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I want a new Psychiatrist, I just can't communicate with my current one, hes one of those doctors who just doesn't care or listen it seems. 

I was thinking of having my primary doctor refer me to a new psychiatrist. 

What should I say to my new doctor- I have been refused treatment before because of my addiction. I think some doctors don't want to treat addicts. How do I explain to my new doctor why I am switching? Should I simply say my old doctor doesn't listen? Should I bring up my old addictions? I don't want to be refused treatment to my new doctor. :(  

 

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Are your addictions current and needing treatment?

if so I would look for a pdoc that has a special interest in addiction or even an addiction specialist doctor.

Im looking for a pdoc too and have been looking at the professional association "find a psychiatrist" listings. There they have the special interests of each listed doctors.

Here it Royal College of Psychiatrists or something like that. Might be American Psychiatric Association if you're in the US.

addiction is a mental illness and any pdoc should be willing to help. If it's in the past I think most pdocs wouldn't worry to much. Some might be hesitant to Rx controlled drugs but I havent experienced that despite admitting to smoking meth and shooting heroin. I haven't been addicted but admitting the heroin was like.. current, and she didn't stop my controlled meds or bat an eyelid really.

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46 minutes ago, mcjimjam said:

Are your addictions current and needing treatment?

if so I would look for a pdoc that has a special interest in addiction or even an addiction specialist doctor.

Im looking for a pdoc too and have been looking at the professional association "find a psychiatrist" listings. There they have the special interests of each listed doctors.

Here it Royal College of Psychiatrists or something like that. Might be American Psychiatric Association if you're in the US.

addiction is a mental illness and any pdoc should be willing to help. If it's in the past I think most pdocs wouldn't worry to much. Some might be hesitant to Rx controlled drugs but I havent experienced that despite admitting to smoking meth and shooting heroin. I haven't been addicted but admitting the heroin was like.. current, and she didn't stop my controlled meds or bat an eyelid really.

I have 14 months clean (other then too much coffee- which proved disastrous) and I don't want any controlled substances other then gabapentin for the damn sleep issues. And I have a past of some alcohol and heroin, I have had a doctor refuse to treat me because of past addiction (it was a weird conversation I can go into details). Anyways I really need a doctor who will listen- not just run their own private practice. I wish I had a therapist who will listen- but I also don't want a therapist I just need the goddamn bipolar med to work...  

 

edit: none of this "take 2 of these and call me in the morning BS"...  thats part of the problem on why I got in this mess in the first place. Lack of insight into this situation. Really I didn't know any better until I hit a crisis. Well now I know I guess. Educate your fucking patients. 

Edited by Yuna
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Just now, mcjimjam said:

Do you know anyone who could give you a recommendation? If you can do some group therapy programs it would be a way of meeting people who could tell you about their pdoc. 

I am seeing my primary doctor tomorrow for a referral. I am so physically tired and can't focus that I can't even look on the internet or hunt by myself- other then sit here and struggle to post on this forum or whatever. It took me all the energy I had just to call my primary. I am losing it I think.  Hopefully my primary knows. Can't decide if I want a big clinic or a private practice. Man this is stressing me out.  

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1 hour ago, Gearhead said:

Asking your primary is smart. In a lot of places you can contact your insurer and they'll give you a list of approved providers, whom you can then research. 

When you say "research" like how am to go about this? How do I find out who is best? I don't wanna end up with another bad doctor. 

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1 hour ago, melissaw72 said:

If you want to research a DR you can go on-line and google them (look them up).

Yup. People love to review doctors. And where I live, the local "Our City is So Awesome!" magazine dedicates an issue annually to the best doctors.

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1 minute ago, Gearhead said:

Yup. People love to review doctors. And where I live, the local "Our City is So Awesome!" magazine dedicates an issue annually to the best doctors.

That is really neat!  I bet those DRs really appreciate being noticed.

About reviewing DRs, I always keep in mind that the star ratings on-line aren't always accurate ... I think that people want to complain about the DRs more than tell about the good experiences, IME anyway. 

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14 minutes ago, melissaw72 said:

That is really neat!  I bet those DRs really appreciate being noticed.

About reviewing DRs, I always keep in mind that the star ratings on-line aren't always accurate ... I think that people want to complain about the DRs more than tell about the good experiences, IME anyway. 

The star ratings are not accurate!  

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There is some trial and error. Some factors might be whether their location is convenient, whether their fees are reasonable, age, gender, language spoken, how soon they can offer an appointment. 

 

I am looking at the moment too and was referred to one who charged $500 for the first session ($270 co pay), I passed on it and found some pdocs who charge no co pay for low income patients. I found those through the psychiatric professional organisation. I also look for one who can offer a variety of appointment times, not just one morning a week or something and I prefer male doctor who are native English speakers. 

You cant really know which doctors are most competent without just trying them out. Same as with meds. If you don't like their manner in the first appointment, don't make another. Keep looking.

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11 hours ago, mcjimjam said:

There is some trial and error. Some factors might be whether their location is convenient, whether their fees are reasonable, age, gender, language spoken, how soon they can offer an appointment. 

 

I am looking at the moment too and was referred to one who charged $500 for the first session ($270 co pay), I passed on it and found some pdocs who charge no co pay for low income patients. I found those through the psychiatric professional organisation. I also look for one who can offer a variety of appointment times, not just one morning a week or something and I prefer male doctor who are native English speakers. 

You cant really know which doctors are most competent without just trying them out. Same as with meds. If you don't like their manner in the first appointment, don't make another. Keep looking.

Thats good advice. The manner is what is important to me. I don't expect much from a good doctor- simply 2 things- explain to the patient and be honest with the patient. And also just have an open mind- none of this "swallow these pills and have a nice day". That clearly is not going to solve my issues at this point. 

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I honestly don't know of a good way to pre-screen a pdoc. For me, it's been trial and error. Referrals are probably the best, and one of the best pdocs I've seen was a referral from my (then) tdoc. In my area, the big mental health clinic is the absolute worst -- private practice is the only way to go if you want even semi-decent mental health care.

I know my current pdoc will treat people who have been prior addicts, he just monitors what you're filling against the state's controlled substance database. As long as you're honest and taking your meds as prescribed, he's ok with writing them.

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27 minutes ago, dtac said:

I honestly don't know of a good way to pre-screen a pdoc. For me, it's been trial and error. Referrals are probably the best, and one of the best pdocs I've seen was a referral from my (then) tdoc. In my area, the big mental health clinic is the absolute worst -- private practice is the only way to go if you want even semi-decent mental health care.

I know my current pdoc will treat people who have been prior addicts, he just monitors what you're filling against the state's controlled substance database. As long as you're honest and taking your meds as prescribed, he's ok with writing them.

I agree. Not going to a big mental health clinic- done that before its just a 15min apppointment every 90 days and a pat on the back. Not doing that again. 

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Don't know if you'd like this, but I can always secure email my pdoc for issues between appointments. It's good for med changes or checking in to be sure I'm OK after med change or issues. Since it takes weeks to get an appointment sometimes, that's a good system for me   If you think you like the pdoc and that would work for you, might ask about it vs phone--I hate touching base by phone, ever. Also I switched to someone who specializes in bipolar and depression, based on recommendations by my PA, and that helped. I will say I didn't like him at first but he has me stable and I like him now, as a pdoc. 

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On 5/6/2017 at 8:59 PM, Gearhead said:

Yuna, it just occurred to me-can you ask your gdoc for a referral? Or do your have a tdoc your like? Might s/he refer you?

My primary gave me 2 places to check out. Hopefully my primary knows who she is recommending. 

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