
Originally Posted by
Osteomata
I'm not going to argue that there is a problem with over-prescribing by docs going on, but a few things about your statement seem either inaccurate or exaggerated. Regardless of the type of bachelors degree associated with an undergraduate education, psychology is not an "art", it is a science, albeit a soft science, say in the way that economics is. Universities vary as to whether it is a BA or a BS, with some offering both options. But that is hardly the issue because prescribing of such medication is done by either a full doctor (often a psychiatrist), but not a psychologist. The former has a full medical degree not just a BA or BS.
As for fact vs theory, that pretty much describes science as a whole. Gravity is a theory. The Germ Theory of Disease is a theory. The question is if the theory is well supported and in the case of benzos or other psychiatric meds, are the chemical mechanisms known. You seem to be suggesting that they are not, that doctors stumbled across these chemicals and found that the produce X result much of the time without knowing how. This is just not true. The mechanisms for Xanax and the rest are quite well known. Might want to do some research before you say its quite well known.This is straight out of the xanax warning sheet, its several pages long, like anyone has ever read it....lol. I will provide the link if you'd like, but this is the opening paragraph "CNS agents of the 1,4 benzodiazepine class presumably exert their effects by binding at stereospecific receptors at several sites within the central nervous system. Their exact mechanism of action is unknown." C Which is not to say that they are not overprescribed, addictive, contain variable side effects, have varying efficacy for different individuals, and must be weened off to avoid a bad and dangerous chemical imbalance. They also have great value for quite a number of people.
The xanax site says it is designed for people who suffer from panic disorder. Unless you are inferring that 44 million people suffer from panic disorder, there are not just a few doctors prescribing these recreational meds.
I have also experienced exactly the opposite in terms of doctors willingness to prescribe much of anything. I suspect this may be a function of being on Tricare rather than having access to an actual military clinic now, but the last primary care doc my wife and I had was about as stingy with even the most basic prescriptions, and wreaked some havoc for us when we were trying to continue a course of treatment for allergies after moving to his area. I can't imagine what we would have had to do to get him to prescribe something like Xanax.
Pain medication is a funny thing. For many injuries, not having the pain med significantly interferes with the healing process due to an inability to relax the muscles around the effected area, sleep, or work through rehabilitation. I want to repeat that I believe you about overprescription for plenty of people, and abuse by even more, but pain treatment has become pretty demonized, and doctors specializing in it are getting harder to find as they become more afraid of being raided based on bad or manufactured evidence, and caught up in a politically charged overreaction by the government when all they are trying to do is manage real patient pain. Which brings us full circle.