#566 Joel Paris: The Current State of Psychiatry and Psychotherapy
The Dissenter
Anti Depressions
12% of the population in north america are on anti depressions right now. Psychotherapy is just as effective as medication, and may have a more permanent effect than prescription an medication. But insurance companies often don't pay for psychotheraphy to treat depression or other mental illnesses.
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Dr. Joel Paris is Professor of Psychiatry at McGill University, and Research Associate in the Department of Psychiatry at Sir Mortimer B. Davis-Jewish General Hospital. His research interests include developmental factors in personality disorders (especially borderline personality), and culture and personality.
In this episode, we talk about current issues in psychiatric and psychotherapeutic practice. Topics include: historical fads in psychiatry, and what lessons can be drawn for the present; attempts of current theories to carry out biological reductionism; the dominance of medication in practice; the proliferation of psychotherapies; the belief that the most important psychological risk factor for mental illness is trauma; the idea that mental disorders are mainly due to social and political problems; we talk about overdiagnosis in conditions like depression, bipolar disorder, ADHD, and PTSD; problems with the DSM system of classification of disorders; the therapeutic relationship, and its importance in psychotherapy; and if psychiatry is well-equipped to preventing suicide.
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