Psychiatric Illness or Psychological Issue: How FasPsych Provides Services to Treat Both

Psychiatric Illness or Psychological Issue: How FasPsych Provides Services to Treat Both

What can a $300 million dollar multi-level marketing scheme teach us about the nature of mental health challenges?


Glenn W. Turner’s Story and Mental Health Challenges

How can the glittering allure of multi-level marketing empires reveal hidden truths about mental health, from the highs of manic ambition to the shadows of manipulative disorders? Glenn W. Turner (1934–2020), founder of Koscot Interplanetary, Inc., rose from a challenging South Carolina childhood – marked by a cleft palate that caused speech impediments and bullying, leading him to drop out of school in the eighth grade – to become a renowned motivational speaker and entrepreneur in the 1960s. He launched Koscot in 1967, a multi-level marketing (MLM) company selling mink oil-based cosmetics, and followed it with the self-improvement program Dare to Be Great, attracting hundreds of thousands with promises of wealth and success. However, his empire, valued at over $300 million at its peak, collapsed amid allegations of pyramid schemes, culminating in a 1987 conviction for fraud and conspiracy, resulting in seven years in prison. Turner’s charismatic yet manipulative style has led to speculation about underlying mental health issues, such as narcissistic personality disorder (NPD) traits like grandiosity and a need for admiration, or antisocial personality disorder (ASPD) elements like deceit and disregard for norms. Similarly, bipolar disorder – a psychiatric illness characterized by extreme mood swings – could contribute to such outcomes; specifically, during manic episodes, individuals experience heightened energy, euphoria, reduced need for sleep, and impulsive decision-making, which might fuel rapid entrepreneurial success like Turner’s MLM empire but lead to reckless behaviors, poor judgment, and eventual downfall through unchecked risks or grandiose schemes. These conditions may present similarly – both potentially marked by erratic behavior or emotional volatility – but require distinct treatments for effective management. This article explores these differences, spotlighting the telepsychiatry services provided by FasPsych, a national telepsychiatry company specializing in mental health staffing and connecting healthcare facilities with behavioral health professionals for virtual psychiatric care. Contact FasPsych at https://faspsych.com/partner-with-us/ to learn more!

Psychology and psychiatry are two closely related fields in mental health care, yet they differ significantly in focus, training, and approach. Psychology primarily involves the study of behavior, emotions, and cognitive processes through non-medical methods, with psychologists holding doctoral degrees (Ph.D. or Psy.D.) and specializing in therapy, assessment, and research to help individuals understand and modify patterns of thinking and behavior. Psychologists use talk therapies like cognitive behavioral therapy (CBT) or psychoanalysis but cannot prescribe medications, but can work with other FasPsych staff to bridge the divide. In contrast, psychiatry is a branch of medicine, where psychiatrists are medical doctors (M.D. or D.O.) who complete medical school and residency training, enabling them to diagnose mental disorders, prescribe medications, and provide therapy while addressing biological factors such as brain chemistry or genetics. While psychologists emphasize insight and behavioral change, psychiatrists often integrate medical interventions for symptom management, and both collaborate in comprehensive care models to support conditions like those speculated in cases such as Glenn W. Turner’s.

Psychological vs. Psychiatric Treatment: Key Differences

When addressing psychiatric illnesses and personality disorders, the choice between psychological and psychiatric treatment – or a combination of both – plays a pivotal role in outcomes. Psychological treatment, typically provided by psychologists or licensed therapists, centers on talk therapy and behavioral interventions. For instance, cognitive behavioral therapy (CBT) helps individuals identify and reframe distorted thinking patterns, while dialectical behavior therapy (DBT) is particularly effective for emotional regulation in Cluster B personality disorders like borderline or narcissistic types. These approaches focus on building insight, improving interpersonal skills, and fostering long-term behavioral changes without relying on medication. In speculative cases like Glenn W. Turner’s, where traits of NPD (e.g., an exaggerated sense of self-importance) or ASPD (e.g., manipulative tendencies) might be present, psychological treatment could address underlying insecurities from his childhood bullying and speech issues, promoting empathy and ethical decision-making.

