I have both a psychiatrist and a therapist. I started with a therapist for severe trauma work back about a decade ago and it was enough for awhile and I've made a lot of progress. Until it started to not be enough and my moods became more erratic and unpredictable. The psychiatrist came on board when my PCP noticed I was struggling too much for her to manage. Having both is what I need at this stage of my life and I am thankful I can have both. I think just starting on the path to helping your mental health is a huge decision and I applaud everyone that does it!
Dont hurry to get well. Thats my clear experience. Then you will have much greater chance of succeeding fully. Also when you feel you have succeeded fully, YOU ARE NOT - But on the right path😊
Yes, it takes a lot of courage to look within and to ask for help, and accept it. Many people are fearful of stigma and just opening up and trusting another human being. However, untreated mental health problems do not go away on their own. Typically it gets worse and people suffer in silence. There is no shame in seeking support. If you have the gift of a body and a brain, then you will have some concerns. Mental health problems impact everyone. It is something that affects all of us to one degree or another. There needs to be a lot of compassion around it, because when your brain isn't functioning properly, it is incredibly scary. And people need a lot of guidance and support.
I've been in therapy (mainly talk therapy) with a psychiatrist for 2 years now. I hate seeing multiple people for my mental health problems (e.g. therapists+psychiatrist), so I knew from the beginning that I needed a psychiatrist. It was very hard to open up to someone about my problems, and the sessions cost me a lot of energy. My psychiatrist has almost 20 years of experience and also helped me with severe trauma from a decade ago through EMDR. I'm happy with my decision to stick to one psychiatrist only, our therapeutic relationship has flourished throughout the years 👍 In terms of recovery, I'm still a long way from it. But I'm still fighting
It could take forever to find the right psychiatrist AND/OR the right therapist. A psychiatrist saved my physical life-but I’ve never met a therapist who could work outside of a textbook.
@@usernameisunavailable8270Yeah, it's discouraging. My mental health isn't good but I haven't gotten to a point where I feel overwhelmed. My plan is to make some improvements in my life to see if that helps me feel better. If not, I'll bite the bullet and get therapy or see a psychiatrist.
My Psychiatrist confirmed my diagnosis. And now manages my medications. My Psychologist and I work via therapy techniques to try and reduce my symptoms. Both combined give me the best outcomes for my severe Major Depression.
hello I am diagnosed with ptsd and MDD. I was wondering what medication are you on? if you don’t mind me asking such a personal question. I live in nyc and it’s taking months to get a physical check up so the psychiatrist can finally put me back on something. I’ve been on lexapro before but for less than 3 months.
@@tribecalledmaya my antidepressant is EFFEXOR. It gives limited help to my Depression. I am now also on Lithium which helps greatly at reducing my suicidal urges.
@@tribecalledmaya That's a tough situation to be in, when you're needing support and relief, to have to wait. How did you find the Lexapro? What were the full effect of the medication - beneficial, side effects, adverse effects or toxicity? What other medications have you tried? Also have you explored lifestyle interventions and or alternative and complementary therapies?
Your videos are very informative. I have found that therapists are not always discerning and many of them stay very text book with their therapy practice. In this case they aren’t observant to recognize the need to proactively refer out as they should when they are unable to treat patients properly. It is such a disservice to those that need help to get better. Thank you!
Very good point. It takes self awareness and a willingness to recognize your own scope of practice, honestly assessing what you can do for your client. If you're unable to support them or you're not seeing progress or someone else has an expertise in the area they want to work on, then it is the most ethical thing to do to refer them.
That's very interesting. I've actually had the opposite response in my experience where a therapist was observing enough to see psychiatry was needed, and recommended a good psychiatrist. But it just goes to show we all live very different lives.
@@FriendsWithIssues Very true. Humility is needed to collaborate with others. A person can never have too much support or advocates in their corner. I share my experiences on my TH-cam channel about holistic approaches in mental health. I would love for you to join:) kind regards
A brilliant Psychiatrist who cared for us with psycotherapy and the med thing. She was a superstar without the baggage. She has moved on and i miss her very much. Thanks!
In my experience they've had two very different roles with a really nice synergy one more in the practical way and the other more on the psychological way so my tip is to ask the therapist for a good psychiatrist that she/he may know because there are many bad psychiatrits out there unfortunately and the better ones are those with some training in psychotherapy too Edit: Beside medications my psychiatrist really made possible countless activities and support in the practical way and that's what I mean with a synergy with the therapist especially if the know each other and occasionally even communicate with each other to exchange information and strategies
This is my main fear right now. Everything hinges on finding a psychiatrist that is honorable and attuned to every option on the table from therapies to neuropsychology.
I used to see 2: psychiatrist to prescribe meds, and a therapist for talk therapy. This video kinda describes that, but the title's question confused me. Nowadays my GP handles most of my prescriptions, and talk therapy is available when I feel I need it. The main thing is to make sure I see the therapist in person, not just online or over the phone. (My insurance doesn't cover phone therapy.) The therapist needs to know if my nails aren't done, if I start looking frumpy or unkempt, these can be signs that my mental health is heading in the wrong direction. That said, I sometimes also have fatigue due to ongoing targeted therapy for stage 4 cancer, so I usually need therapist skilled in helping me distinguish between depression and fatigue. As temping as it is to do online therapy, I still prefer in-person appointments when I need them. Our local cancer center has therapists specifically focused on understand these kinds of issues.
Sounds like you’re going through so much, it’s good you have support. You can’t have too much of it. A component of depression for some people is lack of energy and motivation, so it’s understandable it’s difficult to distinguish between the two. What else helps you cope and gives you strength to face these challenges?
@@NeseretBemient When I need strength or coping techniques, I try to focus on philosophy. I'm not very religious, but 2 schools of philosophy that have helped me a lot are stoicism and absurdism. Both follow the idea that life has no meaning, that we are the only ones who can assign meaning to our own lives. So that feeling like, "Why bother?" is meant to be filled by our own hopes, dreams, and passions. Absurdism is kinda like stoicism with more humor, to appreciate the absurdity of it all can be a very refreshing outlook.
@@Sarappreciates Amen! Don't take yourself or life so seriously. Have a little bit of humor and levity, maybe even FUN! I've heard of stoicism but not absurdism, but it sounds pretty interesting! I'll have to check it out. Thanks for sharing!
It made a world of difference when I started seeing a psychiatrist that doesn’t take insurance. He is worth every penny! He actually has you text him in between appointments with issues. I have ADHD and bipolar disorder, and it’s hard to medicate because the medications cancel each other. I found for behavioral treatment, The ADHD Dude Membership, though it’s aimed at parents, is also helpful for adults with ADHD. Therapy is limited in how it helps me. It did help me manage thought processes with difficult emotions, but in the moment I often feel strongly then when it passes I’m over it. Self care, meditation, journaling, stress management, exercise, these all help too.
@@chelseadezerae8873I have left lengthy comments on his channel and a Google review answering this. Just sign up for a month and go through Scaffolding Better Behavior, Executive Function Crash Course and Socially Smarter. You can do it in a weekend. It’s $20. It’s ADHD parent behavior training (you can reparent yourself as an adult) that most therapists aren’t trained in from a social worker who decided to specialize in it for the cost of a book. Good luck!
this is such a great and comprehensive video. there’s so much misinformation on this topic. people tend to think they need to be medicated for depression due to a “chemical imbalance” when what they need is behavior change. then they end up frustrated when medication either doesn’t work or they need to keep increasing their dosage. the same is true for mild anxiety. then there’s the people that go to therapy and say “it doesn’t work” because they saw a talk therapist when they needed to see a trauma specialist or maybe would respond more to another modality. such a great job clearing up the confusion!
It is an absolute blunder! Btw, there is no scientific test, brain scan, and measurement to support the "chemical imbalance" theory. Psychiatry is the only profession which does not look at the organ we claim to treat. We still operate the same way we did 200 years ago when Ab Lincoln was diagnosed with melancholia, through a cluster of subjective symptoms, and objective observation by the therapist. And yes overmedication is a routine practice, that leaves people looking more like zombies. We have gotten away from physical lobotomies, but chemical lobotomy is permitted. And we now medicate mild anxiety, grief (after 2 weeks), boredom, behavioral issues, food addiction, or any other normal reaction to abnormal events. Everything is up for being pathologized. It's the world we live in.
this video really REALLY HELPS!!! i never really knew the intricacies of either profession, so having an actual Doctor explain it makes things less blurry. I had both a counselor and psychiatrist through my journey.
For me, I initially started having panic attacks so acutely when I was freshly 19 and still hadn't moved from my pediatrician yet, but I didn't know they were panic attacks. So I made an appointment to explain to him what was going on and without even telling me what was happening, he left the room and came back with a name. I called the name, made an appointment, went to the appointment with my dad, and was put on Zoloft. I don't know how it never occurred to me that that name was a psychiatrist and that I was having panic attacks. But sometimes that's just how the journey goes. I did very quickly after that begin the arduous journey of trying to find the right therapist and 13 years later, everything is so vastly different, but that's mental health. It's wild. Have no expectations, but remain hopeful. That's how I'm still here. Thanks for your videos.
