Murray says his most difficult cases "involve clients who have in essence been drawn into the PPIC and have become resigned to the disease model with little sense of empowerment to overcome their emotional problems."
"These are the consumers who have little self-efficacy and little hope that they have options other than to suffer," he reports.
"Insurance companies rely on pharmaceuticals to contain costs (and limit psychotherapy sessions), and reimbursement depends on a diagnosis of a diseased brain," Murray notes.
For psychiatrists, insurance "companies typically encourage short medication visits by paying nearly as much for a 20-minute medication visit as for 50 minutes of therapy," according to the April 19, 2010, New York Times article, "Mind Over Meds," by Dr Daniel Carlat, author of the Carlat Psychiatry Blog, and the new book, "Unhinged: the Trouble With Psychiatry."
Psychiatrists have become enthralled with diagnosis and medication and have given up the essence of their profession - "understanding the mind," Carlat reports in his book.
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