We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
If surveys conducted by physician recruiting companies accurately reflect current trends in the job market, the news is very good for psychiatrists—and less promising for many patients with mental health disorders. Chief among those who may not receive the psychiatric care they need are children and adolescents and people who live in areas that are not densely populated.
The Bureau of Health Professions predicts that demand for general psychiatry services will have increased nearly 20% between 1995 and 2020. The Bureau also foresees a 100% increase in the need for child and adolescent psychiatric services during that period.
I think one of the reasons that fewer American medical students are going into Psychiatry these days is because it is turning into more of a pill-pushing and check-list diagnosing specialty than the "understand the whole person in depth" specialty that I became interested in.
I don't know if psychiatry turning into a "pill-pushing . . . " specality is why medical students are avoiding it, but I do know that that's about all psychiatrists do these days. Last year we were searching for a specialist to treat our son, newly diagnosed with OCD, and psychiatrists who do anything but push pills are impossible to find - at least in our mid-sized metropolitan area. Basically you have to find a psychologist - often times a Doctor of Education and not a Doctor of Psychology - to do the counseling and then a psychiatrist to prescribe meds. And frankly that's a waste since they give very little attention to you when they do it, asking no questions past what other meds is the kid taking and not even worried about consulting with the psychologist. We finally went with our primary car doctor for meds because at least he knew our son and acted like he cared what happened with him.
I asked my son's psychologist (who was also hard to find - good ones are rare) why this was so and they said there was simply more money in dispensing pills since counseling sessions took an hour versus 10 minutes for a quit script.
Well, as the field invents new disorders for Americans, especially children (ADD for everyone, expanding the definition of "autism" to kids who are just awkward) then I can see why the demand is going up.
It's sort of like the government - invent "new" problems then say you're the answer to the problem.
Psychiatry - at least the highly visible APA and other organizations - have so deeply committed themselves to extreme Political Correctness that they have severely damaged their credibility with the general public. Remember the "scholarly article" a while back that said conservativism was pathological?
As people look around wondering how America drifted from freedom, responsibility, and self-reliance to narcissism and naval-gazing pursuit of "self esteem" - a lot of them see psychiatry as a handmaiden that facilitated the infantilization of American mores.