In psychiatry, there are phases that a patient will be in that helps doctors determine what therapy is required in order to treat them efficiently.
What is Remission in Psychiatry?
It is the absence of minimal symptoms, for the patient to return to normal functioning.
The acute phase of treatment is to have a goal of remission of the acute symptom.
Response is when a patient shows good improvement (with or without a remission), usually a 50% reduction in the symptoms.
To stabilize the patient’s remission and prevent relapse, which is a return of symptoms of the acute phase, or continuation, or having another of the original episode. The pharmacotherapy that led to remission is usually maintained during the continuation phase.
Recovery is when the episode of illness is over and presents with the option of the patient to either discontinue the treatment or continue maintenance therapy with the goal of preventing any new episodes.
Following recovery, if any episode comes into play then it is considered to be a recurrence.
An example would be a patient is treated after attempting to commit suicide. In the question stem if the patient states he feels 50% than before during the treatment than the patient is in response in the acute phase.
A psychiatrist is a medical doctor that overseas the treatment of mental disorders. Keep one thing in mind, psychiatrists are not the same and psychologists. Psychiatrists actually went to medical school.
Psychiatrists mostly consult and prescribe medications for mental disorders. Psychiatrists also work in team environment working with social workers, psychologists, and primary care physicians. Check out my psychiatry rotation review
Types of psychiatrists:
- Addiction psychiatrist
- Adult psychiatrist
- Adolescent and child psychiatrist
- Forensic psychiatrist
- Geriatric psychiatrist
- Organizational psychiatrist
How to be a psychiatrists:
- Get a bachelor’s degree with pre-medicine concentration, which will take 4 years to complete
- Go to a medical school, which will take 4 years to complete
- Complete a 4 years residency in psychiatry
- Pass the board certification test
How much does a psychiatrists make?
According to the US Bureau of Labor Statistics, psychiatrists make an average $174,170 per year, or $83.73 per hour, as of May 2011. As of April 14th 2013, psychiatrists in Hawaii earn an average salary of $97,000 per year, which is kind of low for a person with an MD. However, I know of a psychiatrist who made well over a million dollars per year, but he works all day and he has over 20 years of experience.
California has a record of the most jobs in the medical field of psychiatry. It makes sense, since marjuana or cannabis is legalized, those pot heads need someone to treat their mental disorders.
So if you are the type of person that doesn’t want to deal with needles or other hands on procedures or if you just want to have a laid back medical doctor job, then go for psychiatry. Basically, you will be consulting and writing prescription all day and you still would be paid a six-figure income.
Psychiatry in Jackson Park Hospital is one of a kind with a lot of inpatient exposure. Most of the patients, who stay longer than a week, are diagnosed with schizophrenia or some kind of drug overdose. You will also see patients who are found on the streets because of alcohol overdose.
After going through the psychiatry rotation I am very confident that I do not want to go into psychiatry. The reason being is that getting the proper information out of the patients is like finding a needle in a haystack. The patients are either on Haldol, so they are sedated, or they are aggressive and uncooperative.
The psych ward is located in two different sections the 4th floor of the east wing, hence 4 East, and the 4th floor of the South wing, hence 4 South. The 4 East section is the area the men are and the 4 South is the area where the women are. The separation is mandatory to restrain the patients from having any sexual conduct with each other and for their safety. Another safety protocol is that students should attend the patients in pairs. If a male medical student checks up a female patient then a female medical student is to be present and the same goes for female medical students checking up male patients.
When you go through the psych ward you see some patient in a state where you feel bad for them. And I see the hardship they went through that got them to be where they are. And what I saw made me appreciate who I am and what I have compared to the state the patients are in.