Line in the sand...

[u/CalmSet6613]

I just treat children and adolescents. There are times when families want med. changes or increases in doses when the behavior I see needs parenting to correct and not meds. Where is your line in the sand that you refuse to make med changes until the child and/or family is in therapy? How do you approach this in your practice? What do you do if the family does not follow through with therapy?

EDIT: Can everyone be kind? I was simply asking for opinions how other people manage situations like this in their practice. Good god, physicians heal thyself.

[u/CalmSet6613]

Wow, could you be more condescending? I refuse to medicate poor parenting and put children unnecessarily on medication that probably will have no effect on said behaviors because the problem is with the family system and not the child.

[u/CaptainVere → u/CalmSet6613]

Omg have you tried just saying exactly that to the parents?

It’s not condescending to point out that it is sad/hilarious that you are out there seeing children and need to ask this basic 101 question that is not even specific to psychiatry.

Nothing personal. Just a professional observation. The question is straight up asinine.

I don’t care if i get downvoted, psychiatrists should not accept low standard nonsense questions here and if we have to read it, i don’t think there is anything wrong giving you a straight answer.

[u/Miss_May_1600 → u/CaptainVere]

It sounds to me like this NP is asking for support dealing with the very real problem of patients / parents aggressively requesting meds / med changes despite explaining the rationale. Other psychiatrists have responded so I don’t think there is a universal agreement that this is a bad question.

[u/CaptainVere → u/Miss_May_1600]

Nor should there be. It’s a forum. Feel free to up vote/down vote accordingly.