Name: 所以，你想成為一個心理醫生 [Ep. 18] 。 (So You Want to Be a PSYCHIATRIST [Ep. 18])
Uploaded: 2020-10-24T19:26:32.000Z
Duration: 16 min 37 s

You like the idea of being a shrink, doing talk therapy, and having people all figured

你喜歡當心理醫生，做談話治療，讓人們都知道你的想法

Let's debunk the public perception myths of what it means to be a psychiatrist, and

讓我們來揭穿公眾對精神科醫生的認識誤區，以及。

Welcome to our next installment in So You Want to Be.

歡迎來到我們下一期的《所以你想成為》。

In this series, we highlight a specific specialty within medicine, such as psychiatry, and help

在這個系列中，我們強調了醫學中的一個特定的專業，如精神病學，並幫助

You can find the other specialties on our So You Want to Be playlist.

你可以在我們的 "所以你想成為的人 "播放列表中找到其他特產。

If you want to vote in upcoming polls to decide what future specialties we cover, make sure

如果您想在即將到來的民意調查中投票決定我們未來的專業內容，請確保

If you'd like to see what being a psychiatrist looks like, check out my second channel, Kevin

如果你想知道當一個心理醫生是什麼樣的，請看我的第二個頻道，凱文。

Jubbal, M.D., where we featured Dr. Petey Kass in a Day in the Life of a Psychiatrist.

Jubbal，醫學博士，我們在那裡介紹了Petey Kass醫生在精神科醫生生活中的一天。

Psychiatry is the field of medicine focused on understanding and treating mental health

精神病學是專注於瞭解和治療心理健康的醫學領域。

Psychiatrists use the Diagnosable and Statistics Manual, currently in it's fifth iteration,

精神病學家使用《可診斷和統計手冊》，目前已是第五次迭代。

hence the name DSM-V, in assessing a patient's constellation of symptoms and determining

是以被稱為DSM-V，在評估一個病人的症狀群和確定。

如果他們表現出可診斷的疾病；

But psychiatrists can help patients with other conditions, even if they aren't classified

但精神科醫師可以幫助有其他病症的病人，即使他們沒有被分類為

DSM illnesses – including psychological distress from pain, trauma, difficult relationships,

DSM疾病--包括痛苦、創傷、困難的人際關係造成的心理困擾。

If you've ever confused psychiatrists with psychologists, you're not alone.

如果你曾經把精神科醫生和心理學家搞混了，你並不孤單。

Psychiatrists are medical doctors, meaning they have their MD or DO, and they've completed

精神病學家是醫生，也就是他們有醫學博士或博士學位，而且他們已完成了

4 years of medical school, followed by residency, and sometimes also fellowship.

4年的醫學院，然後是住院醫師，有時也是研究員。

They can diagnose and treat mental conditions using either medication or non-medication

他們可以使用藥物或非藥物來診斷和治療精神疾病。

While psychiatrists can use medications to treat patients' more severe symptoms, they

雖然精神科醫師可以使用藥物來治療患者較嚴重的症狀，但他們

rely on talk therapy training to help people with more mild symptoms, or, with problems

依靠談話治療訓練來幫助症狀較輕的人，或者，有問題的人。

that wouldn't necessarily respond to medications.

Psychologists, on the other hand, have either Master's or PhD level training, and while

而心理學家則有碩士或博士級別的培訓，雖然。

they're able to diagnose and treat mental illness, they can only use non-medication

他們能夠診斷和治療精神疾病，但他們只能使用非藥物治療。

Sometimes you'll see psychiatrists and psychologists working together, with psychologists focusing

有時你會看到精神科醫生和心理醫生一起工作，心理醫生專注於

on therapy, and psychiatrists usually focusing their expertise on medication, although they

治療，而精神科醫生通常把他們的專業知識集中在藥物治療上，儘管他們的專業知識和技術都很高。

While some think that psychiatrists go into the field because they subconsciously want

雖然有些人認為精神科醫生進入這個領域是因為他們潛意識裡想要

to fix their own problems, or that they're highly eclectic and strange, this isn't

來解決他們自己的問題，或者說他們是高度折衷和奇怪的，這不是

As a psychiatrist, you'll have to be adept at relating to a wide range of individuals,

作為一名精神科醫生，你要善於與各種各樣的人交往。

and that also requires well developed interpersonal skills.

而這也需要良好的人際交往能力。

And while it has a useful handbook, psychiatry is much more than just memorizing DSM criteria

雖然它有一本有用的手冊，但精神病學不僅僅是記住DSM標準那麼簡單。

Psychiatrists use the DSM as a guide, but they formulate patients more holistically

精神病學家以DSM為指導，但他們為病人制定的方案更加全面。

than that – they're looking at the psychological, socioeconomic, and physiologic causes of their

比這更重要的是--他們正在研究他們的心理、社會經濟和生理原因。

symptoms as well, not just the symptoms themselves.

There are a few ways to categorize psychiatry.

As a clinical psychiatrist, you'll be seeing patients, doing therapy, and generating treatment

作為一名臨床精神科醫生，你要為病人看病，做治療，並制定治療方案。

If practicing inpatient, you'll see patients admitted to the psychiatric ward or consult

如果您是住院病人，您將為精神科病房收治的病人看病，或為您的病人提供諮詢。

service, meaning those treated primarily in other areas of the hospital, but requiring

服務，指那些主要在醫院其他區域治療，但需

As a consultant, you'll educate primary teams on various psychiatric and psychological

作為一名顧問，您將對初級團隊進行各種精神科和心理學方面的教育。

conditions affecting their patients and provide them with your psychiatric treatment recommendations.

