------------------ Dr. Gilbert Lawrence wrote : The question to you, with your psychiatric background: What do we do with difficult cases or what in medicine is termed "resistant subset"? Is applying Dilbert's dictum the only solution? ----------------- Dr. Ferdinando dos Reis Falcao wrote
Patients with psychoses do not pose a problem, they go into remissions and relapses. But neurosis patients, specially with personality pattern disorders, having distorted self-image can be difficult and resistant. But applying Dilbert's dictum is not the only solution. ---------- GL responds: Thanks for your help. For this supurlo goenkar, is psychosis and neurosis what amchem tempar was called "piso" and "samko piso" respectively? Likely, thanks to spam mail, you are finding your patient is lot more serious than appears on goanet. I am so glad to know that there is some hope for the "resistant subset". Yet that hope will not be found on Goanet. May be Goan spam mail is like your example of one neurotic getting counseling from another.:=)) Regards, GL