I'm surprised but not surprised you can't bill insurance companies for lifestyle intervention counseling. I appreciate you frequently speaking about psychiatry as a business.
Now in my medicine rotation I advice the pt about life style modification but I am not sure if one Listening the sadantry life style especially with fetty food 😅
It’s difficult, patients must be motivated to make a change in their life for lifestyle modification to work. I recommend using motivational interviewing techniques and start with very small measurable changes that can help the patient build momentum. Once they have some reference experience and success it will snowball. Thanks for watching, please subscribe and spread the word, there is a psychiatrist doing lifestyle interventions for mental health disorders.
Interesting. A question I have, not related, is why did my psychiatrist (no longer my psychiatrist) not prescribe me the medication and the dose that I thought was best? I've had one psychiatrist a different one say that he's the doctor and I'm the patient and I have no say in what meds I'm given. I can spend hours and hours researching the meds, how am I not qualified to say what I do and don't want to take? Why would a psychiatrist feel threatened by me or is that what they feel? Needless to say I'm avoiding psychiatrists at this point. I am in therapy though.
This is a complicated issue and will depend on the individual psychiatrist you are working with. All patients have autonomy. The ability to make informed decisions about their treatment based on the evidence provided by the psychiatrist. The doctor should provide information about the medication including therapeutic doses, side effects, benefits from medication, and the risks Vs benefits of taking medication and not taking medication. Often when a patient comes to see a psychiatrist, they have tried many other methods to control symptoms which were not 100% effective, and they may have been hospitalized or attempted suicide as a result. The point being these are more severe cases than mild/moderate depression and may benefit from the combination of medication, lifestyle intervention, psychotherapy as part of a more complete treatment package. It’s defiantly a partnership between you and your patient and should be treated as such. Shared decision making is a big part of that process. You always have the right to refuse medication. As far as the being informed about medication from a patient perspective Vs a physician, the physician is going to have the edge because we spend over 10,000 hours in training learning about and using these medications. Unless someone has been through the training it would be difficult to gain that same knowledge base. It will also depend on the resources you are using to research the medication. There is a lot of misinformation and people without any medical/scientific credentialing making statements about medication and treatment that are inaccurate. Being mindful of the source of the information is important. The last part I will leave you with is this, if you go to see a surgeon for a medical condition, they are likely going to want to perform surgery to correct that disorder. If you see a family medicine physician for high blood pressure, they are going to want to prescribe medication. The same for psychiatry, most psychiatrists are trained in psychopharmacology and the practice of psychiatry has moved in a direction that dictates this type of care. It’s not necessarily a good thing and my approach is to be open to complementary alternative medicine and lifestyle interventions but I do not think we should ever fully eliminate a potential tool like medication because it does help patients on a case by case basis.
I’m an MFT/psychotherapist and I personally have benefited from lifestyle medicine. I want to know if I am ethically and legally allowed to encourage my clients to make lifestyle changes. Am I allowed to include that in their treatment plan?
Not sure about the legal aspect of making those recommendations. The way to handle legal things is to document well. For example, if you discussed an exercise routine, write discussed with patient an exercise plan, instructed patient to talk with primary care doctor to be sure they are healthy enough for exercise before starting the routine. Something like that, I hate doing that type of documentation, but we live in a world where you need to protect yourself. My advice is good documentation should cover you but talk to you supervisors or legal team at your place of employment to be sure.
@@ShrinksInSneakers thank you responding to my comment. I hope you continue to post videos on lifestyle medicine in relation to psychiatry and mental health.
@@ShrinksInSneakers totally agree with your emphasis on documentation. It’s a very important part of our job. I’ve been looking for courses on lifestyle medicine that’s applicable to my practice, the closest I have found I Nutritional psychology where the course covers practice guidelines in a clinical setting. I hope you can also touch on nutrition/diet as an intervention or an adjunct to treatment, especially that recent studies have been conclusive on the connection between food and mood.
Great video. always providing great information and providing a wide variety on psychiatry.
I'm surprised but not surprised you can't bill insurance companies for lifestyle intervention counseling. I appreciate you frequently speaking about psychiatry as a business.
