How sick is Donald?

[Ike Bana]

Originally Posted by JJIII

Is long distance diagnosis an acceptable practice now?

It always has been. Mental health professionals sit in clinical case staffing meetings and help formulate diagnoses on clients we have never laid eyes on.

Nobody needs to sit in a room with Donald for an hour or two to know he's a deranged animal. We have had over three decades to observe his pathology. Any mental health professional who has spent even an average amount of time looking at Donald's history and behavior knows more about him than we know about any client that we are required to diagnose after a 55 minute session or two.

"Trump is motivated by the same concern in all situations, which is to dominate and to be perceived as having won," Tony Schwartz, Trump's 1987 co-author on "The Art of the Deal," recently told The Washington Post.

He's as sick in Axis II as it gets. But of course you think he's just fine. You're one of the base.

[JJIII]

Originally Posted by Ike Bana

It always has been. Mental health professionals sit in clinical case staffing meetings and help formulate diagnoses on clients we have never laid eyes on.

Nobody needs to sit in a room with Donald for an hour or two to know he's a deranged animal. We have had over three decades to observe his pathology. Any mental health professional who has spent even an average amount of time looking at Donald's history and behavior knows more about him than we know about any client that we are required to diagnose after a 55 minute session or two.



He's as sick in Axis II as it gets. But of course you think he's just fine. You're one of the base.

Are you saying that patient's future is determined by a group that has never laid eyes on him/her? Surely there has to be some personal interaction between a patient and a practitioner.



No, I don't think "he's just fine". I am not one of the base either. My questions had much more to do with the practice of long distance diagnosis than it did with Trump.

[Ike Bana]

Originally Posted by JJIII

Are you saying that patient's future is determined by a group that has never laid eyes on him/her? Surely there has to be some personal interaction between a patient and a practitioner.

I'm saying that I was a staff counselor in the largest unafilliated non-profit social service agency in Metro Chicago for over 12 years. Every friday morning we had a clinical case staffing meeting where cases were staffed, diagnoses and treatment plans were developed, and progress was evaluated. Only one of the 15-20 participants in these meetings had ever had any personal interaction with the client on the case being staffed. It's how multi-disciplinary mental health care is managed in most settings. Before that I interned on a hospital inpatient psych unit for a year, and those cases were managed in the same way. Don't like it? You don't know jack shit about it, so who gives a shit if you don't like it.

Originally Posted by JJIII

My questions had much more to do with the practice of long distance diagnosis than it did with Trump.

Bullshit. Your questions are bullshit because they aren't questions. Your questions are statements in question form. It's what you do on this forum. You haven't asked a fucking question about it...you've made political/ideological statements about it.

There's a sociopathic grifter, misogynist pig, hostile malignant narcissist, deranged animal in the oval office. He is the most vicious narcissistic pig I have ever seen and if I've seen one narcissist, I've seen a hundred in over 20 years of practice.

You either think it's crazy and has to change right now, or you don't. Which side are you on, Mary.

[JJIII]

Originally Posted by Ike Bana

I'm saying that I was a staff counselor in the largest unafilliated non-profit social service agency in Metro Chicago for over 12 years. Every friday morning we had a clinical case staffing meeting where cases were staffed, diagnoses and treatment plans were developed, and progress was evaluated. Only one of the 15-20 participants in these meetings had ever had any personal interaction with the client on the case being staffed. It's how multi-disciplinary mental health care is managed in most settings. Before that I interned on a hospital inpatient psych unit for a year, and those cases were managed in the same way. Don't like it? You don't know jack shit about it, so who gives a shit if you don't like it.

Thank you. Now we finally get to the crux. A person is actually face to face with a client.

As far as me not knowing jack shit about it, you are absolutely, one hundred percent correct. Hence the comments.



Bullshit. Your questions are bullshit because they aren't questions. Your questions are statements in question form. It's what you do on this forum. You haven't asked a fucking question about it...you've made political/ideological statements about it.


I'm sorry my conversational format doesn't meet your approval. I don't think I'll change though.


There's a sociopathic grifter, misogynist pig, hostile malignant narcissist, deranged animal in the oval office. He is the most vicious narcissistic pig I have ever seen and if I've seen one narcissist, I've seen a hundred in over 20 years of practice.

You either think it's crazy and has to change right now, or you don't. Which side are you on, Mary.

I'm on the side that wants the best for the country.

That wishy-washy enough for you?

[Chicks]

Originally Posted by JJIII

I'm on the side that wants the best for the country.

That wishy-washy enough for you?

And you actually believe Trump will deliver what’s best for the country? Damn, you’re a fool! He’s a con artist. Always has been, always will be. He will do what’s best for Trump, and no one but Trump. Wake up, fool!

[JJIII]

Originally Posted by Chicks

And you actually believe Trump will deliver what’s best for the country? Damn, you’re a fool! He’s a con artist. Always has been, always will be. He will do what’s best for Trump, and no one but Trump. Wake up, fool!

I never, ever said Trump is what's best for the country.

Read, fool.

[Chicks]

Originally Posted by JJIII

I never, ever said Trump is what's best for the country.

Read, fool.

My apologies. You sure have spent a lot of time appearing to defend him in this thread. He’s indefensible...

[Ike Bana]

Originally Posted by JJIII

That wishy-washy enough for you?[/COLOR]

Bad criteria. Cowardly enough, for sure.

[Ike Bana]

Originally Posted by JJIII

Thank you. Now we finally get to the crux. A person is actually face to face with a client.

And in my experience as a direct service provider and clinical supervisor of other direct service providers at least half the time the clinician who had been face to face with the client didn't have a clue what was wrong with the client or what to do about it without the input of staff who had never been, nor would ever be face to face with the client. It's how multidisciplinary mental health treatment works.

So your crux is as I'll informed as all your other comments about the delivery of mental health services.

[JJIII]

Originally Posted by Ike Bana

And in my experience as a direct service provider and clinical supervisor of other direct service providers at least half the time the clinician who had been face to face with the client didn't have a clue what was wrong with the client or what to do about it without the input of staff who had never been, nor would ever be face to face with the client. It's how multidisciplinary mental health treatment works.

So your crux is as I'll informed as all your other comments about the delivery of mental health services.

I've learned something today.