- Joined
- Apr 22, 2007
- Messages
- 2,387
- Reaction score
- 128
Benzos absolutely destroy CBT? Show me the journal articles that show that please.
I was clearly speaking in a hypothetical to prove a point, and I acknowledged this in the rest of my hypothetical about the actual problems with real benzos. Sorry if I can't produce a journal article about the mythical side-effectless benzo-like magic pill that I am postulating. And that is from clinical experience. If benzos didn't, you know, eventually kill people and/or turn them into addicts, then anxiety disorders would be about as easy to treat as an ear infection.
All treatments for PTSD suck?
Well, yeah, they do. People with PTSD suffer a lot. Both the psychological and psychiatric community continue to fail these people. It's not because we aren't trying. Likewise, the oncologic community continues to fail people with cancer, and the treatments for cancer suck. It's not because we're not dumping buckets of money into onc research.
Psychologists not being smart enough?
Dude, check the context. The inverse (and equally true) statement would be that "psychiatrists aren't smart enough to cure schizophrenia." The point was that if suddenly schizophrenia became a disorder that was best treated behaviorally, it wouldn't change that it's fundmamentally neurologic disorder. I think psychologists are plenty smart.
You just turned this argument into an immature one so I won't comment any further. Sorry.
I post on here a lot (because apparently I have too much free time, despite not having any free time), and my tone is generally pretty playful. If you read my whole post again in a Chris Farley-esque voice, that might be closer to the way I intend for this to come across. (It was also written at 3AM after an ED shift, so...) Some conversations are better held over a pitcher of beer, and this is one of them. So accept my apology if I came across as a jerk. I probably do a lot. And I'm a pretty thin-skinned narcissist who certainly wants to be well liked.
My problem with your dichotomy is two-fold: a) it sounds like something Descartes would say, and when Descartes wasn't doing algebra, he was generally an idiot, and b) much of your dichotomy seems to hinge on whether the disorder is best treated behaviorally or medically. That seems silly, and sets up a split that doesn't need to be there. There shouldn't be this tension between psychiatry and psychology. We're fundamentally treating the same diseases, it's just that one of us gets excellent training in top-down approaches, and the other from bottom-up approaches (don't ask me which is which!). And our patients deserve appropriate considerations of both treatments when indicated. There are some people that just need to see you, there are some people that just need to see us, and there are many people who should see both. That doesn't mean the disorders are suddenly different because of that.