My
experience as a PhD student and clinical psychologist in training has evolved
to be quite different than I imagined. Practitioners treating mental illness
join the field for various reasons; career opportunities, exposure and
experiences, personal qualities, etc. Growing up in a family of psychologists,
I somewhat inherited the role and aspired to become a psychotherapist at a
young age. However, as I began getting deeper into my work experiences, I found
that my ambitions grew further than just becoming a “talk doctor.” My first
true role in the field was working with active duty military families whom had
children with severe medical and mental health disabilities. For 6 years I
worked one on one with families in their homes, traveled with them to doctor
appointments and procedures, developed unique skills, and reflected on not only
my work but also the healthcare system. I spent more hours with these families
in one month than a psychologist would spend face-to-face with a patient over
the course of a year.
I
began to recognize a pattern throughout the families I worked with: ineffective
psychiatric medication treatment as well as, what appeared to be, patients trapped
on a healthcare merry-go-round. The lack of proper treatment and its impact on
individuals were not exposed to me in my early studies, but rather became an
interest of mine through experience. I later worked with and studied
alternative medicine for psychiatric care, and while this route can be
effective, it does not appear to “cure” moderate to severe mental health
illnesses on its own. I began to wonder as to the existence of comprehensive
treatment of patients with severe mental illness, specifically Major Depressive
Disorder. Why has the development of newer psychotropic medications not had an
impressive impact on treatment?
Around
the time I began the PhD clinical psychology program, I started networking with
professionals in my city to get a better understanding of this phenomenon. I eventually
met and worked with family physicians who had a different approach to treating
mood disorders and Major Depressive Disorder; they extensively self-educated
themselves of psychotropic medications, neuroscience, diagnosing, and spent
more time with each patient: on average 60 minutes. I began to wonder, what
factors can improve patient outcomes of Major Depressive Disorder?
As
an emerging professional psychologist, I believe these questions should be
addressed and this social change topic should evolve in a social change
movement. Furthermore, this topic should face extra attention as mental health
professionals and physicians began to further collaborate in an integrative
model.
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