Some people just don't have any bedside manner! You were young and vulnerable, and that Pediatrician could have taken time to learn more about what was happening for you and provided proper education. You're very insightful, in that the healing journey is arduous - partly because the system, as you keenly observed is WILD! I worked in the conventional system as a psychiatric RN for over 17+ years in Canada, and I was in burnout every 4-5 years. I took sick time anywhere from 4-9 months at a time during those periods. I had witnessed so much needless suffering, in a system, that is just putting fires out but not looking deeply in to complex human beings. It was heart breaking. I'm now a mental health advocate and support at risk youth and their families to navigate the current mental health system without losing their sanity, and in implementing powerful lifestyle interventions to feel better. I believe early detection is key in recovery. If you can identify mental health concerns early and address them, then the youth can move forward in their life and not continue to suffer. Thank you for sharing your experiences and journey. Best Regards,
@@DrTraceyMarks Turn to bible and allow GOD to be your therapist, psychologist and psychiatrist. No man nor women fits to be one. All are sinners and without glory, all are tempted and suffer the same. All are expected to REPENT AND BORN AGAIN, to LIVE HOLY AND GO AND SIN NO MORE. All are weak in the daily fight between their spirit and flesh. All these therapist, psychologist and psychiatrist, this world provides, can do is: to deceive and steal. They deceived you through all these “diagnoses” and they steal your money, through all the pills which you “need”. In short: they poison your mind and your overall health, leaving you with neither one.
I am an LPC. This is all correct. I refer patients out to a psychiatrist especially if their symptoms are severe. Psychotherapy alone does not work for psychosis. It can be helpful once when someone is stabilized on meds.
Where i live, you get about 45minutes to talk during an appointment with a psychiatrist (governmental clinics/hospitals). Talking for almost an hour definitely gives a patient the chance to create an alliance and let themselves be heard, but also allows for the dr to get a good understanding of both bodily and social facors thay contribute to the current mental state of the patients. Ofc there will be those that cut the time short and just concentrate on medications, but the bookings are alwaus 45 min long.
Human beings are complex. Human beings that have a brain disorder are incredibly complex. 45 Minutes or even an hour is barely enough time to scratch the surface to getting to know someone, let alone to create a therapeutic alliance and or understand what's really going on with this person in front of you. This is one of the greatest flaw of the western medicine and psychiatry - the system is so overburdened, it's become a drive through service. There is no time to be really curious and listen to people and to get to know them. Physician's have 7-10 minutes before they hand you a prescription, and psychiatrist will have a little more time - 20 min - 1 hour(if you're lucky!) That is absolutely pitiful!
@@NeseretBemient A psychiatrist works 8hr shifts where 6 hours are dedicated to 6 patients, one hour to emergency cases, and one hour to administration/creation of documents to be sent to govt. officials for the patients. A meeting longer than 45-60 minutes is unrealistic and ridiculous. That is enough time to get to know the doctor/patient, talk about the current and past issues, and to create an initial evaluation. A follow up is 1-2 months later, and in between the assigned therapist helps with screening/diagostics/therapy until the next doctors meeting. My governmental hospitals seem to be offering more than what the other comments under this video are getting, measly 15-20min. I'll take our offer any day over that.
What many here share is obvious, be open to both options! I have a psychiatrist who at first I felt was just basically doing med management and a wonderful therapist (took several less successful interactions with 2 others previously to find the right one). I'm now grateful that both are helping me start to heal after over 37 years of suffering with not one but two undiagnosed conditions. The psychiatrist never wants to over medicate me and that had alleviated much fear of taking prescription drugs. This video is one of the most helpful from Dr Tracey Marks because I finally understand the reason psychiatrists are usually only handling medication in the USA (it's very different in Western Europe). Thank you.
It sounds like you have an excellent team. Many people are left on a cocktail of psychiatric medications and thoroughly overmedicated. Their medications are rarely reviewed and re-evaluated to see if they are still beneficial, or the dose can be adjusted or tapered off. They're told their condition is chronic and they'll need to be medicated for life. This is not true. There are ways to put mental health conditions in to remission. I've done so with an antidepressant induced bipolar disorder, after suffering for 13+ years, and after being treated with multiple psychiatric medications. There is hope. A mental health diagnosis does not have to be a prison sentence.
You have to find the right therapist and phycologist I made it clear that I didn't want to try too much medication because of the side effects now I'm prescribed medication that I don't take and feel better without it some of us need it some of us don't
What I've noticed is psychiatrist rely less on therapy and more on medication management. Which is just brushes over the issue and keep one feeling just as bad, only medicated.
Those of us in anguish, pain and suffering may find, as I did, a medication that is helpful from a psychiatrist who is not. I became tethered to a useless five year stint of 'talk therapy' that never even touched on my root cause issues. Finally realizing my predicament, I left the meds and the money-sucker behind. Soured by that experience, it took many decades for me to begin a journey of real healing; discovering my root cause issues and changing my responses to them. Get the RIGHT help from the right source. Knowing what is right for you can be difficult. Some issues, like mine, that are managed with meds for more than a reasonable time, without real inner resolution, is a red flag. Even in distress, we are our best hope for healing...and outside meds and therapy may be useful, but need to be monitored for results.
Yes. So many people suffer needlessly, even while they’re followed by mental health professionals. Effective relief is not guaranteed, and sometimes you’re working with people who are not effective or helpful. Many are in burnout and need a career change or else some kind of help. There’s a saying, the therapist is the therapy. As well, I totally agree with exploring alternative and complementary treatments is critical. There are so many powerful lifestyle interventions you can implement to heal.
If your brain chemistry isn’t optimal, a psychiatrist. If you need to work through trauma, a psychologist. But even if your problems are better treated with medication, it still helps to talk about them. To talk about your symptoms and better understand them and how to work with them. Luckily my psychiatrist will listen if I want to talk. I’ve heard from many people that say theirs just wants to write the prescription and rush them out of the office to make way for the next paying customer.
9/10 psychiatrist will write a script and rush you out of the office, 1 will listen. I've worked with enough psychiatrist in my 17+ years as a psychiatric RN in the conventional system and have witnessed this personally. You're very lucky you got the 1/10! All psychiatrist are trained to do psychotherapy but they do not have the time. They're likely overworked and burdened by the sheer amount of need, but also make the choice to collude with a dysfunctional system.
I teach the mnemonic "Please refer critical symptoms before proceeding." Please (physical symptoms including palpitations, tachycardia, tremulousness, and weakness); refer (rapid onset of symptoms); critical (alterations in level of consciousness including seizure); symptoms (severe impairment); before (bipolar presentation); proceeding (perceptual disturbances).
I would like to add the often-forgotten Advanced Practice Nurses, also known as Nurse Practitioners or mental health nurses who specialize in psychiatry and are also qualified to diagnose and treat mental health conditions and prescribe medications as well as provide therapy or counseling. There are numerous options available for mental/emotional health issues and concerns and this video provides and EXCELLENT breakdown of all available mental health resources.
I should have booked with you a yr ago..now when I'm financially set..I cant even book you. I'm seriously done seeking help... You're the only that truly cares to educate us.. ughhh 😢 I'll be checking up regularly. If you can tell us when you'll start accepting new patients again..or at least cash patients if you take insurance ❤ thank you for all of your great videos
Wow I looked too many videos but yours are very clear for my mind and don’t create me panic. Very nice because I found you. Hello from Romania (somewhere in est Europe). I like your videos. Cannot sleep because I have a energy which not leave me. Can’t have that relax to sleep. Every night at 3 or 4 a clock I’m waking and can’t sleep until 7 in the morning. What should I do? In the rest of the day I have panic attacks especially when I’m driving and at laptop because of the posture.
Omg I’m sorry you feel this way , your not alone I’ve been having the same problem is almost as if every night I’m up at the same time and can’t get sleepy until it’s wake up time . Have you found any resourceful tips ?
I have severe social anxiety and a negative thought pattern. Some say OCD intrusive thoughts. I have consulted a Christian counselor who is helpful but doesn't accept insurance. I have no advocates or friends in my community or church to rally around me. Everyone just assumes the worst and gossips about me. It's like being terrorized every single day of my life. I don't know what to do. I'm barely hanging on.
@letsgrowandprosper6562 I'm open to medication if it will make this go away. I will take everything you said into consideration. I appreciate your kind words. God bless you.
I have similar mental disorders as you. I'm no stranger to the bullying, mocking, gossip, and harassing behavior. I try to block it out as best I can and make the necessary improvements in my life.
