tag:blogger.com,1999:blog-7772182113499451603.post4677351813772620954..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: When To Not Prescribe An Antidepressant?George Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7772182113499451603.post-90232337796410793522017-05-04T17:02:26.036-05:002017-05-04T17:02:26.036-05:00Prescribed the same medication I agree with altern...Prescribed the same medication I agree with alternatives George Dawson, MD, DFAPA. As a patient and supporter it's an awkward situation when a doctor and patient discuss and record keeping isn't recorded based on the patient's needs and understanding, (a misrepresentation). Success to you in your field George Dawson, MD, DFAPA.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-57893515901653919662017-04-30T12:46:33.537-05:002017-04-30T12:46:33.537-05:00That depends a lot on their situation. I started ...That depends a lot on their situation. I started out working in a CMHC supervising an ACT team. We were responsible for all of the people in the county who were eligible for those services. AT the other end of the spectrum in my current outpatient practice I rarely see any patients with this problems. Having worked across the entire of illness severity - I think that the ideal setting is for people with these problems to be seen by ACT teams. In that context of intensive support and more frequent contacts it is possible to assess each patients pharmacotherapy to see if that can be improved and provide far more non-medication related services that can also improve target symptoms and ability to function. I have generally found that people in these setting have been on too much antipsychotic and too much benzodiazepine type medication and can benefit from psychotherapy that has only recently become popular for severe mental illnesses. The problem is complex and generally requires highly individualized service even with the ACT team. George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-9804301151869849852017-04-30T11:18:25.655-05:002017-04-30T11:18:25.655-05:00What do you do about your patients with severe and...What do you do about your patients with severe and persistent mental illness who do not improve on any prescriptions?Anonymous commenternoreply@blogger.com