Psycho-Babble Medication Thread 49294

Shown: posts 1 to 11 of 11. This is the beginning of the thread.

 

Dr Bob - New Improved Tips?

Posted by JohnL on November 23, 2000, at 6:46:45

Dr Bob,
How about it? Can a new improved Tips be put together? Perhaps from your online discussion with other doctors there might be sufficient information to accomplish it?

I would guess it would be a very time consuming project. Maybe a regular from this board could do the work for you? If you supplied the doctor discussions perhaps someone could sort through them all and group them into appropriate categories and headings? And with your input and editing of rough drafts a final version could be made available?

It just seems to me there must be some excellent discussions going on behind closed doors that could be very useful everyone else. To this day I have yet to see anything quite as helpful as your original Tips. It's a masterpiece. A follow-up new and improved millenium edition would be outstanding.

What are the chances?

Thanks!
John

 

Re: New Improved Tips?

Posted by Dr. Bob on November 23, 2000, at 22:15:58

In reply to Dr Bob - New Improved Tips?, posted by JohnL on November 23, 2000, at 6:46:45

> How about it? Can a new improved Tips be put together?

I think that will be one of my new year's resolutions. There, how's that for commitment? :-)

> I would guess it would be a very time consuming project. Maybe a regular from this board could do the work for you?

It would be great to have some help. I think it would need to be a psychiatrist, though, ideally, one comfortable with HTML and with a lot of free time (both figuratively and literally)...

Bob

 

Re: New Improved Tips?

Posted by Lexie on November 24, 2000, at 7:48:36

In reply to Re: New Improved Tips?, posted by Dr. Bob on November 23, 2000, at 22:15:58

> > How about it? Can a new improved Tips be put together?
>
> I think that will be one of my new year's resolutions. There, how's that for commitment? :-)
>
> > I would guess it would be a very time consuming project. Maybe a regular from this board could do the work for you?
>
> It would be great to have some help. I think it would need to be a psychiatrist, though, ideally, one comfortable with HTML and with a lot of free time (both figuratively and literally)...
>
> Bob

"Psychiatrist" and "Free"? Now there is a contradiction in terms! :)
Good Luck,
Lexie

 

Re: New Improved Tips?

Posted by AndrewB on November 29, 2000, at 11:26:37

In reply to Re: New Improved Tips?, posted by Dr. Bob on November 23, 2000, at 22:15:58

Dr. Bob,

This is great news. I very much look forward to an expanded and updated Tips Section. It has been such a help to so many. It gives us access, albeit indirect, to the expertise so many of us need.

Thanks again, for taking this on along with all the other things you do with this site. It helps so many people. I wish there was some way to compensate you for the valuable service you are providing.

Like it or not, this board acts to influence peoples' medication regimes. So often people take information from here to their doctor and it is the basis for a change in therapy. Or people find or change doctors because of this board. Or people stop or start self-medicating due to this board.

I'm surprised this internet based 'force' in psychiatry, which is sure to grow in the coming years, is not of extreme interest to the scientific community. Surely there needs to be a greater understanding how this site effects peoples' psychiatric decisions and outcomes.

AndrewB

 

Re: influence of site

Posted by Dr. Bob on November 30, 2000, at 22:54:07

In reply to Re: New Improved Tips?, posted by AndrewB on November 29, 2000, at 11:26:37

> Surely there needs to be a greater understanding how this site effects peoples' psychiatric decisions and outcomes.

And where's that understanding going to come from? :-)

> Like it or not, this board acts to influence peoples' medication regimes. So often people take information from here to their doctor and it is the basis for a change in therapy. Or people find or change doctors because of this board. Or people stop or start self-medicating due to this board.

I've been thinking about doing a survey through the registration system. It would be interesting to ask in what ways, if any, this board has influenced people. The above are all possible responses. Are there others that would be worth listing?

