Dr. Mike Trangle

You know, how do I want to say this exactly? Yes and no. Okay. I mean, behavior problems or EBD, emotionally, behaviorally disturbed, are more school education labels. And they're not clinical psychiatric diagnosis. Interesting.

You know, how do I want to say this exactly? Yes and no. Okay. I mean, behavior problems or EBD, emotionally, behaviorally disturbed, are more school education labels. And they're not clinical psychiatric diagnosis. Interesting.

Yeah, yeah. So when you say behavior problems or EBD, I don't know what it means. It means with a given patient and I've worked in hospitals for a long time, it's kind of meaningless, you know? It's like, what, what are the cluster of symptoms? What's the actual diagnosis, you know? And, um, generally, uh,

Yeah, yeah. So when you say behavior problems or EBD, I don't know what it means. It means with a given patient and I've worked in hospitals for a long time, it's kind of meaningless, you know? It's like, what, what are the cluster of symptoms? What's the actual diagnosis, you know? And, um, generally, uh,

uh these days psychiatric units are such a shortage of beds the people that get into psychiatric units are people that really are sort of like um if they wouldn't be there they wouldn't be safe yeah yeah yeah they're there for safety's sake not to control behavior per se yeah yeah yeah which of course which of course we we um causes its own reverberations down the pike

uh these days psychiatric units are such a shortage of beds the people that get into psychiatric units are people that really are sort of like um if they wouldn't be there they wouldn't be safe yeah yeah yeah they're there for safety's sake not to control behavior per se yeah yeah yeah which of course which of course we we um causes its own reverberations down the pike

If you're not going to treat them there, where do you treat them?

If you're not going to treat them there, where do you treat them?

problems is not necessarily ideal but if you don't have other places or ways to intensively engage not just the patient but the family you know to get them better they don't get better they just get kicked like a can getting kicked down the road you know they go to juvenile detention and they have something ordered but it doesn't really happen very reliably whether it's in-home other stuff and things just get worse if you have a system that's not been adequately funded

problems is not necessarily ideal but if you don't have other places or ways to intensively engage not just the patient but the family you know to get them better they don't get better they just get kicked like a can getting kicked down the road you know they go to juvenile detention and they have something ordered but it doesn't really happen very reliably whether it's in-home other stuff and things just get worse if you have a system that's not been adequately funded

they tend to not be the panacea that people tend to think or that tends to be sort of highlighted in dramatic movies and TV shows. Yeah, yeah, yeah, yeah. And even if they do work, they oftentimes have some side effects

they tend to not be the panacea that people tend to think or that tends to be sort of highlighted in dramatic movies and TV shows. Yeah, yeah, yeah, yeah. And even if they do work, they oftentimes have some side effects

that uh mean and if you're talking about for people with schizophrenia or psychosis it's more than a little you know they have significant side effects that cause people to say it may not be worth it you know yeah um

that uh mean and if you're talking about for people with schizophrenia or psychosis it's more than a little you know they have significant side effects that cause people to say it may not be worth it you know yeah um

But it's like you almost always need to do working with the individual and the family and their psychology and the kind of lives they live and what kind of support systems they have, how they think of themselves, what can they do differently, whether it's cognitive behavioral therapy, other kinds of things. You want to sort of do a balanced approach that's not one simplistic answer.

But it's like you almost always need to do working with the individual and the family and their psychology and the kind of lives they live and what kind of support systems they have, how they think of themselves, what can they do differently, whether it's cognitive behavioral therapy, other kinds of things. You want to sort of do a balanced approach that's not one simplistic answer.

Well, you know, part of what I thought you were going to ask more about, I got a million statistics, but it's the same as what I've already said. So I don't think to go over adolescents versus adults. Yeah, we'll get into that for sure. But if you think about access, I don't think it's a simple thing. And it's like, You know, you got the stigma, you got the expense involved.

Well, you know, part of what I thought you were going to ask more about, I got a million statistics, but it's the same as what I've already said. So I don't think to go over adolescents versus adults. Yeah, we'll get into that for sure. But if you think about access, I don't think it's a simple thing. And it's like, You know, you got the stigma, you got the expense involved.

Some of the data that I have here shows that if you have private insurance, the co-pays are about twice as much for mental health, even now. And the deductibles compared to medical things. So that hasn't stopped. It's. workforce issues, it's balance of life issues, you know, and you got to know you have a problem, you know, and it's not a lot of people don't know what they have.

Some of the data that I have here shows that if you have private insurance, the co-pays are about twice as much for mental health, even now. And the deductibles compared to medical things. So that hasn't stopped. It's. workforce issues, it's balance of life issues, you know, and you got to know you have a problem, you know, and it's not a lot of people don't know what they have.