I see both my psychiatrist every month and my therapist every other week for which just got diagnosed with pure O OCD with anxiety 😥 my intrusive thoughts drive me crazy and crazy is the biggest fear I have. I always check for psychosis or schizophrenia symptoms making sure I am not going that route. Even though my therapist tell me if you’re worried about being psychotic it’s most likely you are not. BUT I can’t convince my brain it’s always a “WHAT IF” 😢
That's totally understandable you'd feel this way and your brain is attempting to convince you and you doing your best to question those thoughts is a losing battle. Our brains are incredibly powerful(evolved over millions of years), but sometimes they work hard, and in a way that is not very helpful to us😞It is the case in OCD and many other brain disorders. There's a wonderful book you might find enlightening about your situation and could add to your toolbox. One of my good friends was diagnosed with OCD and this book was recommended by his fantastic psychologist, who is an expert in his field. It's called "Overcoming Unwanted Intrusive Thoughts" by Sally M. Winston, PsyD and Martin N. Seif, Phd. If you decide to read the book, let me know what you learn. Best Regards, Neseret
My psychiatrist does both meds and therapy. It's expensive and she doesn't take insurance but my medication is much better managed now. Before, I had a psychiatrist that did 10 min medication appointments, he completely missed the fact I had a thyroid condition called Graves Disease and I was misdiagnosed as having bipolar disorder. The meds for bipolar disorder caused all sorts of awful side effects and they were completely unnecessary. After getting my thyroid problems taken care of, I still had mental health challenges and my regular doctor wanted me to see a psychiatrist. I was really hesitant until I found my current doctor. My psychatrists correctly diagnosed my ADHD and depression, talks with my regular doctor about other potential health issues (she referred me to get a sleep study and I was diagnosed with sleep apnea).
I am so sorry to hear about what you went through. The wrong diagnosis and medication can wreck a havoc in a person's life. I went through a very similar situation with being diagnosed and treated for hypothyroid, and having toxicity to a synthetic thyroid hormone. The medication did not control my hypothyroid symptoms and exacerbated the symptoms of hypothyroid that mimic psychiatric symptoms. Then an antidepressant was added on the same day I was diagnosed and treated for hypothyroid and I became manic within 3 weeks of starting on two medications. (A complete medical negligence!) I went through hell and back for over 13 years (I share my story on my TH-cam channel - The Cost of the Wrong Medications Series), and in the last 7 years, through holistic approach I was able to put my conditions in to remission. However, were an absolute nightmare, which ended my relationship with my partner of 9 years and broke my daughter's heart at the tender age of 12. I also missed 2/3 of her life because I was battling an impossible predicament, on the cocktail 4 medications I was prescribed. I was swinging high and low, I was suicidal and I had zero energy. I slept 10-13 hours per day. It was a complete disaster. I share my story publicly because I know so many people are in the same situation. I never want anyone to go through what I went through and to feel so ashamed, alone, and isolated. I hope you're doing well now. Thank you for raising awareness about misdiagnosis and misuse of psychiatric medications. Kind Regards, Neseret
I would like to add that in my case I can’t see a therapist or Psy without a referral so you may start with your general practitioner. They then can recommend a therapist or Psy. Personally the Psy I have seen and there’s been a lot they never do therapy with me. I have a counselor for that. It would be more handy to have it with one but I’m lucky and good help.
So what about the people (like myself) who are 1000% against being medicated with Anti-depressants that have rarely if ever worked? And those like myself, who are treatment-resistant to drugs? Anti-depressants do not work on a LOT of us, so what’s the alternative
I've found 5 HTP or tryptophan very helpful for my depression. Saint John's Wort tincture (not capsules, they often aren't the plant they say) can be helpful too. Making sure that you're getting physical activity, even just walking can make a big difference.
Integrative MD or Naturopath or other natural therapist who prescribes and monitors dietary supplements, nutrition, and other lifestyle habits can be useful addition to one's therapy team as well.
I think alot of people should see both if possible, here in Quebec if you don't have private insurance you're buggered for talk therapy ( psychologist) for everything you have to go the public system and waiting lists are a nightmare
Is hypnosis considered therapy and if so where would it fall in your categories in terms of effectivenes? Meaning which mental illnesses is it best suited for.
I find that a lot of people see a therapist because they think that we can’t diagnose. A lot of people avoid seeing a psychiatrist because they do not want to be diagnosed with something or take meds. They associate that with “crazy people see them”. I do not feel that most psychiatrists push meds. There is a long wait list to see a psychiatrist. If a patient does not need meds then you won’t prescribe.
From the non medical, common sense camp. If your feeling depressed for months and cant shake it, I'd ask. Are you routinely (3+ days a week for 1hr) engaged in strenuous (you have to sweat) physical activity? Are you eating wholesome foods at levels that support exercise and not body fat? Are you receiving adequate and restful sleep? Do you have healthy outlets to help mitigate stress? I'm not anti medication or anti medicine. However, I've watched a family member waste away for years on "medication" (ativan's, lithium and others) prescribed by a Psychiatrist rather than addressing and engaging in common sense solutions that require effort. IMO It doesn't have to be an either or scenario. However, I believe it's manifestly obvious, the more effort you put into yourself, the less reliant you will be on pharmaceuticals.
I am in complete agreement with your stance. I don’t like the idea of physically and mentally relying on pharmaceuticals. That’s the sole reason I am in school to be a therapist and not a psychiatrist. As she’s stated in the video, most of the time psychiatrist aren’t interested in relieving symptoms the old fashioned way, they are purely looking to medicate. (Usually because of insurance purposes). And I don’t agree with that notion. It is not natural. And a lot of the times doctors don’t prescribe the appropriate medication for a person’s symptoms and some of the medicines they prescribe, are only one chemical away from being much harder drugs that we stigmatize in society.
For the record, I don't blame the psychiatrist. He is infinitely more qualified to prescribe psychiatric medication compared to the GP. Who continued to rubber stamp anti depressants when my family member was in a full-blown manic episode. That said, doctors in general do have to shoulder a decent amount of responsibility for the culture that exists, that seems to be agnostic regarding personal responsibility (do you recall the covid pandemic and absolutely no emphasis on personal health?) and instead push as a first line of defense, medications, that we know fully, have tremendous adverse effects. It does make me very sad to look on the bathroom counter at a bottle filled with hundreds of ativan tabs to "help" someone get through a routine day, when instead they could go for a long walk, lift some weights, eat well and be rested. All with better results on just about any metric imaginable. @thomasshanks6735
@Dr. Tracey Marks I wanted to watch an old video from you again, called Why people with ADHD procrastinate. I saw you talking but I heard a different voice translating it into my own language (Dutch). I thought this was a new TH-cam feature, but that video is the only one where this occurs. I wanted to let you know.
As a former mental health nurse in the UK, for UK residents, I would recommend people see their GP first, unless they're experiencing psychotic symptoms, then you should call 999 or go to your nearest A&E. What is key is the relationship between the patient/client and the mental health professional. The therapeutic approach is not important,
Had about 9 therapy sessions with a psychologist. I'm going to see a Psychiatrist to get a proper diagnosis. All my symptoms and the questionnaires indicate moderate to severe depression but i also think i have persistent depressive disorder. After that i dont know what i am going to do. I have no help and I cannot afford anymore therapy where i live and I do not want to go on medication at all based on all the side effects i have done research about. At this point after 13 years of fight and struggle i dont think i can do it anymore
Thank you for this helpful video! Figuring these things out can feel overwhelming when one is struggling with their mental health, leading to no action being taken. This really helps clarify. I tried to give the video a thumbs up and for some reason it wouldn't let me and disliked instead.
I do know i have something problematic going on with loss of appetite, sleepless nights and being depressive enough to isolate myself. I don't understand whether I should think my mood swings and rage is worth going for a doctor especially when it's centralized on one person at times.
A big,big, problem I found is that finding and choosing a mental health worker, be it psychiatrist/psychologist, is so very difficult. The exchange is very personal but in times of great emotional stress one is least capable of such a selection and they can do harm. But, there is no choice in this, it is a problem we have to confront.
The ability of health workers varies greatly. Chemistry can play just as much a role. Good chemistry just doesnt help if the therapist agrees with you all the time.
I cant do full on therapists, I just use my psychiatrist for meds. Therapist: "Close your eyes, imagine a creek, and breathe slowly" Me experiencing a cyclone of colliding mania and depression "Um, no?"
I think it depends on your personality and theirs more than anything like i would rather talk to my psychiatrist over any psychologyist he is just esay to talk to.
In my experience as a patient, if you need to see a psychiatrist, you also need a therapist. If you need a therapist, you may or may not need a psychiatrist
Psychiatrists will usually just medicate you. That's my experience in Florida. If you need to talk to someone, then a therapist is the way to go. However, I hate to talking to strangers about my life, so it's not for me.
I see a PMHNP-BC ( Psychiatric-Mental Health Nurse Practitioner-Board Certified) for anxiety (medicated) and ADHD (coaching, since I'm abnormally sensitive to stimulants -- coffee stays in my system for more than 12 hours, which really is not normal!). I never know what to call him, when I talk about him.
