COMPSYCH

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artista
January 27, 2017 - 7:36 am
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artista
Total Posts: 868
Joined: 06-12-2011
Does anyone have COMPSYCH as there insurance? If so, have they been good at finding pdocs? Mine is retiring, and there is a huge shortage in my area. COMPSYCH has given me some referrals, but no one will take me as a patient because I am not in their healthcare system. Scary.


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artista
artista
January 27, 2017 - 7:36 am
Does anyone have COMPSYCH as there insurance? If so, have they been good at finding pdocs? Mine is retiring, and there is a huge shortage in my area. COMPSYCH has given me some referrals, but no one will take me as a patient because I am not in their healthcare system. Scary.


persistence
February 24, 2017 - 11:08 am
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persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

Sorry you're having this problem. I know how serious it is. I had to leave the USA to find places where I could find a psychiatrist without waiting weeks, like France, Brazil, the Dominican Republic.

In Brazil, it became much easier to get access to a psychiatrist and meds through a day program, even when I did not participate in any of the day program's other activities. There were psychiatrists, some meds and a free high-cost medicine program through the day program.

In France, all of my bipolar care and meds were taken care of by the state-run medical system, in which every provider except the American Hospital participated.

The best solutuon for me has been to retire overseas. I'm serious. I was back in the USA for a month two years ago and tried with absolutely no success to see a psychiatrist and get therapy and meds. My insurance did not cover any of the available programs.

So, I left, instead of committing myself to me medical hospital.

Overseas, I can get a prescription for as little as ten dollars, or for free.

Healthcare is like food. If I'm not finding what I need in one "market", I have to go to a different "market", even if it's on a different continent. That's how I got all my teeth fixed.

It might sound expensive, but for the price of five therapy sessions in the USA, one can fly to the Carribean and still get five therapy sessions and hotel in the Carribean. This is literally true.

I cannot afford to live in the USA. It is too expensive for me.

For the price of getting one tooth fixed in the US, I can literally see my psychologist 100 times in the Dominican Republic.


I'd rather have a frontal lobotomy than a bottle in front of me.
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persistence
persistence
February 24, 2017 - 11:08 am
Artista,

Sorry you're having this problem. I know how serious it is. I had to leave the USA to find places where I could find a psychiatrist without waiting weeks, like France, Brazil, the Dominican Republic.

In Brazil, it became much easier to get access to a psychiatrist and meds through a day program, even when I did not participate in any of the day program's other activities. There were psychiatrists, some meds and a free high-cost medicine program through the day program.

In France, all of my bipolar care and meds were taken care of by the state-run medical system, in which every provider except the American Hospital participated.

The best solutuon for me has been to retire overseas. I'm serious. I was back in the USA for a month two years ago and tried with absolutely no success to see a psychiatrist and get therapy and meds. My insurance did not cover any of the available programs.

So, I left, instead of committing myself to me medical hospital.

Overseas, I can get a prescription for as little as ten dollars, or for free.

Healthcare is like food. If I'm not finding what I need in one "market", I have to go to a different "market", even if it's on a different continent. That's how I got all my teeth fixed.

It might sound expensive, but for the price of five therapy sessions in the USA, one can fly to the Carribean and still get five therapy sessions and hotel in the Carribean. This is literally true.

I cannot afford to live in the USA. It is too expensive for me.

For the price of getting one tooth fixed in the US, I can literally see my psychologist 100 times in the Dominican Republic.


I'd rather have a frontal lobotomy than a bottle in front of me.
persistence
February 25, 2017 - 1:50 pm
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persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

"over 50% of psychiatrists do not accept insurance of any kind in their private practices.5 While this is a striking fact—and unlike any other form of private sector practice in medicine—it is not clear what this means for public sector care, other than that it severely limits the amount of care provided by private practitioners to people who are covered by any kind of health insurance or Medicaid. What is not known is how many of and to what extent do these private practice psychiatrists also practice in public settings. On the face of it, without clear countervailing data about psychiatric engagement in public service clinical settings, it appears that a significant amount of psychiatric effort is particularly focused on those who have enough disposable income to pay for services out of pocket."

http://www.psychiatrictimes.co...


I'd rather have a frontal lobotomy than a bottle in front of me.
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persistence
persistence
February 25, 2017 - 1:50 pm
Artista,

"over 50% of psychiatrists do not accept insurance of any kind in their private practices.5 While this is a striking fact—and unlike any other form of private sector practice in medicine—it is not clear what this means for public sector care, other than that it severely limits the amount of care provided by private practitioners to people who are covered by any kind of health insurance or Medicaid. What is not known is how many of and to what extent do these private practice psychiatrists also practice in public settings. On the face of it, without clear countervailing data about psychiatric engagement in public service clinical settings, it appears that a significant amount of psychiatric effort is particularly focused on those who have enough disposable income to pay for services out of pocket."

http://www.psychiatrictimes.co...


