Unhinged: The Trouble with Psychiatry - A Doctors Revelations about a Profession in Crisis by Daniel J. CarlatIN THIS STIRRING AND BEAUTIFULLY WRITTEN WAKE-UP CALL, psychiatrist Daniel Carlat exposes deeply disturbing problems plaguing his profession, revealing the ways it has abandoned its essential purpose: to understand the mind, so that psychiatrists can heal mental illness and not just treat symptoms. As he did in his hard-hitting and widely read New York Times Magazine article Dr. Drug Rep, and as he continues to do in his popular watchdog newsletter, The Carlat Psychiatry Report, he writes with bracing honesty about how psychiatry has so largely forsaken the practice of talk therapy for the seductive—and more lucrative—practice of simply prescribing drugs, with a host of deeply troubling consequences.
Psychiatrists have settled for treating symptoms rather than causes, embracing the apparent medical rigor of DSM diagnoses and prescription in place of learning the more challenging craft of therapeutic counseling, gaining only limited understanding of their patients’ lives. Talk therapy takes time, whereas the fifteen-minute med check allows for more patients and more insurance company reimbursement. Yet DSM diagnoses, he shows, are premised on a good deal less science than we would think.
Writing from an insider’s perspective, with refreshing forthrightness about his own daily struggles as a practitioner, Dr. Carlat shares a wealth of stories from his own practice and those of others that demonstrate the glaring shortcomings of the standard fifteen-minute patient visit. He also reveals the dangers of rampant diagnoses of bipolar disorder, ADHD, and other popular psychiatric disorders, and exposes the risks of the cocktails of medications so many patients are put on. Especially disturbing are the terrible consequences of overprescription of drugs to children of ever younger ages. Taking us on a tour of the world of pharmaceutical marketing, he also reveals the inner workings of collusion between psychiatrists and drug companies.
Concluding with a road map for exactly how the profession should be reformed, Unhinged is vital reading for all those in treatment or considering it, as well as a stirring call to action for the large community of psychiatrists themselves. As physicians and drug companies continue to work together in disquieting and harmful ways, and as diagnoses—and misdiagnoses—of mental disorders skyrocket, it’s essential that Dr. Carlat’s bold call for reform is heeded.
Psychiatrist, Sleep Medicine Specialist: Sushrusha Arjyal, MD
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In this career summary, you will find out what the job of A Psychiatrist is about and what it is like. After reading this, you will have a good idea on what the job is about and decide if this is the right career for you. Psychiatrists prescribe, direct, or administer psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders. Interested in becoming A Psychiatrist? Find the right schools that can help you to become one.
A psychiatrist is a physician who diagnoses and treats health conditions related to the mind. If you have a strong ability to listen, show compassion for someone struggling with depression, anxiety or substance abuse, psychiatry can be a rewarding career. However, psychiatrists do face some challenges in the profession. On the whole, psychiatrists are well-paid, as is common in medical professions. However, an October "Medscape" article noted a significant gender imbalance in pay.
Learn something new every day More Info The pros and cons of a psychiatry major may vary depending on the person who is considering it. For many people, however, the major pro of a psychiatry major is the chance to study a subject that interests them. Some people might also consider the chance to become a doctor and prescribe medicine in addition to providing counseling among the pros. The fact that residency training provides a salary can be seen as a positive as well. When people consider the pros of a psychiatry major, they may focus on the fact that this major leads to a degree in medicine.
Psychiatrists are charged with the daunting task of diagnosing and treating patients with mental health disorders. In addition to state licensing and certification, psychiatrists must first complete four years of medical school and three or four years of psychiatric residency.
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Psychiatrist: David Daniels, MD
I am a junior at democracy prep charter school and i am interested in majoring in psycology. A psychiatrist is someone who has first qualified as a physician, going to medical school and getting an MD, before then specializing in psychiatry. Thus, one con is that it takes a lot longer and costs a lot more to be a psychiatrist than to be, for example, a clinical psychologist. A clinical psychologist is an expert in mental health issues who has obtained a professional doctorate in clinical psychology. This doctorate usually also costs money, unless you do one in clinical science, where funding is available though these are harder to get into. Two benefits of being a psychiatrist over a clinical psychologist is that psychiatrists earn more money, and are allowed to prescribe drugs. They are thus seen as 'higher status' than psychologists within a hospital setting.