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Talk Isn't as Cheap as Drugs
This article in today's NY Times has generated considerable discussion.
Here's my take:
- 39 patients in a day: too many for me
- Dr. Levin has a right to practice as he chooses
- Dr. Levin's wife's role counts. She's appears to do things many psychiatrists would incorporate into their own roles. This makes the 39 patient count more reasonable.
- Dr. Levin must be doing something right to attract so many patients.
- Dr. Levin may be a lot better at psychopharmacotherapy now that he is doing so much of it.
- Dr. Levin needs to get a... blog. Or maybe tweets would suit his practice better.
- Sometimes 15' is more than enough time.
- Sometimes 50' is not enough time.
- Dr. Levin should have told his drinking patient to stop, if only because of potential interaction with prescribed drugs, and recommended appropriate help if needed. He could even have prescribed a drug to help him stop drinking.
- Many patients just don't want psychotherapy and shouldn't be forced into it.
It's not all about the money:
- Dr. Levin's patients get to choose their psychotherapist. They are not stuck with him.
- Dr. Levin's patients can get the type of psychotherapy best suited to their diagnosis, not just the kind that he happens to practice.
- Dr. Levin's patients don't have to get psychotherapy at all unless they want it.
- Dr. Levin's patients get to start and stop psychotherapy independently of medication.
- Dr. Levin's patients get to start and stop medication independently of psychotherapy.
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