What is a Psychiatrist? Therapy? Medication?



hallo ihr Lieben heute habe ich einen besonderen Gast Dr. Barry Lieberman ist hier um mit uns über Medikamente, Psychiatrie usw. zu sprechen, also unbedingt dranbleiben! Wie schon gesagt, ich habe heute einen wundervollen Gast, mein Freund Barry is da, um mit uns über Medikamente und Psychiatrie zu sprechen und um alle Fragen zu beantworten. Ich habe von vielen von euch gehört, dass ihr zu einem Psychiater geschickt wurdet und einige Bedenken habt. Also Barry, ich denke die erste Frage ist, was ist ein Psychiater und warum würde jemand einen aufsuchen? Also, ein Psychiater ist ein Mediziner der sowohl als Allgemeinmediziner ausgebildet wurde als auch vieles über psychologische Probleme gelernt hat, genauer gesagt, die Überschneidung von allgemeinmedizischen Erscheinungen, die etwas mit Angst und Depressionen zu tun haben, mit den psychologischen Komponenten solcher. Psychiater können meisten therapieren, also Gesprächs- oder unterstützende Therapie, anbieten und auch Medikamente verschreiben. Interessanterweise habe ich sogar heute einen Patienten gehabt, der eine körperliche Erkrankung hat, aber die emotionale Reaktion auf diese Krankheit erlaubt es mir sowohl die unterliegende Krankheit medikamentös zu behandeln also auch die Angst. Ach, interessant, ich habe auch viele Zuschauer mit chronischen Krankheiten, welche an psychischen Problemen beteiligt sind. Genau. Also, du hast gesagt, manche Psychiater machen auch Psychotherapie… Ja, aber es werden immer weniger, und ich bekomme auch viele Beschwerden darüber, dass Patienten, wenn sie zu einem Psychiater gehen, diesen nur für zehn Minuten sehen können, nur für ein Psychopharma, ein Antidepressivum, Antipsychotikum oder Neuroleprikum. Das kommt immer häufiger vor, darüber ärger ich mich, weil ich nicht nur als Therapeut ausgebildet wurde, sondern es auch zu schätzen weiß, gleichzeitig medikamentös und therapeutisch zu behandeln. Ja, und für diejenigen die neugierig sind was das Format früher war: früher sah man sie für ungefähr eine Stunde, wie wenn man zu einem Therapeuten wie mir ging. Genau. So bekommt der Psychiater mehr Information, meiner Meinung nach kann er dann wirklich besser diagnostizieren und behandeln. Ganz genau. Heutzutage nennen sie es "Medikamentenverwaltung", und man sieht denjenigen für vielleicht 15 oder 20 Minuten… Richtig … und auch viele meiner Patienten haben mir gesagt "hey, du hast mich zu diesem Menschen geschickt und ich bin reingegangen und wurde gefragt 'und, was sind deine Nebenwirkungen'", es ging ausschließlich um die Medikamente, und dann wurden sie rausgeschickt. Mit dem Wissen dass es immer mehr in diese Richtung geht, meinst du es wird noch viele Psychiater geben, die auch Therapie anbieten? Ich hoffe es. Ich habe gerade in San Fran bei einer 36-jährigen Psychiaterin die Kinderbetreuung auf der Hochzeit gemacht, die bietet tatsächlich Psychotherapie an, also ich freue mich wenn ich welche sehe die das noch machen. Denn es stört mich total, ich bin einer derjenigen, die daran glaubt den gesamten Patienten zu behandeln, und ein Patient ist nicht blos ein Haufen Chemikalien. Ganz genau. Ich glaub es ist gut für euch da draußen zu wissen, dass ihr bei Psychiatern verschiedene Optionen habt für eure Bedürfnisse. Genauso wie wenn ihr einen Therapeuten sucht und ich euch rate drauf zu achten, dass ihr denjenigen genug mögt um nochmal hinzugehen, achtet auch drauf dass wenn ihr einen Psychiater aufsucht und z. B. die Krankenversicherung euch eine lange Liste zuschickt, schau dir mehrere an bis du wen gefunden hast, mit dem die Chemie stimmt. Oder findet jemand, der auch Therapie anbietet, damit ihr nur eine Person habt zu der ihr hinmüsst. Dann würdet ihr nicht Barry und mich sehen müssen, sondern nur deinen Psychiater und der macht dann auch Therapie. Achtet halt drauf dass ihr euch wohl fühlt und macht nur das, was für euch passend scheint. Ganz vielen Dank, dass du unsere Fragen beantwortet hast. Klar. Übrigens, ich vergleiche das mit der Partnersuche… Das ist wahr Wie mit der gegenseitigen Kompatibilität. Ja, ich sage ihnen auch immer, ihr müsstet denjenigen genug mögen um vielleicht nochmal hinzugehen.. Richtig … Das erzähl ich gerne Das ist genau das gleiche. Übrigens, diese Metapher benutze ich auch mit Medikamenten denn es gibt Medikamente die bei gleichen Konditionen bei dem einen gut funktionieren und bei dem anderen nicht wirken oder für ihn unverträglich sind. Das ist eine wirklich gute Analogie. Der ganze Prozess… und wenn wir einen Partner suchen sagen wir ja auch 'die Chemie stimmt nicht', also können wir bei Medikamenten auch von Partnersuche sprechen. Stimmt. Was für den einen funktioniert funktioniert nicht für alle. Also ganz vielen Dank… Bitte und wir laden Barry wieder ein um weitere Fragen zu beantworten, also bitte hier klicken um zu abonnieren und schaut euch meine anderen Videos an! Bis zum nächsten Mal. Ich bin schon ganz schön lange auf dieser Welt Ich weiß, du bist… du bist "gereifter" als ich wenn es um Filme machen geht, da bin ich mir sicher. Ich habe ja auch schon Interviews gegeben. Das stimmt. drei… zwei… Hallo allerseits! Heute habe ich einen wunderbar besonderen Gast mein Freund Barry wird… blah, das mochte ich nicht, ich muss nochmal anfangen. Ich muss 'Dr. Barry' sagen, auch wenn ich weiß dass du das nicht magst… also ich nenn dich ja nie 'Dr.', du sagst immer 'nenn mich einfach Barry' Sir… Sir Barry… Ok, noch einmal. Die Version können wir auch machen. Die ganz scheiße kann ich nicht wiederholen! Ich mag es nicht, Sean, mach es richtig. Wenn ich popeln muss… Mach es einfach. Oder in Katis Nase popeln… Nichts wie ran. Subtitles by the Amara.org community