Thanks very much for this video! I recently decided to seek help for anxiety, so the timing was perfect. I have one question if you don't mind. You didn't mention psychologists in the video at all. When should a psychologist be sought out instead?
I am a healthcare provider. If you are on meds, it is smart to get them from someone that understands those meds. I have a great therapist. She doesn't know ANYTHING about prescribing or monitoring medications. She can't even tell me what she would look for to contact a prescriber to discuss how medications could be affecting treatment. I know more about it than she does because I have worked in healthcare for decades. DON'T THINK YOUR THERAPIST UNDERSTANDS YOUR MEDS and can tell when your meds could be CAUSING your symptoms such as tooth grinding and nightmares. Because you deserve to get a skilled prescriber, not someone that took a weekend online course. God help the people in the states in which therapists can prescribe. They are risking their health.
Hope your situation is better. It sounds like you need to get more in touch with family and if you can't, people just like yourself who can lift each other up in the most healthy way. Please don't give up just yet. Talk to another psychiatrist if you're not satisfied with your current one.
Happy Holidays Dr Marks.. you've helped me greatly in knowing how to direct a friend experiencing in my opinion severe depression and addiction. What I've noticed is undealt with childhood traumas is where the majority of his mental state stems..unfortunately Meth is his choice of drugs , he's hearing voices that aren't real but the voices say things to him he already feels about himself. My issue is he just started a new job and is on probation which ends in a few months can he get treatment without losing his job?
This is very helpful up to the point of the wide range therapies. That was kind of overwhelming to take in. I'm also extremely scared of going to a psychiatrist and having them lean into medication from the start instead of helping lead the way to an accurate diagnosis and guidance to the right form of therapy. How do I find a quality psychiatrist to be my north star to a holistic mental health balance?
In my experience, you have to be your own biggest advocate. Learn as much as you can about the mental health issues you’re experiencing/the disorder(s) you think you might have. Create a document to keep track of your symptoms and their severity. And be sure to come to your first appointment with a psychiatrist with questions for them about their values and approach. Then, be ready to walk away if you feel like it’s not a good match.
Your fears are absolutely founded. In my 17+ years service as a psychiatric RN, I've seen exactly what you're describing happen time and time again. I've worked with my share of psychiatrist and anytime I questioned their practice, I was hauled in to a manager's office for insubordination. I was advocating for my clients. I'm glad to be done with that now. I have my own practice as a private mental health advocate, to support people in navigating the current mental health system without losing their sanity and also to implement powerful lifestyle interventions to go from struggling with anxiety, depression, bipolar, weight gain, brain fog to feeling better and experiencing mental clarity, mood stability, healthy weight loss, and a sense of control. Along the way they also gain back their self esteem self respect, dignity, and humanity. You're welcome to reach out if you need support.
Dr. Marks, I have been in therapy with a few therapists for several years unfortunately without much improvement. I was wondering how to narrow down what type of therapy that I need. I have been diagnosed with Borderline Personality Disorder, Generalized Anxiety Disorder, ADHD, and Bipolar Disorder. I have a psychiatrist that does my meds. Do you have any advice? I am very discouraged.
I just used you to sign up for BetterHelp, however I feel like maybe therapy isn’t for me. I’m highly violent and he wants to keep talking about traumatic events that are just making me obsess over violent thoughts more. Do you think I need a psychiatrist, or should I stick with the therapist a bit longer? He’s so vague and not pragmatic and it’s annoying. I just want answers and a way to make progress, not vague bs about let’s talk about how you feel and why. I know why I feel like I do!! I just need skills to help me achieve my goals, I don’t need to talk about it lol. Life is bullshit and that’s the gist of it, now tell me how to excel. Don’t tell me how to reflect on my own despair. I know bad shit happened in my life, what’s lounging around talking about it gonna do. I want actionable and progressive things! He even admits I’m hyper aware of myself, yet he thinks I don’t know everything about myself. Makes no sense!!!
I was born FASD. My mother drank through her entire pregnancy with both myself and my younger brother. My grandmother raised me since I was an infant. In midlife adulthood, I was diagnosed with BPD and have taken group and individual DBT which has not helped. What treatments are there for FASD which we believe to be the primary reason for having BPD or is that not a thing?
It is so freaking easy in the U.S. If your sick, going to work, not making enough money because your potential has gone to stocking for Amazon Prime. Then you know you can't afford proper healthcare in Texas. You can buy an assault rifle with thousand of bullets for a fraction of a price to get good help in Houston, Texas. This is life. This is hell. No one should ever use violence against each other and I freaking hate guns. I had one to my head and it took the police 3 hours to respond. I know a lot of you are mentally ill and we should never be violent. We need to act fast!
Hi, ive been watching you for a while and i have been to different doctors. And now i have 3 different disorders. I feel like im a lost cause now and i want to give up 😅
I have a phobia of psychiatrists due to misdiagnosis and false medications. Therapy was unfortunately a joke, probably because I live in an area with exclusively white therapists and I'd want someone who has a different background to get me. I white-knuckle it all. I found doing self-administered CBT helps a lot.
Your fears/phobias are not unfounded. The wrong diagnosis and medications can have a devastating impact on a person's life. They can change a person's behaviors where and lead them to lose finances, relationships, and even their very life. I've witnessed this with so many people, working in the conventional system as a psychiatric RN. I share my own story and this exact issue on my TH-cam channel to raise awareness about this exact situation you're referring to. Thank you for doing your part. Currently I have my own practice as a mental health advocate. Let me know if there is anyway I can be of help. Kind Regard, Neseret
Problem is even medically qualified psychiatrists don't seriously consider exogenous or organic root causes of mental distress and disorders. People can literally go a whole lifetime being given antidepressants and talking therapies before the primary cause is determined, such as a tumour, malnutrition, chronic toxicity, parasites, or genetic disorders or congential malformations. That's not to say talking therapies hold no benefit and I get the pragmatism of treating the symptom not the cause, however they can be largely ineffective when there is a physical cause.
This what National renowned Dr Daniel Amen does, I implore people either watch one of his videos or read one of his books. He uses natural supplements to correct brain chemistry imbalances. I was depressed and had anxiety at a major level. For anxiety he recommends GABA, theanine and magnesium. For depression all types of amino acids and other natural supplements. L tyrosine with B 6 is highly recommended along with a good quality omega 3 fish oil. I had tried so many SSRIs I lost count. They were the worst thing I ever took. I know several people that told me the same thing.
Read books by dr Daniel Amen for natural meds. Amino acids, a good quality fish oil a omega 3 and magnesium saved me from depression and major anxiety. SSRIs made me worse ! Are you exercising, getting socialization eating the right foods ? DR Marks is correct a good therapist can help, though you may have to try different ones.
I have both a psychiatrist and a therapist. I started with a therapist for severe trauma work back about a decade ago and it was enough for awhile and I've made a lot of progress. Until it started to not be enough and my moods became more erratic and unpredictable. The psychiatrist came on board when my PCP noticed I was struggling too much for her to manage. Having both is what I need at this stage of my life and I am thankful I can have both. I think just starting on the path to helping your mental health is a huge decision and I applaud everyone that does it!
I have both too.
Dont hurry to get well. Thats my clear experience. Then you will have much greater chance of succeeding fully. Also when you feel you have succeeded fully, YOU ARE NOT - But on the right path😊
Me too
Yes, it takes a lot of courage to look within and to ask for help, and accept it. Many people are fearful of stigma and just opening up and trusting another human being. However, untreated mental health problems do not go away on their own. Typically it gets worse and people suffer in silence. There is no shame in seeking support. If you have the gift of a body and a brain, then you will have some concerns. Mental health problems impact everyone. It is something that affects all of us to one degree or another. There needs to be a lot of compassion around it, because when your brain isn't functioning properly, it is incredibly scary. And people need a lot of guidance and support.
I've been in therapy (mainly talk therapy) with a psychiatrist for 2 years now. I hate seeing multiple people for my mental health problems (e.g. therapists+psychiatrist), so I knew from the beginning that I needed a psychiatrist. It was very hard to open up to someone about my problems, and the sessions cost me a lot of energy. My psychiatrist has almost 20 years of experience and also helped me with severe trauma from a decade ago through EMDR. I'm happy with my decision to stick to one psychiatrist only, our therapeutic relationship has flourished throughout the years 👍 In terms of recovery, I'm still a long way from it. But I'm still fighting
It could take forever to find the right psychiatrist AND/OR the right therapist.
A psychiatrist saved my physical life-but I’ve never met a therapist who could work outside of a textbook.
Its agonizing
I've already wasted enough time not doing therapy. Now I gotta waste more time just finding the right one? Ugh.
@@usernameisunavailable8270Yeah, it's discouraging. My mental health isn't good but I haven't gotten to a point where I feel overwhelmed. My plan is to make some improvements in my life to see if that helps me feel better. If not, I'll bite the bullet and get therapy or see a psychiatrist.