影響患者的病情，並向他們提供你的精神科治療建議。

With inpatient, you're dealing with more severe cases that often require more critical

對於住院病人，你要處理的是更嚴重的病例，往往需要更多的危急情況。

These patients often have multiple psychiatric conditions and are generally more complicated

這些患者往往有多種精神疾病，一般比較複雜。

than those you would see in an outpatient clinic.

There's also a great deal of medicine involved as these patients often have multiple medical

由於這些患者往往有多種病症，所以還涉及到大量的醫。

issues that either worsen or mimic psychiatric symptoms.

For example, certain medical issues like cancer, brain injuries, or COVID can result in delirium

例如，某些醫療問題，如癌症、腦損傷或COVID，可導致譫妄。

or agitation, which can both look like psychosis or depression.

或焦躁不安，看起來都像精神病或抑鬱症。

With outpatient, you'll be primarily combining psychotherapy with medication management for

對於門診，你主要是將心理治療與藥物管理結合起來，以達到

patients with whom you'll have more longitudinal relationships, as they'll come to the office

你將與他們有更多的縱向關係，因為他們會來辦公室。

With outpatient, you also have more flexibility in managing things beyond traditional psychiatric

有了門診，你還可以更靈活地處理傳統精神科以外的事情。

diagnoses, like sleep, pain, or distress from various stressors.

診斷，如睡眠、疼痛或各種壓力源的困擾。

If you focus on research, you can choose from bench or clinical work.

如果你專注於研究，你可以選擇工作臺或臨床工作。

With bench research, you often work in a lab and do research at the cellular or molecular

在工作臺研究中，您經常在實驗室工作，在細胞或分子上進行研究。

level to explore foundational neurobiology that may help explain the brain function of

層次，探索可能有助於解釋大腦功能的基礎神經生物學。

With clinical research, you could explore the efficacy of different medications and

通過臨床研究，你可以探索不同藥物的療效和

treatment options in treating specific patient populations or psychiatric conditions.

在治療特定的病人群體或精神狀況方面的治療方案；

Interventional psychiatry is an exciting new area exploring brain stimulation through trans

介入性精神病學是一個令人興奮的新領域，探索通過經絡刺激大腦。

cranial magnetic stimulation, or TMS for short, ketamine, and deep brain stimulation.

顱磁刺激，簡稱TMS，氯胺酮和深部腦刺激。

In an academic setting, you can work either primarily inpatient or outpatient, but associated

在學術環境中，你可以主要在住院或門診工作，但相關的。

This offers less flexibility in your practice, but will allow you the opportunity to do research,

這為你的實踐提供了較少的靈活性，但會讓你有機會進行研究。

work with medical students and residents, and pursue academic leadership.

與醫學生和住院醫師一起工作，追求學術上的領先地位。

You'll be working at a medical center that is likely pushing to advance the field, but

你將在一家醫療中心工作，該中心可能會推動該領域的發展，但你將在該中心工作。

will be at the whim of the bureaucracy of the hospital, and your appointment types,

將由醫院的官僚主義，和你的預約類型。

meaning appointment length and therapy vs. medication management ratios, will have a

意味著預約時間和治療與藥物管理的比例，將有一個。

In a community setting, you'll work with hospitals or outpatient clinics run by the

在社區環境中，您將與醫院或由政府管理的門診部合作。

county or city public health departments.

Patients will primarily be Medicaid or uninsured, meaning you'll have the opportunity to work

病人主要是醫療補助或無保險的人，這意味著您將有機會在這裡工作。

with underserved patients and a greater proportion who are severely mentally ill.

服務不足的病人和比例較大的嚴重精神病患者。

Dual diagnoses amongst this patient population is not uncommon, meaning a substance use disorder

在這些病人中，雙重診斷並不罕見，這意味著藥物使用障礙。

For these reasons, this work can be highly rewarding, as this is a population with less

由於這些原因，這項工作可能會有很大的收穫，因為這是一個人口較少的。

access, but it can also be highly frustrating working with a socioeconomically disadvantaged

但與處於社會經濟弱勢地位的人合作也會非常令人沮喪。

population, as medication and appointment adherence may be problematic, as is access

因為堅持服藥和預約可能會有問題，獲取藥物的機會也會有問題。

Private practice entails one or more physicians setting up their own shop outside of a larger

私家診所是指一個或多個醫生在大醫院之外建立自己的店鋪。

They have complete control and autonomy, seeing patients as they choose.

他們擁有完全的控制權和自主權，根據自己的選擇給病人看病。

This has the greatest amount of flexibility in most domains, including how much they charge,

這在大多數領域具有最大的靈活性，包括他們的收費方式。

which insurances they take, the balance of therapy versus medication, and visit durations.

他們參加哪些保險，治療與藥物的平衡，以及訪問時間。

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所以，你想成為一個心理醫生 [Ep. 18] 。 (So You Want to Be a PSYCHIATRIST [Ep. 18])

anxiety

specific

mental

depression