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WastingAsparagus
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Default Sep 26, 2020 at 04:46 PM
  #1
Hi all,

I thought you might be able to help me with this issue I've been having with my psychiatrist.

It seems like we're not on a clear path anymore. I know with the pandemic, everything has gotten messed up, but still, I think that my psychiatrist and I have gotten off course. Perhaps way off course.

The reason I think this is because I'm on way more medication in terms of dosage and of the number of medications I take.

I just wanted to get your opinion as to whether I should find a new psychiatrist or not. It's hard for me because I've been seeing this one for around 6 years now, and I have generally thought he's done a decent job. But as of late, I'm finding myself more and more frustrated about the meds and what we're doing because we seem to lack a clear consensus. My parents repeatedly tell me that I'm basically the one to blame because I don't tell the psychiatrist the right stuff, etc. But hey, I mean I am the patient, I remind them. Any ideas on what to do?

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Default Sep 26, 2020 at 06:04 PM
  #2
What is it you want? What is your main objective. Less symptoms. Less medication? Both. If overall you like this pdoc then maybe try to work it out with him first. Write down your goals and share with him what you want and see how he responds to that.

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Default Sep 26, 2020 at 06:11 PM
  #3
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Originally Posted by WastingAsparagus View Post
Hi all,

I thought you might be able to help me with this issue I've been having with my psychiatrist.

It seems like we're not on a clear path anymore. I know with the pandemic, everything has gotten messed up, but still, I think that my psychiatrist and I have gotten off course. Perhaps way off course.

The reason I think this is because I'm on way more medication in terms of dosage and of the number of medications I take.

I just wanted to get your opinion as to whether I should find a new psychiatrist or not. It's hard for me because I've been seeing this one for around 6 years now, and I have generally thought he's done a decent job. But as of late, I'm finding myself more and more frustrated about the meds and what we're doing because we seem to lack a clear consensus. My parents repeatedly tell me that I'm basically the one to blame because I don't tell the psychiatrist the right stuff, etc. But hey, I mean I am the patient, I remind them. Any ideas on what to do?
What are the current meds and doses?

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Default Sep 26, 2020 at 07:10 PM
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What are the current meds and doses?
Zyprexa 10 mg
Effexor XR 450 mg
Abilify 30 mg
Xanax XR 1 mg
Remeron 45 mg
Metformin 1000 mg

So I'm taking a lot of stuff. But I've needed high doses of stuff in the past. I am trying my best to work it out with him, but I am not sure how to proceed here.

I feel good but I think I am on too many meds. That is literally my only concern.

That and I get these doubts from time to time.

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Default Sep 26, 2020 at 07:11 PM
  #5
I think the problem is that my psychiatrist wants me on fewer meds and maybe lower dosages. I am not sure why, since I am feeling pretty good.

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Default Sep 27, 2020 at 07:25 AM
  #6
Man, I will tell you, this illness is so hard to get good results with. We are just forever changing meds due to some inefficacy or other. If I felt pretty solid, I would not touch a damn thing. You are gonna have ten zillion chances to make changes in the future. So, that is one.

Two is, plenty of folks have been on two atypicals before. Your doses are not super high, other than the Abilify. Until recently, I was on two stabilizers and two APs. It is not an extravagant concoction you got goin' on.

So, me? I would ride what is good awhile. We have a saying in surgery school, the enemy of good is better. Maybe that is true.

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Default Sep 27, 2020 at 07:36 AM
  #7
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Originally Posted by WastingAsparagus View Post
Hi all,

I thought you might be able to help me with this issue I've been having with my psychiatrist.

It seems like we're not on a clear path anymore. I know with the pandemic, everything has gotten messed up, but still, I think that my psychiatrist and I have gotten off course. Perhaps way off course.

The reason I think this is because I'm on way more medication in terms of dosage and of the number of medications I take.

I just wanted to get your opinion as to whether I should find a new psychiatrist or not. It's hard for me because I've been seeing this one for around 6 years now, and I have generally thought he's done a decent job. But as of late, I'm finding myself more and more frustrated about the meds and what we're doing because we seem to lack a clear consensus. My parents repeatedly tell me that I'm basically the one to blame because I don't tell the psychiatrist the right stuff, etc. But hey, I mean I am the patient, I remind them. Any ideas on what to do?
Hi, I will stick my neck out and say that based on what you have said, You maybe would benefit from a professional psychologist as they would know about what talk therapy to enroll you on, and think about weening yourself off the med's as some times there more trouble than it's worth.
There is a huge difference between professional help and service provider, ask yourself if you want to move on with your life.
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Default Sep 27, 2020 at 10:11 AM
  #8
I feel like I need to just find a new psychiatrist. I've just had some stuff recently with this psychiatrist that makes me not trust him too much anymore. The stuff is that I didn't tell him about a med switch I had made and I didn't tell him that I had sought a second opinion at first, and then I told him later, but the whole thing just made me uncomfortable.

Then he keeps pushing for making changes to my meds. I am not saying I am absolved from guilt about this, because sometimes I tell him I feel flat on these meds. And if all were perfect, I would be able to go down on these meds.

I feel like the pandemic has negatively affected our relationship. That is because we have these brief video check ins and he always ends up making some sort of switch that I'm not happy with at the end of those. I just need psychiatric care that makes sense! I, like some others on this board, research meds a ton and I know what makes me feel better and what doesn't, so unless a doctor can convince me of a med switch, I am not going to comply. This psychiatrist has not explained the switches he wants to make well. He always ends up trying to convince me with an explanation of the neurotransmitters that are involved, and I always just glaze over at that point because I don't care. Then again, I know that this current med combination is probably too much, and I want to make changes, but not in the way he is doing it. I have difficulty tolerating any discomfort.