@@usernameisunavailable8270I love it when people say that... like you have the time/money/energy to go through 25 therapists
im sorry youve had this experience. ive had WONDERFUL therapists.
My Psychiatrist confirmed my diagnosis. And now manages my medications.
My Psychologist and I work via therapy techniques to try and reduce my symptoms.
Both combined give me the best outcomes for my severe Major Depression.
hello I am diagnosed with ptsd and MDD. I was wondering what medication are you on? if you don’t mind me asking such a personal question. I live in nyc and it’s taking months to get a physical check up so the psychiatrist can finally put me back on something. I’ve been on lexapro before but for less than 3 months.
@@tribecalledmaya my antidepressant is EFFEXOR. It gives limited help to my Depression.
I am now also on Lithium which helps greatly at reducing my suicidal urges.
@@tribecalledmaya That's a tough situation to be in, when you're needing support and relief, to have to wait. How did you find the Lexapro? What were the full effect of the medication - beneficial, side effects, adverse effects or toxicity? What other medications have you tried? Also have you explored lifestyle interventions and or alternative and complementary therapies?
People need to stick with what works!!!!!
Your videos are very informative. I have found that therapists are not always discerning and many of them stay very text book with their therapy practice. In this case they aren’t observant to recognize the need to proactively refer out as they should when they are unable to treat patients properly. It is such a disservice to those that need help to get better. Thank you!
Very good point. It takes self awareness and a willingness to recognize your own scope of practice, honestly assessing what you can do for your client. If you're unable to support them or you're not seeing progress or someone else has an expertise in the area they want to work on, then it is the most ethical thing to do to refer them.
That's very interesting. I've actually had the opposite response in my experience where a therapist was observing enough to see psychiatry was needed, and recommended a good psychiatrist. But it just goes to show we all live very different lives.
@@FriendsWithIssues Very true. Humility is needed to collaborate with others. A person can never have too much support or advocates in their corner. I share my experiences on my TH-cam channel about holistic approaches in mental health. I would love for you to join:) kind regards
A brilliant Psychiatrist who cared for us with psycotherapy and the med thing. She was a superstar without the baggage. She has moved on and i miss her very much. Thanks!
In my experience they've had two very different roles with a really nice synergy one more in the practical way and the other more on the psychological way so my tip is to ask the therapist for a good psychiatrist that she/he may know because there are many bad psychiatrits out there unfortunately and the better ones are those with some training in psychotherapy too
Edit: Beside medications my psychiatrist really made possible countless activities and support in the practical way and that's what I mean with a synergy with the therapist especially if the know each other and occasionally even communicate with each other to exchange information and strategies
This is my main fear right now. Everything hinges on finding a psychiatrist that is honorable and attuned to every option on the table from therapies to neuropsychology.
I used to see 2: psychiatrist to prescribe meds, and a therapist for talk therapy. This video kinda describes that, but the title's question confused me. Nowadays my GP handles most of my prescriptions, and talk therapy is available when I feel I need it. The main thing is to make sure I see the therapist in person, not just online or over the phone. (My insurance doesn't cover phone therapy.) The therapist needs to know if my nails aren't done, if I start looking frumpy or unkempt, these can be signs that my mental health is heading in the wrong direction. That said, I sometimes also have fatigue due to ongoing targeted therapy for stage 4 cancer, so I usually need therapist skilled in helping me distinguish between depression and fatigue. As temping as it is to do online therapy, I still prefer in-person appointments when I need them. Our local cancer center has therapists specifically focused on understand these kinds of issues.
I wish you all the best❤❤❤❤❤
@@glitteryroses Thanks! Things are going well, and that's something I never thought would be possible!
Sounds like you’re going through so much, it’s good you have support. You can’t have too much of it. A component of depression for some people is lack of energy and motivation, so it’s understandable it’s difficult to distinguish between the two. What else helps you cope and gives you strength to face these challenges?
@@NeseretBemient When I need strength or coping techniques, I try to focus on philosophy. I'm not very religious, but 2 schools of philosophy that have helped me a lot are stoicism and absurdism. Both follow the idea that life has no meaning, that we are the only ones who can assign meaning to our own lives. So that feeling like, "Why bother?" is meant to be filled by our own hopes, dreams, and passions. Absurdism is kinda like stoicism with more humor, to appreciate the absurdity of it all can be a very refreshing outlook.
@@Sarappreciates Amen! Don't take yourself or life so seriously. Have a little bit of humor and levity, maybe even FUN! I've heard of stoicism but not absurdism, but it sounds pretty interesting! I'll have to check it out. Thanks for sharing!
It made a world of difference when I started seeing a psychiatrist that doesn’t take insurance. He is worth every penny! He actually has you text him in between appointments with issues. I have ADHD and bipolar disorder, and it’s hard to medicate because the medications cancel each other. I found for behavioral treatment, The ADHD Dude Membership, though it’s aimed at parents, is also helpful for adults with ADHD. Therapy is limited in how it helps me. It did help me manage thought processes with difficult emotions, but in the moment I often feel strongly then when it passes I’m over it. Self care, meditation, journaling, stress management, exercise, these all help too.
Thanks. ❤ I'm going through ADHD and anxiety. And this really gave me hope!
When you think you are over it, you are only half way there. Great effort and tools you have chosen. You will be fine.
I’ve heard a few times about the ADHD dude. What has it taught you so far or how did it help you?
@@chelseadezerae8873I have left lengthy comments on his channel and a Google review answering this. Just sign up for a month and go through Scaffolding Better Behavior, Executive Function Crash Course and Socially Smarter. You can do it in a weekend. It’s $20. It’s ADHD parent behavior training (you can reparent yourself as an adult) that most therapists aren’t trained in from a social worker who decided to specialize in it for the cost of a book. Good luck!
this is such a great and comprehensive video. there’s so much misinformation on this topic. people tend to think they need to be medicated for depression due to a “chemical imbalance” when what they need is behavior change. then they end up frustrated when medication either doesn’t work or they need to keep increasing their dosage. the same is true for mild anxiety. then there’s the people that go to therapy and say “it doesn’t work” because they saw a talk therapist when they needed to see a trauma specialist or maybe would respond more to another modality. such a great job clearing up the confusion!
It is an absolute blunder! Btw, there is no scientific test, brain scan, and measurement to support the "chemical imbalance" theory. Psychiatry is the only profession which does not look at the organ we claim to treat. We still operate the same way we did 200 years ago when Ab Lincoln was diagnosed with melancholia, through a cluster of subjective symptoms, and objective observation by the therapist. And yes overmedication is a routine practice, that leaves people looking more like zombies. We have gotten away from physical lobotomies, but chemical lobotomy is permitted. And we now medicate mild anxiety, grief (after 2 weeks), boredom, behavioral issues, food addiction, or any other normal reaction to abnormal events. Everything is up for being pathologized. It's the world we live in.
this video really REALLY HELPS!!! i never really knew the intricacies of either profession, so having an actual Doctor explain it makes things less blurry. I had both a counselor and psychiatrist through my journey.
For me, I initially started having panic attacks so acutely when I was freshly 19 and still hadn't moved from my pediatrician yet, but I didn't know they were panic attacks. So I made an appointment to explain to him what was going on and without even telling me what was happening, he left the room and came back with a name. I called the name, made an appointment, went to the appointment with my dad, and was put on Zoloft. I don't know how it never occurred to me that that name was a psychiatrist and that I was having panic attacks. But sometimes that's just how the journey goes. I did very quickly after that begin the arduous journey of trying to find the right therapist and 13 years later, everything is so vastly different, but that's mental health. It's wild. Have no expectations, but remain hopeful. That's how I'm still here. Thanks for your videos.
Some people just don't have any bedside manner! You were young and vulnerable, and that Pediatrician could have taken time to learn more about what was happening for you and provided proper education. You're very insightful, in that the healing journey is arduous - partly because the system, as you keenly observed is WILD! I worked in the conventional system as a psychiatric RN for over 17+ years in Canada, and I was in burnout every 4-5 years. I took sick time anywhere from 4-9 months at a time during those periods. I had witnessed so much needless suffering, in a system, that is just putting fires out but not looking deeply in to complex human beings. It was heart breaking. I'm now a mental health advocate and support at risk youth and their families to navigate the current mental health system without losing their sanity, and in implementing powerful lifestyle interventions to feel better. I believe early detection is key in recovery. If you can identify mental health concerns early and address them, then the youth can move forward in their life and not continue to suffer. Thank you for sharing your experiences and journey. Best Regards,
Omg, this video came at the perfect time
Excellent to hear. 😊
@@DrTraceyMarks Turn to bible and allow GOD to be your therapist, psychologist and psychiatrist. No man nor women fits to be one. All are sinners and without glory, all are tempted and suffer the same.
All are expected to REPENT AND BORN AGAIN, to LIVE HOLY AND GO AND SIN NO MORE.
All are weak in the daily fight between their spirit and flesh.
All these therapist, psychologist and psychiatrist, this world provides, can do is:
to deceive and steal.