Excellent topic and points. I like Doc Tracy Marks and now you. Great info personally and for my therapy practice
Now in my medicine rotation I advice the pt about life style modification but I am not sure if one Listening the sadantry life style especially with fetty food 😅
It’s difficult, patients must be motivated to make a change in their life for lifestyle modification to work. I recommend using motivational interviewing techniques and start with very small measurable changes that can help the patient build momentum. Once they have some reference experience and success it will snowball. Thanks for watching, please subscribe and spread the word, there is a psychiatrist doing lifestyle interventions for mental health disorders.
Interesting. A question I have, not related, is why did my psychiatrist (no longer my psychiatrist) not prescribe me the medication and the dose that I thought was best? I've had one psychiatrist a different one say that he's the doctor and I'm the patient and I have no say in what meds I'm given. I can spend hours and hours researching the meds, how am I not qualified to say what I do and don't want to take? Why would a psychiatrist feel threatened by me or is that what they feel?
Needless to say I'm avoiding psychiatrists at this point. I am in therapy though.
This is a complicated issue and will depend on the individual psychiatrist you are working with. All patients have autonomy. The ability to make informed decisions about their treatment based on the evidence provided by the psychiatrist. The doctor should provide information about the medication including therapeutic doses, side effects, benefits from medication, and the risks Vs benefits of taking medication and not taking medication. Often when a patient comes to see a psychiatrist, they have tried many other methods to control symptoms which were not 100% effective, and they may have been hospitalized or attempted suicide as a result. The point being these are more severe cases than mild/moderate depression and may benefit from the combination of medication, lifestyle intervention, psychotherapy as part of a more complete treatment package. It’s defiantly a partnership between you and your patient and should be treated as such. Shared decision making is a big part of that process. You always have the right to refuse medication. As far as the being informed about medication from a patient perspective Vs a physician, the physician is going to have the edge because we spend over 10,000 hours in training learning about and using these medications. Unless someone has been through the training it would be difficult to gain that same knowledge base. It will also depend on the resources you are using to research the medication. There is a lot of misinformation and people without any medical/scientific credentialing making statements about medication and treatment that are inaccurate. Being mindful of the source of the information is important. The last part I will leave you with is this, if you go to see a surgeon for a medical condition, they are likely going to want to perform surgery to correct that disorder. If you see a family medicine physician for high blood pressure, they are going to want to prescribe medication. The same for psychiatry, most psychiatrists are trained in psychopharmacology and the practice of psychiatry has moved in a direction that dictates this type of care. It’s not necessarily a good thing and my approach is to be open to complementary alternative medicine and lifestyle interventions but I do not think we should ever fully eliminate a potential tool like medication because it does help patients on a case by case basis.
@@ShrinksInSneakers I'd love to see more videos about these alternative treatments as adjuncts. I subbed bc you answer comments.☺️
@@BeingBetter Will do, I also respect your views and understand how difficult navigating mental health treatment can be
I’m an MFT/psychotherapist and I personally have benefited from lifestyle medicine. I want to know if I am ethically and legally allowed to encourage my clients to make lifestyle changes. Am I allowed to include that in their treatment plan?
Not sure about the legal aspect of making those recommendations. The way to handle legal things is to document well. For example, if you discussed an exercise routine, write discussed with patient an exercise plan, instructed patient to talk with primary care doctor to be sure they are healthy enough for exercise before starting the routine. Something like that, I hate doing that type of documentation, but we live in a world where you need to protect yourself. My advice is good documentation should cover you but talk to you supervisors or legal team at your place of employment to be sure.
@@ShrinksInSneakers thank you responding to my comment. I hope you continue to post videos on lifestyle medicine in relation to psychiatry and mental health.
@@madisonvelasco9549 I appreciate it, thanks for watching and document document document
@@ShrinksInSneakers totally agree with your emphasis on documentation. It’s a very important part of our job. I’ve been looking for courses on lifestyle medicine that’s applicable to my practice, the closest I have found I Nutritional psychology where the course covers practice guidelines in a clinical setting. I hope you can also touch on nutrition/diet as an intervention or an adjunct to treatment, especially that recent studies have been conclusive on the connection between food and mood.