Recommend psychiatrist in Chiang Mai

[samlowry]

Hello!

 

I look for psychiatrist who has Western education and used to diagnose and treat different disorders, such as depression, borderline, ADHD, etc. Who work deep with problems and not prescribe antidepressants from the entrance but who are not against mindful use of medicine in the same time. Who used to interview patient a lot to understand whole picture.

 

Will be grateful to see your recommendations with a several lines why you prefer this doctor…

[orang37]

I do not mean to offend you, or appear to question the way you have described what you say you want and, possibly, need. I would suggest you examine in great depth the assumptions, and experiences, that have led you to characterize the kind of psychiatry you describe in this way.

 

There are many forms and modalities of psychological and psychiatric services whose focus varies from behavior to "soul," from interpersonal to intrapersonal, from pathology to transcendence.

 

Also worth asking, imho, is: "what makes you believe whatever problems you are experiencing now are more than the problems-in-living that are part of the human condition, that we all face ... loss, grief, loneliness, getting old, getting sick, getting weaker ?"

 

best wishes, ~o:37;

[samlowry]

Good old Thaivisa :) 

[NancyL]

I'd suggest you talk with Dr. Ngamwong at Bangkok Hospital-Chiang Mai.

[Loaded]

I'm surprised that there are so few responses on the CMTV page to a request for a psychiatrist recommendation.

[Mark1066]

I'd suggest avoiding Suan Prung hospital as the doctor I saw there prescribed me antidepressants on a first visit and when I specifically asked about side effects, told me there were none. When I checked the drug online later, I learned that 70% of males who took it suffered some degree of erectile dysfunction. I think I posted about it here once before and was attacked by the resident old geezers who didn't think erectile dysfunction was a side effect worth mentioning. Personally, I thought the doctor was grossly negligent not to mention a side effect that such a large percentage of patients experience.

[totally thaied up]

For a start, try Huai Kaeo Polyclinic -  8 Huaykaew Rd, Thesaban Nakhon Chiang Mai, Amphoe Mueang Chiang Mai, Chang Wat Chiang Mai 50300

 

Got an excellent Pdoc (Dr Pairat Pruksachatkun) - there from 5 pm to 8 pm every night. Does not open Saturdays and Sundays open from 8:30 am to 5 pm

 

Been to a swag load of Pdocs here in 10 years but this guy has been good and not pressured drugs on me. Tell him you do not want to be pressured and he will listen to your concerns. 

 

 

[Rama]

Be careful. Remember electro-shock therapy is still an acceptable treatment here...

[idman]

Sorry but I just have to have a go tongue in cheekwise in regards this topic.  I would recommend talking to one of Lads who frequent on a daily basis the bar at Un Irish or Gekko.  Silly sots they may be but their advice would be given freely or perhaps for another bottle Archa and with their own personal demons being dealt with they are a treasure trove of help.

[Rancid]

2 hours ago, Rama said:

Be careful. Remember electro-shock therapy is still an acceptable treatment here...

Still preferable to becoming a drug zombie...Know of two people that transformed minor psychological issues into major ones with a load of physical symptom to boot from the drugs.

[balo]

If you want the best treatment possible Thailand is not really the place you want to be in if you suffer from deep depressions etc.  

[NancyL]

There is some truth to this.  It's difficult to find good group therapy counseling and many of the psychiatrists are either not trained or have little interest in talk therapy.  They tend to rely on medications.  And yes, electroshock therapy can be appropriate and lifesaving in some situations.  In my experience, they don't overuse it here.  It's something used as a last resort.

[faraday]

7 hours ago, Rama said:

Be careful. Remember electro-shock therapy is still an acceptable treatment here...

It's still used effectively in many Western Countries for Depression.

 

[Teak]

Dr. Pairat, can also prescribe methadone for those intending to slow down their  'self medication' or attempt abstinence. 

[bkk6060]

Go to Pattaya for a week or two.

[elektrified]

On 11/14/2017 at 10:58 AM, Rama said:

Be careful. Remember electro-shock therapy is still an acceptable treatment here...

Huh? ECT is widely used all over the world including the USA. It is one of the most (if not the most) effective ways of treating severe clinical depression. Many, many patients do not respond to antidepressants or are unable to tolerate the side-effects.

 

Please, before you post ridiculous accusations, know what you are talking about.

[Dante99]

Recent small sample study indicated that a particular specis of mushroom was extremely effective depression treatment.  Supervision recommended for the uninitiated.  

[jenny2017]

On 11/14/2017 at 6:46 PM, NancyL said:

There is some truth to this.  It's difficult to find good group therapy counseling and many of the psychiatrists are either not trained or have little interest in talk therapy.  They tend to rely on medications.  And yes, electroshock therapy can be appropriate and lifesaving in some situations.  In my experience, they don't overuse it here.  It's something used as a last resort.