Psychiatric treatment, delivered by psychiatrists (medical doctors), emphasizes medication to manage symptoms rooted in biological factors. For psychiatric illnesses such as depression or bipolar disorder, antidepressants or mood stabilizers can restore chemical balance, alleviating acute symptoms and enabling patients to engage more effectively in therapy. Even for personality disorders, psychiatrists may prescribe medications off-label to treat co-occurring issues like anxiety or impulsivity, though no drugs are specifically approved for the disorders themselves. The key difference lies in scope: psychological treatment is non-invasive and insight-oriented, ideal for chronic patterns, while psychiatric treatment is often quicker for symptom relief in episodic conditions. In practice, integrated care – such as that facilitated by FasPsych’s staffing services – combines both, offering holistic support. For example, someone with speculated NPD like Turner might benefit from psychiatric medication for comorbid depression alongside psychological therapy to challenge grandiose beliefs. 

Aspect
Psychological Disorder Treatment
Psychiatric Illness Treatment
Primary Approach
Therapy-focused, emphasizing long-term behavioral change and insight-building.
Medication-focused initially, with therapy as support for symptom management.
Common Methods
Psychotherapy (e.g., CBT, DBT, schema therapy) to address ingrained patterns and relationships.
Medications (e.g., antidepressants, antipsychotics) combined with therapy (e.g., CBT, exposure therapy).
Role of Medication
Limited; used off-label for co-occurring symptoms like anxiety, but not core treatment.
Central; targets biological imbalances for rapid symptom relief (e.g., mood stabilizers for bipolar mania).
Timeline and Outcomes
Long-term (years), aiming for gradual improvement in functioning and self-awareness.
Shorter-term for acute episodes (weeks to months), with potential for full remission or management.
Examples
NPD: Therapy to build empathy; ASPD: Focus on impulse control.
Bipolar Disorder: Mood stabilizers during mania; Schizophrenia: Antipsychotics for hallucinations.
Challenges
High resistance due to lack of insight; dropout rates can be high.
Side effects from medications; may require ongoing adjustments.

FasPsych Services: Psychiatric and Counseling Staffing Solutions

FasPsych is an Arizona-based nationwide psychiatric and counseling staffing service that connects healthcare facilities—hospitals, clinics, and telehealth platforms—with qualified psychiatrists, psychologists, and mental health professionals to deliver expert care for psychiatric illness vs. personality disorder.

  • Comprehensive Psychiatric Evaluations: FasPsych connects facilities with psychiatrists or counselors for thorough psychiatric evaluations across the country. For example, in Glenn W. Turner’s case, where NPD traits like grandiosity might overlap with anxiety, these evaluations ensure accurate diagnoses for tailored plans. Learn about evaluations.
  • Medication Management: FasPsych facilitates medication management for mental health, connecting facilities with psychiatrists prescribing antidepressants or antipsychotics. For personality disorders, like potential ASPD in Turner’s case, co-occurring symptoms (e.g., mood instability) are addressed to support psychotherapy. Explore medication management.
  • Telepsychiatry Staffing Services: FasPsych’s nationwide telepsychiatry staffing connects facilities with professionals offering remote care, ideal for rural areas. This could have provided Turner access to support for behaviors driving his schemes. Contact FasPsych at https://faspsych.com/partner-with-us/ to explore telepsychiatry staffing!
  • Collaborative Care Model: FasPsych integrates psychiatry and other medical staff for a continuity of care with the patient, connecting facilities with professionals combining medication management with therapies like CBT or DBT. For Cluster B disorders, as speculated in Turner’s manipulative tendencies, this model addresses emotional volatility.

Partner with FasPsych for Mental Health Services

The distinction between psychiatric illnesses and personality disorders, which may mirror each other yet demand unique treatments, is critical for effective care. FasPsych, a nation-wide psychiatric and counseling staffing service, connects healthcare facilities with top-tier mental health professionals for psychiatric evaluations and collaborative treatment. FasPsych delivers accessible, evidence-based solutions. Contact FasPsych at https://faspsych.com/partner-with-us/ or call at 480-269-9249 to enhance mental health care delivery today!