Posted by alexandra_k on August 29, 2013, at 2:24:02
In reply to Re: making things worse » alexandra_k, posted by Twinleaf on August 27, 2013, at 19:57:12
I think I'm starting to see that the problem is this developing nation I've found myself in. The public psychiatry system is... A refuge for Soviet and Middle Eastern clinicians with dubious ability to speak English. They are here for their tickets to other things, for the most parts. Except the ones who... Don't make it. And are stuck here.
Aussie was better. I miss it so... The public system hires private practitioners so my p-doc (for instance) did 1 or 2 days a week in the outpatient clinic and worked the rest of the time in his private practice. It gave him... Some leeway to refer people (with health insurance, for example) to his private practice. Or to other clinicians private practices etc. I got referred to his outpatient (DBT) clinic to start with and after meeting him there for an initial interview he said he would see me in his private practice for therapy where my contribution was heavily subsidized so as to actually be affordable for me. So that was very good of him. I learned later (google is your friend) that he had an MA in Philosophy of Mind... So part of it would have been that we clicked. Which... We did.
I hear that something similar can (sometimes) be worked out in the US if you are lucky enough to be living close to an analytic training institute and you are a graduate student. I got to see a training p-doc at UNC who was competent enough, I suppose... But she wasn't a training analyst... And I don't know that she had a theoretic orientation... Or that she had been told anything particularly much about what she was supposed to be doing... I really have no idea. Maintenance. I guess she was an ear for me to vent to... And it helped me through. Which was perhaps the idea since I was only there for a year and then back to Aussie...
I thought it might be different where I am now because of the medical school. But I don't know that it is, really. I don't know. And... I suppose I am reluctant. In case I do end up going on to do medicine. I know enough about the public system here to know that there is no such thing as confidentiality. I... I don't know.
> It's extremely hard to find a therapist who is affordable when you are a grad student - and even harder to find a really good one who works with an attachment orientation. They are very hard to find in the US also, although I do have one. I don't know, I sort of feel that if you really want a therapist like that, you will find one, and be able to work out the money and frequency issues in some way. I think the really good ones want to find clients who really need what they can offer. And - what other way is there, really, to improve an early attachment disturbance?
Yeah.
I always appreciate your posts. I really am very sorry for the misunderstanding before... Glad you are here.
poster:alexandra_k
thread:1049633
URL: http://www.dr-bob.org/babble/psycho/20130807/msgs/1049842.html