Depends who you talk to and what kind of patients you see. Agree with
KL doc if all he sees are psychotic patients; sounds like he is too
busy making his millions to be fussed with patient outcomes. What
kind of psychiatry do you deliver to 30-40 patients per day?
Definitely not true for patients who do not have a thinking disorder
and who come to CBT. I can point you at any number of patients whose
lives have improved immeasurably with CBT. In my practice the cost is
$300 over 6 weeks - hardly a fortune and much cheaper than divorce or
decompensation.
Alex
Dr Alexander G Bennett
Pomona Qld 4568
Australia
[EMAIL PROTECTED]
On 28/04/2006, at 3:42 PM, David de Bhál wrote:
But that is all psychiatry talk. Does not exist in ICD-9 and have not
checked ICD-10.
Fasciniating to meet a pure private practitioner psychiatrist in KL
and sees
lots of high profile patients. He sees 30 to 40 patients per day.
Very few
GP referrals.Totally chemically focused but quite proprietary about
his
'cures'. Says that psychotherapy is pure bunkum. I don’t think
there are any
talking cures unless you have heaps of money and then that is
probably the
problem in itself.
He also does his own EHRs but it is on a local server with no
security.
Interesting.
David de Bhál
www.v-practice.com
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:gpcg_talk-
[EMAIL PROTECTED]
On Behalf Of Ian Cheong
Sent: Friday, April 28, 2006 6:19 AM
To: General Practice Computing Group Talk
Subject: Bordeline personality disorder was Re: [GPCG_TALK]
Clinicalsoftware
recommendations
At 5:24 pm +1000 27/4/06, ash wrote:
Oliver wrote:
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of David de Bhál
Sent: Thursday, 27 April 2006 4:34 PM
And WTF is "borderline personality disorder"?
Is it akin to borderline pregnancy or
borderline senility or borderline?
I think that it may have been invented since
you and I graduated. I wonder what the label
used to be for people who behaved in these ways.
sociopath i believe (or psychopath was the less demure expression)
Label first introduced officially in 1980 DSMIII.
Definitely not sociopath. Perhaps "suicidal",
"non-coper", "pain in the ...". I recall when I
was a student they had the label of "too hard to
deal with" from psych registrars.
If you want to help these people, you could read:
Marsha Linehan on "dialectic behaviour therapy"
(a newish term not on the cover!)
http://tinyurl.com/l6kle
Russel Meares on "self psychology"
http://tinyurl.com/jj9cn
And remember that a large number of "borderline"
patients have suffered significant childhood
trauma (sexual/physical/emotional).
Also search for "borderline" on this page, which
is a fabulous site for complete exploration of
trauma, including full text of all major research
papers:
http://www.trauma-pages.com/pg4.htm
Major issues include:
* boundaries
* trust
* control
So attaching a label and not telling them about
it is a serious problem, which helps perpetuate
their aberrant behaviour.
"Borderline" patients are a long-term project
that can be helped towards cure. I have a couple
of them who have eventually been relabelled
correctly as "dissociative" rather than
"borderline" and are moving towards cure after a
long trail of different psychiatrists over
decades who didn't manage to help them. It seems
they often fall over at "...that was a long time
ago...get over it...."
Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my
practice email as well:
[EMAIL PROTECTED])
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