(Unhinged) [Read] ✓ Daniel J. Carlat

Daniel J. Carlat Ñ 5 Summary

Unhinged

Free read Unhinged review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary IN 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 lucrative practice of simply prescribing drugs with a host of deeply troubling conseuences Psychiatrists have settled for treating symptoms rather than causes embracing the apparent medic I think that if I were not myself a psychiatrist and privy to much of the information Dr Carlat is as well as having had similar experiences I might have found this book engaging As it was it felt like reading a guidebook to your hometown written by a another townie who is eually aware of the terrain the locals and the pros and cons of the place There was little in this book I hadn t already contemplated myself I do take issue with the idea that all psychiatrists are on the same page or should be regarding attending medical school I specifically choose to work with very medically illfragile patients and collaborate with other physicians closely in their care I am freuently ruling out medical contributors to diagnoses performing neurological exams on patients and check for drug drug interactions I am also interested in palliative care and might consider working as a medical director of a hospice which is a role a psychiatrist can take Given all that my view of what the role of a psychiatrist is and how to best train for that is decidedly different than Dr Carlat s Also perhaps because he trained earlier than I did he is pessimistic than I am about the profession I know physicians in my town who earn a reasonable living doing medication management and psychotherapy with one hour long visits and I think residents at my training institution are trained to be highly skeptical of medical literature as well as leery of linking themselves to Big Pharma commonly regarded as selling your soul to industry Many challenges await all fields of medicine at this juncture in our society not just psychiatry Anyway an easy read and good food for thought

Free read Unhinged

Free read Unhinged review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary The risks of the cocktails of medications so many patients are put on Especially disturbing are the terrible conseuences 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 disuieting and harmful ways and as diagnoses and misdiagnoses of mental disorders skyrocket it’s essential that Dr Carlat’s bold call for reform is heed A mainstream psychiatrist Carlat gives an inside view of the many problems and pitfalls in current psychiatry He emphasizes that the causes of psychiatric conditions are not understood that the chemical imbalance theory is unconfirmed that no one understands why psychological drugs work at all or why they work for one patient and not another and admits that the choice of which drug to prescribe is largely arbitrary He also makes plain the tremendous and unwholesome influence of drug companies on drug testing doctors prescription choices overprescription and the material published about treatments in the professional journals and newsletters as well as the harm of the common practice of direct payments to psychiatrists to help promote a company s products to other doctors He also comments on the role of insurance company reimbursement policies and psychiatrists economic self interest in promoting drug oriented treatment that discourage other types of therapy or getting to know patients as people and suggests how psychiatrists might deal with this situation constructively

review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat

Free read Unhinged review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary Al rigor of DSM diagnoses and prescription in place of learning the 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 patients and 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 book s subtitle basically says it allCarlat writes in clear accessible prose about a number of problems within the field of psychiatry First of all there is the slightly troublesome procedure for diagnosing mental illness Based on an interview with a patient a psychiatrist fairly subjectively using his observational skills and experience matches up what he sees in the patient with a description essentially a list of symptoms of one of the psychiatric conditions that appear in the Diagnostic and Statistical Manual of the American Psychiatric Association No laboratory or diagnostic imaging tests exist to diagnose mental illnesses For many conditions symptoms overlap This means a patient could potentially visit three different psychiatrists and end up with three different diagnosesOnce a diagnosis is made there s the problem of what to prescribe No one is uite clear on how psychoactive medications even work Since there are large numbers of me too drugs modelled on the initial big sellers like Prozac choosing one medication over another is tricky The drugs intended to be used for a particular psychiatric disorder can be chemically very similar Ultimately the decision might be based on a psychiatrist s own preferences or on the patient s trial and error A related problem is that the pharmaceutical industry currently doesn t find developing new psychiatric drugs a financially rewarding pursuit Scientists are not clear on the causes of mental illness If you don t know enough about the actual biological condition causing the problem how do you treat it For now it s about symptom reduction than real understanding in spite of all the fancy talk you ve heard about chemical imbalances in the brain or insufficient serotonin Carlat also discusses psychiatrists lucrative and highly problematic relationship with the pharmaceutical industry He presents a number of prominent cases in which big name psychiatrist researchers were less than forthcoming about their work with major drug companies These psychiatrists withheld information about pharmaceutical affiliations from the university and hospital research facilities that employed them conveniently receiving federal grant money to investigate the very drugs that companies wanted them to push Studies were not uncommonly conducted or precisely manipulated in such a way as to prove the efficacy of those psychoactive drugs or even to expand their use to new patient populations Powerful antipsychotics were for example increasingly being dispensed to young children who d been given the controversial diagnosis of bipolar disorderMost psychiatrists nowadays are psychopharmacologists or pill pushers writes Carlat They practice no psychotherapy rather they refer patients to psychologists and other mental health counsellors Psychotherapy is time consuming and it simply doesn t pay well enough to make it worth a psychiatrist s while In referring patients to other professionals however psychiatrists can miss out on critical information about patients daily lives relationships and thought processesCarlat believes that psychiatric education needs to be reconfigured Traditional medical education with student rotations through a variety of specialties from surgery to obstetrics he says is simply not useful to a person who wants to pursue a career in psychiatry Carlat also believes that the training of clinical psychologists could be expanded so that these mental health professionals could prescribe psychoactive medicationsCarlat s book is now a decade old but based on some of the recent mental health memoirs I ve read not a great deal has changed within psychiatry Some of the material is a bit dated but the facts seem to basically stand


