Dear Dr. Roth

Time 2020-09-14 13:04:06

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Lorraine S. Roth, M. D.General Adult PsychiatryForensic PsychiatryPsychopharmacologyDear Dr. RothHenry J. Roth, Ph. D.Child PsychologySpecial EducationBehavior & Emotional DisordersDr. Lorraine S. Rothis a Diplomate of the American Board of Psychiatry andNeurology and specializes in the practice of adult psychiatryand psychopharmacology --medication for the treatment of psychiatricdisorders(1) --and forensic psychiatry, the evaluation of patientswhose psychiatric conditions are at issue in civil or criminalproceedings(2).Dr. Roth is licensed to practice medicine in both Illinois and North Carolina.She graduated from the University Of Texas Medical Branch at Galveston, Texas,(nee Lorraine Sharon, M. D., 1979)and completed her residency in Psychiatry at the Duke University MedicalCenter in Durham, North Carolina. Dr. Roth also completed a fourth-yearpost-graduate fellowship in Forensic Psychiatry through Duke University,at the Federal Correctional Institution in Butner, North Carolina. Dr. Roth is a Department Editor for psychiatric articles submitted to Current Psychiatry medical journal, and for medically-themed submissions to the Book section of the Chicago Sun-Times newspaper.(1) Psychotrophic medications are medications used for psychiatricdisorders: Psychotrophic medication is usually necessary for the treatment of the major psychiatric disorders, such as Schizophrenia, Manic-Depression (Bipolar Affective Disorder), and Major Depression.(2) Forensic psychiatric evaluations may include the determinationof sanity during the commission of a crime; competence to stand trial; competenceto write a will (also known as testamentary capacity), and competenceto gain custody of children. There are many other types of competencieswhich may require a psychiatric evaluation, when called into question.Dr. Roth has written and published numerous articles on a variety of general psychiatric subjects: Articles and PublicationsMany readers write in asking questions, such as students doing career-researchabout psychiatry; or people with problems trying to locate a psychiatristwho can help. For this reason, Dr. Roth has compiled a list of"Frequently Asked Questions" (FAQ's), which mayprovide the answers being sought, as well as publishing some of these questions and answers in a book, Dear Dr. Roth: Letters To My Website.Dr. Henry J. Roth has been principal of the Jewish Child & Family Services Therapeutic Day School in Chicago, Illinois, since 1989. He also served as Executive Director of the Sonia Shankman Orthogenic School at the University of Chicago from 2005-2008. Before moving to the Chicago area, Dr. Roth was principal of the Duke University Child Psychiatry Day School from 1975-1989.Dr. Roth received his Ph. D. degree from Duke University in Durham, North Carolina, in 1977. He graduated with his B. A. in Psychology from DePaul University in Chicago, in 1971. He received a Masters degree in Special Education from Northeastern Illinois University in 1972; and a Masters in Human Development from Governor's State University, in Park Forest, Illinois, in 1974.Dr. Roth has been an Adjunct Professor in the Department of Special Education with Northeastern Illinois University since 1991. He was a Clinical Associate Professor at Duke University from 1982-1989. He has written more than sixty articles andpublications in the area of working with child and adolescent students with emotional and behavioral disorders. Dr. Roth is the author of 2 books:Tales From Time-OutBy Henry J. Roth, Ph. D.During more than 30 years as Principal of a Therapeutic Day School, Dr. Roth had the opportunity to spend time conversing with students who were sent to "time-out" for various misbehaviors at school. This book is a collection of vignettes relating some of the more memorable exchanges that Henry had with his students in time-out, and also offers some strategies for dealing with children in time-out situations. Tales From Time-Out appeals to anyone who believes in the healing power of humor. Paperback $8.95Dear Dr. Roth: Letters To My WebsiteBy Lorraine S. Roth, M. D. Around the turn of the century, Dr. Lorraine Roth designed a web page and invited readers to ask questions. Over the next several years hundreds of email letters arrived. She gave advice and information to people who did not know where to turn for the resources to solve their problems. Much of that advice and information could be helpful to others, so she compiled the letters and her responses into this book. The letters are unchanged except to clarify their message and safeguard confidentiality. Dr. Roth hopes her readers find some value in it. Paperback $8.95If you have a question, please feel free to send an email to either Dr. Roth at:To avoid spam filters, please put "QUESTION FOR DR. HENRY ROTH" or "QUESTION FOR DR. LORRAINE ROTH" in the Subject line. Frequently Asked Questions: What can I do about a (Psychiatrist/Therapist/Doctor) who does not seem to be helping? Other Helpful LinksPsychiatry as a Career:1. What kind of degrees must you have to become a psychiatrist? You should have a bachelor's degree from college (B.A.or B.S.), although it is not mandatory that you do; and a medical degree(M.D.) from medical school. Then you should complete a psychiatry residencytraining program.2. How many years of school does it take? Usually 4 for college, 4 for medical and 4 for residencytraining. However, this is not absolutely the case for every individual. If you complete the minimum required credits to apply to medical school,with a high grade point average, and score in the upper range of the MedicalCollege Admissions Test (MCAT), you may be accepted early to medical school. Most medical schools require 4 years to complete, but not all. Somemay grant early graduation if residency training requirements are met. Finally, residency training program length may vary from site to site.3. What high school courses should you take to get ready for thiscareer?Science and math -- as much as you can!4. What kind of classes do you have to take in college?Sciences, especially biology, zoology, physiology, physics, chemistry. Geneticsis very helpful, as is comparative anatomy. You should have math throughthe calculus. These classes will prepare you to go through medicalschool. Courses in psychology in high school or college may be helpfulin determining your interest in psychiatry.5. What kind of additional training do you need to have?You may take a fellowship for a year or two beyond your residency. Thereare many different types of sub-specialty