As I see it, this is a topic that needs balance. I think I mentioned in an earlier thread, listening to a radio interview discussing depression in men, with an Aussie psychiatrist, Professor Ian Hickie. I know this man personally (through my charity work in the past) and I have also known a number of his patients. He will prescribe antidepressants and other medications, but on this radio program he was also making it clear that he also prescribes exercise, especially in depression. He is also a proponent of Cognitive Behaviour Therapy.
I have known other psychiatrists, professionally and personally. I view those like Ian as on the forefront of modern psychiatry, moving away from the patient as "object-under-the-microscope" view, and treating the patient more holistically as part of a multidisciplinary team. Ian has also done work with CDC in the past, he's worked both sides of the Pacific.
Then there are the other psychiatrists, the ones who reach for the prescription pad as first option. These are powerful medications, they need to be carefully considered and correctly chosen - the type, as well as the dose. The shrink I was seeing for my PTSD was very little help, for me - another patient of his told me a very similar story, she too chose to move on. At my first appointment, within minutes of me walking through the door, he was doing his darndest to prescribe medication. I was working just as hard to refuse. I succeeded and I think at that point he lost interest in treating me and probably doodled on his pad each session. He was an older man, probably educated in earlier days when psychiatry was still deserving its bad name.
We are fortunate in Sydney - we have some world-class psychiatrists like Ian Hickie and his teacher, Professor Gordon Parker. Both do a lot of sterling work in the field of depression primarily, but also in other areas. They are both heavily involved in "Beyond Blue", an organisation working to reach and support people in the community who are battling depression. And as I said, among Ian's first advice was exercise.
I haven't always seen eye to eye with him, I've argued with him at times, but I've always valued his professional expertise.
I do think that what we need, in all areas of medical treatment, is individual consideration and balance. The last thing we want from any doctor is a revolving door approach to diagnosis and treatment. I've met a few of those, too, and I think they should be struck off. But that is a separate issue.
Marg