Posted by shelliR on August 8, 2001, at 11:43:26
In reply to Re: Update » shelliR, posted by Elizabeth on August 8, 2001, at 5:21:49
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> > Well, I've already become tolerant to oxy in that it's taking 3 a day rather than two to eradicate the depression.
>
> Does that mean that they aren't lasting as long? That can be an early sign of tolerance.
I know I am becoming tolerant because sometimes 10mg is not enough and the depression is breaking through. Still, I don't worry too much about habituation. Life is too short to waste depressed and I have started parnate. Speaking of which,
today is my second day. So far no side effects or AD effects, but I am not expecting the anti-depressant effects to manifest as quickly as they did with Lorraine. That would be a nice surprise, but I am remembering my nardi experience. Still, I have had very good luck with drugs which don't make me feel drugged from the beginning. So I am optimistic and trying to be patient. It is fairly easy with the oxycontin to get me through.
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> > Well, they're doing pilot programs where psychologists are doing an extra two or three years post doc and can prescribe meds.
>
> I know, and I think that's a big mistake. There are all sorts of problems that come up: can they prescribe multiple drugs at a time? can they prescribe to medical patients who are already taking lots of other stuff? can they prescribe drugs that aren't considered to be "psychiatric drugs" for off-label uses or for side effects? can they order lab tests? etc. And of course: does a post-doctoral fellowship really prepare them to be able to do these things?Geez, Elizabeth. You sound exactly like a graduate of MIT who wants to go to medical school. :-)
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> > My therapist will be first in line if it comes to that. And guess what! I would not let her be my medicating psychologist. (surprise, surprise.)
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> I think I could have guessed that. < g > I wouldn't see a psychologist to prescribe medications at all. (My best
>psychotherapy experiences have been with psychiatrists, not psychologists, social workers, or "counselors.")I did placements on psych units as an undergraduate with the lamest residents. If I had to pick for therapy between psychiatrists vs. psychologists, (not knowing the individual), I'd go for the psychologist any time. They spend much more
of their time learning developmental stages and are better trained to do therapy. Sometimes residents don't even do therapy in their assignments, just basic hospital management of patients. The only counselors I've ever gone to have been body therapists also; one PhD in counseling; the other a MA. I can't understand why anyone would get a PhD in counseling, because that degree is not generally recognized by insurance companies. But it is as difficult, if not more so, to get into a clinical program for psychology,as medical school, because there are very limited spaces per school, like generally 8-12. So it may have been more practical for her to go on in counseling, especially if she was not willing to move (i.e., husband's job, kids in school here).Anyway, it is incredibly hot and I wish we would get one rain day for my flowers. Have you learned to drive yet?
Shelli
poster:shelliR
thread:67742
URL: http://www.dr-bob.org/babble/20010804/msgs/74147.html