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How important is having same psychiatrist for longer time?
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<blockquote data-quote="SuZir" data-source="post: 637203" data-attributes="member: 14557"><p>Yeah, I have used few hours to making calls and this is very evident.</p><p></p><p>I do get that these private clinics get their bread from employers who are law required to offer certain services in private side for their employees, and many offer little more; and their butter comes from parents of young children, who need a doctor after hours for small ailments and don't feel like waiting in ER for even hours with child with the ear infection or just a cold and little fever (we have law guaranteed paid sick leaves and even paid leaves to take care of our sick young kids, but of course many employers want the doctors note to verify the sickness/sick child.) I understand, that they do not want druggies or disorderly people to their lobbies.</p><p></p><p>I understand well why almost every psychiatrist in these clinics tell straight out that they will either not prescribe benzos at all (the most common drug of choice for our drug addicts) or not after one visit or at least that they will not re-prescribe other doctor's prescriptions of anything, and that is certainly not a problem, but it really seems, that they also really do cherry pick based on demographics and diagnoses. If I don't get "Sorry, can't help you" right after the '21-year-old male'-part, it comes after 'PTSD and dissociative' or in the latest after 'self-harm.' And I'm not even stupid enough to mention anything about addictions...</p><p></p><p>I already found this so futile, that I changed tactics and called difficult child's godmother to ask how to get around this. Had to tell here bit more than difficult child would had maybe liked me to tell, but she could maybe help getting around the gatekeepers. While she as a pathologist only works on public side, she has lots of friends and old medication school buddies working in these clinics, also psychiatrists, and her current husband (not a psychiatrist either but a endocrinologist) is part of administration of one of the big ones. She promised to ask around and said that she is fairly sure she can get difficult child around the gatekeepers by giving personal guarantee that difficult child showers regularly and knows how to behave indoors.</p><p></p><p>Of course waiting lists especially for more renowned ones are long, but they should release difficult child from hospital with diagnosis and medication for now and also referral to public side to continue the treatment right after, so we do have time to wait for longer term solution to psychiatrist issue. difficult child also has a year and half funding left for his rehabilitating therapy, so he doesn't need a new paper work from psychiatrist for that.</p><p></p><p>Very, very few psychiatrists around here do much at all counselling (and those who do, do it at public side) so what we are looking now is more the medication management.</p><p></p><p>Of course same, or worse, will likely be true, when he starts to look for new therapist for rehabilitating therapy. Self-harmers are not popular patients...</p></blockquote><p></p>
[QUOTE="SuZir, post: 637203, member: 14557"] Yeah, I have used few hours to making calls and this is very evident. I do get that these private clinics get their bread from employers who are law required to offer certain services in private side for their employees, and many offer little more; and their butter comes from parents of young children, who need a doctor after hours for small ailments and don't feel like waiting in ER for even hours with child with the ear infection or just a cold and little fever (we have law guaranteed paid sick leaves and even paid leaves to take care of our sick young kids, but of course many employers want the doctors note to verify the sickness/sick child.) I understand, that they do not want druggies or disorderly people to their lobbies. I understand well why almost every psychiatrist in these clinics tell straight out that they will either not prescribe benzos at all (the most common drug of choice for our drug addicts) or not after one visit or at least that they will not re-prescribe other doctor's prescriptions of anything, and that is certainly not a problem, but it really seems, that they also really do cherry pick based on demographics and diagnoses. If I don't get "Sorry, can't help you" right after the '21-year-old male'-part, it comes after 'PTSD and dissociative' or in the latest after 'self-harm.' And I'm not even stupid enough to mention anything about addictions... I already found this so futile, that I changed tactics and called difficult child's godmother to ask how to get around this. Had to tell here bit more than difficult child would had maybe liked me to tell, but she could maybe help getting around the gatekeepers. While she as a pathologist only works on public side, she has lots of friends and old medication school buddies working in these clinics, also psychiatrists, and her current husband (not a psychiatrist either but a endocrinologist) is part of administration of one of the big ones. She promised to ask around and said that she is fairly sure she can get difficult child around the gatekeepers by giving personal guarantee that difficult child showers regularly and knows how to behave indoors. Of course waiting lists especially for more renowned ones are long, but they should release difficult child from hospital with diagnosis and medication for now and also referral to public side to continue the treatment right after, so we do have time to wait for longer term solution to psychiatrist issue. difficult child also has a year and half funding left for his rehabilitating therapy, so he doesn't need a new paper work from psychiatrist for that. Very, very few psychiatrists around here do much at all counselling (and those who do, do it at public side) so what we are looking now is more the medication management. Of course same, or worse, will likely be true, when he starts to look for new therapist for rehabilitating therapy. Self-harmers are not popular patients... [/QUOTE]
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