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Posted (edited)

I have no evidence to back this up with, but I get the feeling my PDoc just doesn't like me.  

 It bothers me enough to the point I want to get a new one, but i have a long history here and going through all that again ...  I've been successfully, and unsuccessfully treated by him.  It's been 50/50.  I was with a PDoc at the same office prior to my current one who was 100% right all the time and really helped me...but he retired.  And the one now took up all his patients and hasn't been the same in accuracy.

Do you guys/gals run into conflicts like this with your PDocs ?  I suppose i could shop while i'm still seeing him also...

Edited by BrianOCD

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I've had one psychiatrist which I wasn't too fond of. I think he thought I was just obsessed on reading things on the internet and making up conclusions and other crap. I don't think he didn't like me but I think he thought I was a bit troublesome perhaps. I'm not the type of person to be direct with doctors so I never said anything, fortunately for me I moved on.

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I had a pdoc briefly that I fired. I was depressed and wanted to go back on Zoloft 200mg as I know works. He started me at 25mg and did not raise it (again a 25 mg increase) until my next monthly visit. After getting up to 75mg I gave up and left.

 

he would would declare the appt was over after about 5 minutes.

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Posted (edited)

I actually just straight up asked my PDoc today about it, It was an awkward meeting obviously...

He kinda tried to explain that he had some strategy to why he points out my ruminations, obsessions, and questions to him.  I see him once a month and he spends literally 5 minutes or less per patient, so what does he expect me to do while I'm there but ask him questions and try to load the meeting with information on what we're doing...He just acts like he's annoyed by me, and I wonder if it's just me, or he acts that way with other patients.  I wish I could be in the room with other patients when they're meeting....I can admittingly be annoying when I'm having anxiety problems, but who else am I supposed to go to?

He's a good PDoc, knows his stuff, but he has the worst bedside manner so to speak....

Edited by BrianOCD

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On 7/6/2017 at 1:44 AM, BrianOCD said:

I have no evidence to back this up with, but I get the feeling my PDoc just doesn't like me.  

 It bothers me enough to the point I want to get a new one, but i have a long history here and going through all that again ...  I've been successfully, and unsuccessfully treated by him.  It's been 50/50.  I was with a PDoc at the same office prior to my current one who was 100% right all the time and really helped me...but he retired.  And the one now took up all his patients and hasn't been the same in accuracy.

Do you guys/gals run into conflicts like this with your PDocs ?  I suppose i could shop while i'm still seeing him also...

I've been through so many pdocs it made my head spin. It can be so difficult finding the right one. But to me, it is worth it to find a good one - someone who will work with you, who knows the medications so well like the back of their hand, someone willing to listen and ask how you would like your therapy to go, someone who takes the time to care. I have also had ones that liked to gouge me out of money. So I feel your pain. I think you should shop for a new pdoc while still seeing this one, until you can establish yourself with one that you like. That's what I did about a year or two ago and it worked. Good luck! P.S. I had a pdoc I KNEW didn't like me, he was a complete jerk, and a jerk to my girlfriend who he asked to come in with me one time, arguing with her and such about the meaning of a word. Seriously. 

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16 hours ago, Alien Navel Cord said:

I've been through so many pdocs it made my head spin. It can be so difficult finding the right one. But to me, it is worth it to find a good one - someone who will work with you, who knows the medications so well like the back of their hand, someone willing to listen and ask how you would like your therapy to go, someone who takes the time to care. I have also had ones that liked to gouge me out of money. So I feel your pain. I think you should shop for a new pdoc while still seeing this one, until you can establish yourself with one that you like. That's what I did about a year or two ago and it worked. Good luck! P.S. I had a pdoc I KNEW didn't like me, he was a complete jerk, and a jerk to my girlfriend who he asked to come in with me one time, arguing with her and such about the meaning of a word. Seriously. 

I think this is a good idea.

I simply feel insecure with my current PDoc.  I'm going to start looking around for a different PDoc and trying to get an appointment.  Going to cost me an arm and leg. :(

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On 7/14/2017 at 11:37 PM, BrianOCD said:

I think this is a good idea.

I simply feel insecure with my current PDoc.  I'm going to start looking around for a different PDoc and trying to get an appointment.  Going to cost me an arm and leg. :(

Is it out of pocket? if so.. I am sorry. I've been there before, when I was between jobs/insurances - but with MI you *have* to see the pdoc or things can get bad! So I did and it cost a lot but it was worth it because I needed help. So it's like you have to weigh the pros and cons. Good luck!

