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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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cb2

What Happens When You Go To A Psychiatrist?

8 posts in this topic

Posted

I've never to a psychiatrist before but am thinking about going to one, but I have some questions that I hope some of you may be able to answer.

What is the difference between a therapist and psychiatrist besides the ability to prescribe medications?

Do you talk about your problems with a psychiatrist or is it mainly about the medication?

How often do you go to a psychiatrist?

How much does the average psychiatrist charge without insurance per visit?

Has anybody here been to both a psychiatrist and a therapist, if so which helped you more?

If you're on a budget would it be better just to go to your family doctor and get depression medication prescribed to you instead of going to a psychiatrist?

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Posted (edited)

((((cb2)))) :hearts: Hey sweetie!! I have been to both and a Psychiatrist can prescribe med's and that is very important and they do talk about your problems some. A Therapist can't prescribe med's but they talk more indepth about your issues. Depression is a chemical imbalance in a lot of people and med's are needed to get you to a place where you can think more clearly and have more stability emotionaly to deal with your issues so if you have a chemical imbalance you NEED med's and then therapy. Even if you do not have a chemical imbalance and you have been thrown into depression by traumatic events in your life med's may be needed for a while to get you over a ruff patch. I am NO DR sweetie but this is my understanding! Your Psychiatrist is the best to diagnose you and advise you what exactly you need I do believe. Your GP can prescribe med's but he isn't specificly trained in all the nuances of mental health issues. You insurance coverage would depend on your policy and there is usually an 800# on your card somewhere or a web site to refer to for coverage info but when I have had insurance in the past it covered both for a specific number of visits and then if my Dr or Therapist felt I needed more they could call and get approval for more sessions. I hope this helps some sweetie!! XOXOXO Love Pearly

Edited by pearlseeker

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Posted

What is the difference between a therapist and psychiatrist besides the ability to prescribe medications?

A therapist provides a safe place for you to talk about issues (Past and present)/emotions. Tdoc's can evaluate you, administer MH testing, give you a diagnosis and the two of you will create a treatment plan based on your goals.Tdocs will listen, give you feedback and guidance as you build self-esteem, learn coping skills, etc.

Fewer and fewer pdoc's do "talk therapy" as their time is normally spent building treatment plans that incompass a variety of medications. They monitor the effectiveness of the med with the patient. Pdoc's also monitor blood levels for certain meds to keep the dose within the therapeutic level.

Do you talk about your problems with a psychiatrist or is it mainly about the medication?

Mostly regarding your meds.

How often do you go to a psychiatrist?

When you start a pmed, you will usually see the pdoc every 2 weeks until the med is assimilated into your system with good effects. After the therapeutic level (varies from person to person) is reached, appointments can be every 2-4 months to monitor your med (still working, etc.).

How much does the average psychiatrist charge without insurance per visit?

Fees can vary with MH providers and where their practice is located. My tdoc sessions (50min) are $140 each. The pdoc intitial visit (45-60 min.) fee is $300 and follow up vists (10-20 min.) are $180. That gives you some idea what you'd have to pay if you have no mental health insurance coverage.

Has anybody here been to both a psychiatrist and a therapist, if so which helped you more?

I do both. Meds for me are life long. Therapy right now is intense as I'm learning new coping strategies.

If you're on a budget would it be better just to go to your family doctor and get depression medication prescribed to you instead of going to a psychiatrist?

If you have health insurance, use it, you will either have a copay or have to pay a portion of the bill. Depending on your insurance plan you may or may not need a referral to see a participating in network MH professional from your GP. GP's treat many people who have depression and will prescribe an AD. GP's do not have the expertise with pmeds nor do they do much in the way of therapy (maybe 5 minutes of your appointment.") GP's haven't had enough MH training (maybe a 3-6 month rotation in med school) to be really effective. There are t and pdoc's who will work on a sliding fee scale depending on what you can afford to pay. You'll have to call and ask the p and tdocs in your area if they will charge on a sliding fee scale. If you're unemployed, you might qualify for state or county MH services.

Hope I helped you a bit. I did billing, claim follow-up with the health plans, Managed Care contract audits and insurance collections for underpaid claims for a variety of nationwide hospitals. I also know a lot about Medicare and Medicaid/Medical, and the workings of state and county mH services.

Sheepwoman

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Posted

When you go to a Psychiatrist is it like going to a family doctor where they take your blood pressure, weigh you and such? or is it more like an office? Also, I just moved to a new state and have not gotten my new license yet, do you need a valid in state license when you fill out the form? or do they usually not require an ID or something?

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Posted

Pdoc appointments differ from dr. office visits. It's in an office situation. You don't need your driver's license, only your insurance card.

Sheepwoman

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Posted

I have been to a therapist before through Kaiser about 3 years ago. All she did was ask me questions. Maybe she was trying to get me to talk it out and maybe come to my own conclusions? I wasn't sure. But it didn't help at all. She kind of made me feel small by saying "It sounds like you're just going through a normal teenage depression. It happens to almost everyone." Uhh... thanks for your help? She was probably a newbie and didn't understand what she wasn't supposed to say. Or maybe Kaiser doesn't take pride in who they hire? I don't know. But she didn't help at all. She made me feel worse.

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Posted

i've been to enough pdocs, i feel qualified to answer this one! lol

What is the difference between a therapist and psychiatrist besides the ability to prescribe medications?

the therapist is trained to change your thinking without meds through various talk therapies, whereas the pdoc usually exclusively prescribes meds

Do you talk about your problems with a psychiatrist or is it mainly about the medication?

when i talk to him about something, it is pertaining to my meds. for example, i'm interested in having a baby. we had to look at that seriously and determined that it is too risky on my meds to become pregnant, however with ECT i could ditch the meds and have a baby. the choice is mine.

How often do you go to a psychiatrist?

as needed. i used to go every month, now every couple of months generally.

How much does the average psychiatrist charge without insurance per visit?

i don't know. i used to go to a public clinic that was free, and now i have insurance at a private practice.

Has anybody here been to both a psychiatrist and a therapist, if so which helped you more?

the pdoc, because the meds lift you to a place where you can be reasonable. you just can't be reasonable enough half the time without meds (depending on your state and condition, of course) to carry on a rational conversation without med intervention. that's me, anyway.

If you're on a budget would it be better just to go to your family doctor and get depression medication prescribed to you instead of going to a psychiatrist?

i'd see the pdoc for a real diagnosis, and ask charity groups/non-profits like NAMI for referrals to sliding-scale psychiatrists and public clinics. if you live in ohio then you're in luck, because here we have excellent public psychiatric health access (according to NAMI and my own experience).

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Posted

I'm seeing a Church therapist right now. He's a real state licenses therapist. He does not have the

right to prescribe medication. All of our sessions involve talking. He sure does ask me a lot of questions! lol. It seems when I ask an important question he asks one back!

I called the main health clinic that most people go too. They have offices all around. Their therapist

are paid based on what you make. They can recommend you to their psychiatrists who then can prescribe medication. I called three psychiatrists in the area and they all wanted $135.00 for the first visit (around 50 minutes) and around $40 to $50 for the 10 to 30 minute follow up's once a month or so. I called and told them I don

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