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Why do you feel that psychiatrists do not know *what's up*?
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I say this because most psychiatric doctors I have met are closed-minded and generally do not know enough about pharmacology. Also the increasing number of people I see prescribed SSRIs without the doctor determining if a serotonin imbalance existed and doctors continuing to direct patients to take medication for prolonged periods without positive results. I approach every doctor with a clean slate, but after some questioning and discussion, it is clear to me whether or not I will continue seeing the doctor.