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Friday, November 21, 2008

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what do you think about proposals to provide 2 years of post doc training to psychologists, allowing prescriptive privilege in a manner similar to that of Physician Assistants?

Dr X replies: I don't really have anything to say that hasn't already been said by others. I'm not particularly pro or anti-prescription privilege, but personally, I wouldn't pursue certification if the opportunity arose in Illinois.

But, a friend I went to graduate school with is a licensed psychologist-prescriber in Louisiana. If he were practicing locally (not possible in Illinois), I wouldn't hesitate to refer to him. That said, I don't know if the proposed training is sufficient, but I'm assuming that what you're asking about is the concern some have that clinical psychology would turn into psychiatry. My friend still does extensive testing and psychotherapy and he runs a clinical practicum and a pre-doc internship, so he still operates within the traditional discipline. Medication has been an adjunct in his work. But, if prescribing privileges became widespread, I'm not so sure he would be typical or that it would be a positive development for the field. I could imagine many who would reduce practice to prescribing medications. That would be a troubling development for clinical psychology as a discipline.

We are a nation of drug addicts and Big Pharma are the biggest pushers.

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