Dr. Mike Trangle

It's not like I got chest pain. I mean, if somebody has a panic attack, they're probably going to end up in the ER, but otherwise it's something's wrong, but it's not what you don't know what it is necessarily. You got to figure out, I have a problem. And a lot of times, you know, people sort of just say, what's the matter with me? You know, I'm just not thinking clearly.

It's not like I got chest pain. I mean, if somebody has a panic attack, they're probably going to end up in the ER, but otherwise it's something's wrong, but it's not what you don't know what it is necessarily. You got to figure out, I have a problem. And a lot of times, you know, people sort of just say, what's the matter with me? You know, I'm just not thinking clearly.

I got to like get through this. I got to, I'm not, what am I, too wimpy or something? And you don't know that you need help. And then you got to feel like it's okay if I need help. And then you actually have to get in.

I got to like get through this. I got to, I'm not, what am I, too wimpy or something? And you don't know that you need help. And then you got to feel like it's okay if I need help. And then you actually have to get in.

and find out whether you can you know get in and and since there's a shortage it's not easy to get in you got to jump through a number of hoops you got waiting lists yeah the uh if you look at the health plan networks they oftentimes have phantom people in them you know uh people that aren't taking anymore and that kind of stuff um So it's just not easy, you know.

and find out whether you can you know get in and and since there's a shortage it's not easy to get in you got to jump through a number of hoops you got waiting lists yeah the uh if you look at the health plan networks they oftentimes have phantom people in them you know uh people that aren't taking anymore and that kind of stuff um So it's just not easy, you know.

And there are a lot of barriers to surmount to think about, know what you want to do, and then actually get in. I'm on the board of Minnesota Konami, and they do an annual survey. We do an annual survey. And what they found, it's not really statistically, it's not like publishable.

And there are a lot of barriers to surmount to think about, know what you want to do, and then actually get in. I'm on the board of Minnesota Konami, and they do an annual survey. We do an annual survey. And what they found, it's not really statistically, it's not like publishable.

in terms of the rigor you know um but what they found is uh people had a great difficulty accessing all different kinds of services whether it's inpatient beds whether it's residential treatment whether it's just psychiatry especially child psychiatry or therapy and they found out especially for psychiatry that a lot of people just give up and stop trying

in terms of the rigor you know um but what they found is uh people had a great difficulty accessing all different kinds of services whether it's inpatient beds whether it's residential treatment whether it's just psychiatry especially child psychiatry or therapy and they found out especially for psychiatry that a lot of people just give up and stop trying

they can't get in they call so and so so many people they're not taking they're not even on the list anymore blah blah blah they don't take insurance you know right but it's not easy and a significant percentage of people just stop and they give up and they just never get in so mike let me ask you we did we did a show um

they can't get in they call so and so so many people they're not taking they're not even on the list anymore blah blah blah they don't take insurance you know right but it's not easy and a significant percentage of people just stop and they give up and they just never get in so mike let me ask you we did we did a show um

Yeah, you have to, if I have a patient coming to see a new person, you know, if I'm Um, let me, let me back up a second.

Yeah, you have to, if I have a patient coming to see a new person, you know, if I'm Um, let me, let me back up a second.

Say I have a mental health issue and depending what it is, you know, if you look at the two most common things, anxiety disorders and depression, you know, I'm really pretty fearful and nervous and scared about, I'm going to see someone, I don't know what the heck this person is going to do for. And, um, I don't trust it necessarily. I'm kind of vigilant and, uh, um,

Say I have a mental health issue and depending what it is, you know, if you look at the two most common things, anxiety disorders and depression, you know, I'm really pretty fearful and nervous and scared about, I'm going to see someone, I don't know what the heck this person is going to do for. And, um, I don't trust it necessarily. I'm kind of vigilant and, uh, um,

finding someone who is a good match that could kind of get me and that I can learn to trust is huge, you know, or if I'm depressed, the issue is I'm not myself. I have no energy. I have no initiative, you know, um, I was sort of one of the leaders of a diamond study that happened in Minnesota.

finding someone who is a good match that could kind of get me and that I can learn to trust is huge, you know, or if I'm depressed, the issue is I'm not myself. I have no energy. I have no initiative, you know, um, I was sort of one of the leaders of a diamond study that happened in Minnesota.

And as Juergen Unitzer would say, who was the guy that sort of like with Wayne Caton developed sort of a collaborative care model, which is by far the most evidence-based thing to treat depression and other diseases turning out. He would sort of say, one of my first patients said, when I'm really depressed, I can't even get out of bed anymore. I get dressed. I don't shower.

And as Juergen Unitzer would say, who was the guy that sort of like with Wayne Caton developed sort of a collaborative care model, which is by far the most evidence-based thing to treat depression and other diseases turning out. He would sort of say, one of my first patients said, when I'm really depressed, I can't even get out of bed anymore. I get dressed. I don't shower.