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It has been easy to rise to the top ranks of the entire hospital in only a few years. I hope this answers your question. So what is the difference in patient care? Well, I think psych medications are over-rated. Most of the patients I "fixed" or improved, I did with CBT (challenging thinking), Radical Behavior Therapy (prolonged exposure), or even Supportive therapy. And I think some medications can be down-right harmful. I rarely prescribe benzodiazepines. Almost never, unless I'm tapering someone who was given an iatrogenic benzo addiction by some hack psychiatrist. Most of my patients are glad to be off of it. The drug seekers just go away if you refuse to give in. I never.. I mean NEVER.. start someone on a benzo for anxiety. I rarely use stimulants unless extensive neuropsych testing with collateral information that corroborates the diagnosis of ADHD. I use antipsychotics only in cases of severe auditory hallucinations or psychosis, and temporarily for delirium. And I only use other psych meds as an adjunct to therapy.
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