Posted by Simon Sobo, M.D. on September 15, 2010, at 20:39:57
In reply to Re: hrguru - Re: Anti-psychotics not mood stabilizers? » Simon Sobo, M.D., posted by Phillipa on September 15, 2010, at 19:58:47
> Very familiar with New Milford Ct being originally from CT any chance you know a pdoc from Wilton Dr Richard Hamilton as he was mine and wonderful. When I move to VA Beach area a psychiatrist I worked with labeled all his patients bipolar said they had been misdiagnosed if had another diagnosis. They were given lithium. He didn't go by lithium levels if they were low the patients response to them. Also quite a few Alchohoics received lithium and they looked relaxed in about two days. Now when I had pms and this was a very friendly and respected RN's greatly he would say dissolve small amount of lithium in a solution and drink and it would eliminate it. I'm really learning a lot from your posts and hope you stay awhile. Would love to here of Dr. Hamilton practiced in Norwalk Hospital. Phillipa a great doc in my opinion of course>
Don't know the doctors you mentioned. I find the story about adding lithium for PMS fascinating. I don't have the balls to do something like that and I just can't bring myself to call it BP so it is "legitimate" to do it. I'm a real chicken. I criticize the mainstream for their obsession with diagnoses, and while I make a case for using meds for the particular psychological effect I think they have. and try to integrate that with what the patient seems to need regardless of diagnosi., It never occurred to me to use lithium that way. Perhaps that is because I don't really have a feel for what it does psychologically. I know it helps bipolar and sometimes unresponsive depressions but I just don't understand the psychological effects like I do SSRI and dopamine agonists
the real killer is that there is no journal where me and other clinicians of like mind could communicate their opinions and observations so that we might educate each other ( thereby helping patients with oriIginal sensible treatments.) The journals are all of the variety manifested by the other poster's point of view. It rules all of the journals. Like what numbers can you cite as "evidence." Otherwise there is nothing to talk about.
Frankly, I've given up. I tried to sell this point of view to the main journals, but they are locked tight in their paradigm. This is the first writing I've done in psychiatry in quite some time. I've turned to screenwriting. Now that is a very hard business to get a foot through the door. Anyone know someone?
As for posting here. It probably won't be long. My bluntness usually sets people off and pretty soon the squabbling begins. It's my fault as much as my critics. I could be nicer, but I am at an age where you start to get grumpy, or you don't have to make believe you are a goody goody person. I value frank talk more than nice nice talk. Like everyone else, however, I don't like where the frankness too easily leads. Useless "I am smarter than you" competitions. Later that night I can awake from a nightmare where I am a dummy. It really sucks
But thank you for appreciating my company. Believe it or not I like that as much as anyone else.
poster:Simon Sobo, M.D.
thread:960844
URL: http://www.dr-bob.org/babble/20100908/msgs/962530.html