They deceived you through all these “diagnoses” and they steal your money, through all the pills which you “need”.
In short: they poison your mind and your overall health, leaving you with neither one.
I am an LPC. This is all correct. I refer patients out to a psychiatrist especially if their symptoms are severe. Psychotherapy alone does not work for psychosis. It can be helpful once when someone is stabilized on meds.
You seem to cover some really good topics. I love your advice. So easy to understand and relate to. Thank you Dr Mark's 😊
I split the difference and see both. My psych is mainly there for the meds. The therapist is there for the talking and support.
Dr Marks! You are a gem! Thank you!
Where i live, you get about 45minutes to talk during an appointment with a psychiatrist (governmental clinics/hospitals). Talking for almost an hour definitely gives a patient the chance to create an alliance and let themselves be heard, but also allows for the dr to get a good understanding of both bodily and social facors thay contribute to the current mental state of the patients.
Ofc there will be those that cut the time short and just concentrate on medications, but the bookings are alwaus 45 min long.
Human beings are complex. Human beings that have a brain disorder are incredibly complex. 45 Minutes or even an hour is barely enough time to scratch the surface to getting to know someone, let alone to create a therapeutic alliance and or understand what's really going on with this person in front of you. This is one of the greatest flaw of the western medicine and psychiatry - the system is so overburdened, it's become a drive through service. There is no time to be really curious and listen to people and to get to know them. Physician's have 7-10 minutes before they hand you a prescription, and psychiatrist will have a little more time - 20 min - 1 hour(if you're lucky!) That is absolutely pitiful!
@@NeseretBemient A psychiatrist works 8hr shifts where 6 hours are dedicated to 6 patients, one hour to emergency cases, and one hour to administration/creation of documents to be sent to govt. officials for the patients.
A meeting longer than 45-60 minutes is unrealistic and ridiculous. That is enough time to get to know the doctor/patient, talk about the current and past issues, and to create an initial evaluation. A follow up is 1-2 months later, and in between the assigned therapist helps with screening/diagostics/therapy until the next doctors meeting.
My governmental hospitals seem to be offering more than what the other comments under this video are getting, measly 15-20min.
I'll take our offer any day over that.
What many here share is obvious, be open to both options! I have a psychiatrist who at first I felt was just basically doing med management and a wonderful therapist (took several less successful interactions with 2 others previously to find the right one). I'm now grateful that both are helping me start to heal after over 37 years of suffering with not one but two undiagnosed conditions. The psychiatrist never wants to over medicate me and that had alleviated much fear of taking prescription drugs.
This video is one of the most helpful from Dr Tracey Marks because I finally understand the reason psychiatrists are usually only handling medication in the USA (it's very different in Western Europe). Thank you.
It sounds like you have an excellent team. Many people are left on a cocktail of psychiatric medications and thoroughly overmedicated. Their medications are rarely reviewed and re-evaluated to see if they are still beneficial, or the dose can be adjusted or tapered off. They're told their condition is chronic and they'll need to be medicated for life. This is not true. There are ways to put mental health conditions in to remission. I've done so with an antidepressant induced bipolar disorder, after suffering for 13+ years, and after being treated with multiple psychiatric medications. There is hope. A mental health diagnosis does not have to be a prison sentence.
You have to find the right therapist and phycologist I made it clear that I didn't want to try too much medication because of the side effects now I'm prescribed medication that I don't take and feel better without it some of us need it some of us don't
What I've noticed is psychiatrist rely less on therapy and more on medication management. Which is just brushes over the issue and keep one feeling just as bad, only medicated.
I cannot thank you enough for this video. This is one I am going to refer my clients and potential clients to many times over!
As usual Dr. Marks thank you for your expertise. You are a very talented educator.
See both. One for medication management and the other for continued psychotherapy. Psychotherapy can be life changing.
Those of us in anguish, pain and suffering may find, as I did, a medication that is helpful from a psychiatrist who is not. I became tethered to a useless five year stint of 'talk therapy' that never even touched on my root cause issues. Finally realizing my predicament, I left the meds and the money-sucker behind. Soured by that experience, it took many decades for me to begin a journey of real healing; discovering my root cause issues and changing my responses to them. Get the RIGHT help from the right source. Knowing what is right for you can be difficult. Some issues, like mine, that are managed with meds for more than a reasonable time, without real inner resolution, is a red flag. Even in distress, we are our best hope for healing...and outside meds and therapy may be useful, but need to be monitored for results.
Yes. So many people suffer needlessly, even while they’re followed by mental health professionals. Effective relief is not guaranteed, and sometimes you’re working with people who are not effective or helpful. Many are in burnout and need a career change or else some kind of help. There’s a saying, the therapist is the therapy. As well, I totally agree with exploring alternative and complementary treatments is critical. There are so many powerful lifestyle interventions you can implement to heal.
Love u lots Dr tracey marks 💓 💖 💗 your videos are really helpful plz keep uploading videos xx
Thanks so much Rose-Tawaji.I intend to keep bringing you mental health information.
@@DrTraceyMarks thanks cuz I am really suffering from depression xx
@@DrTraceyMarks tomorrow is my 1st CBT appointment
Dr when time allows can you please do a video on Seasonal Affective Disorder (SAD)
If your brain chemistry isn’t optimal, a psychiatrist. If you need to work through trauma, a psychologist. But even if your problems are better treated with medication, it still helps to talk about them. To talk about your symptoms and better understand them and how to work with them. Luckily my psychiatrist will listen if I want to talk. I’ve heard from many people that say theirs just wants to write the prescription and rush them out of the office to make way for the next paying customer.
9/10 psychiatrist will write a script and rush you out of the office, 1 will listen. I've worked with enough psychiatrist in my 17+ years as a psychiatric RN in the conventional system and have witnessed this personally. You're very lucky you got the 1/10! All psychiatrist are trained to do psychotherapy but they do not have the time. They're likely overworked and burdened by the sheer amount of need, but also make the choice to collude with a dysfunctional system.
I teach the mnemonic "Please refer critical symptoms before proceeding." Please (physical symptoms including palpitations, tachycardia, tremulousness, and weakness); refer (rapid onset of symptoms); critical (alterations in level of consciousness including seizure); symptoms (severe impairment); before (bipolar presentation); proceeding (perceptual disturbances).
I would like to add the often-forgotten Advanced Practice Nurses, also known as Nurse Practitioners or mental health nurses who specialize in psychiatry and are also qualified to diagnose and treat mental health conditions and prescribe medications as well as provide therapy or counseling. There are numerous options available for mental/emotional health issues and concerns and this video provides and EXCELLENT breakdown of all available mental health resources.
I should have booked with you a yr ago..now when I'm financially set..I cant even book you. I'm seriously done seeking help... You're the only that truly cares to educate us.. ughhh 😢 I'll be checking up regularly. If you can tell us when you'll start accepting new patients again..or at least cash patients if you take insurance ❤ thank you for all of your great videos
Wow I looked too many videos but yours are very clear for my mind and don’t create me panic. Very nice because I found you. Hello from Romania (somewhere in est Europe). I like your videos.
Cannot sleep because I have a energy which not leave me. Can’t have that relax to sleep. Every night at 3 or 4 a clock I’m waking and can’t sleep until 7 in the morning. What should I do?
In the rest of the day I have panic attacks especially when I’m driving and at laptop because of the posture.
Omg I’m sorry you feel this way , your not alone I’ve been having the same problem is almost as if every night I’m up at the same time and can’t get sleepy until it’s wake up time .
Have you found any resourceful tips ?
You cleared up that issue without a lot of confusing talking 😊
I have severe social anxiety and a negative thought pattern. Some say OCD intrusive thoughts. I have consulted a Christian counselor who is helpful but doesn't accept insurance. I have no advocates or friends in my community or church to rally around me. Everyone just assumes the worst and gossips about me. It's like being terrorized every single day of my life. I don't know what to do. I'm barely hanging on.
Maybe don’t go to a Christian counselor? WHYTF is this not obvious?
@letsgrowandprosper6562 I'm open to medication if it will make this go away. I will take everything you said into consideration. I appreciate your kind words. God bless you.
I have similar mental disorders as you. I'm no stranger to the bullying, mocking, gossip, and harassing behavior. I try to block it out as best I can and make the necessary improvements in my life.
Honestly top tier information here. So helpful!
I would love to hear the uncensored version of this episode.. lol.. thank you so much for kicking ass..
Definitely appreciate you for this. I actually see both.
Thank you for all your very helpful videos, Dr Marks!
Nice timing, I was just thinking about looking into this.
This was very helpful in allowing me helping me navigate this topic. Thank you!
I don't see either as all I've had is bad experiences.