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I have paid out of pocket for more than a decade because I found a good pdoc, just did not take insurance. Everything he has suggested or prescribed works as it should.I used to see him 2 times a year so my out of pocket was just a little more than seeing the HMO pdoc, being required to see him every 3 months (rule of the HMO). I hate HMO pdocs, they are overworked and underpaid therefor don't give you much time in your appointment.  HMO pdocs have to lowest rate of reimbursement from insurance among specialist docs.  My allergist gets like twice the reimbursement from insurance. Allergy is easy, most of the meds have gone OTC. Once I started taking stims he said his insurance required him to see me every 90 days so now it costs more than the HMO but he has yet to suggest a med that did not work for me, He listens, he asks me what I think, returns calls quickly, same day if urgent and next day if not. Every time. So all of this is worth the extra cost many times over.

It does not pay to be penny wise and pound foolish with your mental health care. 

 

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I would be wary of measuring a pdoc's competence by how effective your psych meds are. The fact is we don't completely understand how/why these meds work and there's no way to know for sure that one med is a better fit than another. You were very lucky with your previous pdoc, but that's what it was: luck. 

That said, I expect my pdoc to converse with me, to answer my questions about the medications, and to have solid reasons behind her choices for meds that I try. I want her to respond quickly when I have an issue. I don't want her to just pile on the meds, but also I don't want someone afraid of adding adjunct treatments. However long the appointment is (15 minutes, 30 minutes, whatever), I expect to spend the vast majority of it face to face with the pdoc. Most importantly, I expect to be taken seriously and treated respectfully. I didn't go to med school but that doesn't mean it's okay to talk down to me, you know?

From what you've said, it doesn't sound like you and your pdoc have a good fit. It may be time to look elsewhere. However, it may be that you need to ask about booking a longer/double appointment so you can have a conversation with him about what you are looking for. It sounds like communication is an issue, perhaps with a longer appointment you can have more time to fully talk to him about your thoughts/questions/problems and get his response. Worst case you're no further ahead than where you're at now.

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Sometimes you dont see eye to eye enough that it affects treatment. When you distrust your handler its time to request someone else.

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23 hours ago, Geek said:

However, it may be that you need to ask about booking a longer/double appointment so you can have a conversation with him about what you are looking for. It sounds like communication is an issue, perhaps with a longer appointment you can have more time to fully talk to him about your thoughts/questions/problems and get his response. Worst case you're no further ahead than where you're at now.

That's not something this guy does.  He's definitely about making sure his office runs smoothly as opposed to spending a lot of time with patients...

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My private pdoc had 15 minute appointments and my HMO pdoc sees me 20 minutes. I don't think less would work. The current one is a better fit, but that's more luck than anything. His primary interest fits my diagnosis. I'd need to switch if it wasn't a good fit, it's too important. But that's easier said than done due to cost and availability. 

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this caught my eye because I have had the same worry, that the doc doesn't like me.  I wonder if I am annoying them because they don't look up from their notes and rush me through.  It got to a point where I was afraid to tell them my symptoms because i thought they thought I was annoying and maybe they thought I was making it up to get attention so I started keeping a lot to myself.  Which completely defeats the point of seeing a mental health professional  But i got so hung up on it.....I am seeing someone else in a couple of months (I love how when I call for an appointment the first available is in 4 months), I'm hoping I won't feel that way and I can be comfortable being honest about what I am feeling. 

I hope you find a good solution.  I would expect at the least a pdoc should take the time to hear you out and have a mutually respectful discussion.  I reckon we are paying them for a service, we have a right to request what we expect and need to get from the service.  

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2 hours ago, quietly bonkers said:

this caught my eye because I have had the same worry, that the doc doesn't like me.  I wonder if I am annoying them because they don't look up from their notes and rush me through.  It got to a point where I was afraid to tell them my symptoms because i thought they thought I was annoying and maybe they thought I was making it up to get attention so I started keeping a lot to myself.  Which completely defeats the point of seeing a mental health professional  But i got so hung up on it.....I am seeing someone else in a couple of months (I love how when I call for an appointment the first available is in 4 months), I'm hoping I won't feel that way and I can be comfortable being honest about what I am feeling. 

I hope you find a good solution.  I would expect at the least a pdoc should take the time to hear you out and have a mutually respectful discussion.  I reckon we are paying them for a service, we have a right to request what we expect and need to get from the service.  

I think it's common that bad PDocs just want to rush patients out the door.

I'm currently in the process of shopping around for a new one...

The problem with rushing patients, especially one with anxiety, is it makes me feel so insecure about the whole visit and if he acknowledged enough...

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In theory, you'd expect a pdoc to have some insight about the impacts to an anxious person.  Or maybe not, maybe its one of those things that wouldn't occur to a person unless they had that same problem themselves.  It's hard to say, I don't know what it's like being a non-anxious person who is trying to understand an anxious one.  You will have to post about your experience when you get a new doctor, I will do the same, just to see what a difference a different doctor can make.  

 

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