Doctor Mike

Maybe you don't even make that distinction when you see patients, but they are working off something that they saw somewhere else and they expected something completely different than what you were offering them.

Can you take us through some of the different modalities?

You started mentioning them already, but I think it's cool to lay it out for people.

Have there been, I mean, I know they've existed to some degree, maybe wars is a bit of a strong word, but disagreements about is psychodynamic therapy the right approach versus CBT versus analyzing?

What has shifted and what has been sort of the mainstay, if any?

And how does medication start playing a role into the therapy modalities with your patients?

Yeah, psychologist is talk therapy, psychiatrists, usually medication, but also could be therapy as well.

Have you felt like over the years since you've been in practice, there's been an uptake with comfort surrounding medication or a higher reluctance to want to be on medication?

Yeah.

I imagine it's tough for someone who's being recommended to take a medication that we as medical providers say we don't have a perfect understanding of why or how it works.

How do you manage that?

Do you ever feel like, has it ever happened that you recommend a medication to a patient?

You're like, man, I know this is a good candidate.

This is a great case for it.

But the patient is just reluctant for cultural reasons or reasons that perhaps are not medically sound in nature.

And you're very frustrated that you want to be able to help them and you know this is a potential way of helping them.

What do you do in those scenarios?

Has there been a good example in pop culture of medication or the use of medication that you thought stands out?

Yeah.

I think about how a single hit TV show, episode, movie can really harm our ability to practice quality help for our patients.