I see both my psychiatrist every month and my therapist every other week for which just got diagnosed with pure O OCD with anxiety 😥 my intrusive thoughts drive me crazy and crazy is the biggest fear I have. I always check for psychosis or schizophrenia symptoms making sure I am not going that route. Even though my therapist tell me if you’re worried about being psychotic it’s most likely you are not. BUT I can’t convince my brain it’s always a “WHAT IF” 😢
That's totally understandable you'd feel this way and your brain is attempting to convince you and you doing your best to question those thoughts is a losing battle. Our brains are incredibly powerful(evolved over millions of years), but sometimes they work hard, and in a way that is not very helpful to us😞It is the case in OCD and many other brain disorders. There's a wonderful book you might find enlightening about your situation and could add to your toolbox.
One of my good friends was diagnosed with OCD and this book was recommended by his fantastic psychologist, who is an expert in his field. It's called "Overcoming Unwanted Intrusive Thoughts" by Sally M. Winston, PsyD and Martin N. Seif, Phd. If you decide to read the book, let me know what you learn. Best Regards, Neseret
Ah thank you, i've wondered about this for several years. The explanations so far haven't been that clear.
I'm loving the editing on this one.
My psychiatrist does both meds and therapy. It's expensive and she doesn't take insurance but my medication is much better managed now. Before, I had a psychiatrist that did 10 min medication appointments, he completely missed the fact I had a thyroid condition called Graves Disease and I was misdiagnosed as having bipolar disorder. The meds for bipolar disorder caused all sorts of awful side effects and they were completely unnecessary. After getting my thyroid problems taken care of, I still had mental health challenges and my regular doctor wanted me to see a psychiatrist. I was really hesitant until I found my current doctor. My psychatrists correctly diagnosed my ADHD and depression, talks with my regular doctor about other potential health issues (she referred me to get a sleep study and I was diagnosed with sleep apnea).
I think diagnosing correctly is very difficult, but doctors also vary greatly in their abilities.
I am so sorry to hear about what you went through. The wrong diagnosis and medication can wreck a havoc in a person's life. I went through a very similar situation with being diagnosed and treated for hypothyroid, and having toxicity to a synthetic thyroid hormone. The medication did not control my hypothyroid symptoms and exacerbated the symptoms of hypothyroid that mimic psychiatric symptoms.
Then an antidepressant was added on the same day I was diagnosed and treated for hypothyroid and I became manic within 3 weeks of starting on two medications. (A complete medical negligence!) I went through hell and back for over 13 years (I share my story on my TH-cam channel - The Cost of the Wrong Medications Series), and in the last 7 years, through holistic approach I was able to put my conditions in to remission.
However, were an absolute nightmare, which ended my relationship with my partner of 9 years and broke my daughter's heart at the tender age of 12. I also missed 2/3 of her life because I was battling an impossible predicament, on the cocktail 4 medications I was prescribed. I was swinging high and low, I was suicidal and I had zero energy. I slept 10-13 hours per day. It was a complete disaster.
I share my story publicly because I know so many people are in the same situation. I never want anyone to go through what I went through and to feel so ashamed, alone, and isolated. I hope you're doing well now. Thank you for raising awareness about misdiagnosis and misuse of psychiatric medications. Kind Regards, Neseret
I would like to add that in my case I can’t see a therapist or Psy without a referral so you may start with your general practitioner. They then can recommend a therapist or Psy. Personally the Psy I have seen and there’s been a lot they never do therapy with me. I have a counselor for that. It would be more handy to have it with one but I’m lucky and good help.
Can you do a video on EMDR therapy?
Yes, please. I second this !
Thank you, Dr. Marks! 🦋🐬
So what about the people (like myself) who are 1000% against being medicated with Anti-depressants that have rarely if ever worked? And those like myself, who are treatment-resistant to drugs? Anti-depressants do not work on a LOT of us, so what’s the alternative
I answered in the other comments, amino acids, omega 3s, magnesium and lifestyle changes. Read or listen to dr Daniel Amen for other methods.
I've found 5 HTP or tryptophan very helpful for my depression. Saint John's Wort tincture (not capsules, they often aren't the plant they say) can be helpful too. Making sure that you're getting physical activity, even just walking can make a big difference.
This video was so helpful! Thank you ❤
In many parts of the country, psychiatrists are so rare that you can wait months to see one (and that's assuming they're even taking new patients)
Thanks you for all your videos, and their content.
If you have to ask and you can cover it by either insurance, sliding scale or your own means probably both
Integrative MD or Naturopath or other natural therapist who prescribes and monitors dietary supplements, nutrition, and other lifestyle habits can be useful addition to one's therapy team as well.
I think alot of people should see both if possible, here in Quebec if you don't have private insurance you're buggered for talk therapy ( psychologist) for everything you have to go the public system and waiting lists are a nightmare
Is hypnosis considered therapy and if so where would it fall in your categories in terms of effectivenes? Meaning which mental illnesses is it best suited for.
You'd be surprised by what is written in medical textbooks about complementary therapies, they even include reiki.
I find that a lot of people see a therapist because they think that we can’t diagnose. A lot of people avoid seeing a psychiatrist because they do not want to be diagnosed with something or take meds. They associate that with “crazy people see them”. I do not feel that most psychiatrists push meds. There is a long wait list to see a psychiatrist. If a patient does not need meds then you won’t prescribe.
This was great thank you
From the non medical, common sense camp. If your feeling depressed for months and cant shake it, I'd ask. Are you routinely (3+ days a week for 1hr) engaged in strenuous (you have to sweat) physical activity? Are you eating wholesome foods at levels that support exercise and not body fat? Are you receiving adequate and restful sleep? Do you have healthy outlets to help mitigate stress? I'm not anti medication or anti medicine. However, I've watched a family member waste away for years on "medication" (ativan's, lithium and others) prescribed by a Psychiatrist rather than addressing and engaging in common sense solutions that require effort. IMO It doesn't have to be an either or scenario. However, I believe it's manifestly obvious, the more effort you put into yourself, the less reliant you will be on pharmaceuticals.
I am in complete agreement with your stance. I don’t like the idea of physically and mentally relying on pharmaceuticals. That’s the sole reason I am in school to be a therapist and not a psychiatrist. As she’s stated in the video, most of the time psychiatrist aren’t interested in relieving symptoms the old fashioned way, they are purely looking to medicate. (Usually because of insurance purposes). And I don’t agree with that notion. It is not natural. And a lot of the times doctors don’t prescribe the appropriate medication for a person’s symptoms and some of the medicines they prescribe, are only one chemical away from being much harder drugs that we stigmatize in society.
For the record, I don't blame the psychiatrist. He is infinitely more qualified to prescribe psychiatric medication compared to the GP. Who continued to rubber stamp anti depressants when my family member was in a full-blown manic episode. That said, doctors in general do have to shoulder a decent amount of responsibility for the culture that exists, that seems to be agnostic regarding personal responsibility (do you recall the covid pandemic and absolutely no emphasis on personal health?) and instead push as a first line of defense, medications, that we know fully, have tremendous adverse effects. It does make me very sad to look on the bathroom counter at a bottle filled with hundreds of ativan tabs to "help" someone get through a routine day, when instead they could go for a long walk, lift some weights, eat well and be rested. All with better results on just about any metric imaginable. @thomasshanks6735
@Dr. Tracey Marks
I wanted to watch an old video from you again, called Why people with ADHD procrastinate. I saw you talking but I heard a different voice translating it into my own language (Dutch). I thought this was a new TH-cam feature, but that video is the only one where this occurs. I wanted to let you know.
It's a difference but a but a big help
As a former mental health nurse in the UK, for UK residents, I would recommend people see their GP first, unless they're experiencing psychotic symptoms, then you should call 999 or go to your nearest A&E.
What is key is the relationship between the patient/client and the mental health professional. The therapeutic approach is not important,
Had about 9 therapy sessions with a psychologist. I'm going to see a Psychiatrist to get a proper diagnosis. All my symptoms and the questionnaires indicate moderate to severe depression but i also think i have persistent depressive disorder. After that i dont know what i am going to do. I have no help and I cannot afford anymore therapy where i live and I do not want to go on medication at all based on all the side effects i have done research about. At this point after 13 years of fight and struggle i dont think i can do it anymore
Thankyou Dr.✨
You're welcome!
I have both.
Thank you for this helpful video! Figuring these things out can feel overwhelming when one is struggling with their mental health, leading to no action being taken. This really helps clarify.
I tried to give the video a thumbs up and for some reason it wouldn't let me and disliked instead.
I do know i have something problematic going on with loss of appetite, sleepless nights and being depressive enough to isolate myself. I don't understand whether I should think my mood swings and rage is worth going for a doctor especially when it's centralized on one person at times.
Great video Dr. Marks!
Thanks a lot! 👍🏽
A big,big, problem I found is that finding and choosing a mental health worker, be it psychiatrist/psychologist, is so very difficult. The exchange is very personal but in times of great emotional stress one is least capable of such a selection and they can do harm. But, there is no choice in this, it is a problem we have to confront.
The ability of health workers varies greatly. Chemistry can play just as much a role. Good chemistry just doesnt help if the therapist agrees with you all the time.