I'd rather have a frontal lobotomy than a bottle in front of me.
persistence
February 25, 2017 - 2:12 pm
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persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

"over 50% of psychiatrists do not accept insurance of any kind in their private practices.5 While this is a striking fact—and unlike any other form of private sector practice in medicine—it is not clear what this means for public sector care, other than that it severely limits the amount of care provided by private practitioners to people who are covered by any kind of health insurance or Medicaid. What is not known is how many of and to what extent do these private practice psychiatrists also practice in public settings. On the face of it, without clear countervailing data about psychiatric engagement in public service clinical settings, it appears that a significant amount of psychiatric effort is particularly focused on those who have enough disposable income to pay for services out of pocket."

http://www.psychiatrictimes.co...


I'd rather have a frontal lobotomy than a bottle in front of me.
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persistence
persistence
February 25, 2017 - 2:12 pm
Artista,

"over 50% of psychiatrists do not accept insurance of any kind in their private practices.5 While this is a striking fact—and unlike any other form of private sector practice in medicine—it is not clear what this means for public sector care, other than that it severely limits the amount of care provided by private practitioners to people who are covered by any kind of health insurance or Medicaid. What is not known is how many of and to what extent do these private practice psychiatrists also practice in public settings. On the face of it, without clear countervailing data about psychiatric engagement in public service clinical settings, it appears that a significant amount of psychiatric effort is particularly focused on those who have enough disposable income to pay for services out of pocket."

http://www.psychiatrictimes.co...


I'd rather have a frontal lobotomy than a bottle in front of me.
artista
February 25, 2017 - 3:28 pm
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artista
Total Posts: 868
Joined: 06-12-2011
Thanks Persistence! I still don't have resolution to my problem, and have even reached out to pdocs that don't take insurance. Their practices are all full, and none even have a waiting list. Maybe I should move!!


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artista
artista
February 25, 2017 - 3:28 pm
Thanks Persistence! I still don't have resolution to my problem, and have even reached out to pdocs that don't take insurance. Their practices are all full, and none even have a waiting list. Maybe I should move!!


persistence
March 1, 2017 - 5:43 am
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persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

Just before I left the USA in 2000, I contacted a psychiatrist and asked if he could see me if I moved to his area. He said "yes" and I moved 250 miles to see him, taking a job in that same area.

When I tried to see the psychistrist, his agency refused to set a date for me and I have never talked with him again, even 17 years later. I considered suing him or confronting him at his home. Instead, I left the USA.

My boss said people would think I was crazy if I sued a psychistrist for refusing to see me.

Because patients have experiences like ours, "medical tourism" is a thing.

My sister is a doctor and she really believed that, if I tried hard in one region, then I would eventually find services.

So, it had to be my fault if I gave up trying.

Truth is, the deck is stacked against us. It's like going around looking for a working light fixture during a power outage. Except, in a power outage, everyone learns and then KNOWS that no individual will get light again until everyone does.

Not so with the lack of psychiatrists. We are each encouraged to hope and try with no objective macro-level understanding of how hard it might be or why.

And psychiatrists themselves are also to blame. They easily could use software to post and continually update where they practice by city and county and what insurances they accept, if any. Patients could sort this information and have a clear idea where resources lay.

The system is opaque, not transparent, partly because psychiatrists prefer it that way, or they would change.

I wonder what a pharmacist could tell us about who prescibes psychoactive medicine in a city or area. There has to be SOME way to peer into the darkness.

Instead of peering into the darkness, I've chosen to literally fly to where there's light.



I'd rather have a frontal lobotomy than a bottle in front of me.
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persistence
persistence
March 1, 2017 - 5:43 am
Artista,

Just before I left the USA in 2000, I contacted a psychiatrist and asked if he could see me if I moved to his area. He said "yes" and I moved 250 miles to see him, taking a job in that same area.

When I tried to see the psychistrist, his agency refused to set a date for me and I have never talked with him again, even 17 years later. I considered suing him or confronting him at his home. Instead, I left the USA.

My boss said people would think I was crazy if I sued a psychistrist for refusing to see me.

Because patients have experiences like ours, "medical tourism" is a thing.

My sister is a doctor and she really believed that, if I tried hard in one region, then I would eventually find services.

