I've been sitting here trying to decide why having a psychiatrist prescribe meds and a counselor do the psychotherapy work is considered the "norm".
In my years of exposure to psychiatrists, only one has ever been one to prescribe, while his staff did the psychotherapy. My conclusion regarding that one is that it was extremely expensive to have a psychiatrist spend an hour with a patient, then spend additional time prescribing.
Maybe it's cheaper for the client to have "counseling" rather than to have a psychotherapist who covers the client in regard to medication and psychotherapy. It may also have to do with changes in the way psychiatrists are charging now, particularly relative to their dislike of Medicare and some insurance methods required for filing.
Just paying once on a cash basis for each visit is what many here prefer, not bothering with the paper work for government plans, etc. It was government changes that altered some psychiatrists' methods of doing their work.
Besides, all one has to do is to report payments on income tax filings for medical deductions, and if one can get less expensive care with a counselor and pay much more just for meds prescribed, that makes sense, too.
Still, all in all, I prefer the care of a licensed psychiatrist. I just
feel that I'm in the best hands available (if the personalities fit).
I can imagine that medved senses that,too.
Post Edited (It's Genetic) : 3/22/2012 4:13:48 PM (GMT-6)