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  1. #1
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    Depression is a terrible thing, been there. Unfortunately Psychiatrists are few and far between in Thailand. In fact in Korat they had no qualified Psychiatrist working there up to about 2 years ago. They'd send away a GP on a 6 month course to fill in on his return.

  2. #2
    . Neverna's Avatar
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    Quote Originally Posted by Pragmatic View Post
    Depression is a terrible thing, been there. Unfortunately Psychiatrists are few and far between in Thailand. In fact in Korat they had no qualified Psychiatrist working there up to about 2 years ago. They'd send away a GP on a 6 month course to fill in on his return.
    Maybe just the hospital you went to didn't have any psychiatrists at that time, Pragmatic, but I doubt that's true of the whole province or city because there is a psychiatric hospital in Korat city.

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  3. #3
    Harbinger of Doom

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    Quote Originally Posted by katie23
    This is TD. There are many k**nts,
    Yes, here's one:
    Quote Originally Posted by Wilsonandson
    IMO she is an evil little cow!
    Some anonymous fuck who takes pleasure in slagging off a young girl who was driven, for whatever reason, to take her own life.

    The fact that this stupid, semi-literate fuckknuckle knows nothing at all about her life is of course, no hindrance to his passing judgement on her.

    Still, interesting that Teakdoor's own guardians of public morality, like little Dickie, who were so keen to jump on DrBob for being less than gracious about the death of piwanoi (a convinced racist and all round cvnt) have nothing to say about this Wilsonandson fuckwit slagging off a 14-year-old suicide. Good to see what people's priorities are.
    Last edited by Passing Through; 01-08-2017 at 12:28 PM.

  4. #4
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    Quote Originally Posted by Passing Through View Post
    Quote Originally Posted by katie23
    This is TD. There are many k**nts,
    Yes, here's one:
    Quote Originally Posted by Wilsonandson
    IMO she is an evil little cow!
    Some anonymous fuck who takes pleasure in slagging off a young girl who was driven, for whatever reason, to take her own life.

    The fact that this stupid, semi-literate fuckknuckle knows nothing at all about her life is of course, no hindrance to his passing judgement on her.

    Still, interesting that Teakdoor's own guardians of public morality, like little Dickie, who were so keen to jump on DrBob for being less than gracious about the death of piwanoi (a convinced racist and all round cvnt) have nothing to say about this Wilsonandson fuckwit slagging off a 14-year-old suicide. Good to see what people's priorities are.
    concur.

  5. #5
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    Yes that was the hospital and as I said they did not have any qualified Psychiatric doctors. But in saying ' any' I mean children's doctors. Which in this case we are talking about.

  6. #6
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    Quote Originally Posted by Pragmatic View Post
    Yes that was the hospital and as I said they did not have any qualified Psychiatric doctors. But in saying ' any' I mean children's doctors. Which in this case we are talking about.
    Qualified Psychiatric Doctors.
    Term of contradictory?

  7. #7
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    Quote Originally Posted by thaimeme View Post
    Quote Originally Posted by Pragmatic View Post
    Yes that was the hospital and as I said they did not have any qualified Psychiatric doctors. But in saying ' any' I mean children's doctors. Which in this case we are talking about.
    Qualified Psychiatric Doctors.
    Term of contradictory?
    Jeff, we ain't discussing wai-ing a fucking mango tree here.

  8. #8
    Harbinger of Doom

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    Quote Originally Posted by Pragmatic View Post
    Yes that was the hospital and as I said they did not have any qualified Psychiatric doctors. But in saying ' any' I mean children's doctors. Which in this case we are talking about.
    Provision of care is pretty crap in much of Thailand, yes. I know a pediatric psychiatrist who works at the Chulalongkorn Hospital and who is extremely well educated (as are the rest of the people working there) but like everywhere in the world, though more so in Thailand than in many other places, access to these things is determined by location and social class.

  9. #9
    . Neverna's Avatar
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    So they had qualified psychiatrists but no psychiatrists qualified to work with children? Is that what you're saying, Prag?









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    Last edited by Neverna; 01-08-2017 at 09:06 PM. Reason: typo

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    Quote Originally Posted by thaimeme
    Qualified Psychiatric Doctors.
    Term of contradictory?
    I'll try and remember that. Thanks.

