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Advanced Stem Cell 2018 Journal of Stem Cell Biology and Transplantation
ISSN: 2575-7725 Page 33
December 03-04, 2018
Valencia, Spain
15th Edition of EuroSciCon Conference on
Advanced Stem Cell &
Regenerative Medicine
Statement of the Problem: Contemporary clinical psychiatry as
it is practiced today in the United States is overly focused on
fast, efficient identifying, labeling (diagnosing) and medicating
psychiatric symptoms. These symptoms and corresponding
disorders are treated as reified medical conditions divorced from
themultifaceted states of existence of the suffers who bear them.
This results in high cost marginally effective medication based
treatments with too frequent side effect consequences.
Methodology &Theoretical Orientation: My approach is common
sense based: The way an individual perceives and understands
his symptoms takes precedence during clinical interactions over
fitting them into amedical model. Untangling and examining these
symptoms psychotherapeutically from a developmental and
trauma informed contextual perspective can heal an individual
without having to resort to diagnostic labeling. If, after working
in therapy to address and resolve causes and conditions, the
symptoms still persist, then and only then do we utilize diagnostic
labels and corresponding evidence based medical treatments.
Findings: Resolving or addressing past traumas, spiritual,
relational, socioeconomic, environmental, and physical health
issues often results in lasting symptom improvement or
resolution. It also prevents unnecessary diagnostic labeling
with corresponding prescribing of medications and associated
potential adverse effects.
Conclusion & Significance: Most people upon hearing about or
experiencing this approach wonder why it is not practiced more
commonly than it is. Unfortunately there are many contributing
factorsthatdrivepsychiatriststowardsdiagnosingandprescribing
and away from common sense problem solving. These include
pressure and advertising by pharmaceutical companies and the
structure of insurance billing.
Recommendations: Reeducate and emphasize the need for our
psychiatrists and residents to resolve causes and conditions
underlying psychiatric symptoms prior to diagnosing and
prescribing to address those symptoms.
Biography
Si Steinberg, MD, is a Double Board Certified Child and Adolescent and Adult
Psychiatrist who obtained his medical degree at the University of Michigan
Medical School, his internship and residency training at UCLA Neuropsy-
chiatric Institute and his Child Fellowship at Dartmouth Hitchcock Medical
Center. He has been in clinical practice for the past 26 years in Idaho and
Oregon, USA respectively. He is the Medical Director at Cherry Gulch a Ther-
apeutic Boarding School in Idaho and has also served as an Adjunct Clinical
Assistant Professor of Psychiatry at Pacific Northwest University of Health
Sciences. His undergraduate study focused on Medical Anthropology at the
University of Michigan. This helped him develop an awareness of the deep
impact of psychosomatic phenomena in healing and recovery in all areas
of medicine. As a result he developed a clinical practice model that aligned
with the Independent Living Model of the Disability Movement: The individu-
al; his perceptions and personal interpretations of his life experiences, takes
precedence over their medicalization. He uses this model in both commu-
nity mental health and private practice settings and has been teaching it to
his medical and clinical staff and physician assistant, nurse practioner, and
medical students as well.
Psychiatry reconstructed: A developmental
contextual approach to resolving psychiatric
symptoms
Si Steinberg1,2
1Cherry Gulch, USA
2Pacific Northwest University of Health Sciences, USA
Si Steinberg, J Stem Cell Biol Transplant 2018, Volume 2
DOI: 10.21767/2575-7725-C1-002