So, it had to be my fault if I gave up trying.

Truth is, the deck is stacked against us. It's like going around looking for a working light fixture during a power outage. Except, in a power outage, everyone learns and then KNOWS that no individual will get light again until everyone does.

Not so with the lack of psychiatrists. We are each encouraged to hope and try with no objective macro-level understanding of how hard it might be or why.

And psychiatrists themselves are also to blame. They easily could use software to post and continually update where they practice by city and county and what insurances they accept, if any. Patients could sort this information and have a clear idea where resources lay.

The system is opaque, not transparent, partly because psychiatrists prefer it that way, or they would change.

I wonder what a pharmacist could tell us about who prescibes psychoactive medicine in a city or area. There has to be SOME way to peer into the darkness.

Instead of peering into the darkness, I've chosen to literally fly to where there's light.



I'd rather have a frontal lobotomy than a bottle in front of me.
Larissa238
March 1, 2017 - 11:28 am
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Larissa238
Total Posts: 6
Joined: 02-27-2017
Artista, where are you? I currently live in Miami and have Beacon Health Strategies. I am looking for a new therapist and have a few to choose from. I was supposed to see one today, but I found out she almost lost her license due to not helping patients, diagnosing patients without tests, and not keeping confidentiality. I called a new one today and I hope I can see her.

If you can't find someone on your insurance, then try Persistence's idea about looking elsewhere. There are many places outside the US that are way more affordable than here. I don't know where you live, but maybe Canada would be an option if you can get there. I had a bf in Canada and he was getting therapy and meds for free. I don't know how it works for non-citizens, though.

You have the right mindset to go looking for help. Healthcare in the US sucks... my mom could have lived for years longer than she did if she had healthcare. Instead she died with Parkinson's at the age of 61 because it was untreated. She couldn't afford medication, MRI's, CT scans, and doctor's visits. It pisses me off sometimes. I am on Medicare now, so I have more options than I did when I was unemployed. Good luck!



Current medications as of 03-01-2017
01-01-2005 - Present: Trazadone, 300 mg. At night
01-01-2015 - Present: Neurontin, 800mg. Twice a day
01-01-2015 - Present: Prozac, 40mg. Every morning
01-01-2016 - Present: Latuda, 80 mg. In the Morning

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Larissa238
Larissa238
March 1, 2017 - 11:28 am
Artista, where are you? I currently live in Miami and have Beacon Health Strategies. I am looking for a new therapist and have a few to choose from. I was supposed to see one today, but I found out she almost lost her license due to not helping patients, diagnosing patients without tests, and not keeping confidentiality. I called a new one today and I hope I can see her.

If you can't find someone on your insurance, then try Persistence's idea about looking elsewhere. There are many places outside the US that are way more affordable than here. I don't know where you live, but maybe Canada would be an option if you can get there. I had a bf in Canada and he was getting therapy and meds for free. I don't know how it works for non-citizens, though.

You have the right mindset to go looking for help. Healthcare in the US sucks... my mom could have lived for years longer than she did if she had healthcare. Instead she died with Parkinson's at the age of 61 because it was untreated. She couldn't afford medication, MRI's, CT scans, and doctor's visits. It pisses me off sometimes. I am on Medicare now, so I have more options than I did when I was unemployed. Good luck!



Current medications as of 03-01-2017
01-01-2005 - Present: Trazadone, 300 mg. At night
01-01-2015 - Present: Neurontin, 800mg. Twice a day
01-01-2015 - Present: Prozac, 40mg. Every morning
01-01-2016 - Present: Latuda, 80 mg. In the Morning

artista
March 2, 2017 - 7:51 am
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artista
Total Posts: 868
Joined: 06-12-2011
Larissa--that is so terrible about your mom! I hope people never have to experience no health care from here on. I know that when my Mom lived in Florida she had friends that had to choose between eating or medication.

Persistence--I would love to live somewhere else, that would be New Zealand. But they don't allow immigrants unless they have something to contribute to society. I am a retired lawyer. I felt rather incompetent so I retired at 53. I no longer have anything to contribute.

Anyway, miracle of miracles! I found a pdoc only 50 minutes away, same distance as my other doc (who I saw yesterday for the last time). COMPSYCH was helpful and the intake person at the pdoc office was super nice, and clearly loved her job. Like my last pdoc she is primarily a child psychiatrist but will take a few adults. So I am very lucky. The stars were aligned! She is even in network where my last one was not and cost lot.

I started crying just before I left my pdocs office. I was with him since 2008 and he truly saved my life. It was embarrassing.

