Posted by noa on April 30, 2004, at 18:21:51
In reply to Re: Effexor works for me!! » noa, posted by TanyaJean on April 29, 2004, at 23:00:36
I won't argue with what you said about education. I agree.
And perhaps another aspect of all of this is the managed care trends which have led to more people not getting proper psychiatric care--for example--
*being seen for psychiatric care by general physicians (primary care docs) and not by psychiatrists with adequate psychopharm knowledge
*if seen by pdocs, not with close enough attention (length of eval sessions, length of med management sessions, frequency of med management sessions, accessibility when something isn't going well with a med, etc.)
*health plans restricting coverage for therapy
*health plans putting only certain meds on their formulary, which makes the others very expensive for plan members because they have to pay the difference in price, or even pay totally out of pocket, which can lead to doctors prescribing only formulary meds, or health plans making them substitute supposedly equivalent meds that we know are not at all chemically equivalent (this may be cost-savings related mostly, although who knows, it may go along with the marketing issues you and others have mentioned, just on a more institutional level rather than on the individual doctor level)
poster:noa
thread:1016
URL: http://www.dr-bob.org/babble/20040429/msgs/341938.html