Bob

 

Re: influence of site

Posted by S. Howard on December 1, 2000, at 20:53:09

In reply to Re: influence of site, posted by Dr. Bob on November 30, 2000, at 22:54:07


Dr. Bob-
Some particulars: I understood that the first medication prescribed might not work and that most do not work right away. However, I had no idea about the length of time or the number of medications one individual might require before a successful combination is found. Of course, these stories are all over the board. Without that information I most likely would have given up, figuring I had some freakish chemistry that makes me immune to psychiatric drugs.
On the other hand, now I understand where this weight gain is coming from! I've been cutting back on food and I still keep gaining, which is very distressing. I never would have related that to SSRIs. But I'm glad to be armed with this information when I see my doctor next (it's not working for me anyway). I've also learned that the occasional muscle twitching I have seems to be common with certain meds. Otherwise I would find this quite alarming.
Hope you can use this...thanks for everything.
-Gracie

 

Re: influence of site » Dr. Bob

Posted by Jim on December 2, 2000, at 21:51:32

In reply to Re: influence of site, posted by Dr. Bob on November 30, 2000, at 22:54:07

> > Surely there needs to be a greater understanding how this site effects peoples' psychiatric decisions and outcomes.
>
> And where's that understanding going to come from? :-)
>
> > Like it or not, this board acts to influence peoples' medication regimes. So often people take information from here to their doctor and it is the basis for a change in therapy. Or people find or change doctors because of this board. Or people stop or start self-medicating due to this board.
>
> I've been thinking about doing a survey through the registration system. It would be interesting to ask in what ways, if any, this board has influenced people. The above are all possible responses. Are there others that would be worth listing?
>
> Bob

There are two bottom lines that have to be considered:

a) People have a right to know what they are putting
in their bodies, and possible effects. Doctors, most, don't
know because they haven't been on the medications.
This is not to put doctors down, as I think they
appreciate an educated patient. (Right Dr. Bob?:-)

b)The other bottom line is that it is the doctor who
does the Dx, and prescribes what they feel needed.
If any of us walk into a doctors office with a list
'demanding' we get certain drugs, most doctors
would simpely ignore such drug seeking behaviour.
On the other hand, there is no reason why a patient
shouldn't be encouraged to do some research on their
own. This 'two-way' street can be very helpful
in our (patients) recovery. IMHO..etc.

 

Re: influence of site

Posted by AndrewB on December 6, 2000, at 9:40:24

In reply to Re: influence of site, posted by Dr. Bob on November 30, 2000, at 22:54:07

Dr. Bob,

This discussion came up before and some very good suggestions were posted as far as the content and administration of a survey given to those using this site. I found of paticular interest an offer from a grant wirter to put together a proposal for doing such a survey and to locate a funding source. The short term goal of a survey/grant would be to show the utility of such a site as a complement to psychiatric care. The long term goal, if the survey did indeed show the efficacy of this site, would be to obtain long term funding for the maitainance of this site from a government source.

AndrewB

 

Re: influence of site

Posted by maribeth on December 7, 2000, at 13:26:48

In reply to Re: influence of site, posted by AndrewB on December 6, 2000, at 9:40:24

> Dr. Bob,
>
> This discussion came up before and some very good suggestions were posted as far as the content and administration of a survey given to those using this site. I found of paticular interest an offer from a grant wirter to put together a proposal for doing such a survey and to locate a funding source. The short term goal of a survey/grant would be to show the utility of such a site as a complement to psychiatric care. The long term goal, if the survey did indeed show the efficacy of this site, would be to obtain long term funding for the maitainance of this site from a government source.
>
> AndrewB

Dr. Bob --
As a Registered Nurse, with a MSN and a Clin Spec in Adult Psych/Dual Diagnosis AND.......a basically lifelong mental health client myself(not boasting, just clarifying) I have found your site to be just about the most edifying when wading into the murky waters of psycopharmacological applicatications.
I think you provide an exellent sounding board and resource for all levels of interest. My clients have come to me with both questions stimulated by the board AND possible answers. And I have used the site for personal reference also. Keep up the good work. Maribeth

 

