Posted by Toby on September 15, 1998, at 8:36:57
In reply to Re: Buspar, posted by DL on September 14, 1998, at 20:41:23
There are more than 20,000 therapists trained in EMDR now and so it is highly likely that one or more will be on your insurance company's provider list. It's hard to say whether someone trained in cog-beh therapy would be likely to be trained in EMDR, but the reverse is almost sure to be true.
In regard to the Buspar, there are generally two camps of thought on it, as you have seen. Those who tried it early on when it was first released and found that it didn't work because they were using it in patients actively abusing substances or were using it in patients who didn't have the disorder that it is indicated for, which is generalized anxiety (to which I think social phobia is closely related). If they gave up on it at that point and didn't try it again or didn't mend their prescribing ways, they are going to think that Buspar doesn't work at all. Once a doctor gets comfortable with it in generalized anxiety disorder, he can begin to branch out a little in prescribing it for certain other patients for whom other medications don't do much and sometimes the chmistry works just right. These doctors have more confidence in Buspar because they've learned how to channel the medication toward the right patient. And that's more the art of medicine than the science.