Why med management is mostly doomed to fail-- The top 10 (12!) reasons with Dr. Will Van Derveer

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8 • 452 Ratings

🗓️ 11 October 2024

⏱️ 58 minutes

🔗️ Recording | iTunes | RSS

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Summary

The prevailing model of psychiatric care in the US is called "med management"-- this typically means a 10-15min appointment to review symptoms and choose medications. Here Dr. Will Van Derveer of the Integrative Psychiatric Institute sits down with Dr. H to deconstruct this deeply flawed model and posit a more holistic and hopeful way of thinking about psychiatric care. Dr. Van Derveer and the Integrative Psychiatric Institutehttps://psychiatryinstitute.com/BFTA/ Dr. Hhttps://www.c...

Transcript

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0:00.0	Welcome to Back from the Abyss. I'm Dr. Craig Keecock.
0:20.2	I'm here today with Dr. Will Vandervere.
0:23.1	Will, thank you for coming up here.
0:25.1	Great to be here.
0:26.1	Yeah.
0:27.2	Back from the Abyss listeners may remember that a year and a half ago, Will and I sat
0:30.6	down to do an episode called What's the Deal with Psychiatry?
0:33.7	And we sort of deconstructed what's going well in psychiatry and what's not.
0:37.3	That episode got a lot of love and lots of listening feedback.
0:41.1	And so when I was thinking about season six, what to do, I thought, who do I really want to bring back?
0:44.9	Will, you're top of the list.
0:46.3	Oh, thanks, Craig.
0:47.3	So it's really fun to have you here.
0:49.2	As kind of a part two to what's the deal with psychiatry, I really wanted to do a deep dive today into what's
0:56.8	really the prevailing model of psychiatric practice in the U.S., which is what we call quote-unquote
1:01.8	medication management characterized by the 15, well, 10 to 15-minute med check. I'm hoping that
1:08.9	you and I can kind of break down for the listeners some of the
1:12.4	biggest problems with this prevailing model. And then I think as part of our critique, I think it
1:18.0	will emerge what we see as the more hopeful, holistic, integrative model.
1:24.5	Right on. Let's start, though. Listeners, you may remember, Will is the head of the
1:28.0	Integrative Psychiatric Institute in Colorado, runs training programs, a bunch of really cool
1:33.9	programs, largely for psychiatrists and psych MPs. Is that accurate? And PAs. And also psychotherapists.
	...

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