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Default Sep 27, 2020 at 11:31 AM
  #9
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Originally Posted by WastingAsparagus View Post
I feel like I need to just find a new psychiatrist. I've just had some stuff recently with this psychiatrist that makes me not trust him too much anymore. The stuff is that I didn't tell him about a med switch I had made and I didn't tell him that I had sought a second opinion at first, and then I told him later, but the whole thing just made me uncomfortable.

Then he keeps pushing for making changes to my meds. I am not saying I am absolved from guilt about this, because sometimes I tell him I feel flat on these meds. And if all were perfect, I would be able to go down on these meds.

I feel like the pandemic has negatively affected our relationship. That is because we have these brief video check ins and he always ends up making some sort of switch that I'm not happy with at the end of those. I just need psychiatric care that makes sense! I, like some others on this board, research meds a ton and I know what makes me feel better and what doesn't, so unless a doctor can convince me of a med switch, I am not going to comply. This psychiatrist has not explained the switches he wants to make well. He always ends up trying to convince me with an explanation of the neurotransmitters that are involved, and I always just glaze over at that point because I don't care. Then again, I know that this current med combination is probably too much, and I want to make changes, but not in the way he is doing it. I have difficulty tolerating any discomfort.
I believe that more patients have seen the light that shines through the wooded forest of how our minds work and behave in response to unwanted or even unconsented stimulus to things like 'voices' & group gaslighting.

By way of definition, modern Psychiatry is clearly a failing quasi-judicial medical cult.

There is no messianic wonder drug, or chemical imbalance this is evidence of brainwashing within the profession, I think we as sufferers could and maybe should form our own treatment network.
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Default Sep 27, 2020 at 12:35 PM
  #10
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Originally Posted by WastingAsparagus View Post
I feel like I need to just find a new psychiatrist. I've just had some stuff recently with this psychiatrist that makes me not trust him too much anymore. The stuff is that I didn't tell him about a med switch I had made and I didn't tell him that I had sought a second opinion at first, and then I told him later, but the whole thing just made me uncomfortable.

Then he keeps pushing for making changes to my meds. I am not saying I am absolved from guilt about this, because sometimes I tell him I feel flat on these meds. And if all were perfect, I would be able to go down on these meds.

I feel like the pandemic has negatively affected our relationship. That is because we have these brief video check ins and he always ends up making some sort of switch that I'm not happy with at the end of those. I just need psychiatric care that makes sense! I, like some others on this board, research meds a ton and I know what makes me feel better and what doesn't, so unless a doctor can convince me of a med switch, I am not going to comply. This psychiatrist has not explained the switches he wants to make well. He always ends up trying to convince me with an explanation of the neurotransmitters that are involved, and I always just glaze over at that point because I don't care. Then again, I know that this current med combination is probably too much, and I want to make changes, but not in the way he is doing it. I have difficulty tolerating any discomfort.
Go get that new pdoc. Now. Be decisive. Assert and advocate for yourself.

Hugs.

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Default Sep 29, 2020 at 11:13 PM
  #11
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I believe that more patients have seen the light that shines through the wooded forest of how our minds work and behave in response to unwanted or even unconsented stimulus to things like 'voices' & group gaslighting.

By way of definition, modern Psychiatry is clearly a failing quasi-judicial medical cult.

There is no messianic wonder drug, or chemical imbalance this is evidence of brainwashing within the profession, I think we as sufferers could and maybe should form our own treatment network.
Yeah I sometimes believe in all of this. Other times I don't believe it.

I know there's no messianic wonder drug. That's the thing. But then people like psychiatrists and even my therapist convince me that I need the meds and that it's irresponsible to my health to go off the meds. Like it's their responsibility!

I just think it's unbelievable that others have to take responsibility for others' health in this society. I wonder why sometimes. Why ought we trust doctors with our own personal health? I honestly do not know.

I know doctors can do wonders for some people but sometimes I wonder if it's all a bunch of hogwash. I just don't know how they're so good at convincing me that I need the meds! Almost as if it's their job to convince people. But if I opt out, then am I a member of some underground cult or something like that? I don't understand. It just goes past my understanding that I need some sort of drug to correct something in my brain. It's just so far-fetched, you know. Ugh.

I just wish there was a remotely sensible way of treating these "illnesses".

I feel like I'm locked into the psychiatric grid, so to speak.

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Default Oct 01, 2020 at 10:22 AM
  #12
What? Do you not believe in science? Do you still question if your receptors or transmitters are somehow broken? Do you? If so, that is either an insight weakness or a spiritual failure of some kind. You thinking that you, Asparagae, that you, of all people, your brain somehow does not conform to 30 million peer-reviewed papers on the brain and jow it works and sometimes breaks. Maybe you are that special. Miracles happen. Only you can know.

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Default Oct 01, 2020 at 01:30 PM
  #13
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What? Do you not believe in science? Do you still question if your receptors or transmitters are somehow broken? Do you? If so, that is either an insight weakness or a spiritual failure of some kind. You thinking that you, Asparagae, that you, of all people, your brain somehow does not conform to 30 million peer-reviewed papers on the brain and jow it works and sometimes breaks. Maybe you are that special. Miracles happen. Only you can know.
Egh. Yeah I posted that on the assumption that I am somehow different than all the rest. I suppose that's probably wrong.

I sometimes get into this way of thinking that I don't need treatment. It really sucks when I start thinking that way. I hate it.

Also, my judgment is sometimes atrocious.

I am certainly not different than all the rest.

Sometimes I get so frustrated with my current pdoc that I turn to this kind of thinking though. That is my best guess, and I think it's true. That is why I am finding a new pdoc.

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