance left for me to find her a place any one would want to reside. This pdoc told me and my other daughter in a meeting: "No where. Unless you had 500-600,000 $$ and then I'm not so sure the care would be any better. She would also be out of state." I also wish I could have a 20.00 co-pay for the psychiatrist that prescribes the same medications that my PCP does for a co-pay. I really like your take on the mental health stuff Lisa, and being based on personal experience is the best. Thanks. Posted by: Stephany at April 14, 2007 11:34 AMStephany, I don't think I'm probably the best person to give an opinion. I haven't chosen well. My first therapist lost his license. My former psychiatrist couldn't stay out of jail. His PA couldn't stay out of jail, either. There seems to be an abundant supply of crackpots in this field. I think if I had not encountered therapist # 3 I would have joined the anti-psychiatry group a long time ago. I certainly can identify with their anger. I know what the problems are in the mental health field, but I am a whole lot less clear on how to fix them. When I think about your daughter and what she's going through it brings it all back. I know that pain. I know it well. Sadly, I think what the doctor told you is correct. I wasn't in a state hospital, but the walls were still gray. I remember watching a t.v. special about Jane Pauley's experience, and it showed her in a nice, bright sunny hospital room painting. I remember thinking, please don't kid the public. That's not the experience for most people who end up in a psych hospital. Posted by: Lisa at April 14, 2007 07:09 PMLisa, 11 drugs in 13 weeks. My god. That puts all my drug cocktails to shame. I can't even imagine that. You're right, trust is that key component coupled with the fact that the people seeking help are vulnerable. You just sort of have to hope that they have integrity. Unfortunately, some don't. Posted by: Lisa at April 15, 2007 11:12 PMThank you for the link... now that I know other people are reading, I will have to update more often :) Posted by: Miette at April 22, 2007 03:09 PM |
Patient Blogs. Sites.
The Trouble With Spikol
Icarus Project Blog John's Bipolar Stories Seroxat (Paxil) Sufferers Stand Up! Seroxat (Paxil) Secrets The Bipolar View Writhe Safely soulful sepulcher Electro Boy Spiritual Emergency Mental Nurse Deborah Gray Mental Mommy The Splintered Mind bipolar.and.me Nurse Ratched Psych Person Trick Cycling for Beginners depression introspection Salted Lithium Living With A Purple Dog Polar Trippin' Mercurial Scribe Bipolar Chicks Blogging Bipolar Blast Off Label Jung At Heart Graphic Truth Joysoup Apesma's Lament Soapy Water Outlaw Psychiatry Empirical Insanity Patient Anonymous Beyond Blue Psych Survivor Postpartum Progress The Happiness Project Finding Optimism The Gimp Parade Midlife and Treachery Secret Life of a Manic-Depressive Psych Tech Going Through Hell
Doctor Blogs. Sites.
Clinical Psych
World of Psychology CorePsych The Last Psychiatrist Carlat Report Blog Intueri Emotional Well-Being Scientific Misconduct Aaron Beck Cognitive Therapy Today Treatment Online Shrink Rap David Healy Dr. Dork NHS Blog Doctor Dr. X's Free Associations Dr. Sanity Anxious Mind Everyone Needs Therapy Counselling Resource
Activists. News.
Charlottesville Prejudice Watch
The Icarus Project MindFreedom AHRP Blog SSRI Stories Healthy Skepticism Psych Rights Treatment Advocacy Center Peter Breggin Schizophrenia News eDrugSearch Blog Nuts R Us News Disapedia WSJ Health Blog
Social Networking. Forums.
Mood Garden
Paxil Progress Crazy Boards Forums Psych Central Forums Icarus Project Forums DepressionTribe MySpace Bipolar Group Bipolar World Pendulum.org Bipolar Planet About.com Bipolar
Science. Big Pharma. Ethics.
PharmaLot
Pharma Gossip Science Blogs Mind Hacks GoozNews Integrity in Science Neurophilospohy bioethics.net Drug Wonks Pharma Marketing Blog Pharma's Cutting Edge On Pharma Health Care Renewal
Current Affairs
Buzz Machine
To The People Andrew Sullivan Michelle Malkin Daily Kos Reason's Hit&Run The Agitator Press Think Jim Romenesko Rough Type Gawker The Graphic Truth Tail Rank Huffington Post Instapundit Little Green Footballs Talking Points Memo MoJo Blog
Seattle Stuff
Smoking. Stuff.
|