They did that to my wife's younger brother after two suicide attempts. He's now on a strange medication where mom has to feed him every morning.

 

     He's a good guy who couldn't get over it that his wife had left him with two kids.

 

   I'd not tell anybody to go for elektroshock therapy. 

[elektrified]

49 minutes ago, jenny2017 said:

They did that to my wife's younger brother after two suicide attempts. He's now on a strange medication where mom has to feed him every morning.

 

     He's a good guy who couldn't get over it that his wife had left him with two kids.

 

   I'd not tell anybody to go for elektroshock therapy. 

There is nothing wrong with ECT. I haven't tried it myself but know people who have, and it saved their lives. It is very effective. The only known reaction to it is potentially a loss of memory - I can't recall now if it is short-term or long-term. It happens to some patients, but not all. It has been used for many decades now.

 

They do administer some medications before the procedure, but there is no medication given long-term as a result of ECT. Your brother in law may be on an anti-depressant or other meds.

[Anagarika M]

CMU has a number of medical doctors that practice psychiatry.  I went to Chiang Mai Ram once for severe insomnia ( not a psychiatric condition) and met with a psychiatrist on duty ( also a prof at CMU) that spoke excellent English, spent 30 minutes with me,  and wrote me a prescription that helped me sleep at night.  Here's a link to a website of a psychiatrist with western training: http://www.wongpakaran.com/  and  https://www.facebook.com/professors.wongpakaran/   If she isn't accepting new patients she may be able to make a solid referral. 

Edited May 8, 2018 by Anagarika M

[jbob]

My Australian psychiatrist with 22 years experience explained ECT to my mother like this "I don't have shares in the electricity company but its still the most effective treatment for severe depression" lucky for me depression was not something I suffer from but it goes to show how people gravitate to controversy without knowing facts

[Eterno]

Suan Prung is great for getting your meds when you are already in a quite stabilized medication program. I go there once a month to get them. And it takes me 3 hours normally. Everyone there is really helpfull. But if you want to find out what you have and also try the different meds that could help you I would recommend instead an appointment with a doctor in a private institution in which they would give a more individual attention to you.

I can recommend Dr. Kittiwan but depend on the situation. If your issue is complex as it was mine you will probably be misdiagnosed. If you experience something close to the standard depression or anxiety or insomnia o bipolar or adhd or psychotic or schizophrenic features is fine. Now for complex cases of the diaseases which can overlap each other you should definitely consider setting up meetings with at least 2 different doctor or even 3 I would recommend. I find Thai sometimes extremely traditional and mental disease doenst always need a traditional approach.

[EricTh]

On 11/14/2017 at 6:46 PM, NancyL said:

There is some truth to this.  It's difficult to find good group therapy counseling and many of the psychiatrists are either not trained or have little interest in talk therapy.  They tend to rely on medications.  And yes, electroshock therapy can be appropriate and lifesaving in some situations.  In my experience, they don't overuse it here.  It's something used as a last resort.

Medications don't solve anything psychiatric in nature other than making the doctor richer.

 

I would think that Buddhist meditation would be more appropriate since he's in Thailand.

[totally thaied up]

4 hours ago, EricTh said:

Medications don't solve anything psychiatric in nature other than making the doctor richer.

 

I would think that Buddhist meditation would be more appropriate since he's in Thailand.

 

 What crap this is!

 

I have suffered a crippling mental illness for most of my life, and medications are the only things keeping me alive. This goes for countless of millions of other people. Medication helps massively. Come talk to me when I am unmediated and psychotic. I am a really nice guy when unmediated; in fact, I am so nice, I am a danger to myself and other's people around me. While on medication, I am functional and led a pretty good life.

 

Talk like yours is dangerous. I had another friend who talks like you; they think the medical profession is just to make the doctors richer. Hate to say, only recently he got very indisposed and thinks Doctor Google is his best hope of getting better. The reason he is purely unwell is that he has been self-medicating himself from all these Google Videos from health quacks with no education.

 

As for misdiagnosis, I know many people with several problems on top of their mental illness. Most of the time you will have other problems like GERD, IBS, Arthritic diseases and the such on top of Mental Health Issues. I have to see three different specialists monthly to keep on top of things.  The difference between Bipolar and BPD is not close but can be close. I know people that have BPD and are very similar to me (bipolar) and crossing the lines between them all can take years to untangle via talking to a Pdoc.

 

The brain is not simple, and neither are we.

 

[Peasandmash]

go to the local AA meeting and see who those folks recommend.

Edited July 6, 2018 by Peasandmash