Anyway, I hope the Obamacare replacement is decent. I live in Wisconsin where prior to Obamacare we actually had really good free healthcare on which my unemployed father in law and sister in law were on for years. I know not all states are like that. But here, the working poor still fell through the cracks until the ACA was passed.

Pray for a better health care system!!


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artista
artista
March 2, 2017 - 7:51 am
Larissa--that is so terrible about your mom! I hope people never have to experience no health care from here on. I know that when my Mom lived in Florida she had friends that had to choose between eating or medication.

Persistence--I would love to live somewhere else, that would be New Zealand. But they don't allow immigrants unless they have something to contribute to society. I am a retired lawyer. I felt rather incompetent so I retired at 53. I no longer have anything to contribute.

Anyway, miracle of miracles! I found a pdoc only 50 minutes away, same distance as my other doc (who I saw yesterday for the last time). COMPSYCH was helpful and the intake person at the pdoc office was super nice, and clearly loved her job. Like my last pdoc she is primarily a child psychiatrist but will take a few adults. So I am very lucky. The stars were aligned! She is even in network where my last one was not and cost lot.

I started crying just before I left my pdocs office. I was with him since 2008 and he truly saved my life. It was embarrassing.

Anyway, I hope the Obamacare replacement is decent. I live in Wisconsin where prior to Obamacare we actually had really good free healthcare on which my unemployed father in law and sister in law were on for years. I know not all states are like that. But here, the working poor still fell through the cracks until the ACA was passed.

Pray for a better health care system!!


persistence
March 2, 2017 - 11:02 am
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persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

I'm glad you found someone.

Maybe each psychiatrist should work with three counseling professionals so that the psychiatrist can prescribe for the counselors' patients? That's what they do at the public day treatment program in Brazil.

Even if money were not an issue in access, medical schools just haven't been training enough psychiatrists to meet growing demand.

The USA could accept an infusion of psychiatrists from Cuba.


I'd rather have a frontal lobotomy than a bottle in front of me.
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persistence
persistence
March 2, 2017 - 11:02 am
Artista,

I'm glad you found someone.

Maybe each psychiatrist should work with three counseling professionals so that the psychiatrist can prescribe for the counselors' patients? That's what they do at the public day treatment program in Brazil.

Even if money were not an issue in access, medical schools just haven't been training enough psychiatrists to meet growing demand.

The USA could accept an infusion of psychiatrists from Cuba.


I'd rather have a frontal lobotomy than a bottle in front of me.
Larissa238
March 2, 2017 - 2:54 pm
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Larissa238
Total Posts: 6
Joined: 02-27-2017
I don't know if there is going to be a good replacement for the ACA since the Republicans are dead-set on repealing it. If we had a Single-Payer health care system we wouldn't have to worry about things like meds or dying because of lack of money. Sometimes I really hate this country because of how the poor are treated. I make $12,000 a year and can't do anything since I rely on Social Security. I can't work. I wish I could.

I'm glad you found someone in-network to see. I am looking for a new therapist. I can't drive, so I have to take the bus for an hour or more each way to get to a doctor. I live in Miami and Geo (kinda ex hubby, it's really confusing) can drive but hates it. We have a truck and so it would only take us 15 minutes to get to my doctors, but he is an ass most of the time and refuses to get off his butt to take me. Sorry I made this about me. I have that problem. You don't have to reply to most of this.



Current medications as of 03-02-2017
01-01-2005 - Present: Trazadone, 300 mg. At night
01-01-2015 - Present: Neurontin, 800mg. Twice a day
01-01-2015 - Present: Prozac, 40mg. Every morning
01-01-2016 - Present: Latuda, 80 mg. In the Morning

Spam? Offensive?
Larissa238
Larissa238
March 2, 2017 - 2:54 pm
I don't know if there is going to be a good replacement for the ACA since the Republicans are dead-set on repealing it. If we had a Single-Payer health care system we wouldn't have to worry about things like meds or dying because of lack of money. Sometimes I really hate this country because of how the poor are treated. I make $12,000 a year and can't do anything since I rely on Social Security. I can't work. I wish I could.

I'm glad you found someone in-network to see. I am looking for a new therapist. I can't drive, so I have to take the bus for an hour or more each way to get to a doctor. I live in Miami and Geo (kinda ex hubby, it's really confusing) can drive but hates it. We have a truck and so it would only take us 15 minutes to get to my doctors, but he is an ass most of the time and refuses to get off his butt to take me. Sorry I made this about me. I have that problem. You don't have to reply to most of this.



