tag:blogger.com,1999:blog-7772182113499451603.post861845749955828052..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: How To Ruin Your Life Without Being DangerousGeorge Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-7772182113499451603.post-90928429800569837142018-04-21T18:56:14.216-05:002018-04-21T18:56:14.216-05:00I guess you missed the point.
Psychiatry has no i...I guess you missed the point.<br /><br />Psychiatry has no interest in deeming anyone dangerous - managed care companies and governments do.<br /><br />It is the only way that managed care companies and governments can ration care to people with mental ilnneses and addictions.<br /><br />And that's all they have been doing for the past 30 years.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-28090631439474396502018-04-21T18:45:58.368-05:002018-04-21T18:45:58.368-05:00Since stress and drugs are the only definitive tri...Since stress and drugs are the only definitive triggers for mental disorders, you have to wonder just how much of a killing psychiatry gets out of deeming you dangerous when you are not. It certainly gives people an excuse to marginalize you so they can go on with their lives and ignore how they have mistreated you. It's as if abusers clean up after themselves with diagnosis.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-48995508924280268572015-03-30T13:11:10.080-05:002015-03-30T13:11:10.080-05:00Agree and random drug and alcohol screens as well....Agree and random drug and alcohol screens as well..George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-2581239344463038182015-03-30T11:15:16.595-05:002015-03-30T11:15:16.595-05:00I suppose it's like dieting...depending on how...I suppose it's like dieting...depending on how one defines noncompliance, one can always claim 100% success...everyone who falls off the wagon didn't comply with the program..voila...by that definition "Just Say No" is 100% effective too<br /><br />About those eighty five percent...they are making the same mistake that the pain management optimists made about opioids...you need to ask collaterals how they are doing...James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-62080597542908417752015-03-29T17:32:09.800-05:002015-03-29T17:32:09.800-05:00At the other end of the spectrum there is also a &...At the other end of the spectrum there is also a "biologically based" recovery treatment in the Twin Cities that is all outpatient and operates on the theory that the only thing that you need to recover is vitamins and lots of them. Intravenous Vitamin C I believe is the vitamin of the day. They also claim very high recovery rates and play off the fact that they are superior and that they treat the biochemistry behind the disease. They also have a paper on their web site that claims "Eighty-five percent of the subjects reported themselves as “abstinent and stable” at 12 and 42 months post-treatment."<br /><br />It is a new era of orthomolecular therapy. George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-58863913843780090792015-03-29T17:31:09.698-05:002015-03-29T17:31:09.698-05:00This comment has been removed by the author.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-21785106338380980022015-03-29T16:13:12.860-05:002015-03-29T16:13:12.860-05:00That being said, there is a treatment center in Ma...That being said, there is a treatment center in Malibu advertising 100 percent success with TV ads. They need to knock that off or be stopped by the FDA/FTC.<br /><br />I have not used acamprosate.alone or in combination with naltrexone.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-52864715590586009622015-03-29T00:54:25.341-05:002015-03-29T00:54:25.341-05:00I concur with all of that.I concur with all of that.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-17169519464010008332015-03-28T19:33:50.207-05:002015-03-28T19:33:50.207-05:00I would not consider the commentary about AA or in...I would not consider the commentary about AA or inpatient rehabilitation in this article to be accurate. All of the people I see with alcohol use problems and nearly all of the people I see with opioid use disorders get at least two conversations about naltrexone. The common misconceptions are that it is like Antabuse and that it is an "anti-craving" medication. Recognizing that it has an effect in the decision-making to pick up a drink is a difficult concept for most people to grasp. When I tell them the following vignette it is easier:<br /><br />"Some people will take naltrexone for 4 months and notice that they have had an episode of drinking once or twice a month. They conclude that it is not effective and stop it. At that point resume drinking every day. Remember that the indication here is that it reduces the number of days drinking per month." <br /><br />I agree with offering everyone who does not have obvious contraindication naltrexone or acamprosate. I think the naltrexone is the drug of choice based on once a day dosing and the abundance of evidence. I would of course also recommend 12-step recovery and be able to discuss the options for agnostics and atheists. It is not quite as black and white as the author here believes.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-87045924315994216002015-03-28T18:34:46.507-05:002015-03-28T18:34:46.507-05:00Slightly but not really off topic, since this is a...Slightly but not really off topic, since this is about altered states, in that same edition of Atlantic that the other commenter linked to there is a pretty good lay article about AA vs the Finnish Naltrexone approach. Would be interested in your take. I've had some success treating with Naltrexone:<br /><br />http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics-anonymous/386255/James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.com