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Replies to: psychiatry

  • MaineLonghornMaineLonghorn Super Moderator Posts: 37,334 Super Moderator
    court, I wish you lived in my house - I could keep you busy!! (sorry - I have to laugh sometimes or I'd start crying)
  • court922court922 Registered User Posts: 240 Junior Member
    @MaineLonghorn , what are you trying to say?
  • i_wanna_be_Browni_wanna_be_Brown Forum Champion Brown Posts: 8,252 Forum Champion
    Maine is saying that their house is full of crazy people.
  • WayOutWestMomWayOutWestMom Registered User Posts: 9,860 Senior Member
    Forensic psychiatry really doesn't deal specifically with schizophrenics. Patients can be deemed legally incompetent for a whole host of reason, with schizophrenia or other schizo-affective disorders being in the minority.

    And I don't think either Brown or have differed on what training is required. (Med school + psychiatric residency at a minimum, an additional fellowship may be required if you want to work with a specific patient subpopulation and will be required to become a court-certified forensic psychiatrist.)

    Are you interested in work with specific groups like the mentally ill incarcerated?
  • court922court922 Registered User Posts: 240 Junior Member
    Yes which was why I mentioned schizophrenics; i know a lot about it because my father is one.
  • i_wanna_be_Browni_wanna_be_Brown Forum Champion Brown Posts: 8,252 Forum Champion
    As I alluded to, the one forensic psychiatrist I know probably doesn't deal with schziophrenics at all in his forensic psych capacity (he also has his own practice where I'm sure there are some). He doesn't even deal with the criminal population. I don't know him that well but I believe his specialty is PTSD/Acute Stress Disorder so he's largely used as an expert witness when someone is claiming emotional damages.

    If schizophrenia is what you really want to study, my guess is psychiatry will be better suited than clinical psych but I see no reason for a forensic psychiatry fellowship based on that interest alone. If you want to treat the incarcerated (as opposed to play a role in their trials) you can do that without being a forensic psych i believe.
  • WayOutWestMomWayOutWestMom Registered User Posts: 9,860 Senior Member
    If you want to treat the incarcerated (as opposed to play a role in their trials) you can do that without being a forensic psych i believe.

    You're correct, Brown. One of the options offered to psych residents at D1's school is to do one or more rotations thru the state's prisons.

    They can also do rotations at the state mental hospitals (for those convicted or awaiting trial, but deemed too mentally ill to be housed with the regular prison/jail population), juvenile offender facilities, and various outpatient clinics (like Healthcare for the Homeless which deals with a high number of the indigent mentally ill).
  • tgarrowtgarrow Registered User Posts: 1 New Member
    I am interested in going to college for forensic psychiatry. I have a bachelors degree in Public Justice from The State University of New York at Oswego. My overall gpa when i graduated was a 3.44 (Deans List) what should be my next move from here? The only problem i have is that i am in the Marine Corps so needless to say i would not be able to be a full time student :/ I am stationed in california Twentynine Palms to be exact! :( I'm in the middle of nowhere. Can anyone give me some suggestions on what my next move toward this lofty goal should be? lol
  • PhilovitistPhilovitist Registered User Posts: 2,739 Senior Member
    Psychiatry requires premed.
  • ShrinkrapShrinkrap Registered User Posts: 11,788 Senior Member
    "Is it true that psychiatry no longer includes therapy , they just prescribe medicine and let therapists and psychologists do all the other work ?"

    Even when we do not do traditional.weekly, psychotherapy, psychiatry is, or should be about more than prescribing medicine. I believe the evaluation and treatment recommendations, which may include medication, but is likely to also include other evidence based therapies, is key. I believe a psychiatrist is more likely to have the background, training, "volume", and experience, especially with the seriously mentally ill, or medically ill, to do that best. I hope it will prove cost effective at some point.

    If by forensic psychiatry, you mean you want to work in the prison system, there is a LOT of work there! But that is probably not what you think it is. Perhaps you mean something like "Criminal Minds", which seems more like forensic psychology than forensic psychiatry to me. Actually, it is more like television to me.

    Psychiatry has changed a lot since anti psychotics, and especially since prozac and and managed care. It will probably change a lot more in the next twenty years, as long as most people think it is as simple as some checklist or test on the internet, and support it being reimbursed as if it is. Much of it is now provided by primary care providers. Some people think it might cease to exist, at least as a private practice with the flexibility that allows.

    I trained PRE prozac, so I am sort of old school, and I specialize in kids, but today, a lot will depend on where you train and where you practice. There are places where a private practice will still work, especially if you specialize in kids, and there are places where you can do therapy, but usually it will not cover your overhead, and you will probably never see a schizophrenic, psycho socially challenged, or other seriously and persistently ill patient. And if we don't do that, maybe we WILL have no added value.
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