fellowships in psychiatry, suchas Forensic Psychiatry, Child Psychiatry or Geriatric Psychiatry.6. What is the minimum experience you must have to be aPsychiatrist?You should complete a 4-year psychiatry residency training program followingmedical school in order to be eligible to take the examination to becomecertified by the American Board of Psychiatry and Neurology.7. What is your salary range?That depends on where you work and what hours. A local, county, state orfederal institution often will pay a salary with benefits. Private practicetends to make more income, but you have no benefits, such as vacation orhealth insurance.8. What is the work environment like?That again depends on where you choose to work: a hospital, out-patient clinic,private practice, or combination.9. Is your job interesting, why?Very interesting -- Just when you think you've heard everything, someonecomes along with a new problem that you never could have imagined!10. What are the hours/schedule?Psychiatry is somewhat less demanding than other medical specialties. Psychiatrycan be a 9-to-5 job, once you have completed your residency training, ifyou practice with others who can share on-call with you. But youshould always try to be available by telephone for emergencies.11. What are the benefits?Benefits such as vacation time, sick leave, malpractice liability and healthinsurance are usually offered by institutions that hire you for a salary. Private practice offers the benefit of higher hourly income, usually. Private practice also allows you to design your own schedule and limitor expand your patient caseload.12. What are the necessary skills?The ability to listen and to keep boundaries between yourself and your patientsis essential. It is not good to get involved with your patients in any wayother than to listen, suggest, and prescribe medication, if indicated. Socializing outside of the doctor-patient relationship is highlydiscouraged, as it is usually detrimental to the patient, and can resultin severe consequences for the practitioner.13. What type of person do you need to be to do this job?That's a hard question. One who is able to sort things out from a distance,have a strong interest in people, but be able to keep one's perspective andnot take patients' problems home.14. What are the rewards of doing this job?There is a tremendous satisfaction in helping people. Good income, generally,as well. It is great to have financial security, but it is indescribablyrewarding to hear someone say, "You've helped me so much, I can't thank youenough..."15. What kind of license/certification do you need?It is not mandatory that you are certified by the American Board of Psychiatryand Neurology to obtain work as a psychiatrist, but many institutions arerequiring it now in order to join their staff. You must have completedmedical school and received a Medical Degree (M. D.) before applying fora license to practice Medicine in any state. That generally requirespassing a state licensing exam, and a national exam such as the Federal LicensureExam (FLEX).16. Is this occupation in high demand?Very high. There are many positions for Board-certified or Board-eligiblepsychiatrists around the country which go unfilled. Certain regionalgovernments may even offer full coverage of expenses, including malpracticeinsurance and office expenses to attract a psychiatrist to their area. Inother areas, such as larger metropolitan cities, there is an abundance ofpractitioners.17. What is the dress code?Some psychiatrists prefer the casual look, and may even wear jeans, sandals,or other casual clothes. Others prefer to appear more formal, and maywear a suit and tie, or dresses /suits with skirts and heels. It iseasier to maintain one's professional distance, in my opinion, in the moreformal attire. However, some professionals feel that the more casuallook is friendlier and less threatening to patients who may otherwise havetrouble expressing themselves.Finding a Psychiatrist orOther Therapist:Often one's own physician -- Internal Medicine, Family Practitioner, Obstetrician or Pediatrician -- can make a referral to a psychiatrist. If a psychiatrist does not feel that medication is indicated, he mayrefer you to a psychologist, psychiatric social worker, or psychiatric nursepractitioner. Many of these therapists can do excellent psychotherapy.If there is a University Medical Center -- a hospital affiliated with a medicalschool -- nearby, that is a good place to look for a psychiatrist orpsychotherapist. If there is no univesity medical center in your area,you might check out your local County resources. Often they have good providersand may be less expensive. You can check for a county mental healthclinic in the yellow pages under "Clinics, Mental Health" or under your CountyGovernment Offices in the white pages.Getting Help for a Friend/ Relative/ Co-Worker/or Other:It is very difficult to deal with a mentally ill family member, or otherclose acquaintance. Sometimes it seems as though they are deliberatelymanipulating everyone around them. They may be depressed and confusedabout what they want or should do. If they are paranoid, they may nottrust anyone, even those whom they know love and care about them. If they will not consider going to a psychiatrist, sometimes it is lessthreatening to suggest taking them to see their primary care medical doctor-- Internist or Family Practitioner. They can be hospitalized, ifnecessary, and a psychiatric consultant called in.One excellent resource affiliation is the National Alliancefor the Mentally Ill (N.A.M.I.) This group was started by the parentsof seriously mentally ill adult children. They can offer a great dealof support and information.For a friend or relative who is abusing drugs or alcohol, the Al-Anon groupsare an excellent resource. Once again, you can look up Alcoholics Anonymousor Narcotics Anonymous in the white pages of your phone book. Otherresources for Substance Abuse on the internet arelisted below, with links to Directories andHelplines.My Psychiatrist/ Therapist is not helping me:If you feel that you are not getting the help you need, the best course isto seek a second opinion. Be sure that the therapist you locate islicensed by their professional licensing board. Each state usuallyhas its own licensing board. Check the section onFinding a Psychiatrist or Other Therapist tolocate a professional for a second opinion.Links to Other Helpful Resources on theInternet:National Alliance for the Mentally Ill http://www.klis.com/chandler/pamphlet/bipolar/bipolarpamphlet.htmLinks for Loss of ChildrenLoss of Child

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