May 31, 2024
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Dr. Florian Birkmayer @AromaGnosis sheds light on a crucial issue in psychiatry on the Radically Genuine Podcast. He recalls a conversation with a patient: "I remember this client I'd seen in this previous rotation was sitting in the waiting room and I'm like, ‘Hey, how's it going?’ He's like, ‘Terrible. I'm still feeling something.’" This highlights a systemic problem: the notion that any feeling needs a medication adjustment.
Birkmayer questions the model of continuing care clinics that create lifelong patients, asking, "How can people in what's called the ‘continuing care clinic’ have more meaningful lives? Graduate so that they are not just professional patients?"
He critiques the entrenched belief in biological psychiatry, which assumes medications are the primary treatment for mental illness: "If we say, this is a biological illness, which is an ideological choice, then we have a philosophical underpinning for why medications are the answer. It's not the truth. It's just one guy's idea—130 years ago."
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