|
I would blow Dane Cook posted:Why does everyone like Xanax so much lately? Its patent expired long ago so it's not like an Opioid/Purdue situation with the manufacturers pushing it hard. I kind of know this one...There's a complicated answer and a simple answer, and they're both true. The complicated answer is that there are fads in the mental health community just like in any other community, only for us it's prescriptions or diagnoses that go in and out of style. It's basically just what's in the cultural consciousness of the region at the moment, if you're thinking more about anxiety disorders you're more likely to interpret client symptoms as an anxiety disorder instead of ADHD or depression. This can be linked to pharmaceutical marketing, but it can ALSO be linked to what CEUs are on offer in the area, what clients are being presented by other clinicians in the prescriber's supervision groups, and what studies recently got published in big name journals in the prescriber's field. So if you're a prescriber and you saw a study earlier indicating that people with PTSD who took xanax daily saw a decrease in rumination and avoidance symptoms, and a colleague presents a case that day showing a client with previously treatment resistant depression showed improvement by combining xanax and another medication, and you just took a seminar last month about the treatment protocols for anxiety disorders.... the next patient who walks in the door describing anxious symptoms is more likely to walk away with a prescription for xanax than for another drug. The simple answer is that clients tend to self-diagnose and walk in with medications already in mind. Everyone has heard of Xanax. Its popularity as a drug of abuse has actually helped to reduce stigma for taking it for prescribed reasons. So clients ask for it and they're likely to get it unless there's an obvious reason to say "no, you'd be better off with drug y instead." ...this is of course assuming that the medical professionals in question are actually operating at the top of their game with no graft, laziness, or corruption involved, which is quite an assumption. Doctors also prescribe drugs sometimes 'cause they get a kickback from the people selling them on the street. Sometimes they prescribe drugs 'cause it's just easy. The fact is that 50% of psychiatrists in America are over the age of 50 and facing down retirement, and in my professional experience tend to either be huge assholes or really lazy and noncommittal.
|
#
¿
Aug 7, 2019 18:26
|
|
thunderdome winner
|
|
| # ¿ Apr 29, 2024 08:53 |
|