can feel a lot like going on an uncomfortable first date . When it’s time to meet in person, you’re likely feeling nervous and skeptical that this complete stranger could actually improve your life and have your best interests in mind at all times. But you’re also hopeful that something good might just come out of this and it won’t be a total flop. Maybe you keep your guard up and put out feelers throughout the first visit to see if you can actually vibe with this person.
Due to our ability to prescribe and our medical background, psychiatrists often see people with more severe mental illness. Typically, therapy alone is a first step for many illnesses, and medication is considered as a next step if needed. However, the reverse is not true, meaning if you feel you want to see a psychiatrist, that does not necessarily mean you have a serious mental illness. We still see patients for psychotherapy alone.
When it comes to psychiatry specifically, we also do document each visit like other providers do with medical records, mostly for insurance purposes. These notes, again, are confidential. In most institutions, psychiatry notes are protected and require an additional level of clearance to even be seen by other providers. Psychiatrists often will put minimal details in the notes, particularly in regards to psychotherapy, to further protect the sanctity of the patient-provider relationship.
Jack Turban, M.D., a fellow in child and adolescent psychiatry at Stanford University School of Medicine, where he researches LGBTQ mental health, recommends one additional screening question for his LGBTQ patients: Asking providers if they know anything about or have heard of, which he describes as, “the predominant framework for understanding mental health disparities among LGBTQ people.
If I think that medication could benefit you, I will present my case to you for why I think medication would help, what medication in particular I think makes sense, the risks of that medication, the benefits of that medication, and the alternatives to that medication. Then, it’s really up to you whether you actually want to take the medication.
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