Jump to content

Recommended Posts

First a guide to what those letters stand for if you're not familiar (I didn't feel like writing it out). I'm a writer so be patient as I tell my story that has no traceable personal info.

PA: Physician's Assistant

MD: Medical Doctor. In psychiatry, he or she is the psychiatrist.

NP: Nurse Practitioner.

I guess I should mention that I have depression, general anxiety, and some OCD.

I am not an expert, but I believe NPs and PAs (I know this for certain) work under the supervision of a psychiatrist. I have had a variety of both and some are better than others, no matter what their training. I saw an MD who is ranked as being the best in the field locally but I only saw him every four months and he rescheduled constantly. I felt like I barely knew him. 


When I wasn't seeing him I saw his PA and loved her. She was a little brash and completely different from her boss. I could talk to her more easily and felt like she was helping me. So when she left I followed her.


The thing is she isn't perfect. I still got good treatment and she was able to talk to me more. Her "style" is extremely interesting. She doesn't ask me twenty questions straight off the bat such as "How much sleep do you get?" or "Any thoughts of suicide recently" which made squirm. Instead she would ask me about school, how my family, and if I was getting out enough. It sounded like counselling session, but she would suddenly pull out her pad close near the end and describe what she wanted put me on. I realized I was answering all the same questions but in a narrative form. I liked her but I had a bad feeling that she may be be "leaving" soon and made an appointment with a "brilliant" psychiatrists recommended by my therapist. Sure enough, I got a call saying she had left the practice not long afterwards.


I like the guy I am with now more than the last MD as I can get in to see him regularly and him and only him. He's not as personal which I didn't mind because I trusted him and he is very nice. I get to talk about what is going on my life but not as in depth. He is more methodical and describes how each med. works typically. And I was excited because he didn't think I sounded depressed.


I don't think he has helped me at all. Nothing has changed. He put me on clomipramene and that knocked me out for three days during the week I had three papers due. My therapist talked me into staying with him, but I don't trust him. I have had some family problems recently and it is difficult to weed out what will go away and what needs to be treated. He has me on Paxil and I have no idea whether it is helping me because it takes six weeks to go through and I am four weeks in.


I got so frustrated after this past week of lack of productivity in school I decided to pull out the cell phone number for the PA. I had no idea what to say in voice mail so I rambled, but she picked up the minute I hung up. She told me she was thinking about me recently. I found out she wasn't working anywhere which made me want to cry. I told her what was up and when I mentioned I was Paxil she got angry. She explained how it took her a year to get a patient off the drug as the process is extremely slow. That was something the MD never told me even after he upped the dose. She told me to call her whenever. This is what I loved about her. She may not be perfect but she has an understanding of drugs that I have never found in any of the people I have seen.


So what do I do? The logical answer is to continue with this guy because who is top-ranked and I am running out of people to see in the area. But the bottom line is, I don't like him. He goes with stats and makes me nervous because I don't trust my own judgement when he gives me options based on what I have taken before. I need to get better fast and I know it is not always an option with drugs. I can't focus and I want to feel like the person I was last semester who got things done and didn't have to begging for excuses. A teacher emailed me today about whether I was giving up on the course. It's online and I don't like her that much, but I am not a quitter. 


I see my therapist this week and I'll be asking her for advice. I just wanted to get some perspective here.


Link to post
Share on other sites

To be honest, if you don't like or trust your doctor, it doesn't really matter what their "reputation" is - I think it's just as much a matter of goodness of fit as it is of reputation, especially when his suggestions have not been particularly successful for you. If I were you, I'd try to get another doctor, or at least get a second opinion.

Link to post
Share on other sites

You would go see a pdoc that  you don't like when there are other options?  That wouldn't be the choice I would make.  Reputation is one thing.  Finding someone you can partner with is completely different.  I've found that I've got to have a good relationship with my health care providers, no matter which type.  If we don't click then there is no point.  I need someone I can trust and respect.  If that is missing then I don't bother.  

Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • Similar Content

    • By MisterMelancholy
      I got in a massive fight with some well liked people at school last friday and everyone saw it so everyone hates me now and I was suspended for today. I don't know if I ever wanna go back since everyone hates me now. Everyone keep insisting to but it's a death sentence. Everyone will pester me for the rest of my life and I'll eventually get into another fight. What do I do? Do I go to school? How can I control my massive anger and impulsivity?
      It feels like Mel Gibson has become my spirit animal.
      There's a video on Youtube where he yells at this chick on the phone and it's very relatable. It's exactly how I act when I get mad.
    • By MisterMelancholy
      It's my 3rd time now that I've cut myself intentionally. I sliced my wrist at school and a teacher saw it. I did it to try to cope with my feelings of self hatred. I then had to see my school counselor after he saw me do it. It was kinda a bittersweet meeting. I cried a little after I got back to class but noone saw as I didn't weep and only shed 2 tears. I still can't believe I relapsed. I feel guility.
    • By Distorted Me
      I know that a lot of bipolar folks take an SSRI as part of their daily regimen of meds and apparently it seems to help.  But there's some growing concern in the pdoc world now that SSRI's may be causing manic symptoms and even directly causing manic episodes.  I was on SSRI's for 10 years before quitting last October.  In chronological order:  Celexa, Zoloft, Celexa again, Lexapro, Zoloft again, Prozac, Zoloft again briefly, back to Prozac to close it out. 
      For me, personally, after stopping them altogether, I was able to see what they were doing to my system.  I truly believe they made me much more unstable and greatly increased compulsiveness and just made a bad situation worse.  Switching from Lexapro to Zoloft sent me immediately full-on hypomanic for over a month in early 2015.  I was high as a kite and on top of the fucking world.  It was unreal and so obvious at the time. From the beginning of it, I was certain something unusual was going on. Now I wasn't diagnosed bipolar yet, just depressed, so I didn't even know what hypomania was then.  It fizzled out eventually (sigh) but I had at least two more, shorter, and less intense episodes late spring 2015.  I've not had anything quite as euphoric as those since.
      My last pdoc expressed some concern about the prozac but wasn't very insistent on me stopping it, just that I would want to eventually.  I've since read that there is increasing concern in the pdoc community.  Yet a lot of bipolar people still take SSRI's and don't seem to have problems. 
      Do SSRI's seem to help your causes?  Do you notice any unusual side effects?  Have any of you stopped taking SSRI's and noticed a change?  Other comments?   This could be interesting.
    • By seekinrec
      Hello all,
      I have OCD/Anxiety/Depression
      I was on:
      - lexapro: 4 years Started late 2010. 10 increased up to 60  (there was single day 3 pills cant remember 20mg or 10mg high up dose)  short time. decreases down to 5. and stop points with rejected change in meds.
      luvox: 3.5 years started early 2014. 150 ended in 100 decreased down to 50 after that 1.5 weeks attack of continuous eye pains. And stop points with rejected change in meds. and last full stop.
      What im feeling after approx. 7 months after stopping: 1.5 weeks atack of continuous eye pains. after the attack, right eye pulsating sharp/heating sensation (mostly for now), pains along with easily eye straining and drying, constant red spot/subconjunctival hemorrhage near tear canals reaches to cornea that persists most the day and decreases after sleep for short time..
      Did any one experience this type of eye pains before?
      (what do you advice me/ what should i do?)
      - return to lowest possible dose and if so, in what size 13.5 or 17.0 or 5 mg or what med, and should I get digital scale?
      - Waiting while taking coffee and pain killers.
      - I still get light (with rarely heavy) ocd thoughts/ anxiety/ panic attacks/ depressive mood (current moment they are all  mild to me); should I cut all that crap of evaluating
      with no meds and return to my original dose in sudden.
      - I don't know if ill ever go to psychological doctors I think the previous docs have a part in the problem.

      please excuse language and memory errors...
      in detail:
    • By Courty140
      In January of this year I woke up with a panic attack completely out of the blue.  Despite several episodes of anxiety and depression in my 20s, my last episode was back in 2008!  At that time I went through a year or so of therapy, committed to staying on 30mg of Paxil, and I never looked back.  I honestly would have said I was cured!  The panic attack led to a period of anxiety that lasted right through February.  I upped the Paxil to 40mg and worked with a psychiatrist who suggested adding Lamictal.  We started at 25mg for 2 weeks, 50mg for 2 weeks, and then 75mg.  I started noticing a positive difference at about a week on 75mg.  A few days later, the anxiety and depression just lifted!  It was like I had my life back.  For nearly a month I felt great, and believed the Lamictal must have made the difference.  Unfortunately, it didn't last.  
      About a week ago something minor triggered anxiety in me, and again it has lasted!  My psychiatrist recommended going up to 100mg of Lamictal, so I started that two days ago.  My question is, does lamictal work and then wear off if it's not at the right level?  Has anyone had success with an SSRI and lamictal for anxiety and depression, not related to bipolar disorder?  Can anyone offer advice on how to keep the faith with these medication changes, or how to overcome anxiety?  Looking for others who get it, and want to help!
  • Create New...