Current medications as of 03-02-2017
01-01-2005 - Present: Trazadone, 300 mg. At night
01-01-2015 - Present: Neurontin, 800mg. Twice a day
01-01-2015 - Present: Prozac, 40mg. Every morning
01-01-2016 - Present: Latuda, 80 mg. In the Morning

artista
March 2, 2017 - 9:43 pm
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artista
Total Posts: 868
Joined: 06-12-2011
Persistence,
25 years ago I wanted to go to med school. I was only 30 years old. But I was told that if I hadn't worked in the healthcare field up to that point I wouldn't get in because I was too old. What crap that was!!!! I actually believed it. What was happening at the time was that medical schools were restricting the number of students because they thought there would be too many docs. I guess they were worried about keeping salaries high? Now look what a mess we are in. I so wanted to be a doc, but figured that I really was too old. A friend of mine, who was younger, could not get into any med school so she became a DO. I think that is better anyway. I didn't follow suit because I couldn't move.

Larissa,
Sorry you have to take a bus that far. I know it is a hassle especially if you have to switch lines.

Good luck with finding a therapist. I have yet to find one like my first therapist. Nobody else seems to get me. They are too textbook and inexperienced. So hopefully you will find one you connect with right off the bat.

Single payor systems have their drawbacks-- typically with long wait times. That is why some Canadians come to the US for treatment. I have an 80 year old friend in Spain that also comes here for treatment. She had esophageal cancer and would have died in Spain had she not done so. In Spain she was on a waiting list for five months for a CT scan! She decided not to wait. Italians also complain about their healthcare wait times. I am guessing Persistence could add to this topic since he has lived many places and may have had more positive experiences.


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artista
artista
March 2, 2017 - 9:43 pm
Persistence,
25 years ago I wanted to go to med school. I was only 30 years old. But I was told that if I hadn't worked in the healthcare field up to that point I wouldn't get in because I was too old. What crap that was!!!! I actually believed it. What was happening at the time was that medical schools were restricting the number of students because they thought there would be too many docs. I guess they were worried about keeping salaries high? Now look what a mess we are in. I so wanted to be a doc, but figured that I really was too old. A friend of mine, who was younger, could not get into any med school so she became a DO. I think that is better anyway. I didn't follow suit because I couldn't move.

Larissa,
Sorry you have to take a bus that far. I know it is a hassle especially if you have to switch lines.

Good luck with finding a therapist. I have yet to find one like my first therapist. Nobody else seems to get me. They are too textbook and inexperienced. So hopefully you will find one you connect with right off the bat.

Single payor systems have their drawbacks-- typically with long wait times. That is why some Canadians come to the US for treatment. I have an 80 year old friend in Spain that also comes here for treatment. She had esophageal cancer and would have died in Spain had she not done so. In Spain she was on a waiting list for five months for a CT scan! She decided not to wait. Italians also complain about their healthcare wait times. I am guessing Persistence could add to this topic since he has lived many places and may have had more positive experiences.


persistence
March 3, 2017 - 9:35 am
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persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

Perhaps you could live in New Zealand on a student visa at first.

https://www.immigration.govt.n...

You have to be able to pay your own tuition (which one can do with student loans from the USA).

Tuition is as low as $10,000 per year (or lower?), e.g. http://www.howickcollege.schoo... That's assuming one finds no discounted tuition.

Tuition on France can be much lower, e.g. $1,000 per year.

With a student visa, one can take one's whole family overseas.


I'd rather have a frontal lobotomy than a bottle in front of me.
Spam? Offensive?
persistence
persistence
March 3, 2017 - 9:35 am
Artista,

Perhaps you could live in New Zealand on a student visa at first.

https://www.immigration.govt.n...

You have to be able to pay your own tuition (which one can do with student loans from the USA).

Tuition is as low as $10,000 per year (or lower?), e.g. http://www.howickcollege.schoo... That's assuming one finds no discounted tuition.

Tuition on France can be much lower, e.g. $1,000 per year.

With a student visa, one can take one's whole family overseas.


I'd rather have a frontal lobotomy than a bottle in front of me.
persistence
March 3, 2017 - 11:09 am
Spam? Offensive?
persistence
Total Posts: 1532
Joined: 08-11-2012
Artista,

Please email me at:

2020Patience @ gmail . com


I'd rather have a frontal lobotomy than a bottle in front of me.
Spam? Offensive?
persistence
persistence
March 3, 2017 - 11:09 am
Artista,

Please email me at:

2020Patience @ gmail . com


I'd rather have a frontal lobotomy than a bottle in front of me.

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