Re: influence of site(Consumers should not treat) » AndrewB

Posted by Jim on December 8, 2000, at 20:15:29

In reply to Re: influence of site, posted by AndrewB on December 6, 2000, at 9:40:24

> Dr. Bob,
>
> This discussion came up before and some very good suggestions were posted as far as the content and administration of a survey given to those using this site. I found of paticular interest an offer from a grant wirter to put together a proposal for doing such a survey and to locate a funding source. The short term goal of a survey/grant would be to show the utility of such a site as a complement to psychiatric care. The long term goal, if the survey did indeed show the efficacy of this site, would be to obtain long term funding for the maitainance of this site from a government source.
>
> AndrewB

I'd like to make an important point, one also brought up the RN whom
added to this post.(Sorry, I can't recall your name.) I think we all
know the saying "The doctor who treats himself has a fool for a patient"
(or something like that). That is why doctors have their OWN family
doctors and such. Treating and prescribing for themselves is not healthy.
I have a Master's of Social Work Degree, and work in a Detox Centre,
but would never think of working in mental health. Why? That's where you
have to draw the line between consumer and pro. I cannot
inflict my personal values on my clients/consumers, as it would
not only be unethical, but of possible disasterous value.

I go to counselling, group therapy, and not one single person knows
I am a social worker, and I step out of that 'role', into that of
a person needing help. I don't go to meetings and "analyze" people or
try it on myself. It's pointless, and when I am there, I am known by my first name,
and that is all. That's the only way any of us can get help. If we did "know it all",
then why are we in the situation we are in?

I hope this helps some out there wondering about their 'career' roles and their
personal ones. Seperate them, and you most likely will find yourself
on a much easier road. Dr Bob, if you could comment please?
Thanks:-)

Jim

 

Re: influence of site(response to Andrew)

Posted by maribeth on December 9, 2000, at 7:55:20

In reply to Re: influence of site(Consumers should not treat) » AndrewB, posted by Jim on December 8, 2000, at 20:15:29

> > Dr. Bob,
> >
> > This discussion came up before and some very good suggestions were posted as far as the content and administration of a survey given to those using this site. I found of paticular interest an offer from a grant wirter to put together a proposal for doing such a survey and to locate a funding source. The short term goal of a survey/grant would be to show the utility of such a site as a complement to psychiatric care. The long term goal, if the survey did indeed show the efficacy of this site, would be to obtain long term funding for the maitainance of this site from a government source.
> >
> > AndrewB
>
> I'd like to make an important point, one also brought up the RN whom
> added to this post.(Sorry, I can't recall your name.) I think we all
> know the saying "The doctor who treats himself has a fool for a patient"
> (or something like that). That is why doctors have their OWN family
> doctors and such. Treating and prescribing for themselves is not healthy.
> I have a Master's of Social Work Degree, and work in a Detox Centre,
> but would never think of working in mental health. Why? That's where you
> have to draw the line between consumer and pro. I cannot
> inflict my personal values on my clients/consumers, as it would
> not only be unethical, but of possible disasterous value.
>
> I go to counselling, group therapy, and not one single person knows
> I am a social worker, and I step out of that 'role', into that of
> a person needing help. I don't go to meetings and "analyze" people or
> try it on myself. It's pointless, and when I am there, I am known by my first name,
> and that is all. That's the only way any of us can get help. If we did "know it all",
> then why are we in the situation we are in?
>
> I hope this helps some out there wondering about their 'career' roles and their
> personal ones. Seperate them, and you most likely will find yourself
> on a much easier road. Dr Bob, if you could comment please?
> Thanks:-)
>
> Jim

Andrew and all -
I agree with you 100%..
That is why neither my clients, both in and and out patient, nor the majority of my co-workers know my personal history. I have a professional "mentor" who is aware of my personal backround
and I have the option of removing myself from a case if I ever feel this to be necessary. I Have been in this position and have done this twice. My own thearpist and pdoc are associated
with another instition in another city. Both feel that this is a good arrangment; it has been in place for fourteen years and I will be retiring at the end of this year. Marybeth


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