40 comments

  1. I’m a freshman in college and I’m working towards become a psychiatrist and it made my heart sooooo happy when he said that he believes in treating the patient holistically, and that more psychiatrists should also do psychotherapy (which is what I want to do)

  2. What is the point of going through medical school and all the intense training in psychotherapy if all a psychiatrist is going to do is peddle drugs? Any kid on a street corner could do that without spending a ton of money and the hardship of medical school. The entire point of Freud (the father of psychiatry) was to treat the person's core issue with therapy, not just medicate it away temporarily. Why would anyone go through all this work in school just to peddle drugs? Frankly, this just seems obscene and does nothing to truly help the person understand their problems and find ways to deal with them or solve them. It is like going to a doctor about cancer and all he does is give you pain relievers.

  3. The old creep keeps sneak-peeking her tits and crotch during the first half of this video. Watch his eyes everytime she faces the camera.

  4. As a newly practicing psychiatrist, I decided to throw a party where I invited all of my patients so they could meet each other and have a good time. It brought all of us closer together.

  5. I wonder how many British sitcom fans would open a session with him by shouting "Save me, Barry!" #Misfits

  6. Those outtakes at the end were such a great way to finish the video! 😂
    "Treating the whole patient" – that's what we need to be doing.
    I hate only seeing my Dr. For a brief medication check in & then go to someone totally different to talk.. Always feels like you're just another statistic, which is no good for anyone. 😕

  7. Let me see here. I commented on Twitter, but 150 characters is quite a strict limit. In order, I've seen: my pediatrician (I actually stayed with him until I was twenty one), a counselor he recommended (I was eighteen but I went to a child psychologist and she was the best I ever saw), again my pediatrician after we finished our work together and I needed antidepressants again (for "Reactive Depression"), some very nice paraprofessionals, social workers, and psychologists in a hospital, a nurse practitioner who has been in the industry for twenty plus years and seemed to find me spoiled, ridiculous, and a little too prone to asking probing questions (she was neither the first nor the last), an older psychologist who seemed to think anything on the planet could be solved with CBT and walking, a different psychologist (this one young) who actually listened to me when I talked but seemed to know less about my previous and current diagnoses than I did [Reactive Depression, Major Depressive Disorder, Generalized Anxiety Disorder with Depression, and Bipolar 2 (one that I had gotten after I read about it and talked to a Social Worker family friend who felt that if I didn't take Lithium or Latuda immediately the world was going to explode even though I had been diagnosed with it five minutes ago)].

    I don't know which one of these is right. All I know is that medication either does A. nothing (which I tend to lie about because I feel like no one is going to believe I am actually in compliance) or B. makes me feel like myself at my very worst 100% of the time as opposed to 30 to 40%. It's bad out there, and it's worse if you are a young woman who they think is acting, speaking, and thinking outside of her designated station.

  8. Hmm, I think if I ever got him as a therapist, I'd be scared of him. (But I'm scared of most older men. I'm not comfortable going over the reason on a public comment though, so there's that.)

    Although, I admit, he seems knowledgeable and confident. Which is good.

    Also wanted to say I love your videos. I watch them but don't normally comment. (I hardly ever comment on vids though.)

    I also have a question; I exercise a lot. I don't let my self sleep until I burn all the calories I ate. Usually I want and do do more. I tend to fidget or do crunches whenever I can.

    I also felt guilty when I got seconds today. It was my favorite food. Right after eating, I exercised trying to work it off.

    I also noticed, I been unintentionally ignoring drinks, I normally would drink. As in maybe 2 or 3 a day to zero without noticing it. Same for certain foods.

    But, I don't want to lose weight. I want to become more muscular. I want my body to be complete muscle.

