CBT questioned if used with drugs, so why not ration by offering choice?

 There has been a rapid expansion of the use of nurse led (non psychologist) CBT in the Regions. Unfortunately this has not been accompanied by a reduction in prescribing for depression and anxiety: rather prescriptions have increased. Seroxat is in the water… (Will Humphries 21st October in The Times :Prozac is killing starlings’ lust for life.) And by the way plastics are reducing libido as well (Kat Lay on 21st October in The Times: Plastic found in cleaning products could be destroying your sex life.)

IN a recent article “Expanding the shrinks” from The Economist there is some questioning of the direction we are taking. Surely patients should be given a choice: talking therapy or drug therapy, for mild to moderate anxiety/depression, and this reasonable rationing might help outcomes, reduce side-effects (iatrogenesis is hard if there is no drug given) and save on costs….

Peter Brookes cartoon

 

This entry was posted in A Personal View, Consultants, General Practitioners, Nurses, Patient representatives, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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