When I raise my rates he folds his fifty dollar co-pay and slides it up my desk like an enlisted man on leave easing a big bill in a stripper's G-string. He tells me I'm like his war-time whore who loved him on payday and left when his money ran dry. Each week I lead him in our dance, excite him with my offer to listen to his dreams. And I tell myself I do it to ease his suffering, because I get paid, because I took an oath. But every month, when we devour another round of sessions, I fill out forms for insurance pimps who won't pay unless I reveal the private parts.
Private Practice Changes: A Personal PerspectiveJune 1st 2002
It is amazing how a psychiatric practice changes over the years including the switch to managed care from fee-for-service, larger caseloads, new medications and new treatment options. Despite all the changes, both for better and for worse, one psychiatrist is enjoying his practice as much today as ever before.
Antidepressant use among children and adolescents is on the rise. What prescribing patterns are being formed? Researchers are suggesting that more research into psychiatric pharmacogenetics may produce better treatment outcomes. Will it one day be possible to predict treatment response?
Translational Research: Pathway to Improved Practice?June 1st 2002
Advances in basic behavior and neuroscience research have been stunning, but until quite recently, efforts to encourage the clinical application of new knowledge have not kept pace. To aid in applying new knowledge to important public health issues, the National Institutes of Health has placed emphasis on "translational research," which aims to provide a bridge between basic research and clinical care. Particularly promising areas of study are highlighted.