I read your internet article with great interest. In fact I found it very interesting and well written. I liked the cases presented and the follow-ups informative. However, tell me Doctor, how is it that you can feel comfortable with the following paragraph when you do not heed your own advice to others? "At the very least, psychiatrists should know their patients reasonably well if they are to prescribe medications wisely. This is true whether or not it will eventually be determined that the odds of a patient developing a disorder has been increased by biological factors. Prozac and the other SSRIs are too powerful, too far reaching in their effects, their influence too subtle in too many areas of a patient's life, to be given by gynecologists, family practitioners, physicians assistants, and others who have brief contact with their patients. They are too powerful to be given by psychiatrists who see their patient for 15-minute med checks once a month and know close to nothing about their patient's lives."
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