Dr. Mike Trangle

I need to make sure I'm not withdrawing or using different chemicals, but then I might start somebody on a mood stabilizer, you know? It depends on which issue you're talking about.

I need to make sure I'm not withdrawing or using different chemicals, but then I might start somebody on a mood stabilizer, you know? It depends on which issue you're talking about.

You know, and in a lot of ways, you're putting your finger on a really important issue. It's like we have such a sprawling, complex sort of not even it's not a well-functioning system, but system of care. And people don't know how to get in. They don't know where to start.

You know, and in a lot of ways, you're putting your finger on a really important issue. It's like we have such a sprawling, complex sort of not even it's not a well-functioning system, but system of care. And people don't know how to get in. They don't know where to start.

You know, and the resources are such that the people that sort of have a good broad base and what's going on psychologically with therapy, with genetics, with medications, with drugs. But there's such a shortage of those people and it's hard to get in. It's like, we don't really have a system where you have somebody comprehensively looking at somebody and saying, this is who you should see.

You know, and the resources are such that the people that sort of have a good broad base and what's going on psychologically with therapy, with genetics, with medications, with drugs. But there's such a shortage of those people and it's hard to get in. It's like, we don't really have a system where you have somebody comprehensively looking at somebody and saying, this is who you should see.

You know what I mean? It's word of mouth. Can you go to your primary, you know, if you have a primary care doc, a good strategy is go to that doc and say, can you get me in to see somebody in your system? Assuming they're not at a small boutique private practice, you know?

You know what I mean? It's word of mouth. Can you go to your primary, you know, if you have a primary care doc, a good strategy is go to that doc and say, can you get me in to see somebody in your system? Assuming they're not at a small boutique private practice, you know?

uh but uh because the lack of resources and it seems like a lot of the systems of care the wagons have uh it's like a wagon train and they've circled the fire yeah protect themselves and if you're in the circle you can get in if you're not you're at a lot you know um

uh but uh because the lack of resources and it seems like a lot of the systems of care the wagons have uh it's like a wagon train and they've circled the fire yeah protect themselves and if you're in the circle you can get in if you're not you're at a lot you know um

and uh yeah you need to sort of go to see somebody who's whatever it is i'm i'm a devout freudian psychoanalyst or something you know and everybody i see needs analysis you know you want to see somebody that has a perspective and an open mind and can think about uh what really fits and best matches this particular patient you know yeah yeah yeah you know it seems like it's um

and uh yeah you need to sort of go to see somebody who's whatever it is i'm i'm a devout freudian psychoanalyst or something you know and everybody i see needs analysis you know you want to see somebody that has a perspective and an open mind and can think about uh what really fits and best matches this particular patient you know yeah yeah yeah you know it seems like it's um

But you should repeat that again. That is such a startling figure. 10% of people that acknowledge and think they have a problem can get in and get help.

But you should repeat that again. That is such a startling figure. 10% of people that acknowledge and think they have a problem can get in and get help.

I mean, it's just... You know, if that was happening with people with heart attacks, there really would be an uproar around it.

I mean, it's just... You know, if that was happening with people with heart attacks, there really would be an uproar around it.

It's kind of like what I was saying that the problem is worse and the access has been worse too. Exactly. And there's a whole host of reasons for it, ranging from underfunding the resources needed to evaluate and treat folks with mental health problems and substance use disorders,

It's kind of like what I was saying that the problem is worse and the access has been worse too. Exactly. And there's a whole host of reasons for it, ranging from underfunding the resources needed to evaluate and treat folks with mental health problems and substance use disorders,

um it uh it's changed a little bit now but it also you wouldn't get paid as a psychiatrist like you would as a cardiovascular surgeon right right the esteem isn't quite there so it's like uh and the payment wasn't there so it's like um and now we have a

um it uh it's changed a little bit now but it also you wouldn't get paid as a psychiatrist like you would as a cardiovascular surgeon right right the esteem isn't quite there so it's like uh and the payment wasn't there so it's like um and now we have a