I love seeing patients. And I know this is true because as I was working on this video, I kept saying "This is my favorite case" or "my favorite patient said..." Can they all be my favorites? I mean, probably not, but what a great way to feel about work! Which is strange because 2 years ago I was pretty unhappy in my contract position and I didn't have a private practice at all! I had spent months dancing around the idea of my own virtual private practice and set the whole thing up as if I was just playing house and never expected to actually have anyone over for tea. Until I had to, quick, throw on some Vivaldi (or maybe Taylor Swift?) and grab the nice china because, SHITE! I have a patient booked! In the clinic that only existed in theory. (But also had a bank account, a PLLC, and an EIN so not exactly made up.)
And now, almost 2 years later I don't dance around anything anymore. I put on some Taj Mahal and groove through my clinic knowing I'm doing it in a way that aligns AND putting good out into the world. And yeah, pretty much all of my patients are my favorite! So this video, about 3 of my favorite patients who came to me with anxiety, discusses presentation, some things that could have gone wrong (or actually did!), and the medication choices and changes we made and why! It's a little longer than usual, 21min, but that's because I love talking about my favorite cases! If you don't wanna watch the whole thing that's cool too (hopefully you have to do something more important like chill on a raft in a pool avoiding burn out and a sunburn). But these are the most important take aways!! Commit these to memory and become an anxiety med whisperer! The 4 questions to always ask before starting a medication discussion with a client (this is specific for anxiety):
Then always address these too:
And that's really what it all comes down to! But I'm really serious about you talking to your clients about medications. There's no way your conversation can be worse than going down that Google rabbit hole and reading about how Prozac has caused people to get their appendix out or breast cancer or for their partner to leave them. You don't actually prescribe the medications so even if you say something not quite right it's still always the prescriber's responsibility to explain and consent the patient for every medication and choose the dosing that makes sense. You are off the hook! And there's nothing better than when a patient tells me their therapist suggested they see me about starting Lexapro and then that's exactly the right thing for them! No one is surprised, and the client has faith in both of us AND their new medication! Now go forth and be awesome! Cheers to healthy brains, Dr. B Jessica Beachkofsky, MD Your friendly online psychiatrist! p.s. This is the best thing ever! I made Thera Blanks (even though I copied it from Mad Libs) and it’s digital so only requires your phone (or computer) which is always glued to your person anyway. Wanna show how clever you are with esoteric vocabulary or obscure names? This is the place to do it! And after you list your impressive words you'll read your even more impressive story that you created! Congrats on making an incredible new medication! Now you just need to work on that FDA approval. |
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It's well into summer here in sunny (and thunderstormy) Florida! And that means time for me to take a pause for a couple of months. Not just to chill (wouldn't that be nice!) but to study for my Menopause Certification! (See? It's telling me to take a pause right in the name!) Hardcore studying for something feels weird. I read journals and take courses all the time but I usually do that for "fun" or just to add to my bank of information about mental health. This is new. this is what I feel...
Jarod was 56 years old and super anxious. He'd been a nervous kid, a stressed out teen, and was nearly incapacitated by his anxiety as he moved through adulthood. He'd worked with multiple different psychiatrists, and I was consulted because he just wasn't getting any better. How much longer can I go on like this? he wondered. Before we'd met, Jarod paid $400 out of pocket for pharmacogenetic testing. THIS will have the answers! Except... It didn't. Jarod was devastated when his results came...
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