Lancet Psychiatry: Per Fink and Sharpe recommends more intensive CBT for the severely ill

[Snowdrop]

Wow. One-upping the BPS school to Machiavelli Medicine.

 

[out2lunch]

Has anyone else noticed the inverse correlation over the past two decades of junk psychiatric studies such as this one increasing as the field of orthomolecular psychiatry shrinks?

WTF happened to orthomolecular psychiatry? Those were the only doctors connected to mental health that ever helped me. They were the ones who understood patients like us, who saw behavioral dysfunction as the result of screwed up metabolisms and bad genes. They rightfully combined the talk-talk with the diagnostic and nutritional/chemical corrective therapies, synergistically utilizing one in support of the other.

But these newer doctors who focus strictly on the talk-talk as some magical panacea for our disease... they don't believe in the orthomolecular model. Everything is locked up in a dysfunctional mind. Nothing could possibly be wrong with the body first, resulting in downstream psychological problems. For these brainiacs, the entire professional history of orthomolecular psychiatry doesn't exist.

I've stated it before. I'll state it again. This entire roadside freak show is nothing but fiscal sleight-of-hand to justify cost reductions in treating patients like us. These medical midgets are working at the behest of those who stand to gain financially by denying us proper care.

Talk-talk psychiatry is infinitely less expensive than orthomolecular psychiatry, which is why it's so difficult to find any practitioners of OMP these days. The major hospitals and research clinics have pretty much pushed them out in waves of staff reductions designed to trim labor costs. Talk-talk practitioners don't have to be MDs, so big savings for HMOs and insurance providers if everyone treating the "Somatization Sickos" works in the psychotherapy departments with only Master's degrees or PhDs.

Somatization is the darling of the for-profit healthcare industry, or any group responsible for reducing healthcare budgets overall. Sticking patients with somatization labels conveniently gives the accountants an exit strategy for curbing costs. And these days, that's all that matters to these clowns. Keep executives or officials running the healthcare big top in the black and extremely well compensated, even if it means sacrificing any hope of healing your patients or at least keeping them from committing suicide out of sheer desperation and hopelessness.

Somatization is the true evil that needs to be dismissed permanently a la "bad mothering" as the cause of autism and "too much stress" as the cause of h pylori infected gastric ulcers.

 

[ahmo]

Who even does talk-talk any more? It's just rx,rx these days.

 

[out2lunch]

Who even does talk-talk any more? It's just rx,rx these days.

The HMOs like Kaiser are infamous for attempting to talk-talk your troubles away.

Sure, the licensed social worker will turn to his/her boss for an anti-depressant or anti-anxiety prescription. That's a given. But talk-talk is still part of the therapy, mostly in an attempt to help you cope with the somatization diagnosis you've been saddled with by a non-specialist GP.

Several years before I left Kaiser, there was a dustup in their local psych dept about the unexpected demise of their chronic illness support group. The big bosses pulled the plug and disbanded it without warning nor explanation. Reliable rumor placed the blame on management's anger over stories that the support group was nothing more than a monthly gripe session over lack of adequate healthcare.

 

[IreneF]

The HMOs like Kaiser are infamous for attempting to talk-talk your troubles away.

Sure, the licensed social worker will turn to his/her boss for an anti-depressant or anti-anxiety prescription. That's a given. But talk-talk is still part of the therapy, mostly in an attempt to help you cope with the somatization diagnosis you've been saddled with by a non-specialist GP.

Several years before I left Kaiser, there was a dustup in their local psych dept about the unexpected demise of their chronic illness support group. The big bosses pulled the plug and disbanded it without warning nor explanation. Reliable rumor placed the blame on management's anger over stories that the support group was nothing more than a monthly gripe session over lack of adequate healthcare.

At the beginning of the year, Kaiser mental health workers went on strike because of inadequate psychiatric care, even after the state of Calif. fined Kaiser $4 million.
http://www.huffingtonpost.com/sal-rosselli/why-kaiser-mental-health-_b_6453784.html

 

[WillowJ]

I think "we need to use more CBT" is an admission that:

1) the modalities aren't working and
2) the investigators don't have enough imagination to figure out what else to think about.

 

[simlaw2]

I admit that I have ME and so I am starting the 12 step program to change my faulty belief pattern and try to make amends.
Seriously, I am glad I moved stateside from poor old Blighty the loonies have taken over the asylum.

 

[alex3619]

I think "we need to use more CBT" is an admission that:

1) the modalities aren't working and
2) the investigators don't have enough imagination to figure out what else to think about.

I have an old solution:
http://forums.phoenixrising.me/index.php?entries/evil-spirit-therapy-for-cfs-a-satirical-chant.732/

 

[skipskip30]

So it doesn't work for severely ill patients, therefore give them more?

If it only takes this kind of logic to be a doctor then I should apply!

 

[Esther12]

Just to let people know that the study they re-analysed data from was discussed in this thread: http://forums.phoenixrising.me/inde...atic-syndromes-rct-schröder-et-al-2012.17623/

(We've learnt a lot since then!)