Posted by morgan miller on August 12, 2010, at 0:53:34
In reply to Re: Off Lexapro? - apathy syndrome //Help!, posted by emmanuel98 on August 11, 2010, at 20:57:36
> lucky for me that when I was looking for a p-doc, I really liked him and asked him if he would also do therapy with me, and he agreed. This is the ideal. A p-doc who really knows you, knows the difference between when you are in a severe biological depression and when you are just unhappy or despairing over emotional stuff.
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> Sadly, most p-docs don't do much therapy today (though they are trained in it) because they can make more money doing 3 med consults in an hour than doing an hour of therapy (the insurance payment and my copay nets my p-doc $115 an hour, which isn't much to maintain an office, several phones, malpractice insurance and the rest). If he did 3-4 med consults he could make from 180-240 an hour.
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> But having your p-doc as a therapist is the ideal situation. For me it has been a "good fit." As he said once, we make a "good team." This isn't always the case, unfortunately.I find that p-docs usually do not make the greatest therapists as they tend to lack the capacity of empathy and compassion that a really good psychodynamic therapist has. I also prefer my therapists to be down to earth and easy to talk to, this is rare amongst psychiatrists.
poster:morgan miller
thread:957856
URL: http://www.dr-bob.org/babble/20100811/msgs/958312.html