  11. #11
    Excommunicated baldrick's Avatar
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    Quote Originally Posted by thaimeme
    Qualified Psychiatric Doctors. Term of contradictory?
    I guess the experience was profound

  12. #12
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    Quote Originally Posted by Neverna
    So they has qualified psychiatrists but no psychiatrists qualified to work with children? Is that what you're saying, Prag?
    I don't want to go into things too deep but they had NO Psychiatrists. Only Psychiatric nurses.

  13. #13
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    I don't think Thai accept the phenomenon of mental illness in the way civilised countries do but merely see it as a manifestation of some karmic imbalance or because the sufferer "think too mut" and has neglected to visit the temple.

  14. #14
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    Quote Originally Posted by Pragmatic
    Unfortunately Psychiatrists are few and far between in Thailand
    For what it's worth, bearing in mind that the WHO report this is quoted from is 10 years old;

    The World Health Organization Assessment Instrument for Mental Health Systems
    (WHO-AIMS) was used to collect information on the mental health system in Thailand.
    The goal of collecting this information is to improve the mental health system and to
    provide a baseline for monitoring the change. This will enable Thailand to develop
    information-based mental health plans with clear base-line information and targets. It will
    also be useful to monitor progress in implementing reform policies, providing community
    services, and involving users, families and other stakeholders in mental health promotion,
    prevention, care and rehabilitation.

    Thailand has a mental health policy and plans. The legislation is still in the process and it
    is likely to be ready soon. Approximately 3.5% percent of health care expenditures by the
    government health department is directed towards mental health services and half of this
    is devoted to the mental hospitals. In Thailand there are three different social insurances,
    which provide free access to essential psychotropic medicines to 93% of the population.
    A human rights review body exists, but it does not oversee regular inspections and has no
    authority to impose sanctions

    The Mental Health Department (MHD) is the national mental health authority. There are
    122 outpatient facilities in the country, located in mental hospitals and in general
    hospitals. Eleven percent of these facilities are for children and adolescents only. There
    are no day treatment facilities in Thailand. The only residential facilities are for people
    with mental retardation and substance abuse. There are 25 community-based psychiatric
    units with 0.4 beds per 100,000 population and 17 mental hospitals with 13.8 beds per
    100,000 population. The rate of users in community based inpatient units is 173 per
    100,000 population and in mental hospitals is 158 per 100,000 population. The majority
    of patients admitted to mental hospitals have a diagnosis of schizophrenia. All forensic
    beds are located in one mental hospital for security reasons. It was estimated that most
    admissions to mental hospitals and inpatient units are involuntary.

    Mental health care has been integrated into primary health care by MHD for many years.
    Primary health care doctors have limited training and interaction with mental health
    services.

    There are 7.29 personnel working in mental health for every 100,000 population. There
    are few psychiatrists and psychosocial staff working in mental hospitals. In terms of staff
    to bed ratios, there are 0.01 psychiatrists, 0.15 nurses, 0.02 psychologists, social workers
    or occupational therapists and 0.05 other mental health workers per bed in mental
    hospitals. Some professionals are working for both inpatient and outpatient facilities.
    There is a disproportionate amount of resources concentrated in the main cities, which
    limits access to mental health services for rural users. There are 5 user associations and 3
    family associations present in the country interacting with a few mental health facilities.
    Public education and awareness campaigns are overseen by coordinating bodies. There
    are links between departments/agencies responsible for mental health and those
    responsible for primary health care/community health, HIV/AIDS, reproductive health,
    child/adolescent health, substance abuse, child protection, education, employment,
    housing, welfare, criminal justice, and the elderly. There are legislative provisions for
    employment, but not for housing. Only a few mental health facilities assist with
    employment for people with severe mental disorders, through activities outside the
    mental health facilities.

    Data are collected by all the facilities and transmitted to the government. Each year a
    report on this data is published. Only one percent of the health research from within the
    country published in journals is on mental health.

    Due to inherent limitations of this assessment, more time may be needed to improve the
    quality of the data and to verify the consistency of the item definitions. The findings of
    this assessment, as with any assessments, should therefore be interpreted with caution.