    Is this a problem?

  9. I have chronic anxiety as well as vertigo . the symptoms are very similar . your videos are very inspiring keep up the great work :))))

  10. Interestingly I spent 2yrs in therapy and made no real progress, however when I quit therapy due to the fact that it was going nowhere and I had supportive friends and teachers I no longer felt like I needed therapy. After that I got so much better! I fought through it because I always knew that I didn't want to live my life like this. I have friends who are the most loving, caring and supporting souls and understanding teachers. If I feel overwhelmed or need to take a day off my friends force me to do it and my teachers tell me "well if you're not feeling good, then you're not feeling good right?". That's just my situation. I know that a lot of teachers aren't understanding towards something that isn't cancer or a broken leg, but still has the same repercussions.

  11. how to do you really be honest with your therapist ? its been difficult for me because im always unsire of my feelings and second guessing them. its gotten inn the wau of treatment for me

  12. hi kati
    a year ago i went to therapy for the very first time but i was too scared to really be honest so the therapist ended everything in five sessions. at the time i thought everything was fine but looking back sort of lying to him was the worst thing i could do to myself. im sort of stuck. i know i need help but at the same time im so confused and scared.

  13. Thank you for this video, Kati. It's the here in the UK whereby a psychiatrist just deals with the meds as opposed to meds and therapy. Being a bit older, I always thought that a psychiatrist dealt with both. It' only through the experience of the mental health care system that I realise this is no longer the case and it' kind of sad because GPs are happy to dole out prescriptions like candy, but the actual psychological element is not truly dealt with.

  14. I have real beef with pharmaceutical drug companies. Even if we are just a bag full of chemicals, using the pills we have now will only blanket the issue. What is med-management and why is it okay for psychiatrists to give meds without psychotherapy? We are massively overprescribing drugs, don't you think?

  15. #katifaq I have a question. I most likely have an eating disorder (never diagnosed) and I am afraid of getting help. I am an ethical vegan and I want to be a good representation of veganism for the animals. My dad is also very closed minded about eating disorders. He thinks I purge (I don't) and one my mom said she smelled something weird (it ended up being perfume) and my dad yelled form the other room "is it vomit". I felt so embarrassed. I also feel that if I get help, that I am a burden. Do you have any advice.

  16. Thank you so much for everything you've done for me Kati, you've helped me to stay strong! Im 130 days clean xx

  17. #katiFAQ hey kati what is a good replacement to seeing a therapist? Because I wanna start getting better now and I can't start seeing someone before Feb (insurance company crap)

  18. Hi Kati #katiFAQ I have a psychiatrist but I see a registrar mainly when I go for appointments and get a new person every six months which I find hard – I tend to withdraw and not say much when I go. I no I will be getting a new registrar soon, how can I make this an easier process?
    Great video, ending was funny 😀 x

  19. Love when you include outtakes! This was a great video. "Sir" Barry seems like a wonderful psychiatrist and hurray for wishing more did psychotherapy! I wish I lived in his area so I could see him. My psychologist is amazing, but the bills are adding up, and my psychiatrist while great at the med part, does not do psychotherapy so it's a quick in and out.

  20. I'd love to have him as my psychiatrist 🙂 The one I saw as a teenager was not good for me. I kept telling her that I wanted off my meds and then just ended up with a prescrition for yet another antidepressant in addition to the one I was already taking, which was supposed to stop the side effects of the first antidepressant she prescribed to me…I didn't feel very understood…

  21. I am going to see a physiatrist for the first time next week. I am really scared. I'm not going for medication I am going for therapy and to get notes for school. I'm afraid that I won't click with this one and I've already went through that with a few therapists and I don't want to go through that again.

  22. Hi Kati! I was wondering if you could talk a little bit about BPNOS? I'm a little confused on it. Thank you so much!

  23. Hi Kati- so this is less a factual question and more opinion but…. I wrote some very personal experiences and disclosures in my journal for my therapist to read. It's too hard for me to say those things out loud, I told her she could read them and then hoped that I would somehow feel relieved by her knowing. She said she wouldn't, because reading it would only make her informed and informing her isn't helping me. She wants me to read it out loud to her. I can't 🙁 what should I do? It was hard for me to write those things and to express that I did to her. I'm so confused!

  24. NICE TO see a psychiatrist admitting that he gets complaints for purely medical visits of 10 minutes. The is a shift away from medical psychiatry to psychotherapy due to the serious limitations of medications. As a herbalist there are many herbs I can use to treat depression and anxiety.

  25. Hey Katie this was a great video , my GP has recommended that I see a psychologist , and has prescribed a low dose of meds but I have not followed through on either yet I even cancelled my follow up with her and rescheduled thinking I needed more time. Has not helped. that was a month ago. I am not sure if I am ready to she is concerned with my weight loss and eating habits I am restricting and have lost half my weight. But still feel before I do anything else I need to loose a little more.i am finding I have many side affects from my dieting that I hear you talk about, but it just doesn't seem to matter.thanks for all the videos I watch them daily when I need a boost or some words of wisdom . I hope one day when I decide I have had enough to find someone like you I wish you were on the east coast.

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