Video instructions and help with filling out and completing Will Form 5495 Appointed

Instructions and Help about Will Form 5495 Appointed

Hey everybody thanks for checking back today I'm sitting down with my friend Barry Lieberman who is a psychiatrist and we are answering your questions about psychiatry medication and more so stay tuned if someone makes an appointment to see a psychiatrist what do they expect what how long do you see them is there a ton of paperwork to fill out all of that jazz what kind of questions are you going to ask well the difference is what they expect is and what they actually get is often different people often expect some little man in a white coat is just stare at them like a fish and a psychiatrist wearing a white coat in all of my years maybe in the hospital I kept one here for years just for the fun to take one out and to intimidate somebody who's already here on a second appointment I need to wear this now very good but in fact most people go to a psychiatrist yes they will often fill out a form and their medical history I don't do that because I'd rather ask the questions myself and I do a more focused personal interview but you usually want to know about the person the history of their problem and you want to know about their medical conditions and stuff like that but but typically a first session should and always should be at least nearly an hour to really get to know what's going on with that person yeah and I agree I think that I'm sure you feel this way but sometimes especially first appointments an hour goes by like no and I can barely get a full history of you know if we're talking about like work or school issues or family history or medical history an hour isn't really very long no it isn't that and in fact it really isn't any different for for a psychiatrist and a psychotherapist we're looking for the same things the additional thing is the psychiatrist might be a little bit more interested in the presence of medical illnesses and have a better perhaps a better understanding of the medications a person's taking for those illnesses and and the interact between them and what you might choose to use medically yeah for me only about half of my patients are on medications oh and I think that's important to note because a lot of my viewers fear that they're gonna go in and just be like prescribed a bunch of things that's right take this and presto fix Oh an intelligent and thoughtful decision is not to automatically use medications I saw somebody yesterday a new guy whose daughter made him come in to see me and she thought he needed meds and I took a history from him at some lengthen he doesn't need that yeah a lot of it can be behavioral or behavioral changes that they make or just sometimes talking it out can make us feel a lot better like I just told a client yesterday put get outside have you been stuck inside because you're feeling down I want you to spend 30 minutes in the Sun and then I want you shower and that can make us feel a lot better than okay let's try the 72 psychiatrist take medication there was a study actually done comparing mild to moderate depression with the treatment with Anton's and and exercise and and better sleep and they're equally good problem is that you often can't get people to do the exercise and they are slow to like that so you so you sometimes you can kick-start them with the medication and then take them off the medication as they start to do things better he'll often say I don't know if I'm feeling better because of the medication or because I'm doing these other things I would love it I don't know and I don't care yeah I just care that you do those better things exactly and I just told them I had a video and I if I find it I'll link it here but I had a video where I talked about how it was important to know that medication isn't seen as a crutch sometimes it's that like kick in the pants you need yeah to get going because right now you feel like so much it came and get out of the house um as soon as we need that little extra that's right to get us going and conversely it has to be said to there are people with deeper or more long-lasting psychological issues especially if their history goes back to childhood or teenage years I am and it's persistence so you might indeed have to warn somebody if this works for you we might do it for at least a year or more and maybe indeed if the end if it works for you then we'll make a second decision I mean I there's always a three-part thing that I'll do about the medications one can you tell it if we're going to use the medication can you tolerate the side effect - does it work for you then I love the third question how long do we do it yeah exactly that's based on already existing success yeah and what we're talking behaviorally is usually like a mild to moderate type of issue and something that isn't so entrenched in your life that's right um so for those of you who are curious if you're going to make an appointment they're gonna hopefully spend about an hour is that customary for most psychiatrist even we talked about like med management not spending as much time I think they still usually spend at least I think that oh yeah I'm sorry for hesitating but yeah I think I think most people at least at an initial session will spend more time they have to