I cant do full on therapists, I just use my psychiatrist for meds.
Therapist: "Close your eyes, imagine a creek, and breathe slowly"
Me experiencing a cyclone of colliding mania and depression "Um, no?"
My wife has both a therapist and a psychiatrist. She has multiple health problems and her psych doctor is necessary to monitor her medications.
I think it depends on your personality and theirs more than anything like i would rather talk to my psychiatrist over any psychologyist he is just esay to talk to.
What are your thoughts on Viktor Frankl's logotherapy and other atypical therapies?
In my experience as a patient, if you need to see a psychiatrist, you also need a therapist. If you need a therapist, you may or may not need a psychiatrist
thanks so much! this helped
Also interested in a video on EMDR. Good video, thank you.
Psychiatrists will usually just medicate you. That's my experience in Florida.
If you need to talk to someone, then a therapist is the way to go.
However, I hate to talking to strangers about my life, so it's not for me.
I am still trying to figure this out. How does Psychoanalysis play into these things?
I see a PMHNP-BC ( Psychiatric-Mental Health Nurse Practitioner-Board Certified) for anxiety (medicated) and ADHD (coaching, since I'm abnormally sensitive to stimulants -- coffee stays in my system for more than 12 hours, which really is not normal!). I never know what to call him, when I talk about him.
Before watching the video I'll recommend both :P
Psychiatrist versus psychologist? Any difference?
Thanks very much for this video! I recently decided to seek help for anxiety, so the timing was perfect. I have one question if you don't mind. You didn't mention psychologists in the video at all. When should a psychologist be sought out instead?
I am a healthcare provider. If you are on meds, it is smart to get them from someone that understands those meds. I have a great therapist. She doesn't know ANYTHING about prescribing or monitoring medications. She can't even tell me what she would look for to contact a prescriber to discuss how medications could be affecting treatment. I know more about it than she does because I have worked in healthcare for decades. DON'T THINK YOUR THERAPIST UNDERSTANDS YOUR MEDS and can tell when your meds could be CAUSING your symptoms such as tooth grinding and nightmares. Because you deserve to get a skilled prescriber, not someone that took a weekend online course. God help the people in the states in which therapists can prescribe. They are risking their health.
I’m sick of meds, therapy, and life. Sometimes it’s just not worth it.
Life is always worth it
Hope your situation is better. It sounds like you need to get more in touch with family and if you can't, people just like yourself who can lift each other up in the most healthy way. Please don't give up just yet. Talk to another psychiatrist if you're not satisfied with your current one.
I feel exactly the same, I'm fucking tired.
Happy Holidays Dr Marks.. you've helped me greatly in knowing how to direct a friend experiencing in my opinion severe depression and addiction. What I've noticed is undealt with childhood traumas is where the majority of his mental state stems..unfortunately Meth is his choice of drugs , he's hearing voices that aren't real but the voices say things to him he already feels about himself. My issue is he just started a new job and is on probation which ends in a few months can he get treatment without losing his job?
This is very helpful up to the point of the wide range therapies. That was kind of overwhelming to take in. I'm also extremely scared of going to a psychiatrist and having them lean into medication from the start instead of helping lead the way to an accurate diagnosis and guidance to the right form of therapy. How do I find a quality psychiatrist to be my north star to a holistic mental health balance?
In my experience, you have to be your own biggest advocate. Learn as much as you can about the mental health issues you’re experiencing/the disorder(s) you think you might have. Create a document to keep track of your symptoms and their severity. And be sure to come to your first appointment with a psychiatrist with questions for them about their values and approach. Then, be ready to walk away if you feel like it’s not a good match.
@@andreamp09 Excellent suggestion!
Your fears are absolutely founded. In my 17+ years service as a psychiatric RN, I've seen exactly what you're describing happen time and time again. I've worked with my share of psychiatrist and anytime I questioned their practice, I was hauled in to a manager's office for insubordination. I was advocating for my clients. I'm glad to be done with that now. I have my own practice as a private mental health advocate, to support people in navigating the current mental health system without losing their sanity and also to implement powerful lifestyle interventions to go from struggling with anxiety, depression, bipolar, weight gain, brain fog to feeling better and experiencing mental clarity, mood stability, healthy weight loss, and a sense of control. Along the way they also gain back their self esteem self respect, dignity, and humanity. You're welcome to reach out if you need support.
Wow Tracy a gem as usual
Thanks a bunch!! 😊❤️
Dr. Marks, I have been in therapy with a few therapists for several years unfortunately without much improvement. I was wondering how to narrow down what type of therapy that I need. I have been diagnosed with Borderline Personality Disorder, Generalized Anxiety Disorder, ADHD, and Bipolar Disorder. I have a psychiatrist that does my meds. Do you have any advice? I am very discouraged.
I just used you to sign up for BetterHelp, however I feel like maybe therapy isn’t for me. I’m highly violent and he wants to keep talking about traumatic events that are just making me obsess over violent thoughts more.
Do you think I need a psychiatrist, or should I stick with the therapist a bit longer? He’s so vague and not pragmatic and it’s annoying. I just want answers and a way to make progress, not vague bs about let’s talk about how you feel and why. I know why I feel like I do!! I just need skills to help me achieve my goals, I don’t need to talk about it lol.
Life is bullshit and that’s the gist of it, now tell me how to excel. Don’t tell me how to reflect on my own despair. I know bad shit happened in my life, what’s lounging around talking about it gonna do. I want actionable and progressive things! He even admits I’m hyper aware of myself, yet he thinks I don’t know everything about myself. Makes no sense!!!
I was born FASD. My mother drank through her entire pregnancy with both myself and my younger brother. My grandmother raised me since I was an infant. In midlife adulthood, I was diagnosed with BPD and have taken group and individual DBT which has not helped. What treatments are there for FASD which we believe to be the primary reason for having BPD or is that not a thing?
It is so freaking easy in the U.S. If your sick, going to work, not making enough money because your potential has gone to stocking for Amazon Prime. Then you know you can't afford proper healthcare in Texas. You can buy an assault rifle with thousand of bullets for a fraction of a price to get good help in Houston, Texas. This is life. This is hell. No one should ever use violence against each other and I freaking hate guns. I had one to my head and it took the police 3 hours to respond.
I know a lot of you are mentally ill and we should never be violent. We need to act fast!
I don't know. I just know that i didn't deserved. I was quiet.
Hi, ive been watching you for a while and i have been to different doctors. And now i have 3 different disorders. I feel like im a lost cause now and i want to give up 😅
How do we know if we need trauma therapy? I haven't been tested for ADHD. I I've heard that trauma can cause symptoms that look like ADHD
I have a phobia of psychiatrists due to misdiagnosis and false medications. Therapy was unfortunately a joke, probably because I live in an area with exclusively white therapists and I'd want someone who has a different background to get me. I white-knuckle it all. I found doing self-administered CBT helps a lot.
Race of psychiatrist dont mean a think. Leave that thought and be happier.
@@allankvist6741 Race can matter. It depends on the situation.
Your fears/phobias are not unfounded. The wrong diagnosis and medications can have a devastating impact on a person's life. They can change a person's behaviors where and lead them to lose finances, relationships, and even their very life. I've witnessed this with so many people, working in the conventional system as a psychiatric RN. I share my own story and this exact issue on my TH-cam channel to raise awareness about this exact situation you're referring to. Thank you for doing your part. Currently I have my own practice as a mental health advocate. Let me know if there is anyway I can be of help. Kind Regard, Neseret
Problem is even medically qualified psychiatrists don't seriously consider exogenous or organic root causes of mental distress and disorders. People can literally go a whole lifetime being given antidepressants and talking therapies before the primary cause is determined, such as a tumour, malnutrition, chronic toxicity, parasites, or genetic disorders or congential malformations. That's not to say talking therapies hold no benefit and I get the pragmatism of treating the symptom not the cause, however they can be largely ineffective when there is a physical cause.
This what National renowned Dr Daniel Amen does, I implore people either watch one of his videos or read one of his books. He uses natural supplements to correct brain chemistry imbalances. I was depressed and had anxiety at a major level. For anxiety he recommends GABA, theanine and magnesium. For depression all types of amino acids and other natural supplements. L tyrosine with B 6 is highly recommended along with a good quality omega 3 fish oil. I had tried so many SSRIs I lost count. They were the worst thing I ever took. I know several people that told me the same thing.
God is #1.
@doug3819 hey I tried natural remedies. Still wasn't as helpful as Meds!!
can online session replace physical one on one session?
is it necessary to learn Chemistry in order to become a psychiatrist?
3:40 6:20 2:04
It’s hard to find a psychiatrist anymore. Everyone is a nurse practitioner now
Read books by dr Daniel Amen for natural meds. Amino acids, a good quality fish oil a omega 3 and magnesium saved me from depression and major anxiety. SSRIs made me worse ! Are you exercising, getting socialization eating the right foods ? DR Marks is correct a good therapist can help, though you may have to try different ones.