10 thoughts on “(Unhinged) [Read] ✓ Daniel J. Carlat

  1. says: (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat I think that if I were not myself a psychiatrist and privy to much of the information Dr Carlat is as well as having had si

  2. says: Daniel J. Carlat Ñ 5 Summary review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat uick and informative read leaving me with a dilemma how can I recommend to my son that he follow a career in psychiatry when the training lasts 12 years 6 of which seem unnecessary and wasteful And when the training is complete psycho

  3. says: (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary Excellent review of this and three other books dealing with the crisis in psychiatry in the NYRB Part 1 2

  4. says: Free read Unhinged (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat Free read Unhinged To me this was by far one of the better books written on mental health from a psychiatrist's perspective It helped you understand what is good as well as what is lacking in the mental health field Well worth checking out

  5. says: (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat The book’s subtitle basically says it allCarlat writes in clear accessible prose about a number of problems within the field of psychiatry First of all there is the slightly troublesome “procedure” for diagnosing mental illness Based on an interview with a patient a psychiatrist fairly subjectively using his observational skills and ex

  6. says: (Unhinged) [Read] ✓ Daniel J. Carlat

    Daniel J. Carlat Ñ 5 Summary (Unhinged) [Read] ✓ Daniel J. Carlat As books written by mainstream psychiatrists go this is one one of the best and most honest that I have read Daniel Carlat has had the courage to express his major concerns about psychiatry He has also discussed what he see

  7. says: (Unhinged) [Read] ✓ Daniel J. Carlat Free read Unhinged

    review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat (Unhinged) [Read] ✓ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary In the US there is growing concern that doctors are overprescribing medicine as the answer for patients with mental health and behavior problem

  8. says: Free read Unhinged (Unhinged) [Read] ✓ Daniel J. Carlat review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat

    review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary (Unhinged) [Read] ✓ Daniel J. Carlat As someone who has written a good bit of health journalism in my career I'm aware of how easy it is for a health story to be influenced by bias whether it be a well written PR piece that comes across your desk when you have a deadline looming you may or may not be surprised to learn how many stories in newspapers and magaz

  9. says: (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat A mainstream psychiatrist Carlat gives an inside view of the many problems and pitfalls in current psychiatry He emphasizes that the causes of p

  10. says: (Unhinged) [Read] ✓ Daniel J. Carlat

    (Unhinged) [Read] ✓ Daniel J. Carlat Daniel J. Carlat Ñ 5 Summary review ï PDF, eBook or Kindle ePUB free Ñ Daniel J. Carlat I feel that I learned a great deal about psychiatry from reading this book Why do psychiatrists only spend 20 minutes with each patient Insurance reimbursement answers that uestion More importantly the book describes how psychiatry differs from other medical fields insofar as the biological causes of mental illness are not well understood T

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