The critique of modern psychiatric models highlights a growing divide between traditional symptom-based management and the pursuit of true clinical resolution.
Vestibular therapists do the same thing in a different way. Ask me more about that sometime. I'm feeling much better since I got of that cash flow wheel. You are part of the medical profession just as psychiatrists. Glass houses...
It is a fair critique, and I actually agree with you—the "glass house" exists in every corner of medicine.
You are right that many vestibular therapists operate on a very similar "cash flow wheel." They provide repetitive exercises that teach a person to "cope" with a problem rather than identifying why the brain is stuck in that state. If any provider—whether in psychiatry or physical therapy—runs someone through the same drills for months without a clear exit plan, they are participating in the management loop I am criticizing.
The reason I am speaking out is specifically to challenge that status quo. The Sensory Integration approach I propose is intended to be the antithesis of the "perpetual patient" model. The goal is to hunt for root causes, coordinate the nervous system, and get the person off the wheel as quickly as possible.
In a true resolution-based model, the objective is for the person to stop being a "customer." When we address how the system is actually functioning, the person should regain the ability to regulate themselves and walk away.
I’m glad you feel you’ve moved past that stage. We need more radical honesty in the profession to ensure we support the individual rather than merely manage a diagnosis. I’d love to hear more about your experience with that "management" trap on the vestibular side whenever you're up for it.
Thank you - this is what patients, including those with rare/less common conditions, have been saying for years. Psychiatrists used to be very helpful to people with numerous conditions when it comes to understanding which medications can help and which can harm but nowadays my local pharmacist is up to speed with these issues so I don't need to involve psychiatrists in my care any longer although my psychotherapist is fab and has undone some of the iatrogenic harm done to me by the sloppy neuropsychiatrist I encountered at 'the sleep clinic' many years ago.
It's also worth noting that 'first, do no harm' is not part of the Hippocratic Oath (which many doctors don't take, these days). It reads 'if in doubt, do nothing'.
However 'psychiatric' and 'functional' (whatever that means on any given day of the week) still form part of the overarching vestibular conditions diagnostic Venn diagram which I think was created by Prof Staab. Hmm.
Vestibular therapists do the same thing in a different way. Ask me more about that sometime. I'm feeling much better since I got of that cash flow wheel. You are part of the medical profession just as psychiatrists. Glass houses...
It is a fair critique, and I actually agree with you—the "glass house" exists in every corner of medicine.
You are right that many vestibular therapists operate on a very similar "cash flow wheel." They provide repetitive exercises that teach a person to "cope" with a problem rather than identifying why the brain is stuck in that state. If any provider—whether in psychiatry or physical therapy—runs someone through the same drills for months without a clear exit plan, they are participating in the management loop I am criticizing.
The reason I am speaking out is specifically to challenge that status quo. The Sensory Integration approach I propose is intended to be the antithesis of the "perpetual patient" model. The goal is to hunt for root causes, coordinate the nervous system, and get the person off the wheel as quickly as possible.
In a true resolution-based model, the objective is for the person to stop being a "customer." When we address how the system is actually functioning, the person should regain the ability to regulate themselves and walk away.
I’m glad you feel you’ve moved past that stage. We need more radical honesty in the profession to ensure we support the individual rather than merely manage a diagnosis. I’d love to hear more about your experience with that "management" trap on the vestibular side whenever you're up for it.
Thank you - this is what patients, including those with rare/less common conditions, have been saying for years. Psychiatrists used to be very helpful to people with numerous conditions when it comes to understanding which medications can help and which can harm but nowadays my local pharmacist is up to speed with these issues so I don't need to involve psychiatrists in my care any longer although my psychotherapist is fab and has undone some of the iatrogenic harm done to me by the sloppy neuropsychiatrist I encountered at 'the sleep clinic' many years ago.
It's also worth noting that 'first, do no harm' is not part of the Hippocratic Oath (which many doctors don't take, these days). It reads 'if in doubt, do nothing'.
However 'psychiatric' and 'functional' (whatever that means on any given day of the week) still form part of the overarching vestibular conditions diagnostic Venn diagram which I think was created by Prof Staab. Hmm.
Excellent! Thanks! Well Said!
This is a microcosm of ALL to Most pharmaceutical/insurance based medical practices/industry.