  15. #15
    . Neverna's Avatar
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    He still visits and reads threads. So does his Digby character.

  16. #16
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    Quote Originally Posted by Seekingasylum
    I don't think Thai accept the phenomenon of mental illness in the way civilised countries do but merely see it as a manifestation of some karmic imbalance or because the sufferer "think too mut" and has neglected to visit the temple.
    Basically you are correct in that mental illness is seen by many as a task for the monks to sort out. I can't find the article now but there was a case where police had to investigate a temple, 10-11 year ago, where a girl was taken by her family to have the evil spirits beaten out of her. The monks beat her so bad she was hospitalised, Hence the police.

    Edit:-
    A final conclusion that some limited number of respondents discussed that they believed that it could be caused by ‘ghosts or spirits’ because they have done something bad. One responded posed an interesting view in that she indicated a possible difference between the beliefs of those in urban and rural areas, “Most city people believe mental illness can be caused by spirits less that rural people. I am from rural part and I was taught this and I still believe it despite having scientific knowledge—you cannot prove about spirits”
    https://maytermthailand.org/2012/04/...or-counselors/
    Last edited by Pragmatic; 02-08-2017 at 07:06 AM.

  17. #17
    Thailand Expat tomcat's Avatar
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    Quote Originally Posted by Passing Through
    Good to see what people's priorities are.
    ...i.e., they're different from yours...those who break away from the herd are the first to be attacked...

  18. #18
    Harbinger of Doom

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    Quote Originally Posted by tomcat View Post
    Quote Originally Posted by Passing Through
    Good to see what people's priorities are.
    ...i.e., they're different from yours...those who break away from the herd are the first to be attacked...
    How very perceptive of you tomcat. I make a post criticizing someone and you, in what is surely a Nobel-level breakthrough, notice that we might think differently about things. Stunning stuff.

  19. #19
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    i have made use of the psychiatric services in thailand. my daughter who is dyslexic, i kicked off at the local council office to find out if there is a special school for the more challenged kids. first hurdle, wot dyslexic, and of course no such thing as help for slow kids. next aproach hospital in patts, wot dyslexic, ... short story. we have to travel to chonburi city for the only psychiatric assessment in the county... apart from no help or assistance ,, i'm bound to say the very young sexy chinese psychiatrist was very good, very professional, and very over worked.
    so my take on the scene is much like prags. no psychiatric help in a city the size of patts.

  20. #20
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    Quote Originally Posted by lob View Post

    i have made use of the psychiatric services in thailand. my daughter who is dyslexic,

    i'm bound to say the very young sexy chinese psychiatrist was very good, very professional, and very over worked.
    so my take on the scene is much like prags. no psychiatric help in a city the size of patts.
    Err, no self-respecting modern psychiatric health professional worth even a smidgin of salt would ever spend a nano second of their time examining a patient whose only complaint was an inability to read well. Maybe forty years ago it was seen as a manifestation of mental illness but those days are long, long gone except it seems in bongo-bongo land.

  21. #21
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    ^dyslexia is a learning disability, you don't need a psychiatrist, just good teachers.

  22. #22
    hangin' around cyrille's Avatar
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    Quote Originally Posted by fred flintstone View Post
    you don't need a psychiatrist
    Well, I suppose you're entitled to your opinion.

  23. #23
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    Quote Originally Posted by cyrille
    I suppose you're entitled
    true dat

  24. #24
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    Quote Originally Posted by Seekingasylum
    Err, no self-respecting modern psychiatric health professional worth even a smidgin of salt would ever spend a nano second of their time examining a patient whose only complaint was an inability to read well. Maybe forty years ago it was seen as a manifestation of mental illness but those days are long, long gone except it seems in bongo-bongo land.
    No harm done really in ensuring ones self diagnosis receives a second professional opinion. To be sure, to be sure.

  25. #25
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    Quote Originally Posted by Pragmatic
    No harm done really in ensuring ones self diagnosis receives a second professional opinion. To be sure, to be sure.
    Bit over the top to seek psychiatric help for learning difficulties...unless there's something else going on.

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