High school shooting in Parkland FL

[Amarok]

A victim  will try their damndest to hide it so it can go undetected for years   . Clinical diagnosis is really the only way to really be sure . But the patient has to open up about it . Thou few would  lie about such a thing considering the stigma that comes with it .

Have you had patients try hide it? Why would they go to the doctor if they didn't want to be treated? Maybe pressure from family or friends, I don't know. I personally don't think it's possible to hide depression, when someone has depression it's going to be obvious from their mannerisms, trying to hide it will only make it more obvious. Still, the way a patient is going to present themselves to a doctor will be different from how they are in their every day life so I can imagine the diagnosis process being a bit complicated.

As for psychiatrists  your painting a rather broad brush . Many  heavily for profit psychiatrists or counsellors simply don't have the time  to do charity or non profit  work . And some only do non profit or charity because it looks good on a record . Plus i point out frequent lying during diagnosis a career death sentence. As your reputation for honesty means a lot .

Not at all, maybe it's different in the states but here the doctors receive commission from medical stores and labs, so they prescribe meds that are from brands that cost the most while there are brands that give the same medicine in much cheaper rates and they give unnecessary lab tests because they're going to get lots of commission from them as well. Personally, I'd be very much vary of a soft diagnosis from a psychiatrist because at the end of the day they're doctors, they need patients, and not everybody in this world would have good intentions like you did, a hard diagnosis with test reports that clearly point to a problem will be much much more compelling. Also, in my experience a psychiatrist that interacts with a patient on a "oh there's nothing wrong with you, it's just a little hormonal imbalance caused by old age, everybody gets it! I'll just prescribe you two meds and you'll be fine in a week. Nothing to worry." is much more trustable than a doctor that tries to low key scare the patient into thinking there's a whole lot of complications and prescribes 15 unnecessary meds, in my experience at least those types tend to be grade A scammers trying to loot the patient.

1. Yes i have had patients that have hiding their  depression for  decades  only to have a psychotic breakdown or try  commit suicide or try and kill someone else  . People with depression can seem happy , outgoing , Fun , And  successful . But inside their depression is eating them up inside and they will snap . The scars inside are hard to see .

2. I'm sorry what your saying is not only false . It's insulting to all the thousands of my colleagues . Who work themselves  to death . Sacrifice, family, happiness, And sometimes even their own sanity to help people . People your trying to paint profiteering monsters trying to harm our patients  fill pockets . Violating the most sacred trust in our profession. Frankly i won't bother dignifying this statement with a point by point rebuttal .